Property:AnswerBExp
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'''Incorrect'''-Starting screening at 40 years or 10 years earlier than the age at which the family member contracted cancer will be for patients with a single-family member with colon cancer. +
'''Incorrect'''-Adenomatous polyps >1 cm in size or multiple (>2) polyps in number or villous type or with a high grade dysplasia should be followed up with a repeat colonoscopy after 3 years. If it is negative, another repeat colonoscopy should follow after 5 years. +
'''Correct'''-Patients suspected with diabetic ketoacidosis need to be confirmed with a rapid fingerstick glucose test, which will take only few minutes before proceeding with other blood tests and medical therapy. +
'''Incorrect'''-Hypertonic D5 normal saline should replace the isotonic normal saline only when blood glucose falls below 200 mg/dL. +
'''Incorrect''' Mitral regurgitation is characterized by a holosystolic murmur at the cardiac apex. Dyspnea on exertion is the most common presentation +
Beta blockers are the preferred initial treatment in a symptomatic patient with mitral valve prolapse. +
'''Incorrect''' Hypertrophic obstructive cardiomyopathy is a cause of diastolic dysfunction that causes sudden death in young athletes +
'''Incorrect''' Angiotensin receptor blockers like Losartan, telmisartan and valsartan offer mortality benefit in cardiomyopathy +
'''Incorrect'''Anti SSA and Anti SSB are seen in Systemic lupus erythematosus but they are also present in Sjogrens syndrome. +
'''Incorrect''' EKG is useful for diagnosing myocardial infarction or arrhythmias. Suspicion for either of these conditions should be low in this patient. +
'''Incorrect''' It is the most accurate diagnostic test for aortic dissection, but not the most appropriate initial step. +
Electical alternans is defined by an electrocardiogram with QRS complexes of varying heights, a common feature of pericardial tamponade. +
Rate controlling drug like beta blocker is used to treat atrial fibrillation in hemodynamically stable patient. +
'''Incorrect''' Valve replacement is not the choice of treatment in this case of mitral stenosis. The indication for invasive treatment with either a mitral valve replacement or valvuloplasty is NYHA functional class III or IV symptoms. +
Systemic corticosteroids are not helpful for the treatment of hypertrophic scars or keloids. +