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This page provides a simple browsing interface for finding entities described by a property and a named value. Other available search interfaces include the page property search, and the ask query builder.

List of results

• WBR0319  + ("D" corresponds to the hydroxyl group. It does not bear the triphosphate)

• WBR0962  + (''' Correct ''' : Avoid unnecessary treatment of asymptomatic patients with mild to moderate thrombocytopenia (ie, a platelet count greater than 30,000/microL).)
• WBR0950  + (''' Correct ''' : Spherocytes , microspherocytes, and elliptocytes are seen in autoimmune hemolytic conditions which is associated with Wilson’s disease.)
• WBR0965  + (''' Incorrect ''' : A low serum Epo level … ''' Incorrect ''' : A low serum Epo level in the patient with erythrocytosis is relatively specific for the diagnosis of polycythemia vera (PV) and erythrocytosis associated with increased serum Epo is unlikely to represent PV and a working diagnosis of secondary erythrocytosis should be made.f secondary erythrocytosis should be made.)
• WBR0953  + (''' Incorrect ''' : All offspring of affected mothers are affected (although some may be phenotypically normal) and no offspring of affected fathers are affected in mitochondrial inheritance.)
• WBR0964  + (''' Incorrect ''' : An isolated decrease i … ''' Incorrect ''' : An isolated decrease in plasma volume can elevate the hemoglobin, hematocrit, and RBC count. The state of chronically reduced plasma volume with elevated hemoglobin or hematocrit has been called Gaisbock's disease, spurious polycythemia, stress erythrocytosis, apparent polycythemia, and pseudopolycythemia, although many may be examples of smokers' polycythemia. may be examples of smokers' polycythemia.)
• WBR0955  + (''' Incorrect ''' : Membrane GPIb/IX of ph … ''' Incorrect ''' : Membrane GPIb/IX of phagocytosed platelets are processed, and their digested peptides are presented by macrophages to autoreactive HLA-restricted CD4+ T cells in immune thrombocytopenic purpura. It is not related to initiation of heparin.t is not related to initiation of heparin.)
• WBR0958  + (''' Incorrect ''' : The type I heparin-induced thrombocytopenia is typically characterized by a slight fall in platelet count that occurs within the first two days after heparin initiation and often returns to normal with continued heparin administration.)
• WBR0954  + (''' Incorrect ''' : Whole body technitum-99 scan are less sensitive in picking up lytic lesions.)
• WBR1151  + ('''Correct''' -)
• WBR0220  + ('''Correct''' : Apathetic thyrotoxicosis is an atypical though not rare manifestation of hyperthyroidism that requires high level of suspicion and could be ruled out through thyroid function tests.)
• WBR0523  + ('''Correct''' : Increase in BUN by 1.8 or more mmol/L (5 or more mg/dL) after IV fluid hydration which meets this patients lab findings.)
• WBR0224  + ('''Correct''' : MRI of the abdomen is the best option of investigation for adrenal tumors.)
• WBR0221  + ('''Correct''' : Normal insulin dose on the … '''Correct''' : Normal insulin dose on the night before surgery, and start the patient on an insulin drip and infusion of D5 1/2NS with 40 mEq of KCL to keep the blood glucose below 160 mg/dl would be the best option for controlling the patient diabetic statusor controlling the patient diabetic status)
• WBR0225  + ('''Correct''' : Pituitary enlargement and hyperpigmentation following bilateral adrenalectomy is called Nelson’s syndrome)
• WBR0229  + ('''Correct''' : Screening with plasma-free metanephrines (metanephrine and normetanephrine) or 24-hour urine metanephrines and catecholamines for confirming pheochromcytoma.)
• WBR1035  + ('''Correct'''- Laryngeal inflammation leading to hoarseness, a barking cough in a children typically less than 3 years of age is characteristic for croup.)
• WBR0531  + ('''Correct'''-Abnormal bone remodeling is … '''Correct'''-Abnormal bone remodeling is the primary defect where excessive resorption of bone due to excess osteoclastic activity is followed by replacement of normal marrow with dense, trabecular and disorganized bone due to activation of osteoblastic activity in Pagets disease.f osteoblastic activity in Pagets disease.)
• WBR1031  + ('''Correct'''-Acute steroid induced myopathy should be considered in patients who begin to have generalized muscle weakness, elevated serum creatinine kinase levels and myoglobinuria around 1 week after the start of steroid treatment.)
• WBR0213  + ('''Correct'''-Any patient with acute and s … '''Correct'''-Any patient with acute and severe illness may have an abnormal thyroid function test. This is sick euthyroid syndrome (low T3 syndrome), which is due to the caloric deprivation and increased cytokine levels during the period of illness. The abnormality pattern is usually a low total or free T3 level with normal T4 and TSH levels, due to decrease in the peripheral conversion of T4 to T3. Longer the duration of illness, T3 fall might be followed by fall in T4 and TSH levels. On recovery from illness there might be a transient increase in TSH levels. For this reason, a thyroid test is usually not performed in severely ill patients unless there is a strong indication, since these abnormalities can be misleading.nce these abnormalities can be misleading.)
• WBR0912  + ('''Correct'''-Diabetic ketoacidosis patien … '''Correct'''-Diabetic ketoacidosis patient on treatment when becomes stable and hungry without any nausea and vomiting, returning to parameters like blood glucose <200 mg/dL, serum bicarbonate >18 mEq/L and anion gap <12 mEq/L, should be switched to subcutaneous insulin while maintain the insulin drip since it takes 2 hours for the subcutaneous insulin to reach therapeutic level.he subcutaneous insulin to reach therapeutic level.)
• WBR0211  + ('''Correct'''-Diabetics have a high risk o … '''Correct'''-Diabetics have a high risk of erectile dysfunction due to vascular complications and neuropathy. This risk progressively increases with the patient’s age and duration of diabetes. Psychological causes also should not be overlooked in this age group. The first line of treatment is phosphodiesterase inhibitors (e.g. sildenafil). When treating with phosphodiesterase inhibitors, the following should to be considered.</br>1.Sildenafil while combining with an alpha-blocker, it is essential to give the drugs with at least 4-hour interval to reduce the risk of hypotension since the half-life of sildenafil is about 4 hours. </br>2.Sildenafil is contraindicated in patients treated with nitrates.</br>3.Sildenafil should be used with precaution in conditions predisposing to priapism.</br>4.Concurrent use of drugs that interfere with the metabolism of sildenafil (e.g. erythromycin, cimetidine) may predispose to adverse reactions by prolonging its plasma half-life.ctions by prolonging its plasma half-life.)
• WBR0522  + ('''Correct'''-Hoarseness may be due to ede … '''Correct'''-Hoarseness may be due to edema or swelling of the larynx or vocal cords, or to external compression of the larynx or the recurrent laryngeal nerve. Certain occupations, such as being a singer or telephone operator, also place people at risk for voice strain (chronic laryngitis) due to overuse. Medications, such as inhaled corticosteroids, may contribute to the problem.costeroids, may contribute to the problem.)
• WBR0263  + ('''Correct'''-Perforation of the esophagus … '''Correct'''-Perforation of the esophagus requires aggressive intervention in virtually all circumstances. While that intervention can usually consist of efforts to patch the perforation and drain the mediastinum, concomitant obstructive esophageal disease, whether inflammatory stenosis or cancer, mandates removal or bypass of the obstruction if control of the leak and its consequent persisting mediastinal and pleural contamination is to be accomplished. For distal esophageal cancers, many thoracic surgeons would use the classic Ivor-Lewis operation, which consists of mobilizing the stomach in the abdomen and then performing a right thoracotomy with mediastinal drainage, esophagectomy, and esophagogastrostomy.e, esophagectomy, and esophagogastrostomy.)
• WBR0399  + ('''Correct'''-Respiratory failure, severe … '''Correct'''-Respiratory failure, severe hypothermia, and neurologic injury following near drowning and chest radiography revealing bilateral perihilar infiltrates are consistent with the diagnosis of noncardiogenic pulmonary edema, following near drowning. pulmonary edema, following near drowning.)
• WBR0214  + ('''Correct'''-Self-induced water intoxicat … '''Correct'''-Self-induced water intoxication should always be considered in the differential diagnosis of confusional states and seizures in schizophrenic patients. As many as 20% of patients with a diagnosis of schizophrenia drink excessive amounts of water. At least 4% of these patients suffer from chronic hyponatremia and recurrent acute water intoxication. They typically have low plasma and urine osmolality.ally have low plasma and urine osmolality.)
• WBR0914  + ('''Correct'''-Since the patient is elderly … '''Correct'''-Since the patient is elderly and presenting with vomiting, fever with leukocytosis and co-morbidities, she should be admitted in the hospital for an in patient care that would include conservative management like nil oral, intravenous fluids, analgesics and anti emetics along with intravenous mono therapy or multidrug therapy of antibiotics, most commonly ciprofloxacin with metronidazole to give an anaerobic as well as aerobic coverage. an anaerobic as well as aerobic coverage.)
• WBR0829  + ('''Correct'''-The first line of management … '''Correct'''-The first line of management of diabetic ketoacidosis (DKA) is starting the patient on a continuous infusion of intravenous regular insulin and isotonic 0.9% normal saline. Potassium is supplemented when serum potassium falls below 5.3 mEq/L.hen serum potassium falls below 5.3 mEq/L.)
• WBR0826  + ('''Correct'''-The line of treatment for th … '''Correct'''-The line of treatment for this stage 3 patient will be surgery with chemotherapy and a post operative follow up that includes<br></br><br> </br>1. CEA monitoring every 3 months until 3 years<br> </br>2. Colonoscopy at 1 year, 3 years and 5 years<br> </br>3. Abdomen and chest CT every year until 3 years<br>rs<br> 3. Abdomen and chest CT every year until 3 years<br>)
• WBR1140  + ('''Correct'''-Total thyroidectomy is the p … '''Correct'''-Total thyroidectomy is the preferred initial treatment of choice for both minimal (diameter up to 1.0 centimeters) as well as gross (diameter over 1.0 centimeters) papillary carcinoma of thyroid. It reduces the risk of recurrence, avoids any residual disease since papillary carcinoma is a multifocal disease, allows easy monitoring with thyroglobulin since sensitivity for picking up recurrence is increased following total thyroidectomy, and allows for easy detection of metastatic disease by thyroid and neck node ultrasound.sease by thyroid and neck node ultrasound.)
• WBR0520  + ('''Correct'''-Whenever significant bleedin … '''Correct'''-Whenever significant bleeding happens in the early postoperative period with normal coagulation profile, the presumption should always be towards an error in the surgical control of blood vessels in the operative field. Hematologic disorders that are not apparent during the long operation are most unlikely to surface as problems postoperatively.ly to surface as problems postoperatively.)
• WBR0562  + ('''Correct:''' See explanation.)
• WBR0561  + ('''Correct:''' See explanation.)
• WBR0236  + ('''Incorrect''' : Blood pressure decreases and not increase.)
• WBR0306  + ('''Incorrect''' : Evaluating CD4 count and viral load more often is not required early in the course of disease as precipitous changes in the immune system is uncommon.)
• WBR0227  + ('''Incorrect''' : Hypokalemia and hypocalcemia is done only after magnesium correction.)
• WBR0183  + ('''Incorrect''' : Inflammatory disorder have no relation to the serum albumin levels.)
• WBR0240  + ('''Incorrect''' : It has long been advocated that urate-lowering therapy should not be initiated until after an acute gout flare has resolved, and we wait at least two weeks after an acute flare has subsided to initiate urate-lowering medication.)
• WBR0230  + ('''Incorrect''' : Never give beta blockade first; otherwise, unopposed alpha adrenergic stimulation will lead to refractory hypertension.)
• WBR0409  + ('''Incorrect''' : No prophylactic or therapeutic vaccine for hepatitis C exists.)
• WBR0209  + ('''Incorrect''' : Patients with the conste … '''Incorrect''' : Patients with the constellation of reactive arthritis, tenosynovitis, and urethritis (formerly Reiter syndrome), unlike those with typical DGI, also have one or more of the following: conjunctivitis; circinate balanitis; or keratoderma blenorrhagicume balanitis; or keratoderma blenorrhagicum)
• WBR0624  + ('''Incorrect''' : Primary biliary cirrhosi … '''Incorrect''' : Primary biliary cirrhosis (PBC) is characterized by a T-lymphocyte-mediated attack on small intralobular bile ducts. The signs and symptoms of PBC usually include pruritus, hyperpigmentation of the skin, and hepatomegaly in a woman with serum alkaline phosphatase concentration is almost always elevated, often to striking levels. Serum levels of 5'-nucleotidase and gammaglutamyl transpeptidase parallel those of alkaline phosphatase. The serum levels of aminotransferases may be normal or slightly elevated and antimitochondrial antibodies are the serologic hallmark of PBC.ibodies are the serologic hallmark of PBC.)
• WBR0223  + ('''Incorrect''' : Prolonged fasting results in underproduction of both insulin and C-peptide.)
• WBR0526  + ('''Incorrect''' : Serum LDH > 400 IU/L is a prognostic indicator at the admission time and this patient has lower values of LDH.)
• WBR0628  + ('''Incorrect''' : This patient has decompensated liver disease and hence just managing supportively is not an choice.)
• WBR0222  + ('''Incorrect''' : Thyroglobulin measurement is inappropriate in the management of hypothyroidism.)
• WBR0226  + ('''Incorrect''' : Water view is taken for sinusitis.)
• WBR0836  + ('''Incorrect''' Angiogram is the most accurate test for diagnosing peripheral arterial disease. However, due to angiogram’s invasive nature, the best initial test is ankle brachial index.)