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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

• 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.)
• WBR0351  + ('''Incorrect''' Anxiety does not cause ST segment elevation and does not raise cardiac enzymes)
• WBR0352  + ('''Incorrect''' Aspartate and alanine transaminases are monitored regularly but not creatinine Phosphokinase)
• WBR0834  + ('''Incorrect''' Beta blockers play an important role in improving mortality in cardiomyopathy.)
• WBR0354  + ('''Incorrect''' Cardiac auscultation can help in diagnosing pericarditis when pericardial rub is appreciated but it has no value in diagnosing infarction.)
• WBR0455  + ('''Incorrect''' Changing from glibenclamide to insulin is necessary only if the patient’s blood sugar levels are not controlled, there is no such indication in this question)
• WBR0651  + ('''Incorrect''' Ejection fraction less than 60% and left ventricular end systolic diameter more than 40mm is the criteria)
• WBR0650  + ('''Incorrect''' Endocarditis is often acco … '''Incorrect''' Endocarditis is often accompanied by fever , and presents as a new murmur or change in an existing murmur. It is diagnosed by blood cultures and vegetations on cardiac valves on echocardiography. The patient in this vignette does not display fever or other acute infective symptomsay fever or other acute infective symptoms)
• WBR0350  + ('''Incorrect''' Estrogen may decrease Low density lipoprotein levels)
• WBR0358  + ('''Incorrect''' Glycoprotein IIb, IIIa inhibitors offer mortality benefits in ST depression myocardial infarction)
• WBR0357  + ('''Incorrect''' Glycoprotein IIb, IIIa inhibitors offer mortality benefits in ST depression myocardial infarction.)
• WBR0842  + ('''Incorrect''' Hoarseness of voice is due to compression of recurrent laryngeal nerve by the enlarged left atrium.)
• WBR0451  + ('''Incorrect''' Implantable defibrillator and biventricular pace maker are two devices used in heart failure when ejection fraction drops below 35% both are associated with mortality benefits.)
• WBR0839  + ('''Incorrect''' In ischemic heart disease, the electrocardiogram shows ST elevation or depression. The location of ST segment changes in particular leads can help determine the infracted portion of the heart.)
• WBR0837  + ('''Incorrect''' Lipid levels Lipid levels are important in this patient to decrease the future risk of atherosclerosis but not as the next step here.)
• WBR0359  + ('''Incorrect''' Multifocal atrial tachycardia is characterized by polymorphic P waves on electrocardiogram.)
• WBR0654  + ('''Incorrect''' Musset’s sign refers to head bobbing with each pulse. This sign is also seen in aortic regurgitation.)
• WBR0361  + ('''Incorrect''' Option D is also correct but E includes angioplasty as well which makes it the best option)
• WBR0833  + ('''Incorrect''' Plasmodium vivax is a protozoan that causes malaria)
• WBR0653  + ('''Incorrect''' Surgery should be performed only when appropriate criteria is met, not in all symptomatic patients. Medical treatment is the best initial therapy.)
• WBR0838  + ('''Incorrect''' Though nitroprusside is al … '''Incorrect''' Though nitroprusside is also used to decrease the high blood pressure in aortic dissection it should be given after beta blockers. Nitroprusside administration may lead to reflex tachycardia which will increase the tearing force in the aorta.l increase the tearing force in the aorta.)
• WBR0841  + ('''Incorrect''' Warfarin can be used for anticoagulation once the rate control is achieved.)
• WBR0840  + ('''Incorrect''' Warfarin can be used for anticoagulation after valve replacement.)
• WBR0832  + ('''Incorrect''' Warfarin is used for anticoagulation in patients after valve replacement. It is not the initial treatment in mitral valve prolapse)
• WBR1034  + ('''Incorrect'''- Antibiotics administration are the second step after securing airways.)