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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

• WBR0917  + ('''Correct'''-Worsening uncomplicated and … '''Correct'''-Worsening uncomplicated and complicated acute cholecystitis patients who are not surgical candidates with advanced pulmonary and cardiac diseases may benefit from percutaneous gallbladder drainage and placement of a cholecystostomy or T-tube if common bile duct stones are suspected. The alternative is ERCP to attempt endoscopic opening of the common bile duct or cystic duct.ng of the common bile duct or cystic duct.)
• WBR1095  + ('''Correct''': The best next step in the management of fever and seizures is doing a lumbar puncture to rule out meningitis from encephalitis.)
• WBR1151  + ('''Incorrect''' -)
• WBR0184  + ('''Incorrect''' - Muscle biopsy is performed when symptoms persist even after starting appropriate treatment.)
• WBR1150  + ('''Incorrect''' - Thyroglobulin measurements are useful only after several weeks following total thyroidectomy to detect any recurrence and not immediately after the surgery.)
• WBR0207  + ('''Incorrect''' :)
• WBR0236  + ('''Incorrect''' : Blood pressure rapidly decreases when labetolol is administered.)
• WBR0221  + ('''Incorrect''' : Changing to insulin drip and infusion is best way to prevent perioperative diabetic complications.)
• WBR0208  + ('''Incorrect''' : Chemistry studies of the … '''Incorrect''' : Chemistry studies of the joint fluid, such as the concentrations of glucose, lactate dehydrogenase, or protein have only limited value; a reduction in glucose concentration and elevation of LDH are consistent with a bacterial infection, but are not diagnostic or particularly sensitive. not diagnostic or particularly sensitive.)
• WBR0523  + ('''Incorrect''' : Haematocrit fall > 10% is an indicator of severity but this patient dint have > 10% fall.)
• WBR0241  + ('''Incorrect''' : Imaging studies are not routinely employed in the evaluation for possible CTS.)
• WBR0224  + ('''Incorrect''' : Inferior petrosal sampling is required to differentiate ectopic ACTH from pituitary ACTH Cushing’s syndrome.)
• WBR0407  + ('''Incorrect''' : Many patients with AS have restrictions in chest expansion due to costovertebral rigidity. Due to lung fibrosis, chest X-rays may show apical fibrosis while pulmonary function testing may reveal a restrictive lung defect.)
• WBR0228  + ('''Incorrect''' : Patient has elevated ionized and total calcium. Hence lab error is unlikely in this patient.)
• WBR0410  + ('''Incorrect''' : Since silicosis can mask the radiographic changes of active TB, chest X-ray is not used as a screening tool for tuberculosis.)
• WBR0242  + ('''Incorrect''' : Surgical treatment of CTS appears to be more effective than splinting. It is usually indicated when conservative measures fail.)
• WBR0181  + ('''Incorrect''' : There is no requirement for a diagnostic tool in a clinically diagnosed patient.)
• WBR0222  + ('''Incorrect''' : Thyroid ultrasound would be useful if there is thyroid enlargement is present in order to monitor any change in size and look for dominant nodule(>1cm). Patient examination is normal and hence won’t be appropriate next step.)
• WBR0229  + ('''Incorrect''' : Treatment is started after biochemical confirmation is made, because the drugs may interfere with interpretation of results.)
• WBR0526  + ('''Incorrect''' : White blood cell count > 18000 cells/mm3 is a prognostic indicator at the admission time and this patient has lower WBC count .)
• WBR0351  + ('''Incorrect''' Acute pericarditis presents with diffuse ST segment elevation and chest pain that changes with position and respiration. Pericarditis would not show ballooning of the apex of the left ventricle on echocardiography.)
• WBR0355  + ('''Incorrect''' Cardiac enzymes start rising after an hour of Infarction , so not the best next step here. On the base of electrocardiogram findings and patient history there is enough evidence to begin therapy for MI, starting with an antiplatelet agent.)
• WBR0357  + ('''Incorrect''' Cardiac enzymes start to rise one hour after pain onset. They should be measured but starting tPA is the best next step here)
• WBR0358  + ('''Incorrect''' Cardiac enzymes start to rise one hour after pain onset. They should be measured but arranging for angioplasty is the best next step here)
• WBR0353  + ('''Incorrect''' Clopidogrel is used in patients with contraindications to Aspirin use such as rare instances of aspirin allergy)

• WBR0360  + ('''Incorrect''' Digoxin has no use in Ventricular tachycardia.)

• WBR0454  + ('''Incorrect''' Dobutamine is used when the patient does not respond to preload reduction, it is not the best immediate step here)
• WBR0653  + ('''Incorrect''' Ejection fraction <60%, left ventricular end systolic diameter more than 55mm is the operative criteria for mitral regurgitation, not aortic regurgitation)
• WBR0835  + ('''Incorrect''' Electrocardiogram findings and chest pain changing with position suggests Pericarditis more than myocardial Infarction.)
• WBR0652  + ('''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 symptoms.y fever or other acute infective symptoms.)
• WBR0833  + ('''Incorrect''' Entamoeba is an anaerobic protozoan parasite that causes amebiasis.)
• WBR0836  + ('''Incorrect''' HbA1C can be assessed to monitor blood sugar control over a period of 6 weeks. Though diabetes mellitus is a cause of peripheral arterial disease, HbA1C has no role in diagnosing peripheral arterial disease)
• WBR0839  + ('''Incorrect''' Heart failure is not characterized by electrical alternans.)
• WBR0841  + ('''Incorrect''' If the electrocardiogram was normal then holter monitoring may be opted to know the episodes of atrial fibrillation in 24 hours.)
• WBR0831  + ('''Incorrect''' Mitral valve prolapse is usually characterized by a mid-systolic click. In severe cases, it can be associated with a regurgitation murmur.)
• WBR0837  + ('''Incorrect''' Pantoprazole can be prescr … '''Incorrect''' Pantoprazole can be prescribed if Electrocardiogram result is normal. Acid reflux may be the most probable cause of this patient’s distress, but pantoprazole therapy without ruling out ischemic heart disease first is not the most appropriate course of action not the most appropriate course of action)
• WBR0455  + ('''Incorrect''' Spirinolactone should be replaced, but not with digoxin)
• WBR0356  + ('''Incorrect''' Statins are important in lipid management with mortality benefits in Myocardial infarction patients but not time specific.)
• WBR0838  + ('''Incorrect''' Surgery is the definitive treatment in aortic dissection, but reducing the blood pressure first is the most appropriate first step)
• WBR0453  + ('''Incorrect''' Synchronized cardioversion is performed when arrhythmias are the reason for heart failure.)
• WBR0651  + ('''Incorrect''' Though the initially preferred treatment is medical in mitral regurgitation if ejection fraction drops below 60% and left ventricular end systolic diameter exceeds 40mm, valve repair should be performed)
• WBR0352  + ('''Incorrect''' Urine myoglobin levels are raised in rhabdomyolysis . Rhabdomyolysis is a rare complication of statin therapy. Monitoring of urine myoglobin is not standard of care)
• WBR0650  + ('''Incorrect''' Ventricular septal defects are characterized by a holosystolic murmur at the lower left sternal border)
• WBR0359  + ('''Incorrect''' Ventricular tachycardia is characterized by a wide QRS complex tachycardia on electrocardiogram)
• WBR0832  + ('''Incorrect''' When mitral valve prolapse is asymptomatic, treatment may not be necessary, but when symptomatic beta blockers are used)
• WBR1037  + ('''Incorrect'''-)
• WBR1033  + ('''Incorrect'''- Absence of fever excludes the infectious etiology, however staphylococcal bone infection is common with sickle cell disease.)
• WBR1140  + ('''Incorrect'''- In minimal diseases (diam … '''Incorrect'''- In minimal diseases (diameter up to 1.0 centimeters), hemithyroidectomy (or unilateral lobectomy) and isthmectomy may be sufficient, but there is some discussion whether this is still preferable over total thyroidectomy for this group of patients. thyroidectomy for this group of patients.)
• WBR1038  + ('''Incorrect'''- Pancreatic enzymes replacement is indicated in chronic pancreatitis, when the exocrine functions of the pancreas are deteriorating.)
• WBR1039  + ('''Incorrect'''- Pancreatic enzymes replacement is indicated in chronic pancreatitis, when the exocrine functions of the pancreas are deteriorating.)
• WBR0530  + ('''Incorrect'''-Although asthma can have a similar presentation, the history will favor a diagnosis of bronchiolitis.)