Property:AnswerAExp
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Incorrect
Therapy with one nucleoside reverse transcriptase inhibitor and one protease is not recommended +
Correct
The best management for this case is to stop the antibiotic with supportive treatment and observation +
Incorrect
Urine culture is done in suspected genitourinary infection with urological manifestations. +
Correct
HIV infected patient with latent syphilis of unknown duration, or late syphilis should be treated with benzathin penicillin G IM weekly for three weeks +
Incorrect
Anemia should be excluded, but HIV infection suspicion should be high in any young patient with non specific symptoms +
Correct
Classic MRI findings of PML consist of multiple demyelinating, non enhancing lesions with no mass effect. +
Budd-Chiari syndrome is often caused by hepatic vein thrombosis. One of the most common causes of these thromboses is polycythemia vera. +
"Indian file" pattern is the linear alignment of lobular cancerous cells that infiltrate through the dense fibrous stroma. It is characteristic of lobular carcinoma. +
Granulosa cell tumor is an ovarian non-germ cell tumor that often secretes estradiol. It has a gray-white multilocular appearance on gross pathology and characteristic Call-Exner bodies on microscopy. +
Ramipril is an ACE-inhibitor that has several indications, such as hypertension, diabetic nephropathy, and cardiac left ventricular dysfunction. Gynecomastia is not a typical adverse effect of ACE-inhibitors. +
Sex hormones are mainly secreted from the zona reticulata in the cortex of the adrenal gland. +
Cortisol upregulates β-adrenergic receptors to increase the sensitivity of norepinephrine, and thus increase blood pressure. The mechanism by which cortisol or glucocorticoids achieve such permissive effect is by coupling the adrenergic receptors and the G-protein receptors to stimulate adenylate cyclase, which is sensitive to catecholamines, leading to cAMP accumulation. +