Property:AnswerDExp
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'''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. +
'''Incorrect'''-Rabies immune globulin is not recommended and a single dose of vaccine alone is an incomplete prophylaxis in this patient. +
'''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. +
'''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. +
'''Incorrect''' : Serum LDH > 400 IU/L is a prognostic indicator at the admission time and this patient has lower values of LDH. +
'''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. +
Although Romberg sign suggests cerebellar injury, deviated uvula is a sign of CN X (vagal nerve) injury in the brainstem. The brainstem is not considered one of the most susceptible regions of the brain during ischemic injury. +
Murmur of mitral valve prolapse (MVP) is best described as a late systolic crescendo murmur with midsystolic click. +
Urticaria or hives is a skin manifestation of allergic conditions that is characterized by raised erythematous itchy wheals with central clearing. +
Ethosuxamide, the first line treatment for absence seizures, is a thalamic T-type calcium channel blocker. +
Carbamazepine can also be used for cluster headache. Nonetheless, oxygen therapy is best initiated first. +
Transient ischemic attack (TIA) is characterized by a reversible vasoconstrictive process, which may manifest as cerebral ischemia and symptoms of stroke that often self-resolve. Although TIA is a reversible condition, it is a serious disease because it often heralds a stroke. +