Property:AnswerEExp
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These are the classical findings of systemic lupus erythematosus (SLE). Patients with SLE may progress with renal involvement (commonly lupus nephritis). Lupus nephritis has a wide range of presentations and several sub-types. +
'''Incorrect'''-Staging laparotomy is not as necessary as in the past because CT and MRI have replaced them and can usually identify or exclude disease of the abdomen. +
'''Incorrect'''-Post-operative transfusion is of no use in maintaining the hemostasis in this patient since they are at increased risk of bleeding during the surgery. +
'''Incorrect'''-Digital rectal examination is not a good test for detecting colorectal cancer because its reach is limited. +
'''Incorrect'''-Right colectomy with a ileo-colic anastomosis and chemotherapy alone without a post operative follow up is not the appropriate line of management for colon cancer, since they have a higher probability for recurrence. +
'''Incorrect'''-Repeat colonoscopy after 15 years is not the correct approach to any of above scenarios. +
'''Incorrect'''-In this patient, only isotonic 0.9% normal saline is recommended as an empirical treatment to replenish the lost fluids after a rapid fingerstick glucose test and not a bolus of 15 grams of 50% dextrose. +
'''Incorrect'''-Sodium bicarbonate can be administered only when acidosis (<7) is accompanied by a severe (<5 mEq/L) fall in serum bicarbonate level and life threatening hyperkalemia. Otherwise, sodium bicarbonate infusion can lead to neurological deterioration, slowing of the rate of recovery of ketosis and post treatment alkalosis. +
'''Incorrect''' Mitral valve prolapse is usually characterized by a mid-systolic click. In severe cases, it can be associated with a regurgitation murmur. +
'''Incorrect''' When mitral valve prolapse is asymptomatic, treatment may not be necessary, but when symptomatic beta blockers are used +
'''Incorrect''' Electrocardiogram findings and chest pain changing with position suggests Pericarditis more than myocardial Infarction. +
'''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 +
'''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 +