Property:AnswerDExp
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'''Incorrect'''-Diagnosis of Hodgkin’s lymphoma through lymph node biopsy carries an accuracy rate of 98%. So a repeat node biopsy will be unnecessary. +
'''Incorrect'''-A laparoscopic cholecystectomy is more effective, with fewer complications and can be done more quickly during emergency when compared to open procedure. If the patient is not medically stable for cholecystectomy, percutaneous aspiration is an option. +
'''Incorrect'''-Since it takes 4 to 6 hours for the clotting factors to achieve their half-life to become effective, transfusion of FFP during the surgery will not be effective in maintaining the hemostasis in this patient who is at increased risk of bleeding during the surgery. +
'''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>
1. CEA monitoring every 3 months until 3 years<br>
2. Colonoscopy at 1 year, 3 years and 5 years<br>
3. Abdomen and chest CT every year until 3 years<br> +
'''Incorrect'''-After confirming the suspected DKA with fingerstick glucose test and before the arrival of arterial blood gas and other serum biochemistry, empirical treatment with isotonic 0.9% normal saline is recommended. +
'''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. +
A crescendo decrescendo systolic ejection murmur that increases in intensity with elevation of the legs, and squatting, but decreases in intensity on valsalva maneuver, standing and handgrip is characteristic of aortic stenosis +
'''Incorrect''' Warfarin is used for anticoagulation in patients after valve replacement. It is not the initial treatment in mitral valve prolapse +
'''Incorrect''' Beta blockers play an important role in improving mortality in cardiomyopathy. +
The most specific test to diagnose Systemic lupus erythematosus is Anti ds-DNA antibodies. +
'''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. +
'''Incorrect''' Lipid levels Lipid levels are important in this patient to decrease the future risk of atherosclerosis but not as the next step here. +
'''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. +
'''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. +
'''Incorrect''' Warfarin can be used for anticoagulation once the rate control is achieved. +
'''Incorrect''' Hoarseness of voice is due to compression of recurrent laryngeal nerve by the enlarged left atrium. +