Property:AnswerAExp
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Galactokinase catalyzes the conversion of galactose to galactose-1-phosphate. The main presentation of patients with galactokinase deficiency is early-onset cataracts. +
Galactokinase deficiency is characterized by the inability to transform galactose into galactose-1-phosphate with subsequent accumulation of galacticol. It is a relatively benign disorder, with galacticol accumulation leading to early-onset cataracts if the proper diet adjustments are not made. +
'''Incorrect'''-Since the blood glucose level had gone below 200 mg/dL and serum potassium above 5.3 mEq/L, continuous infusion of intravenous regular insulin, isotonic 0.9% normal saline or one-half isotonic 0.9% normal saline and potassium should not be continued. +
'''Incorrect'''-Since the patients blood glucose has gone below 200 mg/dL and anion gap returned to normal, this regimen is not required. +
'''Incorrect'''-A focused abdominal ultrasonography to confirm the aneurysm before the surgery can be done on hemodynamically unstable patients without a previously known history of AAA and systolic blood pressure > 90 mmHg. +
'''Incorrect'''-Outpatient management with oral fluids until clinical improvement and oral ciprofloxacin with oral metronidazole for 7 to 10 days are for uncomplicated diverticulitis patients without the above features. +
'''Incorrect'''-Elective resection of involved bowel after 2 episodes of uncomplicated diverticulitis or after an episode in younger or immunocompromised patients have been recommended, but the recommendation yet remains controversial. +
'''Incorrect'''-. Laparoscopic reduction of intussusception is the treatment of choice in patients with multiple unsuccessful non-operative reductions. Laparoscopy is superior to open reduction because of faster recovery times, decreased length of stay, decreased time to full feeds, and lower requirements of pain medication. +
'''Incorrect'''-Symptomatic and uncomplicated patients who are at reduced or no risk for progression towards complication like abscess formation or gallbladder perforation can be observed for the next 24 to 48 hours along with conservative management like keeping the patient on nil per oral with naso gastric tube, and intravenous fluids along with antibiotics, analgesics and antiemetics. If the patient condition deteriorates, an emergency cholecystectomy should be done. If his condition improves, an elective cholecystectomy can be done after 48 hours or when the inflammation subsides. +
'''Correct'''-Polyps with non-infiltrating carcinoma should be followed up with a repeat colonoscopy after 1 year because of the increased risk of relapse. +
'''Incorrect'''-Increasing the evening dose of NPH insulin further might not be helpful since a previous attempt did not turn improve the patients condition. +
'''Correct'''-In the absence of a history or signs of acute or chronic pancreatitis or pancreatic trauma, in the absence of associated inflammatory changes on CT scan and in the presence of internal septae within the cyst cavity, pancreatic cystic neoplasms should be considered as a differential diagnosis to pancreatic pseudocyst and should be followed with either endoscopic ultrasonography or CT guided aspiration of cyst for differentiating the both and to plan the management accordingly. +
'''Incorrect'''-In the absence of a history or signs of acute or chronic pancreatitis or pancreatic trauma, in the absence of associated inflammatory changes on CT scan and in the presence of internal septae within the cyst cavity, pancreatic cystic neoplasms should be considered as a differential diagnosis to pancreatic pseudocyst and should be followed with either endoscopic ultrasonography or CT guided aspiration of cyst for differentiating the both and to plan the management accordingly. +
Incorrect
Calcium channel blockers such as diltiazem should be avoided in patients with impaired left ventricular function due to negative inotropic effects. +
Crypt abscesses are characteristic of ulcerative colitis, an inflammatory bowel disease that often manifests with bloody diarrhea, tenesmus, and weight loss. +
Gastric cancer can occur as a result of nistrosamine exposure. Nitrosamines are carcinogenic chemical compounds present in various foods, notably smoked meats. +