Property:AnswerCExp
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W
Correct
BNP test has been found to be both sensitive and specific for the diagnosis of CHF +
Incorrect
Warfarin should be considered in patients who have a previous history of thromboembolism or atrial fibrillation +
Correct
The patients developed ventricular tachycardia with with acute pulmonary edema, and synchronized cardioversion should be used immediately +
The deficiency of the enzyme porphobilinogen deaminase leads to acute intermittent porphyria.
Symptoms in AIP can be variable. They include:
:* Abdominal pain which is severe and poorly localized (most common, 95% of patients experience)
:* Urinary symptoms (Dysuria, urinary retention/incontinence or dark urine)
:* Peripheral neuropathy
:* Proximal motor weakness (usually starting in upper extremities which can progress to include respiratory impairment and death)
:* Autonomic nervous system involvement (tachycardia, hypertension, sweating, restlessness and tremor)
:* Neuropsychiatric symptoms (anxiety, agitation, hallucination, hysteria, delirium, depression)
:* Electrolyte abnormalities
Rash is not typically seen in AIP. Urine of AIP sufferers may turn dark purple when exposed to ultraviolet light and air after 24 hours of exposure. It is due to conversion of porphobilinogen to the dark colored porphobilin due to oxygen exposure.
It is managed by above mentioned recommendations. +
Repression is another well-known defense mechanism. Repression acts to keep information out of conscious awareness. However, these memories don't just disappear, they continue to have an influence on our behavior. After deep introspection the person is able to recollect a past event, or memories.
The most common example being a person who was abused and is unable to make relationships, which is the case here. +
Correct
A mean reduction of 35% in the dose of warfarin, and frequent follow up of INR and prothrombin time is needed when amiodarone used with warfarin is suggested to prevent such s complication. +
Incorrect
Platelet count is not mandatory to order after 7 weeks, as there is no drug affecting the platelet count +
Advanced heart failure is generally associated with low blood pressure. Pulse pressure may also be narrowed. +
C corresponds to phase 2 of the ventricular action potential. Phase 2 is characterized by a plateau. The plateau results from the opening of the voltage gated calcium channels leading to an influx of calcium that balances the potassium efflux. +
C corresponds to phase 2 of the ventricular action potential. Phase 2 is characterized by a plateau. The plateau results from the opening of the voltage gated calcium channels leading to an influx of calcium that balances the potassium efflux. Quinidine affects phase 0 of the ventricular action potential. +
Cyclosporine-associated nephrotoxicity typically manifests with tubulointerstitial damage and focal segmental glomerulosclerosis. +
The patient has rights to confidentiality. The physician should recommend that the patient informs the sexual partner for work-up and treatment, but the physician may not violate the right to patient's confidentiality. +
This is the correct behavior in this situation. Sharing medical information with a fellow physician not personally involved in the care of the patient is not permitted by privacy laws. +
Incorrect
There are no signs of inflammation in this patient. Amiodarone-induced hypothyroidism (AIH) is cause of this thyroid function abnormality. +