Property:AnswerDExp
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'''Incorrect'''Holter monitor is used to detect arrhythmias as the cause of heart failure if the patient has palpitations and heart failure. +
'''Incorrect''' Implantable defibrillator and biventricular pace maker are two devices used in heart failure when ejection fraction drops below 35% both are associated with mortality benefits. +
Monospot test is a diagnostic test for active Epstein-Barr virus (EBV) infection. Monospot test, however, is not specific and can be positive in other infections and hematological malignancies. EBV screening is not recommended prior to the initiation of anti-TNF therapy. +
'''Incorrect'''Echocardiography is done to distinguish between systolic and diastolic dysfunctions. Echocardiography findings would not change the initial therapy of this patient. +
When arrhythmia is the cause of heart failure, the best next step in management is rapid synchronized cardioversion +
'''Incorrect''' Changing from glibenclamide to insulin is necessary only if the patient’s blood sugar levels are not controlled, there is no such indication in this question +
Myocarditis is an inflammatory cardiomyopathy that could be of infectious or non-infectious causes. Most cases of myocarditis are in fact of viral origin due to coxsackie B virus. +
Schizoaffective disorder is a psychiatric disease characterized by the combination of schizophrenia symptoms and those of bipolar disorder. The diagnosis requires that the patient has 2 weeks of psychotic features without any signs of mania or depression. In the vignette, however, the patient is described to have neither mania nor depression. +
flaviviruses, togaviruses, retroviruses, coronaviruses, orthomyxoviruses, paramyxoviruses, rhabdoviruses, filoviruses, arenaviruses, bunyaviruses, and delta virus are all examples of single-stranded, enveloped RNA viruses. +
Inflammatory diarrhea is characterized by enterocyte damage, which causes mucosal disruption and abnormal absorption. +
Neutrophilia is not usually present in Hyper IgE syndrome. Hyper IgE syndrome is characterized by abnormally high levels of IgE and eosinophilia. Eosinophilia is almost universally present in these patients. However, eosinophil levels do not correlate with the IgE values. +
''P. aeruginosa'' may be an infectious cause of a complicated total knee replacement. However, ''P. aeroginosa'' is a motile organism. +
Rheumatoid arthritis (RA) is not classically associated with Paget's disease of the bone. +
Caspofungin, which is not used to treat onychomycosis, inhibits synthesis of beta-glucan. +
This constitutes one of the methods of reducing the high temperature associated with this condition. +