Property:AnswerBExp
Jump to navigation
Jump to search
W
Absence of <sup>14</sup>C galactose-1-phosphate after the addition of <sup>14</sup> C galactose is observed in galactokinase deficiency. Galactokinase deficiency is a relatively mild disorder associated with early-onset cataracts with no effect on early development. +
Galactose-1-phosphate uridyl transferase catalyzes the reversible conversion of galactose-1-phosphate to UDP galactose. This enzyme is deficient in patients with classic galactosemia. +
Classic galactosemia is an autosomal recessive disease characterized by the absence of galactose-1-phosphate uridyltransferase (GALT) resulting in the accumulation of galactose-1-phosphate, galactose and galacticol. Although classic galactosemia is associated with cataracts, it is a more severe illness associated with mental retardation, failure to thrive and jaundice. +
'''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. +
'''Correct'''-Hemodynamically unstable and known AAA patients with systolic blood pressure < 90 mmHg should be emergently rushed to the operating room for immediate control of hemorrhage and repair of the aneurysm while hemodynamically unstable patients without a previously known history of AAA and systolic blood pressure > 90 mmHg can be taken for a focused ultrasound examination to confirm the aneurysm prior to abdominal exploration. +
'''Incorrect'''-Outpatient management for uncomplicated diverticulitis patients with oral fluids until clinical improvement should also include oral antibiotics to control the infection. +
'''Correct'''-2 to 6 weeks after recovering, uncomplicated diverticulitis patients have to be followed up with colonoscopy to rule out colon cancer or an extension of the diverticulum. +
'''Incorrect'''-Open 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. +
'''Incorrect'''-Adenomatous polyps >1 cm in size or multiple (>2) polyps in number or villous type or with a high grade dysplasia should be followed up with a repeat colonoscopy after 3 years. If it is negative, another repeat colonoscopy should follow after 5 years. +
'''Incorrect'''-The onset of action of glargine is 3 to 4 hours and its duration of action is 22 to 24 hours. So administering it as late as possible during the evening will not be useful. +
'''Incorrect'''-After confirming a pseudocyst, uncomplicated pseudocysts smaller than 5 cm should be observed for 6 weeks before further therapeutic intervention. +
'''Incorrect'''-After confirming a pseudocyst, uncomplicated pseudocysts smaller than 5 cm should be observed for 6 weeks before further therapeutic intervention. +
Correct
Dobutamine is drug of choice used as further management of acute pulmonary edema cases after the clock is moved forward 30–60 minutes and there is no response to preload reduction. +
Beta waves are characteristic of rapid eye movement (REM) sleep and are also demonstrated when a person is awake and alert. Nightmares occur during REM sleep which may present similar symptoms, but with a nightmare the child usually has memory of the dream. +
PAS-positive, acid-fast macrophages may be present in HIV infections as a result of opportunistic infection caused by ''Mycobacterium avium intracellulare''. +
Leukemia can occur as a result of previous genotoxic chemotherapy, such as alkylating agents. +