Property:AnswerAExp
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11-deoxycortisol the substrate of 11β-hydroxylase inhibited by metyrapone accumulates after initiation of therapy. +
No treatment is indicated for patients who have a positive C. diff toxin assay without symptoms. +
The medications implicated in dementia are alcohol, anticholinergics, antihistamines, analgesics, psychotropic drugs and sedative-hypnotics. This patient is taking none of these medications. +
The sensitivity of standard MRI to detect hemorrhage in the acute setting is comparable with CT, and it is also recommended, especially in patients in whom radiation exposure is contraindicated (e.g., pregnant women). Standard MRI is also relatively insensitive to acute changes observed in brain ischemia. +
Subarachnoid hemorrhage appears as a high-attenuating, amorphous substance that fills the normally dark CSF-filled subarachnoid spaces. This is most evident in the largest subarachnoid spaces, such as the suprasellar cistern and Sylvian fissures. +
IV thrombolytics must only be administered after ensuring a blood pressure ≤180/110 mmHg. IV thrombolytics are generally administered within 4.5 hours of onset of symptom ONLY in patients without contraindicationS (i.e., eligible patients). +
Correct
If the stress test shows an area of reversible ischemia, angiography is done as the best next step +
The presentation of this patient is consistent with gouty arthritis. Hyperproduction or underexcretion of uric acid leads to hyperuricemia predisposing to gout. However, the crystal deposits in gouty arthritis are monosodium urate. +
Naloxone is a competitive antagonist of morphine. When a competitive antagonist is present, the potency of the agonist is altered and the curve of the effect of the agonist by increasing dose will be shifted towards the right. +
Since the patient is dehydrated his BUN/Creatinine ratio should be high reflecting a low fluid volume in his body. BUN/Creatinine <20:1 is incorrect. +
Aldose reductase catalyzes the conversion of galactose into galacticol and glucose to sorbitol. +