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	<owl:Ontology rdf:about="https://www.wikidoc.org/index.php/Special:ExportRDF/WBR0526">
		<swivt:creationDate rdf:datatype="http://www.w3.org/2001/XMLSchema#dateTime">2026-07-31T07:51:56+00:00</swivt:creationDate>
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		<rdfs:label>WBR0526</rdfs:label>
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		<swivt:page rdf:resource="https://www.wikidoc.org/index.php/WBR0526"/>
		<swivt:wikiNamespace rdf:datatype="http://www.w3.org/2001/XMLSchema#integer">0</swivt:wikiNamespace>
		<swivt:wikiPageContentLanguage rdf:datatype="http://www.w3.org/2001/XMLSchema#string">en</swivt:wikiPageContentLanguage>
		<property:AnswerA rdf:datatype="http://www.w3.org/2001/XMLSchema#string">Hypokalemia</property:AnswerA>
		<property:AnswerB rdf:datatype="http://www.w3.org/2001/XMLSchema#string">Elevated AST</property:AnswerB>
		<property:AnswerBExp rdf:datatype="http://www.w3.org/2001/XMLSchema#string">'''Incorrect''' : Serum AST &gt; 250 IU/L is a prognostic indicator at the admission time and this patient has lower values of AST.</property:AnswerBExp>
		<property:AnswerC rdf:datatype="http://www.w3.org/2001/XMLSchema#string">Older age</property:AnswerC>
		<property:AnswerCExp rdf:datatype="http://www.w3.org/2001/XMLSchema#string">'''Correct''' : Age in years &gt; 70 years meets the Ransons prognostic criteria in this patient.</property:AnswerCExp>
		<property:AnswerD rdf:datatype="http://www.w3.org/2001/XMLSchema#string">Elevated LDH</property:AnswerD>
		<property:AnswerDExp rdf:datatype="http://www.w3.org/2001/XMLSchema#string">'''Incorrect''' : Serum LDH &gt; 400 IU/L is a prognostic indicator at the admission time and this patient has lower values of LDH.</property:AnswerDExp>
		<property:AnswerE rdf:datatype="http://www.w3.org/2001/XMLSchema#string">Elevated WBC</property:AnswerE>
		<property:AnswerEExp rdf:datatype="http://www.w3.org/2001/XMLSchema#string">'''Incorrect''' : White blood cell count &gt; 18000 cells/mm3 is a prognostic indicator at the admission time and this patient has lower WBC count .</property:AnswerEExp>
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		<property:ExamType rdf:resource="&wiki;USMLE_Step_3"/>
		<property:MainCategory rdf:datatype="http://www.w3.org/2001/XMLSchema#string">Emergency Room</property:MainCategory>
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		<property:Prompt rdf:datatype="http://www.w3.org/2001/XMLSchema#string">A 71 yr old male comes to the emergency department with severe epigastric pain and vomiting.  His past history is insignificant with no surgery and medications intake.  He doesn’t smoke or consume alcohol.  He denies any bloody vomit, constipation, diarrhea and black stools.  On examination pulse is 92/min and BP is 110/80 mmHg.  Abdomen is tender.  Cardiovascular and respiratory examinations are normal.  Lab investigations show hemoglobin and hematocrit of 13 g/dl and 36, respectively, Na: 142 mEq/L, K: 3 mEq/L,  Cl: 105 mEq/L, Bicarbonate: 24 mEq/L, glucose: 170 mg/dl and Ca: 10mg/dl and elevated amylase and lipase levels.  WBC count is 16,000/mm3, AST 200 IU/L and LDH 350 IU/L. Which of the following admission criteria is indicative of severe attack in this patient?</property:Prompt>
		<property:RightAnswer rdf:datatype="http://www.w3.org/2001/XMLSchema#string">C</property:RightAnswer>
		<property:SubCategory rdf:datatype="http://www.w3.org/2001/XMLSchema#string">Gastrointestinal</property:SubCategory>
		<property:WBRKeyword rdf:resource="&wiki;Pancreatitis"/>
		<property:WBRKeyword rdf:resource="&wiki;Ranson_criteria"/>
		<swivt:wikiPageModificationDate rdf:datatype="http://www.w3.org/2001/XMLSchema#dateTime">2020-10-28T00:51:39Z</swivt:wikiPageModificationDate>
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