A female patient presents with chronic dyspareunia, pelvic pain, increased abdominal girth, fever, and vomiting. After an HE4 test and positive abdominal ultrasound, the physician schedules a salpingo-oophorectomy. Which condition is described?
Ovarian tumor
Pelvic inflammatory disease (PID)
Dysmenorrhea
Benign fibroadenoma
The Correct Answer is A
A. Ovarian tumor:
The symptoms (chronic pelvic pain, abdominal girth, fever, vomiting, and an elevated HE4 test) are suggestive of an ovarian tumor or potentially ovarian cancer, which may require surgical intervention like a salpingo-oophorectomy (removal of the ovary and fallopian tube).
B. Pelvic inflammatory disease (PID):
PID typically causes pelvic pain and fever, but the increased abdominal girth and elevated HE4 test make an ovarian tumor more likely.
C. Dysmenorrhea:
Dysmenorrhea refers to painful menstruation, which typically doesn't present with the severe symptoms described here, such as fever, vomiting, and abdominal girth changes.
D. Benign fibroadenoma:
Fibroadenomas are benign breast tumors, not related to the ovaries or the symptoms presented.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Crescent-shaped red blood cells and missing wisdom teeth:
Crescent-shaped red blood cells are characteristic of sickle cell anemia, not Down syndrome.
B. Flattened nose and a single palmar crease on the hands:
Typical features of Down syndrome include flattened facial features, epicanthal folds, and a single palmar (Simian) crease.
C. Hypertension and hypertonia:
Children with Down syndrome often have hypotonia (low muscle tone), not hypertonia or hypertension.
D. Widened eyes and a long neck:
While individuals with Down syndrome can have upward slanting eyes, a long neck is not a typical feature.
Correct Answer is ["A","D"]
Explanation
A. Surgical emergencies cannot be excluded:
If there is a possibility of a surgical emergency (such as a ruptured ectopic pregnancy or an abscess), hospitalization is necessary for observation and treatment.
B. The patient uses no contraceptives:
While contraception use may affect the risk of PID, it doesn't directly determine whether hospitalization is needed.
C. The patient has a history of miscarriage:
A history of miscarriage is not a specific indication for hospitalization in PID cases.
D. The diagnosis is uncertain:
If PID is suspected but the diagnosis is uncertain, hospitalization may be required for further diagnostic workup and close monitoring.
E. There is a history of STIs:
A history of STIs increases the risk of PID but doesn't necessarily require hospitalization.
F. C-reactive protein levels are low:
C-reactive protein (CRP) is an inflammatory marker, but low levels do not indicate that hospitalization is not needed.
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