A 20-year-old college athlete reports cramping, vomiting, and a pain in the pit of the stomach. The patient recently had a shoulder separation and is taking 600 mL of ibuprofen twice per day. The patient also reports having recently consumed large amounts of alcohol.
Which condition is indicated by this description?
Acute gastritis
Acute appendicitis
Gastroesophageal reflux disease (GERD)
Regional enteritis
The Correct Answer is A
A. Acute gastritis: Acute gastritis is an inflammation of the stomach lining. The two most common triggers are the heavy use of NSAIDs (like ibuprofen) and excessive alcohol consumption. The "pain in the pit of the stomach" refers to epigastric pain, a hallmark of this condition.
B. Acute appendicitis: While appendicitis involves vomiting and pain, the pain usually migrates to the Lower Right Quadrant (McBurney’s point), and it is not typically triggered by NSAID or alcohol use.
C. GERD: This involves chronic acid reflux. While alcohol can trigger it, the primary symptom is a burning sensation in the chest (heartburn), rather than acute vomiting and severe epigastric cramping.
D. Regional enteritis: Also known as Crohn's disease, this is a chronic inflammatory condition of the intestines. It does not typically present as an acute episode specifically linked to a weekend of NSAID and alcohol use.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. The process by which the body automatically reacts to tissue injured by trauma or bacteria: This specifically describes the inflammatory response, which is a part of innate immunity, but not the definition of the system as a whole.
B. The set of proteins that enhance the ability of the body to initiate the inflammatory response, attack a pathogen, and remove damaged cell material: This describes the complement system, a specific group of proteins in the blood.
C. The process in which endothelial cells are separated from each other, making the capillaries larger: This describes increased capillary permeability, a physiological change that occurs during inflammation.
D. The general pathogen fighting system people are born with that does not change over time: Innate immunity is our first line of defense. It is non-specific, present from birth, and unlike adaptive immunity, it does not "learn" or change its method of attack upon re-exposure.
Correct Answer is C
Explanation
A. A complication of a medical or surgical procedure: This describes an iatrogenic pneumothorax, not primary spontaneous.
B. A wound that allows air into the pleural cavity but not out: This describes a tension pneumothorax, not primary spontaneous.
C. No underlying lung disease and no inciting event: Primary spontaneous pneumothorax occurs without trauma or known lung disease, often due to rupture of subpleural blebs in healthy individuals.
D. An underlying lung disease as well as air entering the pleural space via ruptured blebs: This describes a secondary spontaneous pneumothorax, which occurs in patients with existing lung disease.
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