A 35-year-old woman with hypertension, multiple sclerosis, diabetes, and chronic fatigue syndrome presents to the nurse practitioner with a chief complaint of "vaginal itching with white, cottage cheese-like discharge." Which answer choice is a risk factor for this chief complaint?
Hypertension
Multiple sclerosis
Diabetes mellitus
Chronic fatigue syndrome
The Correct Answer is C
Choice A reason: Hypertension is not typically associated with fungal infections or vaginal candidiasis and does not increase susceptibility to this condition.
Choice B reason: Multiple sclerosis itself is not a direct risk factor for vaginal yeast infections, although immune modulation from treatments could potentially increase risk.
Choice C reason: Diabetes mellitus is correct. Elevated blood glucose levels can promote fungal growth and increase the risk of recurrent vulvovaginal candidiasis.
Choice D reason: Chronic fatigue syndrome is not a recognized risk factor for vaginal yeast infections. While it may affect overall immunity indirectly, it does not directly predispose to this infection.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason: Severity does not consistently differ between sexes; men are not uniformly more severe.
Choice B reason: Severity is variable and not reliably lower in men.
Choice C reason: Spontaneous recovery is rare in OCD and does not differ by sex.
Choice D reason: This is correct. Men tend to have an earlier age of onset, often during childhood or adolescence, while women more commonly present in adulthood.
Correct Answer is A
Explanation
Choice A reason: This is correct. The patient demonstrates both obsessions and compulsions. Obsessions are intrusive, unwanted thoughts or images, such as hearing knocking or voices that are not real. Compulsions are repetitive behaviors performed to reduce distress or prevent a feared outcome, demonstrated by the patient feeling compelled to check the door repeatedly. The symptoms have persisted for over six months and cause significant impairment, meeting diagnostic criteria for OCD.
Choice B reason: Schizophrenia involves persistent psychotic symptoms, such as hallucinations, delusions, disorganized speech, or negative symptoms, typically accompanied by functional decline. This patient recognizes the hallucinations as his imagination, which is inconsistent with schizophrenia.
Choice C reason: Social anxiety disorder is characterized by fear or anxiety in social situations due to concern about being judged or embarrassed. The patient's behaviors are not motivated by social evaluation and thus do not align with social anxiety disorder.
Choice D reason: Delusional disorder involves fixed, false beliefs that are not amenable to reason. The patient acknowledges that the experiences are imagined, which does not meet criteria for delusional disorder.
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