A 49-year-old man with a history of a liver transplant presents with painless purplish spots on his face and mouth. The nurse practitioner suspects which of the following?
Tinea versicolor
Squamous cell carcinoma
Kaposi's sarcoma
Addison disease
The Correct Answer is C
Choice A reason: Tinea versicolor is a superficial fungal infection causing hypopigmented or hyperpigmented skin patches, not purplish lesions.
Choice B reason: Squamous cell carcinoma typically presents as raised, scaly, or ulcerated lesions rather than purplish patches.
Choice C reason: Kaposi's sarcoma presents with purplish, non-painful lesions and is associated with immunocompromised individuals, such as post-transplant patients on immunosuppressive therapy.
Choice D reason: Addison disease can cause hyperpigmentation but usually presents as diffuse bronzing rather than discrete purplish lesions on the face and oral mucosa.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A reason: The cerebellum primarily regulates coordination, balance, and fine motor control, not higher cognitive functions or judgment.
Choice B reason: The medulla oblongata controls autonomic functions such as breathing, heart rate, and reflexes, rather than cognition or speech.
Choice C reason: This choice is correct because the cerebral cortex is the outer layer of the brain responsible for higher-order functions, including reasoning, perception, language, voluntary motor activity, and decision-making.
Choice D reason: The hypothalamus regulates homeostatic functions such as temperature, hunger, thirst, and endocrine control, but does not directly control cognition, speech, or judgment.
Correct Answer is D
Explanation
Choice A reason: Ataque de nervios is common in Latin American cultures and involves intense emotional upset with crying, trembling, and verbal or physical aggression, often in response to a stressor, but usually within a family context.
Choice B reason: Khayal is a Southeast Asian cultural syndrome involving anxiety with physical symptoms like palpitations and dizziness, not violent outbursts.
Choice C reason: Possession syndrome involves acting under the control of a spirit or external entity but is distinct from culturally recognized violent episodes such as amok.
Choice D reason: Amok is a culture-bound syndrome observed in Malaysia and other Southeast Asian regions, characterized by sudden, dissociative episodes of violent behavior, often followed by amnesia for the event. This aligns with the patient's presentation.
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