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 A
Explanation
A. Botulism:
Botulism (caused by Clostridium botulinum) is a communicable disease that produces a toxin leading to rapid muscle paralysis, often starting within 6 hours of ingestion.
B. Malaria:
Malaria is a parasitic disease transmitted by mosquitoes that causes fever, chills, and anemia, not muscle paralysis.
C. Lyme disease:
Lyme disease, caused by Borrelia burgdorferi from tick bites, leads to joint pain, neurologic symptoms, and erythema migrans, but not acute paralysis.
D. West Nile virus:
West Nile virus can cause encephalitis and muscle weakness, but the paralysis onset is usually slower, not typically within 6 hours.
Correct Answer is A
Explanation
A. Myocardial infarction:
A MI (heart attack) occurs when a blood clot blocks a coronary artery, causing ischemia and necrosis (death) of heart muscle tissue.
B. Angina pectoris:
Angina is reversible chest pain due to temporary ischemia, usually from narrowed arteries, not total blockage by clot.
C. Heart dysrhythmia:
Dysrhythmias are abnormal heart rhythms; they can be a consequence of ischemia, but not directly caused by clots.
D. Atrial fibrillation:
AFib is an irregular, often rapid heart rhythm, but it’s an electrical problem, not caused directly by a blood clot.
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