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. Glaucoma:
Glaucoma is caused by increased IOP, which damages the optic nerve, leading to vision loss.
B. Cataracts:
Cataracts involve clouding of the lens, not elevated pressure or optic nerve damage.
C. Retinal detachment:
Retinal detachment involves the separation of the retina from underlying tissue, usually resulting from trauma or degeneration, not from pressure.
D. Retinoblastoma:
Retinoblastoma is a malignant tumor of the retina, typically seen in children, unrelated to IOP.
Correct Answer is D
Explanation
A. Mitral stenosis:
Mitral stenosis is narrowing of the mitral valve, often due to rheumatic heart disease, not IV drug use or infection.
B. Angina pectoris:
Angina is chest pain due to ischemia, not infection or vegetation on heart valves.
C. Aortic insufficiency:
Aortic insufficiency is leakage of the aortic valve, leading to volume overload, not typically associated with infection and petechiae.
D. Infective endocarditis:
IV drug users are at high risk for infective endocarditis. Symptoms include fever, chills, weakness, petechiae, and vegetations seen on echocardiogram.
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