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 C
Explanation
A. A callus that forms on an ossicle:
No callus forms on the ossicles with cerumen impaction. Ossicle problems (like otosclerosis) involve bone remodeling, not wax.
B. Inflammation of the innermost part of the ear:
This describes labyrinthitis or inner ear infections, not cerumen impaction.
C. Blockage of the ear canal due to built-up ear wax:
Cerumen impaction is the accumulation of earwax blocking the external ear canal, leading to symptoms like hearing loss or fullness.
D. Accumulation of skin cells behind the tympanic membrane or within the mastoid bone:
This describes a cholesteatoma, not cerumen impaction.
Correct Answer is C
Explanation
A. Bladder cancer:
Bladder cancer is treated through surgery, chemotherapy, or radiation, but not by "chemical castration."
B. Testicular cancer:
While testicular cancer may involve treatments that affect hormones, chemical castration is typically not a treatment for testicular cancer.
C. Prostatic cancer:
Prostatic cancer (prostate cancer) is often treated with chemical castration (using medications such as LHRH agonists or anti-androgens) to reduce testosterone levels and slow tumor growth.
D. Urethral cancer:
Urethral cancer is rare and treated with surgery or chemotherapy, not chemical castration.
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