A patient arrives at an emergency department with sharp, abdominal pain. On exam, a palpable lump is present in the groin area.
Which condition does this describe?
Appendicitis
External hemorrhoid
Inguinal hernia
Cholelithiasis
The Correct Answer is C
A. Appendicitis:
Appendicitis causes RLQ pain, but not a groin lump.
B. External hemorrhoid:
External hemorrhoids cause perianal lumps, not lumps in the groin.
C. Inguinal hernia:
An inguinal hernia occurs when abdominal contents protrude through the inguinal canal, leading to a palpable groin lump and possibly sharp pain.
D. Cholelithiasis:
Cholelithiasis (gallstones) cause RUQ pain, not groin lumps.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Having greater than 50 moles and green or blue eyes:
Risk factors for melanoma include having many moles, fair skin, light-colored eyes, and history of sunburns.
B. Intermittent claudication and diabetes:
These are vascular and metabolic problems, not related to melanoma risk.
C. Black or brown hair and darker pigmented skin:
Darker skin provides some natural protection against UV radiation, reducing melanoma risk (although melanoma can still occur).
D. Younger than 18 years of age and obesity:
Age under 18 and obesity are not primary risk factors for melanoma. Cumulative sun exposure and genetic predisposition are much more relevant.
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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