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A patient arrives at an emergency department with sharp, abdominal pain. On exam, a palpable lump is present in the groin area.

A.

Which condition does this describe?

B.

Appendicitis

C.

External hemorrhoid

D.

Inguinal hernia

E.

Cholelithiasis

Answer and Explanation

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.


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Related Questions

Correct Answer is B

Explanation

A. Crescent-shaped red blood cells and missing wisdom teeth:

Crescent-shaped red blood cells are characteristic of sickle cell anemia, not Down syndrome.

B. Flattened nose and a single palmar crease on the hands:

Typical features of Down syndrome include flattened facial features, epicanthal folds, and a single palmar (Simian) crease.

C. Hypertension and hypertonia:

Children with Down syndrome often have hypotonia (low muscle tone), not hypertonia or hypertension.

D. Widened eyes and a long neck:

While individuals with Down syndrome can have upward slanting eyes, a long neck is not a typical feature.

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.

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