A patient arrives at the emergency department with abdominal pain, nausea, and vomiting. A physical examination reveals acute pain at the McBurney point. A CT scan confirms the diagnosis, and surgery is immediately scheduled to prevent peritonitis. Based on this information, which diagnosis is described?
Inguinal hernia
Gastroenteritis
Cholelithiasis
Acute appendicitis
The Correct Answer is D
Acute appendicitis is an inflammation of the appendix, a small pouch attached to the large intestine that has no known function. It can cause abdominal pain that usually starts around the navel and then shifts to the lower right quadrant, nausea, vomiting, loss of appetite, fever, and constipation or diarrhea. The McBurney point is a spot located about two-thirds of the way from the navel to the right hip bone that is tender when pressed in patients with appendicitis. A CT scan can show signs of inflammation and enlargement of the appendix and rule out other causes of abdominal pain. Surgery (appendectomy) is the standard treatment for appendicitis to remove the inflamed appendix and prevent complications such as peritonitis (infection of the lining of the abdominal cavity) or abscess (collection of pus) formation.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Marfan syndrome is a genetic disorder that affects the connective tissue, causing problems with the heart, blood vessels, eyes, bones, and joints. It is caused by a mutation in the FBN1 gene, which encodes for a protein called fibrillin-1. Marfan syndrome follows an autosomal dominant pattern of inheritance, which means that only one copy of the mutated gene is needed to cause the disorder. A person with Marfan syndrome has a 50% chance of passing on the mutated gene to each child, regardless of the gender of the parent or the child.
Correct Answer is A
Explanation
Infectious mononucleosis, also known as mono or the kissing disease, is an upper respiratory tract infection caused by the Epstein-Barr virus (EBV). EBV is a member of the herpesvirus family and can be transmitted through saliva or blood. The infection typically affects the lymph nodes, tonsils, and pharynx, causing symptoms such as fever, sore throat, swollen glands, and fatigue. The infection usually resolves on its own within a few weeks, but some people may experience complications such as splenomegaly, hepatitis, or neurological disorders. The diagnosis of infectious mononucleosis can be confirmed by a blood test that detects antibodies to EBV or by a mono-spot test that detects heterophile antibodies. A patient has been diagnosed with COPD (chronic obstructive pulmonary disease).
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