A patient, diagnosed with alcoholic liver disease and cirrhosis, presents to his healthcare provider because he vomited something that looked like coffee grounds. Which health problem would the care team first suspect?
Esophageal varices.
Colorectal cancer.
Inflammatory bowel disease.
Appendicitis
The Correct Answer is A
A. Esophageal varices: Coffee-ground emesis suggests upper gastrointestinal bleeding, which is often due to ruptured esophageal varices in patients with cirrhosis.
B. Colorectal cancer: This condition typically presents with lower gastrointestinal symptoms such as changes in bowel habits or blood in the stool, not coffee-ground emesis.
C. Inflammatory bowel disease: This condition can cause gastrointestinal bleeding but is more commonly associated with symptoms like diarrhea and abdominal pain rather than coffee-ground emesis.
D. Appendicitis: This condition typically presents with right lower quadrant pain, not upper GI bleeding.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Esophageal varices: Coffee-ground emesis suggests upper gastrointestinal bleeding, which is often due to ruptured esophageal varices in patients with cirrhosis.
B. Colorectal cancer: This condition typically presents with lower gastrointestinal symptoms such as changes in bowel habits or blood in the stool, not coffee-ground emesis.
C. Inflammatory bowel disease: This condition can cause gastrointestinal bleeding but is more commonly associated with symptoms like diarrhea and abdominal pain rather than coffee-ground emesis.
D. Appendicitis: This condition typically presents with right lower quadrant pain, not upper GI bleeding.
Correct Answer is D
Explanation
A. Low T4, High TSH: This pattern is seen in primary hypothyroidism, where the thyroid gland is underactive.
B. Low T4, high calcitonin: This choice is unrelated to the typical lab findings in Graves' disease. Calcitonin levels are not commonly assessed in thyroid disorders like Graves' disease.
C. High PSA and estrogen levels: PSA (Prostate-Specific Antigen) and estrogen levels are unrelated to Graves' disease, which is an autoimmune hyperthyroid condition.
D. High T4, low TSH: Graves' disease is characterized by hyperthyroidism, where T4 (thyroxine) levels are elevated, and TSH (Thyroid-Stimulating Hormone) levels are suppressed due to the negative feedback mechanism.
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