A patient has a chronic digestive disease characterized by intermittent abdominal pain in the right lower quadrant, diarrhea, and loss of appetite. This condition is sometimes referred to as regional enteritis. Which condition does this patient have?
GERD
Crohn disease
Peptic ulcers
Pancreatitis
The Correct Answer is B
A. GERD (Gastroesophageal Reflux Disease):
GERD causes heartburn and regurgitation, not RLQ pain or diarrhea.
B. Crohn disease:
Crohn's disease (regional enteritis) causes chronic inflammation that can affect any part of the GI tract, often terminal ileum (RLQ pain), with diarrhea and weight loss.
C. Peptic ulcers:
Peptic ulcers cause epigastric pain, typically related to meals, not chronic RLQ pain or diarrhea.
D. Pancreatitis:
Pancreatitis causes epigastric pain radiating to the back, not right lower quadrant pain or chronic diarrhea.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Botulism:
Botulism (caused by Clostridium botulinum) is a communicable disease that produces a toxin leading to rapid muscle paralysis, often starting within 6 hours of ingestion.
B. Malaria:
Malaria is a parasitic disease transmitted by mosquitoes that causes fever, chills, and anemia, not muscle paralysis.
C. Lyme disease:
Lyme disease, caused by Borrelia burgdorferi from tick bites, leads to joint pain, neurologic symptoms, and erythema migrans, but not acute paralysis.
D. West Nile virus:
West Nile virus can cause encephalitis and muscle weakness, but the paralysis onset is usually slower, not typically within 6 hours.
Correct Answer is C
Explanation
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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