A patient has recently undergone major abdominal surgery. Identify a sequela that can result from prolonged bed rest after a surgical procedure.

Paralytic ileus

Esophageal dysplasia.

Gastroparesis

Paralytic ileum

Answer and Explanation

The Correct Answer is A

A. Paralytic ileus: Paralytic ileus is a common complication of major abdominal surgery and prolonged bed rest. It is a temporary cessation of normal bowel peristalsis, leading to a lack of bowel sounds and the inability to pass gas or stool.

B. Esophageal dysplasia: This condition refers to abnormal changes in the cells of the esophagus, typically related to chronic gastroesophageal reflux disease (GERD), not prolonged bed rest.

C. Gastroparesis: This is a condition in which the stomach cannot empty itself of food in a normal fashion, often related to diabetes or damage to the vagus nerve. It is not a direct result of prolonged bed rest.

D. Paralytic ileum: This should refer to "paralytic ileus."

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Correct Answer is B

Explanation

A. High unconjugated, low direct: In liver disease, both conjugated (direct) and unconjugated bilirubin levels are typically elevated.

B. High conjugated, high direct: In cirrhosis and alcoholic liver disease, the liver's ability to process bilirubin is impaired, leading to elevated levels of both conjugated (direct) and unconjugated bilirubin, causing jaundice.

C. High direct, high unconjugated: Both direct (conjugated) and unconjugated bilirubin levels are elevated, but this does not clarify the direct relationship with jaundice.

D. Low indirect, normal unconjugated: In liver disease, bilirubin levels are elevated, not low or normal.

A. Genetic predisposition to the illness is rare in North American populations. B. The addition of iodide to salt helps lower the incidence in the US. C. There are better screening tools in the U.S. than in other countries. D. There are better medications more readily available to US citizens.

Correct Answer is B

Explanation

A. Decreased respirations and CO2 retention: A thyrotoxic crisis (thyroid storm) typically involves increased, not decreased, respiratory rates and CO2 retention due to increased metabolic activity.

B. Seizures and extreme tachycardia: Thyrotoxic crisis is characterized by severe symptoms including extreme tachycardia, fever, and potentially seizures due to excessive thyroid hormone levels.

C. Constipation and a swollen abdomen: Constipation and abdominal swelling are more typical of hypothyroidism rather than a thyrotoxic crisis.

D. Hypotension and bradycardia: Thyrotoxic crisis usually causes tachycardia and hypertension rather than bradycardia and hypotension.

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A patient has recently undergone major abdominal surgery. Identify a sequela that can result from prolonged bed rest after a surgical procedure.

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Naxlex Comprehensive Predictor Exams

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Correct Answer is B

Explanation

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Correct Answer is B

Explanation

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