A patient is diagnosed with Hashimoto's thyroiditis. Which clinical manifestations are expected?
Tetany of the hands with a positive Chvostek sign
Polyuria, sweating and dry mucous membranes
Forgetfulness, depression and anemia
Nervousness, irritability, and diarrhea
The Correct Answer is C
A. Tetany of the hands with a positive Chvostek sign: Tetany and a positive Chvostek sign are more associated with hypocalcemia rather than Hashimoto's thyroiditis.
B. Polyuria, sweating, and dry mucous membranes: These symptoms are more indicative of hyperthyroidism or diabetes rather than hypothyroidism, which is characteristic of Hashimoto's thyroiditis.
C. Forgetfulness, depression, and anemia: Hashimoto's thyroiditis, which causes hypothyroidism, can lead to symptoms like forgetfulness, depression, and anemia due to reduced thyroid hormone levels.
D. Nervousness, irritability, and diarrhea: These symptoms are associated with hyperthyroidism rather than hypothyroidism.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Colon polyps: Colon polyps are not treated with antibiotics or antacids and are unrelated to Helicobacter pylori infection.
B. Atrophic gastritis: Atrophic gastritis involves chronic inflammation and thinning of the stomach lining and is not typically treated with antibiotics for Helicobacter pylori.
C. Intussusception of the small bowel: Intussusception is a condition where part of the intestine telescopes into itself and is not related to Helicobacter pylori.
D. Peptic ulcer disease: Peptic ulcer disease, especially gastric or duodenal ulcers, is commonly associated with Helicobacter pylori infection, which is treated with antibiotics and antacids.
Correct Answer is D
Explanation
A. Hyperproteinemia and increased drug effect: In cirrhosis, hypoproteinemia (low protein levels) occurs due to decreased protein synthesis by the liver, and drug metabolism is often impaired, leading to increased drug effects, but hyperproteinemia is not a typical finding.
B. Hyperkalemia and fluid retention: While fluid retention is common due to hypoalbuminemia and portal hypertension, hyperkalemia is not a direct consequence of hepatocyte dysfunction.
C. Hypercortisolism and increased infection risk: Hypercortisolism is not typically associated with cirrhosis. However, increased infection risk is common due to compromised immune function.
D. An elevated blood glucose and ammonia level: In cirrhosis, the liver's ability to metabolize ammonia is impaired, leading to elevated levels. Additionally, impaired glucose metabolism can result in hyperglycemia.
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