A patient is newly diagnosed with Crohn's disease. Which S&S (sign and symptom) is the patient likely to exhibit?

Several episodes of black and tarry stocks.

Several episodes of hematochezia per day

Post-alcohol ingestion epigastric pain.

An oral temperature of 102

Answer and Explanation

The Correct Answer is B

A. Several episodes of black and tarry stools: This indicates melena, which is typically associated with upper gastrointestinal bleeding, not specifically Crohn's disease.

B. Several episodes of hematochezia per day: Hematochezia (fresh blood in stools) can occur in Crohn's disease due to inflammation and ulceration in the intestines.

C. Post-alcohol ingestion epigastric pain: This is more commonly associated with gastritis or peptic ulcer disease, not Crohn's disease.

D. An oral temperature of 102°F: While fever can occur in Crohn's disease during acute flare-ups, it is not a specific or definitive symptom of the condition. The primary symptoms are gastrointestinal in nature, such as abdominal pain and altered bowel habits.

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Correct Answer is C

Explanation

A. Appendicitis: Appendicitis typically presents with right lower quadrant pain, not LLQ pain.

B. Barrett's esophagus: Barrett's esophagus is a condition associated with chronic GERD and does not cause leukocytosis, fever, or LLQ pain.

C. Diverticulitis: Diverticulitis often presents with LLQ pain, fever, and leukocytosis due to inflammation or infection of the diverticula in the colon.

D. Irritable bowel syndrome (IBS): IBS may cause abdominal pain, but it does not cause fever or leukocytosis, and the pain is typically relieved with defecation and not localized to the LLQ.

A. Eyelid and mouth drooping on the ipsilateral side: Facial drooping due to a stroke typically occurs on the contralateral side of the body. B. Homonymous hemianopia of the left visual field of both eyes: A left hemispheric stroke typically causes right-sided homonymous hemianopia. C. Hemiparesis of the right arm and leg with aphasia: A left hemispheric stroke often results in right-sided hemiparesis and can affect language centers, leading to aphasia.

Correct Answer is A

Explanation

A. The patient is now sleepy and won't wake up: Increased drowsiness or difficulty waking up could indicate worsening of the hemorrhagic stroke, potentially due to increased intracranial pressure or a secondary brain injury.

B. Identification of an elevated serum cholesterol level: Elevated cholesterol is a risk factor for ischemic strokes but is not a direct indicator of complications from a hemorrhagic stroke.

C. The presence of nausea and a headache: This could be a common symptom following a hemorrhagic stroke but is not necessarily a specific indicator of a complication.

D. A complaint of neck pain and light intolerance: These symptoms are less specific to complications of a hemorrhagic stroke and could be related to other issues.

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A patient is newly diagnosed with Crohn's disease. Which S&S (sign and symptom) is the patient likely to exhibit?

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Naxlex Comprehensive Predictor Exams

A patient with leukocytosis, fever and left lower quadrant (LLQ) pain will most likely have a diagnosis of

Correct Answer is C

Explanation

A. Hemiparesis of the left arm and leg with nystagmus: A left hemispheric stroke typically affects the right side of the body.

Correct Answer is A

Explanation

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