A patient presents with symptoms that are suspicious for celiac disease. Which of the following risk factors does NOT warrant further evaluation?
History of type 1 diabetes
History of Down syndrome
Presence of celiac disease in a first-degree relative
History of obesity
The Correct Answer is D
Choice A reason: Type 1 diabetes is an autoimmune condition associated with increased risk of celiac disease, warranting evaluation.
Choice B reason: Down syndrome is a genetic condition associated with higher prevalence of celiac disease, indicating evaluation is appropriate.
Choice C reason: Having a first-degree relative with celiac disease significantly increases risk, making further assessment necessary.
Choice D reason: Obesity alone is not a recognized risk factor for celiac disease and does not indicate the need for routine screening unless other symptoms are present.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason: This is correct. The patient demonstrates both obsessions (intrusive thoughts about knocking) and compulsions (repetitive checking behavior). The duration exceeds six months and causes functional impairment in sleep and work, fulfilling DSM-5 criteria for OCD.
Choice B reason: Generalized anxiety disorder involves excessive worry across multiple domains but does not include specific compulsive behaviors performed in response to intrusive thoughts.
Choice C reason: Schizophrenia is characterized by psychosis, including delusions, hallucinations, and disorganized thinking. The patient recognizes that the knocking is imagined, which is inconsistent with schizophrenia.
Choice D reason: Agoraphobia involves fear of being in situations where escape might be difficult. The patient’s symptoms are not related to avoidance of public spaces or panic attacks in such settings.
Correct Answer is C
Explanation
Choice A reason: Hypertension is not typically associated with fungal infections or vaginal candidiasis and does not increase susceptibility to this condition.
Choice B reason: Multiple sclerosis itself is not a direct risk factor for vaginal yeast infections, although immune modulation from treatments could potentially increase risk.
Choice C reason: Diabetes mellitus is correct. Elevated blood glucose levels can promote fungal growth and increase the risk of recurrent vulvovaginal candidiasis.
Choice D reason: Chronic fatigue syndrome is not a recognized risk factor for vaginal yeast infections. While it may affect overall immunity indirectly, it does not directly predispose to this infection.
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