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

appendicitis

Barrett's esophagus.

diverticulitis

irritable bowel syndrome

Answer and Explanation

The Correct Answer is C

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.

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Correct Answer is B

Explanation

A. Puffy appearance associated with hypersecretion of antidiuretic hormone (ADH): This describes the appearance associated with SIADH (Syndrome of Inappropriate Antidiuretic Hormone Secretion), not myxedema.

B. Tissue puffiness associated with hypothyroidism: Myxedema is a condition related to severe hypothyroidism, characterized by swelling of the skin and underlying tissues, giving a puffy appearance, especially in the face.

C. Proliferation of tissue behind the eyes that is common in hyperthyroidism: This describes exophthalmos, a condition often seen in Graves' disease, which is associated with hyperthyroidism, not myxedema.

D. State of increased cerebral edema the morning after a college party: This choice is incorrect and unrelated to the description of myxedema.

A. occurs when you are physically and psychologically exhausted." B. occurs in the postdrome and causes you to feel sleepy and weak." C. is a trigger such as a stressful event, that is the cause of the headache" D. is a warning, such as an unpleasant smell, before the headache begins."

Correct Answer is D

Explanation

A. Occurs when you are physically and psychologically exhausted: An aura is a specific set of symptoms that precedes the headache, not related to exhaustion.

B. Occurs in the postdrome and causes you to feel sleepy and weak: The postdrome phase is after the headache, and an aura occurs before the headache.

C. Is a trigger such as a stressful event, that is the cause of the headache: An aura is not a trigger but rather a symptom experienced before the headache begins.

D. An aura is a warning, such as an unpleasant smell, before the headache begins: An aura is a neurological phenomenon that can include visual disturbances, unusual smells, or other sensory changes occurring before the onset of a migraine.

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