A patient's record indicates the following signs and symptoms: acute and sudden pelvic pain, a purulent and foul-smelling vaginal discharge, fever, sexual dysfunction, metrorrhea, and rebound pain Which condition is this patient showing signs and symptoms of?

Endometriosis

Pelvic inflammatory disease (PID)

Uterine leiomyomas

Polycystic ovary syndrome

Answer and Explanation

The Correct Answer is B

A. Endometriosis:

Endometriosis causes chronic pelvic pain but doesn't typically present with purulent discharge, fever, or foul-smelling discharge.

B. Pelvic inflammatory disease (PID):

PID is an infection of the reproductive organs, often caused by untreated sexually transmitted infections. Symptoms like acute pelvic pain, fever, purulent vaginal discharge, and rebound pain are characteristic of PID.

C. Uterine leiomyomas:

Leiomyomas (fibroids) can cause pelvic pain but are not associated with infection, fever, or purulent discharge.

D. Polycystic ovary syndrome (PCOS):

PCOS does not cause acute infection-like symptoms (fever, purulent discharge) as seen in PID.

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Correct Answer is B

Explanation

A. Keratosis pilaris:

This is a condition of small, rough bumps typically on arms or thighs, not depigmentation.

B. Vitiligo:

Vitiligo is a condition where melanocytes are destroyed, leading to depigmented patches of skin, especially in sun-exposed areas.

C. Rosacea:

Rosacea is characterized by facial redness, flushing, and visible blood vessels, not loss of pigment.

D. Psoriasis:

Psoriasis involves scaly, red plaques due to rapid skin cell turnover, not loss of melanocytes.

A. Cerebral aneurysm B. Multiple sclerosis C. Amyotrophic lateral sclerosis D. Parkinson disease

Correct Answer is D

Explanation

A. Cerebral aneurysm:

A cerebral aneurysm involves a bulging blood vessel in the brain, which could lead to rupture and bleeding. It is not associated with tremors or bradykinesia.

B. Multiple sclerosis:

MS involves demyelination causing muscle weakness and visual disturbances, but not primarily tremors and bradykinesia.

C. Amyotrophic lateral sclerosis (ALS):

ALS affects motor neurons, leading to muscle weakness and atrophy, but does not typically present with tremors or benefit from deep brain stimulation.

D. Parkinson disease:

Parkinson disease features tremors, bradykinesia (slow movements), and abnormal gait. Deep brain stimulation is an advanced therapy for symptom management in Parkinson’s.

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A patient's record indicates the following signs and symptoms: acute and sudden pelvic pain, a purulent and foul-smelling vaginal discharge, fever, sexual dysfunction, metrorrhea, and rebound pain Which condition is this patient showing signs and symptoms of?

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Naxlex Comprehensive Predictor Exams

A patient's record indicates a skin condition in which depigmentation appears on different parts of the body that are often exposed to sunlight. A skin biopsy reveals a lack of melanocytes. Which condition does this describe?

Correct Answer is B

Explanation

A patient has tremors, bradykinesia, and abnormal gait. The patient is taking anticholinergics; however, the symptoms are aggravated. A neurologist treats the patient with deep brain stimulation. Which condition is being described?

Correct Answer is D

Explanation

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