Physical examination and change in body weight are used to diagnose ascites, what other measurement is used?
Swelling of feet
Urine output
Abdominal girth
Chest circumference
The Correct Answer is C
Choice A reason: Swelling of the feet, or peripheral edema, can be associated with ascites, but it is not a primary measurement used to diagnose ascites. Peripheral edema can occur due to various conditions, including heart failure, kidney disease, and venous insufficiency. It does not specifically indicate the presence of ascites, which is the accumulation of fluid in the abdominal cavity.
Choice B reason: Urine output is an important measure of renal function and fluid balance but is not directly used to diagnose ascites. Changes in urine output can indicate kidney function and fluid status but do not specifically assess fluid accumulation in the abdomen.
Choice C reason: Abdominal girth measurement is a key method used to assess and monitor ascites. Measuring the circumference of the abdomen can help quantify the amount of fluid accumulation. An increase in abdominal girth over time is a strong indicator of ascites and can be used to track the progression or resolution of the condition. This method is simple, non-invasive, and effective in evaluating the severity of ascites.
Choice D reason: Chest circumference is not used to diagnose ascites. While changes in chest circumference can indicate respiratory or thoracic conditions, they do not provide information about fluid accumulation in the abdominal cavity. Ascites is specifically related to the abdomen, and measurements of abdominal girth are more relevant and informative in this context.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason: Cushing's is not related to this type of edema. Cushing's syndrome is a condition caused by prolonged exposure to high levels of cortisol, a hormone produced by the adrenal glands. It can lead to various symptoms, including weight gain, thinning skin, and high blood pressure, but it does not describe the specific characteristic of edema that leaves an indentation when pressed.
Choice B reason: Swelling is a general term that describes an increase in the size of a body part, often due to the accumulation of fluid. While edema is a type of swelling, the term "swelling" itself does not specifically refer to the characteristic of leaving an indentation upon pressure.
Choice C reason: Dependent edema occurs in areas of the body that are lower than the heart, often due to gravity. This type of edema can be seen in conditions like heart failure or prolonged immobility. However, it does not specifically refer to the characteristic of pitting, which is the ability to leave an indentation upon applying pressure.
Choice D reason: Pitting edema is the correct term for this condition. It occurs when pressure is applied to a swollen area, forcing fluid movement and leaving a visible indentation that persists for some time. Pitting edema is commonly seen in conditions such as congestive heart failure, liver disease, and deep vein thrombosis. The extent and duration of the indentation can help assess the severity of the edema.
Correct Answer is D
Explanation
Choice A reason: Excessive fluid replacement can lead to hypervolemia because it increases the total volume of fluid in the body. This can overwhelm the body's regulatory mechanisms, leading to fluid overload.
Choice B reason: Dehydration is not a cause of hypervolemia. In fact, dehydration is the opposite condition, where there is a lack of fluid in the body. Dehydration leads to a decrease in fluid volume, not an increase.
Choice C reason: Liver cirrhosis can cause hypervolemia because it impairs the liver's ability to regulate fluid balance. This can result in fluid retention and buildup in the body, leading to hypervolemia.
Choice D reason: Kidney failure can cause hypervolemia because the kidneys are responsible for maintaining fluid balance by excreting excess fluid. When the kidneys fail, they cannot effectively remove excess fluid, leading to fluid overload.
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