Sarah, a 42 year old woman, complains of rectal pain that worsens during bowel movements. She has no history of rectal or colon problems but has been taking profen regularly for chronic back pain. What could be a potential reason for her symptoms?

Inflammatory bowel disease

Hemorrhoids

Rectal prolapse

Colorectal cancer

Answer and Explanation

The Correct Answer is B

A.   Inflammatory bowel disease typically presents with symptoms such as diarrhea, abdominal pain, and rectal bleeding, rather than isolated rectal pain exacerbated by bowel movements.
B.   Hemorrhoids are swollen veins in the rectum or anus that can cause pain, itching, and bleeding, especially during bowel movements. Regular use of ibuprofen can exacerbate hemorrhoids by causing irritation and thinning of the rectal lining.
C.   Rectal prolapse involves the protrusion of the rectum through the anus and may cause discomfort during bowel movements, but it is less common than hemorrhoids.
D.   Colorectal cancer can cause rectal pain but is less likely in the absence of other symptoms such as rectal bleeding or changes in bowel habits.

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Correct Answer is C

Explanation

A. Oral antispasmodic agents may help with muscle twitching and cramps but are not indicated for dysphagia caused by corticospinal tract degeneration.
B. Anti-anxiety medications are not indicated for dysphagia and progressive muscle weakness.
C. Enteral tube feeding is appropriate to ensure adequate nutrition and hydration in individuals with dysphagia, preventing complications such as malnutrition and aspiration pneumonia.

D. Relaxation techniques may help with muscle tension and anxiety but would not address the dysphagia directly.

A. She experiences headaches that last for several weeks after the incident. B. Sara remembers every detail of the accident. C. A CT scan shows no cerebral edema. D. Sara's Glasgow Coma Scale score is 15.

Correct Answer is C

Explanation

A. Headaches are a common symptom of concussion but are not the most definitive indication since it can occur due to other causes.
B. Sara remembering every detail of the accident does not exclude the possibility of a concussion, as some people may have intact memory despite having a brain injury.
C. This indicates that there is no swelling or bleeding in the brain, which is a hallmark of concussion.
D. While a GCS score of 15 suggests normal neurological function, it is not as definitive as a CT scan in ruling out cerebral edema or other brain injuries.

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Sarah, a 42 year old woman, complains of rectal pain that worsens during bowel movements. She has no history of rectal or colon problems but has been taking profen regularly for chronic back pain. What could be a potential reason for her symptoms?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is C

Explanation

Sara, a 27-year-old woman with no significant past medical history, presents with confusion and a brief loss of consciousness following a minor car accident. What is the most definitive indication that Sara has suffered a concussion?

Correct Answer is C

Explanation

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