The patient, age 28, is admitted with complaints of nausea, sore tongue, tingling of the hands, and difficulty swallowing. Upon examination, her tongue is erythematous. What diagnostic procedure will support this diagnosis?
Schilling test
Erythrocyte Indices
Bone Marrow Biopsy
Radiologic Studies
The Correct Answer is A
A. Schilling test. The symptoms described are suggestive of pernicious anemia, which is typically diagnosed through a Schilling test to assess vitamin B12 absorption.
B. Erythrocyte Indices. Erythrocyte indices are used to evaluate various aspects of red blood cell characteristics and are not specific to diagnosing pernicious anemia.
C. Bone Marrow Biopsy. While bone marrow biopsy may be used to diagnose certain types of anemia, it is not the primary diagnostic test for pernicious anemia.
D. Radiologic Studies. Radiologic studies are not typically used in the diagnosis of pernicious anemia.
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Related Questions
Correct Answer is ["A","B","G"]
Explanation
A. Severe pain is a hallmark manifestation of a sickle cell crisis due to vaso-occlusion and tissue ischemia.
B. Fever can occur during a sickle cell crisis, often indicating an underlying infection or inflammatory response.
C. Normal blood counts are not typical during a sickle cell crisis; patients often exhibit anemia, leukocytosis, and thrombocytosis.
D. Clear urine is not a common manifestation of a sickle cell crisis; hematuria or dark-colored urine may occur due to hemolysis or kidney damage.
E. Increased energy levels are not typical during a sickle cell crisis; patients often experience fatigue and malaise.
F. Normal oxygen saturation levels may occur in some patients during a sickle cell crisis, but it is not a consistent finding.
G. Jaundice is common in sickle cell crisis due to hemolysis of red blood cells, leading to an increase in bilirubin levels.
Correct Answer is D
Explanation
A. Remind the client that gonorrhea is a virus, therefore it cannot be cured. Gonorrhea is a bacterial infection caused by Neisseria gonorrhoeae and can be treated with antibiotics.
B. Instruct the client about preventing reinfection by using a diaphragm. While diaphragms can be a method of contraception, they are not effective at preventing sexually transmitted infections like gonorrhea.
C. Check for the presence of a primary lesion or chancre. Primary lesions or chancres are associated with syphilis, not gonorrhea.
D. Obtain information about the client's recent sexual partners. It is important to obtain information about recent sexual partners to notify them and prevent the spread of the infection.
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