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What are common symptoms associated with a transient ischemic attack?

Seizures and dilated (fixed) pupils

Double-vision and disorientation

Tinnitus and Diarrhea

Clear speech and 2 + deep tendon reflex response

Answer and Explanation

The Correct Answer is B

A. Seizures and dilated (fixed) pupils:

These findings suggest severe neurological injury, such as brain herniation, not a TIA.

B. Double-vision and disorientation:

TIA often presents with neurological deficits like visual disturbances (double vision), disorientation, weakness, and slurred speech, which resolve within 24 hours.

C. Tinnitus and Diarrhea:

These symptoms are not typical for TIA; tinnitus relates to ear problems, and diarrhea relates to GI issues.

D. Clear speech and 2+ deep tendon reflex response:

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Correct Answer is A

Explanation

A. Ovarian tumor:

The symptoms (chronic pelvic pain, abdominal girth, fever, vomiting, and an elevated HE4 test) are suggestive of an ovarian tumor or potentially ovarian cancer, which may require surgical intervention like a salpingo-oophorectomy (removal of the ovary and fallopian tube).

B. Pelvic inflammatory disease (PID):

PID typically causes pelvic pain and fever, but the increased abdominal girth and elevated HE4 test make an ovarian tumor more likely.

C. Dysmenorrhea:

Dysmenorrhea refers to painful menstruation, which typically doesn't present with the severe symptoms described here, such as fever, vomiting, and abdominal girth changes.

D. Benign fibroadenoma:

Fibroadenomas are benign breast tumors, not related to the ovaries or the symptoms presented.

A. Alkalosis and insomnia B. Reduced stress and warm environmental temperature C. Acidosis and dehydration D. High fat diet and hyperoxia

Correct Answer is C

Explanation

A. Alkalosis and insomnia:

Alkalosis does not trigger sickling; acidosis (low pH) is more harmful. Insomnia alone is not a direct trigger.

B. Reduced stress and warm environmental temperature:

Reduced stress and warmth help prevent crises rather than cause them.

C. Acidosis and dehydration:

Acidosis promotes sickling of RBCs, and dehydration increases blood viscosity, both triggering vaso-occlusive crises.

D. High fat diet and hyperoxia:

A high-fat diet is linked to cardiovascular disease, and hyperoxia (excess oxygen) is not a trigger for sickling.

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What are common symptoms associated with a transient ischemic attack?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A female patient presents with chronic dyspareunia, pelvic pain, increased abdominal girth, fever, and vomiting. After an HE4 test and positive abdominal ultrasound, the physician schedules a salpingo-oophorectomy. Which condition is described?

Correct Answer is A

Explanation

What are known triggers for vaso-occlusive crises, such as Sickle Cell Disease?

Correct Answer is C

Explanation

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