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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 B

Explanation

A. Lymphedema:

Lymphedema is localized fluid accumulation due to lymphatic obstruction, usually unilateral and not associated with dyspnea or heart failure signs.

B. Congestive heart failure (CHF):

CHF leads to fluid buildup (causing JVD, edema) and respiratory symptoms (cough, dyspnea) due to impaired heart pumping.

C. Endocarditis:

Endocarditis is an infection of the heart valves, presenting more with fever, murmurs, and embolic signs, not classic CHF symptoms.

D. Atrial fibrillation:

AFib causes irregular heart rhythm, and may contribute to CHF, but on its own, AFib doesn’t cause pitting edema and JVD without underlying CHF.

A. GERD B. Crohn disease C. Peptic ulcers D. Pancreatitis

Correct Answer is B

Explanation

A. GERD (Gastroesophageal Reflux Disease):

GERD causes heartburn and regurgitation, not RLQ pain or diarrhea.

B. Crohn disease:

Crohn's disease (regional enteritis) causes chronic inflammation that can affect any part of the GI tract, often terminal ileum (RLQ pain), with diarrhea and weight loss.

C. Peptic ulcers:

Peptic ulcers cause epigastric pain, typically related to meals, not chronic RLQ pain or diarrhea.

D. Pancreatitis:

Pancreatitis causes epigastric pain radiating to the back, not right lower quadrant pain or chronic diarrhea.

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What are common symptoms associated with a transient ischemic attack?

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