What are the clinical manifestations of endometriosis? (select all that apply)
Pain during or after intercourse
Pelvic pain
Urinary tract infection
Infertility
Dysmenorrhea
Correct Answer : A,B,D,E
Choice A rationale
Pain during or after intercourse is a common symptom of endometriosis. The misplaced endometrial-like tissue can cause irritation and inflammation, leading to pain during or after sexual activity.
Choice B rationale
Pelvic pain is a primary symptom of endometriosis. The growth of endometrial-like tissue outside the uterus, particularly on structures within the pelvis, can lead to chronic pelvic pain. This pain may be cyclical (worsening around the menstrual period) or constant.
Choice C rationale
Urinary tract infection is not a direct clinical manifestation of endometriosis. While endometriosis can involve the urinary tract structures and cause urinary symptoms, it does not cause infections. Urinary tract infections are typically caused by bacteria, not by the presence of endometrial-like tissue.
Choice D rationale
Infertility is a potential complication of endometriosis. The presence of endometrial-like tissue can interfere with the normal function of the reproductive organs, leading to difficulties in achieving pregnancy. Approximately 30-50% of women with endometriosis may experience infertility.
Choice E rationale
Dysmenorrhea, or painful menstrual periods, is a common symptom of endometriosis. The pain is often described as far worse than typical menstrual cramps and may become more severe over time.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale
Thyrotoxicosis, also known as a thyroid storm, is a sudden and severe exacerbation of hyperthyroidism symptoms. It can indeed be triggered by infections or stress.
Choice B rationale
Hirsutism, the presence of excessive body and facial hair, is not associated with a sudden worsening of hyperthyroidism symptoms.
Choice C rationale
Myxedema refers to severe hypothyroidism, not hyperthyroidism. It does not describe a sudden worsening of hyperthyroidism symptoms.
Choice D rationale
Exophthalmos, or bulging eyes, is a symptom of hyperthyroidism, particularly Graves’ disease. However, it does not describe a sudden worsening of hyperthyroidism symptoms.
Correct Answer is C
Explanation
Choice A rationale
While blood-tinged urine can be a symptom of nephrolithiasis, it does not necessarily indicate the presence of an infection.
Choice B rationale
Colicky flank pain is a common symptom of nephrolithiasis, but it does not necessarily indicate the presence of an infection.
Choice C rationale
Chills are often a sign of an infection. If a patient with nephrolithiasis is experiencing chills, it could indicate that an infection is also present.
Choice D rationale
While nausea can be a symptom of nephrolithiasis, it does not necessarily indicate the presence of an infection.
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