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 D
Explanation
Choice D rationale
Type 1 diabetes mellitus often begins during childhood or adolescence, characterized by an absolute insulin deficiency due to autoimmune destruction of pancreatic beta cells (nih.gov, n.d.).
Choice A rationale
Relative insulin insufficiency or insulin resistance typically develops in type 2 diabetes mellitus (nih.gov, n.d.).
Choice B rationale
Type 1 diabetes mellitus requires insulin therapy, as diet, weight control, exercise, and oral hypoglycemics are usually insufficient (nih.gov, n.d.).
Choice C rationale
Complications such as neuropathy, retinopathy, and nephropathy can occur with type 1 diabetes mellitus (nih.gov, n.d.).
Correct Answer is A
Explanation
Choice A rationale
Weight gain is not a typical clinical manifestation of gastric cancer. In fact, weight loss is one of the most common symptoms at initial diagnosis.
Choice B rationale
Dysphagia, or difficulty swallowing, can be a symptom of gastric cancer, particularly if the cancer is located near the esophagus.
Choice C rationale
Fatigue can be a symptom of gastric cancer, often due to anemia from chronic blood loss in the stool or malnutrition from decreased appetite and weight loss.
Choice D rationale
Vomiting can be a symptom of gastric cancer, especially if the cancer causes a blockage in the stomach or duodenum.
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