What condition would contraindicate examination of the pharynx?
Peritonsillar abscess
Acute epiglottitis
Uvulitis
Bacterial tracheitis
The Correct Answer is B
Rationale:
A. Peritonsillar abscess may be evaluated with careful oral examination, though manipulation can be uncomfortable.
B. Acute epiglottitis is a medical emergency in which examination of the pharynx can precipitate complete airway obstruction. Therefore, direct visualization of the throat should be avoided, and airway management is the priority.
C. Uvulitis can be examined carefully; it is not an absolute contraindication.
D. Bacterial tracheitis affects the lower airway and does not specifically contraindicate pharyngeal examination, though caution is advised if airway compromise is present.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Rationale:
A. The CDC recommends that the HPV vaccine series be initiated in males at ages 11–12 years for optimal immunogenic response and before potential exposure to HPV through sexual activity.
B. While vaccination between ages 13 and 16 is still effective, it is considered a catch-up period rather than the recommended age for routine initiation.
C. Ages 13–26 include catch-up vaccination for those who were not vaccinated earlier, but this is not the routine initial recommendation.
D. Age 8–9 is earlier than the recommended age for HPV vaccination and is generally not indicated unless specific high-risk factors are present.
Correct Answer is C
Explanation
Rationale:
A. Klinefelter syndrome affects males, leading to hypogonadism and delayed puberty, not females.
B. Turner syndrome is associated with short stature and gonadal dysgenesis, but it is a chromosomal condition rather than related to body weight or nutrition.
C. Anorexia nervosa can cause delayed sexual development in adolescent females due to malnutrition and low body fat, which disrupts hypothalamic-pituitary-ovarian axis function, leading to delayed puberty or amenorrhea.
D. Hyperthyroidism generally accelerates metabolism and can sometimes cause early menarche or menstrual irregularities, but it is not typically associated with delayed sexual development.
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