. Which two criteria are signs that hospitalization may be required for a patient with suspected pelvic inflammatory disease (PID)? Choose 2 answers.
Surgical emergencies cannot be excluded.
The patient uses no contraceptives.
The patient has a history of miscarriage.
The diagnosis is uncertain.
There is a history of Sexual Transmitted Infections (STIs).
C-reactive protein levels are low.
Correct Answer : A,D
A. Surgical emergencies cannot be excluded:
If there is a possibility of a surgical emergency (such as a ruptured ectopic pregnancy or an abscess), hospitalization is necessary for observation and treatment.
B. The patient uses no contraceptives:
While contraception use may affect the risk of PID, it doesn't directly determine whether hospitalization is needed.
C. The patient has a history of miscarriage:
A history of miscarriage is not a specific indication for hospitalization in PID cases.
D. The diagnosis is uncertain:
If PID is suspected but the diagnosis is uncertain, hospitalization may be required for further diagnostic workup and close monitoring.
E. There is a history of STIs:
A history of STIs increases the risk of PID but doesn't necessarily require hospitalization.
F. C-reactive protein levels are low:
C-reactive protein (CRP) is an inflammatory marker, but low levels do not indicate that hospitalization is not needed.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Cerebral aneurysm:
A cerebral aneurysm involves a bulging blood vessel in the brain, which could lead to rupture and bleeding. It is not associated with tremors or bradykinesia.
B. Multiple sclerosis:
MS involves demyelination causing muscle weakness and visual disturbances, but not primarily tremors and bradykinesia.
C. Amyotrophic lateral sclerosis (ALS):
ALS affects motor neurons, leading to muscle weakness and atrophy, but does not typically present with tremors or benefit from deep brain stimulation.
D. Parkinson disease:
Parkinson disease features tremors, bradykinesia (slow movements), and abnormal gait. Deep brain stimulation is an advanced therapy for symptom management in Parkinson’s.
Correct Answer is A
Explanation
A. Having greater than 50 moles and green or blue eyes:
Risk factors for melanoma include having many moles, fair skin, light-colored eyes, and history of sunburns.
B. Intermittent claudication and diabetes:
These are vascular and metabolic problems, not related to melanoma risk.
C. Black or brown hair and darker pigmented skin:
Darker skin provides some natural protection against UV radiation, reducing melanoma risk (although melanoma can still occur).
D. Younger than 18 years of age and obesity:
Age under 18 and obesity are not primary risk factors for melanoma. Cumulative sun exposure and genetic predisposition are much more relevant.
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