Nokea
A male client, living in an underdeveloped country, is diagnosed with chlamydia, acquired through an ophthalmic infection by autoinoculation. Which of the following are the symptoms experienced by the client?
- A. Testicular pain
- B. Anal infection
- C. Granulation of the cornea and blindness
- D. Sore throat with an infected pharynx
Correct Answer: C
Rationale: Chlamydial eye infections can lead to serious complications like granulation and blindness if untreated.
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A client is asking the nurse questions about the diagnosis of endometriosis. The nurse teaches the client that endometrial tissue is found outside the uterus and that the major symptom that a client experiences is which of the following?
- A. Pain
- B. Infection
- C. Minimal bleeding
- D. Cramping
Correct Answer: A
Rationale: Pain is the primary symptom associated with endometriosis.
If bone is splintered or crushed in several places it is termed as
- A. Complex fracture
- B. Greenstick fracture
- C. Impacted fracture
- D. Comminuted fracture
Correct Answer: D
Rationale: The correct answer is D: Comminuted fracture. This type of fracture occurs when the bone is splintered or crushed in several places, leading to multiple bone fragments. This term accurately describes the situation where the bone is broken into multiple pieces.
A: Complex fracture refers to a fracture that involves multiple breaks in a bone, but not necessarily into multiple small fragments.
B: Greenstick fracture is an incomplete fracture where the bone is bent but not completely broken.
C: Impacted fracture occurs when the broken ends of the bone are driven into each other, typically seen in a fall with a lot of force, but it does not involve multiple bone fragments like in a comminuted fracture.
A patient with testicular torsion is experiencing which abnormality?
- A. Abnormal dilation and tortuosity of the veins along the spermatic cord
- B. Twisting of the testicle and spermatic cord
- C. A cystic mass filled with sperm and seminal fluid in the epididymis
- D. An accumulation of fluid in the scrotum
Correct Answer: B
Rationale: The correct answer is B: Twisting of the testicle and spermatic cord. Testicular torsion is the twisting of the spermatic cord, leading to decreased blood flow to the testicle. This causes severe pain and swelling. Choices A, C, and D do not accurately describe the specific abnormality seen in testicular torsion. Choice A describes varicocele, choice C describes a spermatocele, and choice D describes hydrocele, which are different conditions altogether.
Before the preovulatory surge in luteinizing hormone, granulosa cells of the follicle secrete which of the following?
- A. Testosterone
- B. Progesterone
- C. Estrogen
- D. Inhibin
Correct Answer: C
Rationale: The correct answer is C: Estrogen. Before the preovulatory surge in luteinizing hormone, granulosa cells of the follicle primarily secrete estrogen. This hormone plays a crucial role in preparing the uterine lining for implantation and regulating the menstrual cycle. Estrogen also helps in the development of secondary sexual characteristics. Testosterone (Choice A) is mainly produced by the theca cells of the follicle. Progesterone (Choice B) is primarily secreted by the corpus luteum after ovulation. Inhibin (Choice D) is secreted by granulosa cells but primarily functions to inhibit follicle-stimulating hormone (FSH) secretion from the anterior pituitary gland.
The best time for a woman of childbearing age to perform breast self-examination is
- A. during her menstrual period
- B. 2 days before the onset of her menstrual period
- C. 1 week after her menstrual period ends
- D. the day her menstrual period begins
Correct Answer: C
Rationale: Performing breast self-examination one week after the menstrual period ends is recommended as the breasts are least likely to be tender or swollen.