Nokea
Bruised and oedematous appearance of the uterus, associated with placenta abruption, is collectively referred to as
- A. Wernicke’s encephalopathy
- B. Uterine prolapse
- C. Couvelaire uterus
- D. Asherman’s syndrome
Correct Answer: C
Rationale: The correct answer is C, Couvelaire uterus. This condition is characterized by a bruised and edematous appearance of the uterus due to severe placental abruption. The rationale is that a Couvelaire uterus specifically refers to this presentation, while the other choices do not.
A: Wernicke's encephalopathy is a neurological disorder caused by thiamine deficiency.
B: Uterine prolapse is the descent or herniation of the uterus into or beyond the vagina.
D: Asherman's syndrome involves intrauterine adhesions leading to menstrual irregularities.
You may also like to solve these questions
The AGACNP knows that treatment for this likely will include
- A. Observation
- B. Hyperextension casting
- C. Jewett brace
- D. Surgical intervention
Correct Answer: B
Rationale: The correct answer is B: Hyperextension casting. The AGACNP knows that this treatment is appropriate for a condition that requires immobilization and support while allowing controlled movement. Hyperextension casting provides stability and support while promoting healing. Observation (A) would not provide adequate treatment for a condition requiring immobilization. Jewett brace (C) is typically used for spinal fractures, not for conditions that require hyperextension casting. Surgical intervention (D) would be considered if conservative measures like casting have failed.
Aims of exchange transfusion procedure includes:
- A. Cure of haemolysis and restoration of hemoglobin level
- B. Cure of hypoxia and removal of all toxic materials
- C. Stabilization of baby’s immune system and liver functions
- D. Control of haemolysis and restoration of hemoglobin level
Correct Answer: D
Rationale: The correct answer is D because the main aims of an exchange transfusion procedure are to control haemolysis (process of breaking down red blood cells) and restore hemoglobin levels. This procedure involves removing the baby's blood and replacing it with donor blood to prevent complications from severe jaundice or other conditions. Choice A is incorrect because exchange transfusion does not necessarily cure haemolysis, but it helps control it. Choice B is incorrect as the procedure focuses on managing specific issues rather than removing all toxic materials. Choice C is incorrect because it does not directly address the primary goals of an exchange transfusion.
enna is a 41-year-old female who presents to the emergency room complaining of sudden hearing loss. She is generally very healthyshe denies any significant medical history, and her only daily medication is a combined oral contraceptive. She does admit that she is just getting over a head cold, but other than that she offers no relevant history. A comprehensive history and physical examination results in a diagnosis of sudden sensorineural hearing loss (SSHL) of unknown origin. The AGACNP knows that the next step in the patients management should include
- A. Acyclovir
- B. Furosemide
- C. Warfarin
- D. Hyperbaric oxygen
Correct Answer: A
Rationale: The correct answer is A: Acyclovir. The rationale is that sudden sensorineural hearing loss (SSHL) can sometimes be associated with viral infections, such as herpes simplex virus. Acyclovir is an antiviral medication that can potentially help treat the underlying viral infection causing SSHL. It is important to address the potential viral etiology before considering other treatments.
Summary of other choices:
B: Furosemide is a diuretic used to treat conditions like high blood pressure and edema, not SSHL.
C: Warfarin is an anticoagulant used to prevent blood clots, not indicated for SSHL.
D: Hyperbaric oxygen therapy is sometimes used for SSHL, but addressing any potential viral infection with Acyclovir would be a more appropriate initial step.
A general principle in surgical oncology is that the best approach to curative surgery in a fixed tumor requires
- A. En bloc resection
- B. Adjuvant therapies
- C. Neoadjuvant therapies
- D. Elective lymph node dissection
Correct Answer: D
Rationale: The correct answer is D: Elective lymph node dissection. This is because elective lymph node dissection helps to remove potentially cancerous lymph nodes, aiding in staging and ensuring complete tumor removal, thus improving the chances of curative surgery. En bloc resection (A) is important but may not always be feasible in fixed tumors. Adjuvant therapies (B) are used after surgery, not as the primary approach. Neoadjuvant therapies (C) are given before surgery to shrink tumors, not specifically for fixed tumors.
The MAIN function of surfactant factor is to
- A. Prevent alveoli of the lungs from collapsing
- B. Initiate breathing of the neonate at birth
- C. Enhance maturity of respiratory centre in the brain
- D. Regulate breathing immediately the baby is born
Correct Answer: A
Rationale: The correct answer is A: Prevent alveoli of the lungs from collapsing. Surfactant reduces surface tension in the alveoli, preventing them from collapsing during exhalation and maintaining lung compliance. B, C, and D are incorrect because surfactant primarily affects lung mechanics, not the initiation of breathing, maturity of the respiratory center, or immediate regulation of breathing upon birth.