Nokea
Following a discussion about impending chemotherapy, Mrs. Morris says: 'I need to buy a wig.' From her comment you know Mrs. Morris understands one of the side effects of chemotherapy is
- A. hirsutism
- B. alopecia
- C. tinnea capitus
- D. folliculitis
Correct Answer: B
Rationale: Alopecia, or hair loss, is a common side effect of chemotherapy.
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The patient was taken to the operating room where an
- A. Open
- B. Open deduction
- C. Deduction
- D. Reduction
Correct Answer: D
Rationale: The correct answer is D: Reduction. In medical terminology, reduction refers to the process of restoring a dislocated or fractured bone to its normal position. In this context, the patient was likely taken to the operating room for a reduction procedure to realign the affected bone.
A: Open - Incorrect because it does not specify the specific procedure being performed.
B: Open deduction - Incorrect because "deduction" is not a term commonly used in medical procedures and does not make sense in this context.
C: Deduction - Incorrect for the same reasons as B, as deduction is not a relevant medical term in this scenario.
A 29 year old married computer programmer is c/o 'something strange' going on in his scrotum. Last month he felt a lump in his left testis, and it is still there. He has had some aching in the left testis but denies pain with urination or intercourse. Denies fever, malaise, night sweats. His PMH consisted of groin surgery as a baby and a tonsillectomy as an adolescent. He eats a healthy diet, exercises, denies tobacco or drugs. On exam the penis is circumcised with no lesions. No lymphadenopathy. Palpation of his scrotum is unremarkable on the right but indicates a large mass on the left. Placing a finger through the inguinal ring on the right, you have the patient bear down. Nothing is felt. You attempt to place your finger through the left inguinal ring but cannot get above the mass. On rectal exam, his prostate is unremarkable. What disorder of the tests is most likely the diagnosis?
- A. Hydrocele
- B. Scrotal hernia
- C. Scrotal edema
- D. Varicocele
Correct Answer: B
Rationale: The correct answer is B: Scrotal hernia. The patient's presentation with a lump in the left testis, aching, and a large mass on the left side of the scrotum, along with the inability to pass a finger above the mass through the left inguinal ring, suggests a scrotal hernia. This is further supported by the fact that bearing down does not reveal anything on the right side, ruling out hydrocele and varicocele. Scrotal edema would present with more generalized swelling in the scrotum rather than a localized mass. So, the key findings here point towards a scrotal hernia as the most likely diagnosis.
Male sex chromosomes are represented as ________.
- A. XX
- B. XO
- C. XY
- D. XZ
Correct Answer: B
Rationale: The correct answer is C: XY. In humans, males have one X and one Y chromosome, while females have two X chromosomes. This combination determines an individual's sex. Choice A (XX) is incorrect because it represents the genotype for females. Choice B (XO) is incorrect as it denotes Turner syndrome in females with only one X chromosome. Choice D (XZ) is not a valid representation of male sex chromosomes in humans.
The uterus displays the following components:
- A. the cervix;
- B. the corpus;
- C. the head;
- D. the mid piece;
Correct Answer: A
Rationale: The correct answer is A: the cervix. The cervix is a component of the uterus that connects the uterus to the vagina. It plays a crucial role in pregnancy, as it dilates during childbirth to allow the baby to pass through. The other choices, B: the corpus, C: the head, and D: the mid piece, are incorrect as they do not refer to components of the uterus. The corpus typically refers to the main body of an organ, while the head and mid piece are terms commonly associated with structures in cells or organisms, not the uterus.
While working on the hospital surgical unit, you are assigned to care for a client who has had a right breast lumpectomy and axillary lymph node dissection. Which task included in this client's care can you delegate to a nursing assistant?
- A. Teach the client why blood pressure measurements are taken on the left arm.
- B. Elevate the client's arm on two pillows to promote lymphatic drainage.
- C. Assess the client's right arm for lymphedema.
- D. Wrap the client's right arm with elastic bandages.
Correct Answer: B
Rationale: Elevating the arm is a simple task that can be safely delegated to a nursing assistant.