Nokea
Placental parasitation is associated with
- A. Malaria prenatally
- B. Candidiasis prenatally
- C. Tuberculosis prenatally
- D. Multiple gestation
Correct Answer: A
Rationale: Placental parasitation is associated with malaria during pregnancy.
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Ms. Carpenter is a 28-year-old female who presents in significant pain she indicates that the discomfort is in the right lower quadrant. The discomfort is colicky in nature and has the patient in tears. Which of the following associated findings increases the index of suspicion for ureteral colic?
- A. Temperature > 102°F
- B. White blood cell count > 14,000 cells/µL
- C. Vomiting
- D. Hematuria
Correct Answer: A
Rationale: Hematuria (blood in the urine) is a common associated finding in ureteral colic. The presence of blood in the urine suggests that there may be damage or irritation to the urinary tract, typically caused by the passage of a kidney stone through the ureter. Along with the sharp, colicky pain in the right lower quadrant, the presence of hematuria significantly raises the suspicion for ureteral colic.
What is the role of folic acid in pregnancy?
- A. Prevents gestational hypertension
- B. Supports placenta growth
- C. Prevents neural tube defects
- D. Reduces anemia
Correct Answer: C
Rationale: Folic acid is crucial for preventing neural tube defects.
Mechanism of labour in left Sacro-anterior position (breech):
- A. Flexion, internal rotation, extension, external rotation
- B. Descent, engagement, flexion, internal rotation
- C. Flexion, external rotation, descent, expulsion
- D. Extension, flexion, engagement, delivery
Correct Answer: A
Rationale: The mechanism includes flexion, internal rotation, and extension of the breech baby.
On postoperative day 7 following hepatic transplant, the patient evidences signs and symptoms of acute rejection, confirmed by histologic examination. The AGACNP knows that first-line treatment of acute rejection consists of
- A. Cyclosporine
- B. Azathioprine
- C. Methylprednisolone
- D. Sirolimus
Correct Answer: D
Rationale: The first-line treatment for acute rejection following hepatic transplant is high-dose corticosteroids, such as methylprednisolone. This is because corticosteroids have potent anti-inflammatory and immunosuppressive effects that can help suppress the immune response causing rejection. Cyclosporine, azathioprine, and sirolimus are also commonly used immunosuppressive medications in transplant patients, but in this case of acute rejection, the immediate treatment of choice is methylprednisolone.
Complications of deep venous thrombosis include:
- A. Pulmonary embolism, varicosity
- B. Moist gangrene, secondary postpartum hemorrhage
- C. Hydronephrosis, hematoma formation
- D. Prolonged labor, disseminated intravascular coagulopathy
Correct Answer: A
Rationale: Pulmonary embolism and varicosity are common complications of deep venous thrombosis.