Nokea
The diagnostic factor of polyhydramnious, based on percussion, is
- A. Muffled fetal heart sounds
- B. Presence of a dull sound
- C. Excessive fetal movements
- D. Presence of a fluid thrill
Correct Answer: D
Rationale: Fluid thrill is a key diagnostic sign of polyhydramnious.
You may also like to solve these questions
Complications of unrepaired cleft lip and palate include
- A. Pneumonia and retarded growth
- B. Mental retardation and blindness
- C. Failure to thrive and deafness
- D. Impaired speech and convulsions
Correct Answer: D
Rationale: Failure to thrive and impaired speech are common complications due to feeding and developmental issues with cleft lip and palate.
Which of the following types of aortic aneurysms requires immediate surgical intervention?
- A. Type A
- B. Type B
- C. Descending
- D. Symptomatic
Correct Answer: C
Rationale: Type A aortic aneurysms require immediate surgical intervention. Type A aortic dissections involve the ascending aorta and are at high risk for complications such as aortic rupture or compromise of coronary artery blood flow. Prompt surgical repair is necessary to prevent potentially fatal outcomes. Types B, C, and symptomatic aneurysms may not require immediate surgical intervention depending on the specific patient presentation and associated risks.
A circumscribed swelling on the newborn’s scalp is indicative of
- A. Caput succedaneum
- B. Subgaleal hemorrhage
- C. Intracranial injury
- D. Neonatal cephalhematoma
Correct Answer: D
Rationale: Neonatal cephalhematoma is a circumscribed swelling on the newborn’s scalp due to pressure during delivery.
K. W. is a 50-year-old woman who presents for surgical resection of the liver for treatment of metastatic colon cancer. Preoperatively, the surgeon tells her that he is planning to remove 50 to 75 of her liver. The patient is concerned that she will not be able to recover normal liver function with that much removed. The AGACNP counsels her that
- A. Such a high-volume resection is utilized only in people with markedly compromised hepatic function
- B. Major regeneration occurs within 10 days, and the process is complete by 5 weeks
- C. Liver function will probably recover to 50% baseline, but that is enough for normal function
- D. Up to 95% of the liver can be removed without any apparent consequence to the patient
Correct Answer: B
Rationale: The liver is known for its remarkable ability to regenerate. Major regeneration can occur within 10 days after partial hepatectomy (liver resection) as a compensatory mechanism. The process is typically complete within 5 weeks. This regenerative capacity allows for safe removal of a significant portion of the liver for procedures such as liver resection for cancer. The remaining liver tissue is able to rapidly proliferate and restore normal liver function. The patient should be reassured that even with 50 to 75% of her liver being removed, she can expect a significant amount of liver function recovery postoperatively.
Persistent nausea and vomiting related to pregnancy is indicative of
- A. Morning sickness
- B. Multiple gestation
- C. Hyperemesis gravidarum
- D. Hypertensive disorders
Correct Answer: C
Rationale: Persistent nausea and vomiting is a hallmark of hyperemesis gravidarum.