Nokea
What are the signs of uterine rupture during labor?
- A. Sudden abdominal pain
- B. Loss of fetal heart tones
- C. Vaginal bleeding
- D. All of the above
Correct Answer: D
Rationale: Uterine rupture is life-threatening and has multiple warning signs.
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When counseling a patient about his surgical options for an ulcer that has been refractory to medical therapy, the AGACNP advises the patient that he will need
- A. Lifelong vitamin D replacement
- B. Excision of the ulcer, which produces an 80% cure rate
- C. To eat much smaller, more frequent meals
- D. Some form of vagotomy
Correct Answer: C
Rationale: When counseling a patient about surgical options for an ulcer that has been refractory to medical therapy, advising the patient that he will need some form of vagotomy is important. Vagotomy is a surgical procedure in which the vagus nerve is partially or completely severed. This procedure is commonly performed for patients with ulcers that have not responded to medical treatment. Vagotomy reduces the acid secretion in the stomach, which can help in the healing of the ulcer and prevent recurrence. It is an effective option for treating ulcers that have not responded to conservative medical management.
Post-partum haemorrhage is likely to lead to acute renal failure due to
- A. Sheehan’s syndrome
- B. Disseminated intravascular coagulation
- C. Hypovolaemia leading to tubules necrosis
- D. Asherman’s syndrome
Correct Answer: C
Rationale: Hypovolaemia from excessive bleeding can lead to renal failure.
The most common complication of respiratory distress syndrome is
- A. Cerebral palsy
- B. Pneumothorax
- C. Klumpke’s palsy
- D. Fractured ribs
Correct Answer: B
Rationale: Pneumothorax is a common complication of respiratory distress syndrome in neonates.
There are no other abnormal findings. This suggests that Mr. Thornton
- A. Is having anterior wall ischemia
- B. Is having an anterior wall infarction
- C. Has a history of anterior wall NSTEMI
- D. Has a history of anterior wall STEMI
Correct Answer: D
Rationale: In the given scenario where there are no other abnormal findings, it suggests that Mr. Thornton is experiencing anterior wall ischemia. Ischemia occurs due to inadequate blood supply to the heart muscles, often caused by a partial blockage in the coronary arteries. The absence of abnormal findings, such as ST-segment elevation or specific changes on the electrocardiogram (ECG), indicates that the issue is more likely ischemia rather than infarction. Infarction, whether NSTEMI or STEMI, would typically be associated with specific ECG changes and significant abnormalities beyond just the absence of findings. In the absence of these features, the more likely diagnosis is anterior wall ischemia.
The type of D.V.T. that is characterized by formation of non-detachable clot(s) within an inflamed vein is known as
- A. Phlebothrombosis
- B. Coagulopathy
- C. Pelviopathy
- D. Thrombophlebitis
Correct Answer: D
Rationale: Thrombophlebitis involves the formation of non-detachable clots within inflamed veins.