A 52-year-old male is diagnosed with chronic venous insufficiency, presenting with pooling of blood in the veins of the lower extremities and edema.
Which of the following is an expected assessment finding of this disorder?
Skin hyperpigmentation.
Gangrene.
Edema above the knee.
Deep vein thrombus formation.
The Correct Answer is A
Choice A rationale
Skin hyperpigmentation is a common symptom of chronic venous insufficiency. This happens because blood pools in the veins and can leak into the surrounding tissue, causing a change in skin color.
Choice B rationale
Gangrene is not a typical symptom of chronic venous insufficiency. Gangrene is a serious condition that occurs when tissue dies due to a lack of blood flow.
Choice C rationale
Edema, or swelling, is a common symptom of chronic venous insufficiency, but it typically occurs in the lower legs and ankles, not above the knee.
Choice D rationale
Deep vein thrombus formation is not a typical symptom of chronic venous insufficiency. However, a history of deep vein thrombosis can increase the risk of developing chronic venous insufficiency.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","D","E"]
Explanation
Choice A rationale
Weight loss is often recommended as a first-line therapeutic approach to lowering blood pressure in patients diagnosed with essential hypertension. Excess weight can increase the strain on the heart and blood vessels, leading to higher blood pressure.
Choice B rationale
Regular physical activity is another important part of managing hypertension. Exercise can help lower blood pressure by improving heart health and reducing weight.
Choice C rationale
Beta-blockers, such as propranolol, are a type of medication used to treat hypertension. However, they are not typically the first choice for initial therapy unless the patient has a specific indication for this class of medication, such as heart failure or angina.
Choice D rationale
Decreasing sodium intake is another lifestyle change that can help lower blood pressure. Consuming too much sodium can cause the body to retain fluid, which can increase blood pressure.
Choice E rationale
Smoking cessation is also recommended for patients with hypertension. While smoking does not directly cause high blood pressure, it can damage blood vessels and increase the risk of heart disease.
Correct Answer is D
Explanation
Choice A rationale
Exercise electrocardiography, also known as a stress test, is not typically the first-line emergent procedure for a patient with an acute myocardial infarction (AMI). This test is often used to diagnose coronary artery disease, but it is not typically used to treat an AMI5.
Choice B rationale
A computed tomography (CT) scan of the chest with contrast could be used to visualize the heart and surrounding structures, but it is not typically the first-line emergent procedure for a patient with an AMI5.
Choice C rationale
An echocardiogram could be used to visualize the heart’s structure and function, but it is not typically the first-line emergent procedure for a patient with an AMI5.
Choice D rationale
Percutaneous coronary intervention (PCI) is the correct answer. This procedure is often used as an emergent treatment for an AMI. It involves using a catheter to place a small structure called a stent to open up blood vessels in the heart that have been narrowed by plaque buildup.
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