A patient, diagnosed with alcoholic liver disease and cirrhosis, presents to his healthcare provider because he vomited something that looked like coffee grounds. Which health problem would the care team first suspect?

Esophageal varices.

Colorectal cancer.

Inflammatory bowel disease.

Appendicitis

Answer and Explanation

The Correct Answer is A

A. Esophageal varices: Coffee-ground emesis suggests upper gastrointestinal bleeding, which is often due to ruptured esophageal varices in patients with cirrhosis.

B. Colorectal cancer: This condition typically presents with lower gastrointestinal symptoms such as changes in bowel habits or blood in the stool, not coffee-ground emesis.

C. Inflammatory bowel disease: This condition can cause gastrointestinal bleeding but is more commonly associated with symptoms like diarrhea and abdominal pain rather than coffee-ground emesis.

D. Appendicitis: This condition typically presents with right lower quadrant pain, not upper GI bleeding.

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Correct Answer is D

Explanation

A. Occurs when you are physically and psychologically exhausted: An aura is a specific set of symptoms that precedes the headache, not related to exhaustion.

B. Occurs in the postdrome and causes you to feel sleepy and weak: The postdrome phase is after the headache, and an aura occurs before the headache.

C. Is a trigger such as a stressful event, that is the cause of the headache: An aura is not a trigger but rather a symptom experienced before the headache begins.

D. An aura is a warning, such as an unpleasant smell, before the headache begins: An aura is a neurological phenomenon that can include visual disturbances, unusual smells, or other sensory changes occurring before the onset of a migraine.

A. Moon face, buffalo hump, and hyperglycemia B. Hirsutism, fever, and irritability C. Anorexia, fatigue and hypotension D. Tachycardia, exophthalmos, and goiter

Correct Answer is C

Explanation

A. Moon face, buffalo hump, and hyperglycemia: These manifestations are associated with Cushing's disease, not Addison's disease.

B. Hirsutism, fever, and irritability: These symptoms are not characteristic of Addison's disease.

C. Anorexia, fatigue, and hypotension: Addison's disease often presents with symptoms like anorexia, fatigue, hypotension, and hyperpigmentation of the skin.

D. Tachycardia, exophthalmos, and goiter: These symptoms are associated with hyperthyroidism, not Addison's disease.

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A patient, diagnosed with alcoholic liver disease and cirrhosis, presents to his healthcare provider because he vomited something that looked like coffee grounds. Which health problem would the care team first suspect?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is D

Explanation

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Correct Answer is C

Explanation

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