A patient presents with numbness and tingling in the thumb, index, and middle fingers, and a positive Phalen's test. Which of the following interventions would be most appropriate to address the underlying cause of these symptoms?

Administering oral corticosteroids to reduce inflammation systemically.

Applying heat therapy to the affected area to increase blood flow.

Wrist splinting to maintain a neutral position during sleep.

Performing finger stretching exercises to enhance flexibility.

Answer and Explanation

The Correct Answer is C

A.   Oral corticosteroids may reduce inflammation but are not typically the first choice for managing carpal tunnel syndrome.
B.   Heat therapy is not the most appropriate intervention, as it may worsen symptoms in some cases of carpal tunnel syndrome.
C.   Wrist splinting to maintain a neutral position during sleep helps alleviate pressure on the median nerve and is a common intervention for carpal tunnel syndrome.
D.   Finger stretching exercises are not typically recommended, as they may increase irritation to the nerve.

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Correct Answer is B

Explanation

A. Staring spells with a brief loss of awareness are characteristic of absence seizures, not myoclonic seizures.
B. Myoclonic seizures involve sudden, brief, involuntary muscle jerks that typically occur on both sides of the body, which is the key characteristic for this type of seizure.
C. Loss of consciousness followed by confusion is characteristic of tonic-clonic or focal seizures, not myoclonic seizures.
D. Prolonged muscle contractions lasting several minutes describe a tonic seizure, which is distinct from myoclonic seizures.

A. Iron deficiency anemia B. Vitamin B12 deficiency anemia C. Thalassemia minor D. Anemia of chronic disease

Correct Answer is B

Explanation

A. Iron deficiency anemia typically presents with a low MCV, not an elevated MCV, and it is less likely to be associated with the symptoms of glossitis and peripheral neuropathy.
B. Vitamin B12 deficiency anemia is a likely diagnosis in this patient. Chronic alcohol use can lead to malabsorption of vitamin B12, which contributes to macrocytic anemia (high MCV). Symptoms like glossitis and peripheral neuropathy are common in B12 deficiency.
C. Thalassemia minor usually presents with microcytic anemia and would not typically cause the elevated MCV or neurological symptoms seen in this patient.
D. Anemia of chronic disease typically presents with a normal or low MCV and is not associated with elevated MCV or the neurological symptoms seen in this patient.

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A patient presents with numbness and tingling in the thumb, index, and middle fingers, and a positive Phalen's test. Which of the following interventions would be most appropriate to address the underlying cause of these symptoms?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A 23-year-old patient is diagnosed with myoclonic seizures. Which of the following characteristics is most indicative of this type of seizure?

Correct Answer is B

Explanation

A 50-year-old male patient with a history of chronic alcoholism presents with fatigue, glossitis, and peripheral neuropathy. Laboratory findings show a hemoglobin level of 9.0 g/dL and mean corpuscular volume (MCV) of 110 fL. What type of anemia is most likely in this patient?

Correct Answer is B

Explanation

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