The correct statement with regards to polyhydramni

Question 1 of 5

The correct statement with regards to polyhydramnios is that

A. Acute polyhydramnios has a gradual onset as from 20 weeks B. Multiple pregnancy is a cause especially in dizygotic twinning C. Chronic polyhydramnios has a gradual onset as from 30 weeks D. On inspection, the abdomen is ovoid instead of being globular

Correct Answer: C

Rationale: Chronic polyhydramnios tends to develop gradually after 30 weeks.

Question 2 of 5

Vitamin K prevents hemorrhagic disease of the neonate by

A. Activating the white blood cells B. Activating the dormant clotting factors C. Adopting a fibrinogen sparing mechanism D. Altering the red blood cells count

Correct Answer: B

Rationale: Vitamin K activates dormant clotting factors, preventing hemorrhagic disease in neonates.

Question 3 of 5

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.

Question 4 of 5

Which of the following birth trauma results from damage of cervical nerve roots C8 & T1?

A. Erb’s palsy B. Radial palsy C. Brachial palsy D. Facial palsy

Correct Answer: A

Rationale: Erb’s palsy results from damage to the C8 and T1 cervical nerve roots.

Question 5 of 5

R. R. is a 61-year-old male patient who presents with a chief complaint of fever and urinary symptoms. He was in his usual state of good health when for no apparent reason he developed pain in his back and perineal region, as well as fever and chills. He presents as septic. He had urinary hesitancy and decreased stream but now reports that he has not passed urine in more than 12 hours. Palpation of the lower abdomen is consistent with bladder distention. The AGACNP knows that which of the following is contraindicated in this circumstance?

A. Digital prostate examination B. Urinary catheterization C. Fluoroquinolone antibiotics D. Drainage of prostate abscess

Correct Answer: D

Rationale: In a patient with suspected prostatic abscess and urinary retention, urinary catheterization is contraindicated due to the risk of spreading infection and causing potential complications such as septicemia or worsening of the abscess. The introduction of a catheter can disrupt the abscess capsule, leading to dissemination of the infection. Therefore, other methods of decompression and treatment should be considered, such as drainage of the abscess or other appropriate interventions guided by a healthcare provider.