Answer to Question 1
B
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A Chills are a more systemic symptom associated with pyelonephritis (kidney infection or upper UTI).
B The patient may have pain or burning during urination (dysuria) as urine flows over inflamed tissues. This is a sign of a UTI.
C Flank pain is a more systemic symptom associated with pyelonephritis.
D Lower back pain is not a symptom associated with pyelonephritis.
Answer to Question 2
B
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A Increased hair growth or the absence of hair growth over the legs may not indicate arterial insufficiency.
B In the presence of arterial insufficiency, the patient has signs resulting from an absence of blood flow, such as pain, pallor, and decreased or absent pulses in the lower extremities. The lower extremities become dusky red when the extremities are lowered. They also feel cool to the touch because blood flow is blocked to the extremity.
C Marked edema is seen in venous insufficiency, not arterial insufficiency.
D Brown pigmentation around the ankles is seen in venous insufficiency. Skin changes in arterial insufficiency include thin, shiny skin, decreased hair growth, and thickened nails.
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