A 28-year-old man presents with complaints of diarrhea, fecal ...

[TFauchery]

A 28-year-old man presents with complaints of diarrhea, fecal urgency, and weight loss. His stool is light colored and malodorous, and it tends to float and be difficult to flush.
 
  He has also noted tender, red bumps on his shins and complains of pain and stiffness in his elbows and knees. Sigmoidoscopy reveals discontinuous, granulomatous lesions; no blood is detected in his stool. Which of the following diagnoses would his care team first suspect?
  A)
  Crohn disease
  B)
  Ulcerative colitis
  C)
  Diverticulitis
  D)
  Colon cancer

Question 2

A nurse on a medical unit is providing care for a 37-year-old female patient who has a diagnosis of Graves disease. Which of the following treatments would the nurse most likely anticipate providing for the client?
 
  A)
  -Adrenergic-blocking medications to reduce sympathetic nervous stimulation
  B)
  Administration of levothyroxine to supplement thyroid function
  C)
  Calcium channel blocking medications to reduce heart rate and cardiac risks
  D)
  Administration of somatostatin analogs to inhibit GH production

[JaynaD87]

Answer to Question 1

Ans:
A

Feedback:

Crohn disease, like ulcerative colitis, causes diarrhea, fecal urgency, weight loss, and systemic symptoms such as erythema nodosum and arthritis. Unlike ulcerative colitis, it also causes steatorrhea but is not as likely to cause blood in the stool. The granulomatous skip lesions confirm the diagnosis of Crohn disease. Neither diverticulitis nor colon cancer would cause this combination of symptoms and signs.

Answer to Question 2

Ans:
A

Feedback:

The hyperthyroidism that constitutes Graves disease can often be mitigated by the administration of -adrenergic-blocking medications. Levothyroxine would be used to address hypothyroidism, and calcium channel blockers are not an identified treatment modality for Graves disease. Somatostatin analogs are used to treat GH excess.

[TFauchery]

Correct answers!

[JaynaD87]

Great! Please up vote