Author Question: A medical student is familiarizing herself with recent overnight admissions to an acute medical unit ... (Read 78 times)

rlane42 · **on:** Jun 25, 2018

A medical student is familiarizing herself with recent overnight admissions to an acute medical unit of a university hospital.

Which of the following patients would the student recognize as least likely to have a diagnosis of antiphospholipid syndrome in his or her medical history?
A)
A 66-year-old obese male with left-sided hemiplegia secondary to a cerebrovascular accident
B)
A 90-year-old female resident of a long-term care facility who has been experiencing transient ischemic attacks
C)
A 30-year-old female with a diagnosis of left leg deep vein thrombosis and a pulmonary embolism
D)
A 21-year-old male with a diagnosis of cellulitis and suspected endocarditis secondary to intravenous drug use

Question 2

A patient with rheumatoid arthritis has been diagnosed with a secondary immune-associated neutropenia called Felty syndrome.

The nurse has had to research this and found that she should be assessing this patient for which of the following manifestations of Felty syndrome. Select all that apply.
A)
Upper left quadrant pain on palpation
B)
An area of diminished breath sounds related to pneumonia
C)
Intermittent pain that radiates from the flank to the groin
D)
Swelling and pain in all joints when put through full range of motion
E)
Headache that worsens when exposed to bright lights

Ksanderson1296 · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

Ans:
D

Feedback:

Stroke, transient ischemic attacks, deep vein thrombosis, and pulmonary emboli are all common manifestations of the hypercoagulability associated with antiphospholipid syndrome. Cellulitis, endocarditis, and other infectious processes are less likely to be correlated with antiphospholipid syndrome.

Answer to Question 2

Ans:
A, B

Feedback:

Felty syndrome, a variant of rheumatoid arthritis (RA), is a triad of splenomegaly (upper left quad pain), recurrent pulmonary infections (diminished breath sounds), and neutropenia. Intermittent pain that radiates from the flank to the groin is usually associated with kidney stone pain. Swelling and pain in all joints when put through full range of motion are also associated with rheumatoid arthritis.