Mr. Sprat is a 21-year-old patient who complains of nasal congestion. He admits to using recreational drugs. On examination, you have noted a septal perforation. Which recreational drug is commonly associated with nasal septum perforation?
heroin
ecstasy
cocaine
marijuana
The Correct Answer is C
A. Heroin use is generally associated with intravenous use and is less commonly linked to nasal septum perforation.
B. Ecstasy (MDMA) is primarily used in tablet form and is not typically associated with nasal use that would cause septal perforation.
C. Cocaine is frequently snorted, which can lead to irritation and damage to the nasal passages and septum, resulting in perforation.
D. Marijuana is usually smoked rather than snorted, and it is not commonly associated with nasal septum perforation.
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Correct Answer is D
Explanation
A. Rounded describes a normal abdomen but does not convey the greater extent of fullness seen in this case.
B. Scaphoid describes a concave abdomen, which does not apply to this situation.
C. Flat indicates no significant contour changes, which does not apply here.
D. Protuberant is the correct term, as it describes an abdomen that is significantly distended and is characteristic of conditions like pregnancy, ascites, or obesity.
Correct Answer is ["A","B","C","E"]
Explanation
A. Erythema (redness) can occur at the site of a gout attack due to inflammation in the affected joint.
B. Hyperuricemia (elevated levels of uric acid in the blood) is a hallmark of gout, leading to the formation of urate crystals.
C. Pain is a prominent symptom of gout, particularly during an acute attack when joints become inflamed and tender.
D. Diarrhea is not a direct complication of gout; it is more associated with gastrointestinal issues or medications.
E. Edema (swelling) can occur in the affected joint due to inflammation associated with gout.