MP NHM CHO-2024 (Shift-1)
Medical & Surgical Nursing
Easy
Which is NOT a symptom associated with Crohn's disease?
Appeared in: MP NHM CHO-2024 (Shift-1)
Explanation
- Weight gain is not a symptom of Crohn's disease; in fact, the condition is characterized by significant weight loss.
- The pathophysiology of Crohn's involves chronic inflammation, malabsorption, diarrhea, and anorexia (loss of appetite), all of which contribute to a negative energy balance and weight loss.
- Unlike the other options, which are classic signs of the disease, weight gain would be contrary to the expected clinical presentation.
Why Other Options Were Wrong
- Option B: Weight loss is a hallmark symptom of Crohn's disease.
- Option C: Chronic diarrhea is one of the most common and defining symptoms of Crohn's disease.
- Option D: Abdominal pain, often crampy and located in the right lower quadrant, is a frequent symptom.
Related Visual
- Visual 1: Infographic - A chart listing the common signs and symptoms of Crohn's disease, including abdominal pain, diarrhea, weight loss, and fatigue.
- Visual 2: Diagram - A comparison of the gastrointestinal tract in a healthy person versus a person with Crohn's disease, highlighting the 'skip lesions' and transmural inflammation.
- Visual 3: Flowchart - A flowchart illustrating how chronic inflammation in Crohn's disease leads to malabsorption, diarrhea, and ultimately, weight loss.
Clinical Relevance
- Nursing practice connection: Knowing Clinical manifestations of Crohn's disease helps nurses interpret findings accurately and avoid errors in routine assessment, medication administration, and patient teaching.
- Nursing Practice: A key nursing role in managing Crohn's disease is monitoring the patient's nutritional status. This includes tracking daily weights, monitoring intake and output, and collaborating with dietitians to provide a high-calorie, high-protein, low-residue diet during acute phases.
- Patient Safety: Unexplained or significant weight loss is a red flag that requires investigation. In a patient with known Crohn's, worsening weight loss can indicate a flare-up or complication, such as a stricture, requiring prompt medical attention.
- What if? What if the patient was experiencing bloody diarrhea and pain localized to the left lower abdomen? While still a form of IBD, these symptoms are more characteristic of Ulcerative Colitis, which primarily affects the colon and rectum.
How to Approach the Question
- First, identify the negative framing of the question by spotting the word 'NOT'. This means you are looking for the option that is an exception or does not fit.
- Next, recall the core pathophysiology of Crohn's disease. It is an inflammatory bowel disease characterized by inflammation, malabsorption, and irritation of the GI tract.
- Evaluate each option based on this pathophysiology. Ask yourself: 'Is this symptom a logical consequence of chronic intestinal inflammation and malabsorption?'
- Weight loss, diarrhea, and abdominal pain are all direct results of the disease process.
- Weight gain is inconsistent with a malabsorptive and inflammatory state. This makes it the correct answer.
Concept Tested & Keywords
- Concept Tested: Clinical manifestations of Crohn's disease
- Stem keywords: Crohn's disease, symptom
- Lead-in keywords: NOT
- Negative lead-in flag: The question asks to identify the option that is NOT a symptom of the condition.
Question ID
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Practise the full MP NHM CHO-2024 (Shift-1)
Attempt every question from this paper in a timed mock, then review the full solution for each one.
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