NURS 5461 EXAMS SCRIPT LATEST QUESTIONS
AND ANSWERS SURE A+
✔✔progresses rapidly, fixed facial expression, rigidity, cognitive impairment -
✔✔Supranuclear palsy
✔✔continuous random movement? - ✔✔Chorea
✔✔levodopa reduces rigidity but improvement is transient - ✔✔Supranuclear palsy
✔✔tetrabenazine and antipsychotics treat? - ✔✔Chorea
✔✔short term memory deficits that don't interfere with function abilities - ✔✔mild
cognitive impairment (MCI)
✔✔cognitive impairment associated with decline in daily activities - ✔✔Dementia
✔✔long half life and ok to skip a dose? - ✔✔Fluoxetine (Prozac) SSRI
✔✔greatest anticholinergic effect (SSRI) - ✔✔Paroxetine
✔✔prolonged QT with higher doses - ✔✔Citalopram
✔✔changes rapidly with nutrition status? - ✔✔prealbumin >15 is normal
✔✔low albumin and low cholesterol <160? - ✔✔poor health status
✔✔nutritional risk? - ✔✔weight loss 5% in 1 month or 10% in 6 months
✔✔caloric needs? - ✔✔25-30 kcal/kg
, ✔✔main source of energy, 35% of calorie intake - ✔✔carbohydrates
✔✔minimize protein catabolism - ✔✔400 calories daily
✔✔protein amt per day? - ✔✔0.8g/kg of body weight daily
✔✔protein is? - ✔✔amino acid. Glutamine replacement does not improve recovery
✔✔achlorhydria - ✔✔lack of hydrochloric acid in the stomach, lack of absorption of
nutrients
✔✔macronutrients - ✔✔carbohydrates, proteins, and fats
✔✔water intake daily - ✔✔30ml/kg/day
✔✔Increased serum methylmalonic acid and serum homocysteine are ultrasensitive
markers of? - ✔✔B12 deficiency <350
✔✔Thyroid hormones regulates? - ✔✔energy, heat production, facilitate development of
CNS, growth/puberty and it regulates proteins important in liver, cardiac, neuro, muscle
functioning
✔✔Mature Erythrocyte - ✔✔120 days
✔✔check bone marrow fxn? - ✔✔reticulocyte count
✔✔diet decreases absorption of levodopa? - ✔✔protein
✔✔PD med causes liver failure? - ✔✔Tolcapone (COMT Inhibitors)
✔✔dopamine agonist has less side effects? - ✔✔Nonergot derivative meds
✔✔chemical messenger that carries and balances signals between neurons, nerve
cells, and other cells of the body? - ✔✔Neurotransmitters
✔✔decreased acetylcholine and 2 Apo E 4 alleles? - ✔✔Alzheimers
✔✔Early Alzheimers? - ✔✔MMSE 22-28, 1-3 yrs from initial symptoms
✔✔Intermediate Alzheimers? - ✔✔MMSE 18-21, 2-8 yrs from DX, needs help with
ADLs, ambulatory but frequent falls
AND ANSWERS SURE A+
✔✔progresses rapidly, fixed facial expression, rigidity, cognitive impairment -
✔✔Supranuclear palsy
✔✔continuous random movement? - ✔✔Chorea
✔✔levodopa reduces rigidity but improvement is transient - ✔✔Supranuclear palsy
✔✔tetrabenazine and antipsychotics treat? - ✔✔Chorea
✔✔short term memory deficits that don't interfere with function abilities - ✔✔mild
cognitive impairment (MCI)
✔✔cognitive impairment associated with decline in daily activities - ✔✔Dementia
✔✔long half life and ok to skip a dose? - ✔✔Fluoxetine (Prozac) SSRI
✔✔greatest anticholinergic effect (SSRI) - ✔✔Paroxetine
✔✔prolonged QT with higher doses - ✔✔Citalopram
✔✔changes rapidly with nutrition status? - ✔✔prealbumin >15 is normal
✔✔low albumin and low cholesterol <160? - ✔✔poor health status
✔✔nutritional risk? - ✔✔weight loss 5% in 1 month or 10% in 6 months
✔✔caloric needs? - ✔✔25-30 kcal/kg
, ✔✔main source of energy, 35% of calorie intake - ✔✔carbohydrates
✔✔minimize protein catabolism - ✔✔400 calories daily
✔✔protein amt per day? - ✔✔0.8g/kg of body weight daily
✔✔protein is? - ✔✔amino acid. Glutamine replacement does not improve recovery
✔✔achlorhydria - ✔✔lack of hydrochloric acid in the stomach, lack of absorption of
nutrients
✔✔macronutrients - ✔✔carbohydrates, proteins, and fats
✔✔water intake daily - ✔✔30ml/kg/day
✔✔Increased serum methylmalonic acid and serum homocysteine are ultrasensitive
markers of? - ✔✔B12 deficiency <350
✔✔Thyroid hormones regulates? - ✔✔energy, heat production, facilitate development of
CNS, growth/puberty and it regulates proteins important in liver, cardiac, neuro, muscle
functioning
✔✔Mature Erythrocyte - ✔✔120 days
✔✔check bone marrow fxn? - ✔✔reticulocyte count
✔✔diet decreases absorption of levodopa? - ✔✔protein
✔✔PD med causes liver failure? - ✔✔Tolcapone (COMT Inhibitors)
✔✔dopamine agonist has less side effects? - ✔✔Nonergot derivative meds
✔✔chemical messenger that carries and balances signals between neurons, nerve
cells, and other cells of the body? - ✔✔Neurotransmitters
✔✔decreased acetylcholine and 2 Apo E 4 alleles? - ✔✔Alzheimers
✔✔Early Alzheimers? - ✔✔MMSE 22-28, 1-3 yrs from initial symptoms
✔✔Intermediate Alzheimers? - ✔✔MMSE 18-21, 2-8 yrs from DX, needs help with
ADLs, ambulatory but frequent falls
