NSG 6420 FINAL EXAM 2023 ACTUAL EXAM QUESTIONS AND CORRECT ANSWERS
Most accurate test in diagnosing pancreatitis? - (answer) LIPASE
When to d/c an ACE I based on creatinine - (answer) 2.0
Predisposing factors of hyperthyroidism - (answer) Fam hx of hyperthy or other autoimmune, RA,
vitiligo, pernicious anemia, trisomy 21, pregnancy/mothers with grave's, puberty, myasthenia gravis,
addison, amiodarone, Iodine contrast dye, stress, sex steroids, DM I, SLE, smoking, neck radiation
hypothyroidism prevalence - (answer) More prevalent in women than men at a ratio of 5- 10:1
More common in older: >60 yrs increases to 6-10% of women and 2-3% of men with 13.7% with
subclinical presentation
DM diagnosis - (answer) A1C: >/6.5%
FPG >/126
2 hour PP glucose >/200 during OGTT
Random: >/200 with sx
DM 2 symptoms - (answer) fatigue, recurrent infections, recurrent vaginal yeast infections, prolonged
wound healing, visual changes, may have classic sx of type 1 (polys)
When is Niacin used? - (answer) In combo with other meds to tx triglycerides
Common sign associated with parkinsons? - (answer) pill rolling tremor
First line tx for OA? - (answer) Acetaminophen
MOA of metformin? - (answer) Pulls glucose into muscle cells to be utilized
-enhances insulin sensitivity at tissues
-Reduces glucose production by liver
, NSG 6420 FINAL EXAM 2023 ACTUAL EXAM QUESTIONS AND CORRECT ANSWERS
When is MRI indicated in low back pain? - (answer) neuro defects
Test for tenosynovitis? - (answer) Finkelstein
Tests for Carpal tunnel? - (answer) Phalen's and Tinnel's
Rotator cuff injury test - (answer) Inability to maintain abduction
Initial treatment for diagnosis of bursitis? - (answer) Rest/avoidance of activity and NSAIDs
OA risk factors? - (answer) Older age, sex (women), obesity, joint injuries, genetics, bone deformities
OGTT diagnoses what? - (answer) gestational diabetes
Lab indicative of hypothyroidism? - (answer) TSH primary screening test:
Increased TSH, dec free T4: primary
Central: Dec TSH, serum T4 dec, notice impaired TSH response to TRH
Tx levels above 10 or if symptomatic
Normal TSH levels? - (answer) 0.40-4.2
Hypothyroidism labs? - (answer) Increased TSH
Decreased T3 T4
S/sx of grave's - (answer) Diffuse enlargement of both thyroid lobes, with uniform uptake of isotope
and elevated radioactive iodine uptake
-weight loss/inc appetite
Fatigue/weakness, tremors, heat intolerance, nervousness/anxiety, heart palps, consipation/diarrhea,
swelling, inc sweating, diplopia, fine hair, moist smooth skin, hyperactivity, nightmares
Most accurate test in diagnosing pancreatitis? - (answer) LIPASE
When to d/c an ACE I based on creatinine - (answer) 2.0
Predisposing factors of hyperthyroidism - (answer) Fam hx of hyperthy or other autoimmune, RA,
vitiligo, pernicious anemia, trisomy 21, pregnancy/mothers with grave's, puberty, myasthenia gravis,
addison, amiodarone, Iodine contrast dye, stress, sex steroids, DM I, SLE, smoking, neck radiation
hypothyroidism prevalence - (answer) More prevalent in women than men at a ratio of 5- 10:1
More common in older: >60 yrs increases to 6-10% of women and 2-3% of men with 13.7% with
subclinical presentation
DM diagnosis - (answer) A1C: >/6.5%
FPG >/126
2 hour PP glucose >/200 during OGTT
Random: >/200 with sx
DM 2 symptoms - (answer) fatigue, recurrent infections, recurrent vaginal yeast infections, prolonged
wound healing, visual changes, may have classic sx of type 1 (polys)
When is Niacin used? - (answer) In combo with other meds to tx triglycerides
Common sign associated with parkinsons? - (answer) pill rolling tremor
First line tx for OA? - (answer) Acetaminophen
MOA of metformin? - (answer) Pulls glucose into muscle cells to be utilized
-enhances insulin sensitivity at tissues
-Reduces glucose production by liver
, NSG 6420 FINAL EXAM 2023 ACTUAL EXAM QUESTIONS AND CORRECT ANSWERS
When is MRI indicated in low back pain? - (answer) neuro defects
Test for tenosynovitis? - (answer) Finkelstein
Tests for Carpal tunnel? - (answer) Phalen's and Tinnel's
Rotator cuff injury test - (answer) Inability to maintain abduction
Initial treatment for diagnosis of bursitis? - (answer) Rest/avoidance of activity and NSAIDs
OA risk factors? - (answer) Older age, sex (women), obesity, joint injuries, genetics, bone deformities
OGTT diagnoses what? - (answer) gestational diabetes
Lab indicative of hypothyroidism? - (answer) TSH primary screening test:
Increased TSH, dec free T4: primary
Central: Dec TSH, serum T4 dec, notice impaired TSH response to TRH
Tx levels above 10 or if symptomatic
Normal TSH levels? - (answer) 0.40-4.2
Hypothyroidism labs? - (answer) Increased TSH
Decreased T3 T4
S/sx of grave's - (answer) Diffuse enlargement of both thyroid lobes, with uniform uptake of isotope
and elevated radioactive iodine uptake
-weight loss/inc appetite
Fatigue/weakness, tremors, heat intolerance, nervousness/anxiety, heart palps, consipation/diarrhea,
swelling, inc sweating, diplopia, fine hair, moist smooth skin, hyperactivity, nightmares
