NR 601 LATEST EXAMS COMPREHENSIVE
QUESTIONS AND ANSWERS SURE A+
✔✔Joint effusions typically occurs later in the course of OA, especially in the - ✔✔Knee
✔✔You ordered CBC for your patient you suspect has polymyalgia rheumatica. Which 2
clinical findings are common in patients with PMR - ✔✔Normochromic, normocytic
anemia and thrombocytosis
✔✔You suspect your patient has PMR and now are concerned that they may have
Giant Cell Arteritis too. Which of the following 2 symptoms are most indicative of GCA
and PMR - ✔✔Scalp tenderness and aching in shoulder and pelvic girdle
✔✔63 yo Caucasian patient with PMR will begin tx corticosteroids until the condition
has resolved. You look over her records and it has been 2 years since her last physical
exam and any labs or diagnostic tests as she relocated and had not yet ID'd a provider.
In prioritizing your management plan your first orders should include - ✔✔Duel energy
X-ray scan and updating immunizations
✔✔Which of the following DD for patients presenting with PMR can be ruled out with a
muscle biopsy - ✔✔Polymyositis
, ✔✔In reviewing lab results for patients with suspected PMR, you realize there is no
definitive test to diagnose PMR, rather clinical response to treatment. Results you would
expect to see include: - ✔✔ESR >50
✔✔Which of the following is the most appropriate lab test for monitoring gout therapy
over the long-term - ✔✔Serum urate level
✔✔In providing health teaching related to dietary restrictions, you should advise a
patient with gout to avoid which of the following dietary items - ✔✔Beer, sausage, fried
seafood
✔✔The best method of verifying gout diagnosis in a joint is which of the following -
✔✔Joint aspiration and polarized light microscopy
✔✔The most appropriate first line treatment for acute gout flare, assuming no kidney
disease or elevated bleeding risk - ✔✔Indomethacin 50mg TID x2 days, then 25mg TID
x3 days
✔✔You order bilateral wrist XR on 69 yo man with c/o both wrists x6 weeks, not related
to any known trauma. You suspect early RA. The initial XR finding in apatien with
elderly onset RA would be - ✔✔Soft tissue swelling
✔✔A 72 female has been diagnosed with gout. She also has chronic HF. The most
likely contributing factor to development of gout in this older female is - ✔✔Thiazide
diuretics
✔✔Which of the following statements about OA is true - ✔✔It affects primarily weight
bearing joints
✔✔In considering the specificity of lab data, the most reliable diagnostic test listed
below would be - ✔✔Synovial fluid analysis to differentiate between infectious versus
inflammatory infusion
✔✔When examining the spine of an older adult you notice a curvature with a sharp
angle. This is referred to as - ✔✔Gibbus
✔✔The prevalence of depression in nursing home residents is __________________
greater than adults living in the community - ✔✔3-4 times
✔✔The majority of depressed older adults remain untreated because of -
✔✔Misdiagnosis, social stigma, environmental barriers
✔✔Symptoms of depression distinct to the elderly include - ✔✔Lack of emotions
QUESTIONS AND ANSWERS SURE A+
✔✔Joint effusions typically occurs later in the course of OA, especially in the - ✔✔Knee
✔✔You ordered CBC for your patient you suspect has polymyalgia rheumatica. Which 2
clinical findings are common in patients with PMR - ✔✔Normochromic, normocytic
anemia and thrombocytosis
✔✔You suspect your patient has PMR and now are concerned that they may have
Giant Cell Arteritis too. Which of the following 2 symptoms are most indicative of GCA
and PMR - ✔✔Scalp tenderness and aching in shoulder and pelvic girdle
✔✔63 yo Caucasian patient with PMR will begin tx corticosteroids until the condition
has resolved. You look over her records and it has been 2 years since her last physical
exam and any labs or diagnostic tests as she relocated and had not yet ID'd a provider.
In prioritizing your management plan your first orders should include - ✔✔Duel energy
X-ray scan and updating immunizations
✔✔Which of the following DD for patients presenting with PMR can be ruled out with a
muscle biopsy - ✔✔Polymyositis
, ✔✔In reviewing lab results for patients with suspected PMR, you realize there is no
definitive test to diagnose PMR, rather clinical response to treatment. Results you would
expect to see include: - ✔✔ESR >50
✔✔Which of the following is the most appropriate lab test for monitoring gout therapy
over the long-term - ✔✔Serum urate level
✔✔In providing health teaching related to dietary restrictions, you should advise a
patient with gout to avoid which of the following dietary items - ✔✔Beer, sausage, fried
seafood
✔✔The best method of verifying gout diagnosis in a joint is which of the following -
✔✔Joint aspiration and polarized light microscopy
✔✔The most appropriate first line treatment for acute gout flare, assuming no kidney
disease or elevated bleeding risk - ✔✔Indomethacin 50mg TID x2 days, then 25mg TID
x3 days
✔✔You order bilateral wrist XR on 69 yo man with c/o both wrists x6 weeks, not related
to any known trauma. You suspect early RA. The initial XR finding in apatien with
elderly onset RA would be - ✔✔Soft tissue swelling
✔✔A 72 female has been diagnosed with gout. She also has chronic HF. The most
likely contributing factor to development of gout in this older female is - ✔✔Thiazide
diuretics
✔✔Which of the following statements about OA is true - ✔✔It affects primarily weight
bearing joints
✔✔In considering the specificity of lab data, the most reliable diagnostic test listed
below would be - ✔✔Synovial fluid analysis to differentiate between infectious versus
inflammatory infusion
✔✔When examining the spine of an older adult you notice a curvature with a sharp
angle. This is referred to as - ✔✔Gibbus
✔✔The prevalence of depression in nursing home residents is __________________
greater than adults living in the community - ✔✔3-4 times
✔✔The majority of depressed older adults remain untreated because of -
✔✔Misdiagnosis, social stigma, environmental barriers
✔✔Symptoms of depression distinct to the elderly include - ✔✔Lack of emotions
