NSGl 555/l NSG555l Examl 3–l (NEWl 2026/l
2027l Update)l Nursel Practitionersl inl
Primaryl Carel IIl Review|l Questionsl &l
Answersl |l Gradel A|l 100%l Correctl
(Verifiedl Solutions)-l Wilkes
QUESTION
demential dx
Answer:
Chronic,l acquiredl declinel inl twol orl morel cognitivel domains:l Memory,l Language,l
Visuospatiall skills,l Executivel function
Dx:l Mini-Cog,l MoCA,l orl MMSE:l Geriatricl Depressionl Scale
Thyroidl studies,l CBCl &l folatel Vitaminl B12l
LFTs,l metabolicl panel,l drugl andl alcoholl screen,l UA,l
Medicationl levelsl (e.g.,l carbamazepinel andl divalproex)
Sleepl study
MRIl withoutl contrast-l preferredl imagingl forl assessmentl ofl atrophy.l Canl usel CT
QUESTION
Demential characteristics
Answer:
Onset:l graduall long-terml decline
Attention:l normall early
Reversible:l no
QUESTION
Demential Tx
,Answer:
Non-Pharml (musicl therapy,l exercise,l cognitivel therapy)l Treatl symptoms
Cholinesterasel inhibitorsl (donepezil,l rivastigmine),l memantine
anti-amyloidl monoclonall antibodies—lecanemabl andl donanemab
Trazadonel forl sleepl ifl nonl pharml fails
QUESTION
Deliriuml characteristics
Answer:
Onset:l acutel Suddenl andl reversible.
Attention:l impaired
Reversible:l oftenl yes
QUESTION
Deliriuml Tx
Answer:
treatl underlyingl causel notl neurologic
QUESTION
Dizzinessl andl vertigol Dx
Answer:
Peripherall (BPPV,l vestibularl neuritis):l Episodic,l positional;l +nystagmus.
Central:l Persistent,l neurol findings.
QUESTION
Dizzinessl andl vertigol Tx
Answer:
Tx:l Meclizine,l vestibularl rehab,l Epleyl maneuverl Dix-Hallpikel maneuver:(BPPV).
, QUESTION
Essentiall tremorsl Tx
Answer:
Propranololl (Betablocker),l primidone,l topiramate.
QUESTION
Parkinson'sl Dx
Answer:
restl tremorl orl rigidity.l bradykinesia,l posturall instability.l Dxl ofl exclusion,l nol minil
mentall forl initall orl CAGE
QUESTION
Parkinson'sl Tx
Answer:
Levodopal ANDl Carbidopa.
Dopaminel agonistsl (pramipexole,l ropinirole).
MAO-Bl inhibitorsl (selegiline).
COMTl inhibitorsl (entacapone).
Anticholinergicsl (benztropine)l forl tremor.
QUESTION
MSl Tx
Answer:
Acute:l IVl methylprednisolone.
EARLYl INTERVENTIONl DMT:l Interferon-β,l glatiramer,l ocrelizumab,l fingolimod.
QUESTION
Threel typesl ofl epilepsy
2027l Update)l Nursel Practitionersl inl
Primaryl Carel IIl Review|l Questionsl &l
Answersl |l Gradel A|l 100%l Correctl
(Verifiedl Solutions)-l Wilkes
QUESTION
demential dx
Answer:
Chronic,l acquiredl declinel inl twol orl morel cognitivel domains:l Memory,l Language,l
Visuospatiall skills,l Executivel function
Dx:l Mini-Cog,l MoCA,l orl MMSE:l Geriatricl Depressionl Scale
Thyroidl studies,l CBCl &l folatel Vitaminl B12l
LFTs,l metabolicl panel,l drugl andl alcoholl screen,l UA,l
Medicationl levelsl (e.g.,l carbamazepinel andl divalproex)
Sleepl study
MRIl withoutl contrast-l preferredl imagingl forl assessmentl ofl atrophy.l Canl usel CT
QUESTION
Demential characteristics
Answer:
Onset:l graduall long-terml decline
Attention:l normall early
Reversible:l no
QUESTION
Demential Tx
,Answer:
Non-Pharml (musicl therapy,l exercise,l cognitivel therapy)l Treatl symptoms
Cholinesterasel inhibitorsl (donepezil,l rivastigmine),l memantine
anti-amyloidl monoclonall antibodies—lecanemabl andl donanemab
Trazadonel forl sleepl ifl nonl pharml fails
QUESTION
Deliriuml characteristics
Answer:
Onset:l acutel Suddenl andl reversible.
Attention:l impaired
Reversible:l oftenl yes
QUESTION
Deliriuml Tx
Answer:
treatl underlyingl causel notl neurologic
QUESTION
Dizzinessl andl vertigol Dx
Answer:
Peripherall (BPPV,l vestibularl neuritis):l Episodic,l positional;l +nystagmus.
Central:l Persistent,l neurol findings.
QUESTION
Dizzinessl andl vertigol Tx
Answer:
Tx:l Meclizine,l vestibularl rehab,l Epleyl maneuverl Dix-Hallpikel maneuver:(BPPV).
, QUESTION
Essentiall tremorsl Tx
Answer:
Propranololl (Betablocker),l primidone,l topiramate.
QUESTION
Parkinson'sl Dx
Answer:
restl tremorl orl rigidity.l bradykinesia,l posturall instability.l Dxl ofl exclusion,l nol minil
mentall forl initall orl CAGE
QUESTION
Parkinson'sl Tx
Answer:
Levodopal ANDl Carbidopa.
Dopaminel agonistsl (pramipexole,l ropinirole).
MAO-Bl inhibitorsl (selegiline).
COMTl inhibitorsl (entacapone).
Anticholinergicsl (benztropine)l forl tremor.
QUESTION
MSl Tx
Answer:
Acute:l IVl methylprednisolone.
EARLYl INTERVENTIONl DMT:l Interferon-β,l glatiramer,l ocrelizumab,l fingolimod.
QUESTION
Threel typesl ofl epilepsy
