EXAM 5 NUR 600 UPDATED ACTUAL QUESTIONS AND
CORRECT ANSWERS
Question:
the lower esophageal sphincter is incompetent causing gastric acid to g up into
the esophagus.
Answer:
Gastroesophageal Reflux (GERD)
Question:
GERD Diagnosis
Answer:
Endoscopy biopsy and pH of esophageal contents (normal pH is close to 7.0)
Question:
GERD Prevention
Answer:
AVOID full stomach, eat small portions every 3hrs, HOB elevated, AVOID
coffee, alcohol, fats, smoking!
Question:
GERD Medications
Answer:
(-ZOLE), Proton pump inhibitors: Omeprazole, Lansoprazole, Pantoprazole,
metoclopramide (Reglan). (Produces anticholinergic effects, Peripheral
nervous system is stimulated -FAST, DRY, DILATED)
Question:
.First-Line treatment for Type 2 Diabetes Mellitus
Answer:
Metformin
Question:
Metformin is recommended as initial pharmacologic treatment for
Answer:
type 2 diabetes.
Question:
It has been shown to decrease triglycerides and LDLs.
Answer:
Metformin
Question:
Metformin Most common side effects is
Answer:
LACTIC ACIDOSIS
Question:
Symptoms of lactic acidosis include
,Answer:
nausea abdominal pain, and tachycardia.
Question:
lACTIC ACIDOSIS Test should include
Answer:
electrolytes, ketones, and serum glucose.
Question:
Obese Patients with normal renal function and elevated fasting plasma
glucose may be started on
Answer:
combination of Metformin & a second-generation sulfonylurea.
Question:
should be considered for patients with diabetes during times of physical stress,
such as illness or surgery.
Answer:
Insulin
Question:
Do NOT Use oral hypoglycemic meds in the
Answer:
perioperative period.
Question:
to Prevent onset or delay onset of diabetes: Patients with impaired glucose
should be advised to lose
Answer:
5% to 10% (10-15 lbs) of body weight.
Question:
Testing for type 2 diabetes should be considered in all adults with BMI
GREATER then
Answer:
25
Question:
A patient with a triglycerides greater then 250mg/dL or a HDL less than n
35mg/dL is a risk for developing
Answer:
type 2 diabetes
Question:
A fasting plasma lever greater then 126mg/dL indicates .
Answer:
diabetes
Question:
A fasting plasma of what level indicates diabetes
Answer:
126 mg/dL
, Question:
Peptic Ulcer: Caused by
Answer:
Helicobacter pylori infection.
Question:
Peptic ulcer treatment: Combination of
Answer:
2 Abx (Amoxicillin + clarithromycin or Metronidazole and PPI (protonix)
Question:
eradicate H.Pylori by triple or quad therapy for
Answer:
3-4 weeks.
Question:
Peptic ulcer treatment for patient who have allergic to penicillin,
clarithromycin or metronidazole.
Answer:
Tetracycline
Question:
Peptic ulcer combination of 2 abx ,the use of acid buffer and antimicrobial
Answer:
PPI, and Pepto Bismol
Question:
Patient is conformed with Hpylori, MD already has ordered PPI +
Clarithromycin +amoxicillin and after 14 days Hpyloris is still present, what's
next?
Answer:
Quadruple theorapy: PPI + Tetracycline + Metroniidazole + Pepto Bismol.
Question:
Primary treatment for hypothyroidism
Answer:
LEVOTHYROXINE (Synthroid)
Question:
10. Inflammatory bowel disease (Chron's disease and Ulcerative Colitis)
treatment for diarrhea
Answer:
ANTICHOLINERGICS, SELECTIVE SEROTONIN RECEPTOR ANTAGONISTS
-Clidinium/chlordiazepoxide (Librax), dicyclomine (Bentyl), Glycopyrrolate
(Robinul), hyoscyamine (Levsin, Anapaz)
Question:
Lotrenex( alosteron, SSRA) dispensed on
Answer:
restricted program.
Question:
Constipation predominate tx:
CORRECT ANSWERS
Question:
the lower esophageal sphincter is incompetent causing gastric acid to g up into
the esophagus.
Answer:
Gastroesophageal Reflux (GERD)
Question:
GERD Diagnosis
Answer:
Endoscopy biopsy and pH of esophageal contents (normal pH is close to 7.0)
Question:
GERD Prevention
Answer:
AVOID full stomach, eat small portions every 3hrs, HOB elevated, AVOID
coffee, alcohol, fats, smoking!
Question:
GERD Medications
Answer:
(-ZOLE), Proton pump inhibitors: Omeprazole, Lansoprazole, Pantoprazole,
metoclopramide (Reglan). (Produces anticholinergic effects, Peripheral
nervous system is stimulated -FAST, DRY, DILATED)
Question:
.First-Line treatment for Type 2 Diabetes Mellitus
Answer:
Metformin
Question:
Metformin is recommended as initial pharmacologic treatment for
Answer:
type 2 diabetes.
Question:
It has been shown to decrease triglycerides and LDLs.
Answer:
Metformin
Question:
Metformin Most common side effects is
Answer:
LACTIC ACIDOSIS
Question:
Symptoms of lactic acidosis include
,Answer:
nausea abdominal pain, and tachycardia.
Question:
lACTIC ACIDOSIS Test should include
Answer:
electrolytes, ketones, and serum glucose.
Question:
Obese Patients with normal renal function and elevated fasting plasma
glucose may be started on
Answer:
combination of Metformin & a second-generation sulfonylurea.
Question:
should be considered for patients with diabetes during times of physical stress,
such as illness or surgery.
Answer:
Insulin
Question:
Do NOT Use oral hypoglycemic meds in the
Answer:
perioperative period.
Question:
to Prevent onset or delay onset of diabetes: Patients with impaired glucose
should be advised to lose
Answer:
5% to 10% (10-15 lbs) of body weight.
Question:
Testing for type 2 diabetes should be considered in all adults with BMI
GREATER then
Answer:
25
Question:
A patient with a triglycerides greater then 250mg/dL or a HDL less than n
35mg/dL is a risk for developing
Answer:
type 2 diabetes
Question:
A fasting plasma lever greater then 126mg/dL indicates .
Answer:
diabetes
Question:
A fasting plasma of what level indicates diabetes
Answer:
126 mg/dL
, Question:
Peptic Ulcer: Caused by
Answer:
Helicobacter pylori infection.
Question:
Peptic ulcer treatment: Combination of
Answer:
2 Abx (Amoxicillin + clarithromycin or Metronidazole and PPI (protonix)
Question:
eradicate H.Pylori by triple or quad therapy for
Answer:
3-4 weeks.
Question:
Peptic ulcer treatment for patient who have allergic to penicillin,
clarithromycin or metronidazole.
Answer:
Tetracycline
Question:
Peptic ulcer combination of 2 abx ,the use of acid buffer and antimicrobial
Answer:
PPI, and Pepto Bismol
Question:
Patient is conformed with Hpylori, MD already has ordered PPI +
Clarithromycin +amoxicillin and after 14 days Hpyloris is still present, what's
next?
Answer:
Quadruple theorapy: PPI + Tetracycline + Metroniidazole + Pepto Bismol.
Question:
Primary treatment for hypothyroidism
Answer:
LEVOTHYROXINE (Synthroid)
Question:
10. Inflammatory bowel disease (Chron's disease and Ulcerative Colitis)
treatment for diarrhea
Answer:
ANTICHOLINERGICS, SELECTIVE SEROTONIN RECEPTOR ANTAGONISTS
-Clidinium/chlordiazepoxide (Librax), dicyclomine (Bentyl), Glycopyrrolate
(Robinul), hyoscyamine (Levsin, Anapaz)
Question:
Lotrenex( alosteron, SSRA) dispensed on
Answer:
restricted program.
Question:
Constipation predominate tx:
