NUR 3227 JUNETTA COOPER VSIM ACTUAL
TEST BANK UPDATED QUESTIONS AND
VERIFIED RESPONSES
●● Modifiable osteoporosis risk factors
Answer: Low BMI/ small frame
Low estrogen/androgen
Active/passive smoking
Alc intake
Prolonged immobility/lack of exercise
Excessive caffeine
Low Ca +Vit D diet
●● Myasthenia gravis assessment findings
Answer: Weakness more prominent as day goes on
Face: ptosis, masklike expression, extraocular movement
Throat/neck: frequent gagging/choking when eating, slurred
speech/hoarse
Arms/legs: weak
Severe cases: SOB
●● Alzheimer's pathophysiology
,Answer: Buildup of plaque and tangles of fibrous tissue that impairs
ability of impulses to be transferred between neurons
Cortex shrivels-> affect thinking, planning, memory
Ventricles fill with fluid and grow
Hippocampus shrinks
●● Vascular dementia pathophysiology
Answer: Decreased blood flow to specific lobe of brain
More predictable deficits than other types of dementia
Common following stroke, seizures
●● Dementia assessment findings
Answer: Chronic confused state
Most common >65 yo
Affect ability to learn new info
Memory loss
Poor self care
Under/overweight
Short fuse/agitation
Sundowning: confusion increases, personality changes at/around sunset
●● Seizure pathophysiology
,Answer: Sudden, abnormal, excessive, uncontrolled discharge of
neurons within the brain that may result in change in LOC, motor or
sensory ability, or bahavior
●● Epilepsy
Answer: 2+ seizures unprovoked by seizure activity
●● Primary (idiopathic) epilepsy
Answer: Seizures not associated with any identifiable brain lesion
●● Secondary epilepsy
Answer: Seizures associated with underlying brain lesion. metabolic
disorders, alcohol withdrawal/substance abuse, electrolyte imbalance,
stroke/head trauma, or heart disease
●● Urate
Answer: Byproduct of purine metabolism
Buildup of uric acid
●● Formation of uric acid
Answer: Purine metabolism-> hypoxanthine-> xanthine-> uric acid
●● Osteoporosis
, Answer: Chronic disease that causes significant decrease in bone density
●● Osteopenia
Answer: Bone loss not to extent of osteoporosis
●● Osteoblast/clast activity over lifetime
Answer: Osteoblast activity decreases to be lower than osteoclast
activity at 30 yo
●● Menopause affect on osteoblast activity
Answer: Decrease in estrogen leads to decrease in osteoblast activity->
bone loss
●● Foods high in tyramine
Answer: Avocadoes, soybeans, figs, smoked meats, cheese, yeast,
chocolate, caffeine
●● Osteoporosis meds
Answer: Calcium w/ vit D, Calcitonin, SERMs, Biphosphonates
●● CVA pathophysiology
Answer: Interruption of perfusion to any part of brain
TEST BANK UPDATED QUESTIONS AND
VERIFIED RESPONSES
●● Modifiable osteoporosis risk factors
Answer: Low BMI/ small frame
Low estrogen/androgen
Active/passive smoking
Alc intake
Prolonged immobility/lack of exercise
Excessive caffeine
Low Ca +Vit D diet
●● Myasthenia gravis assessment findings
Answer: Weakness more prominent as day goes on
Face: ptosis, masklike expression, extraocular movement
Throat/neck: frequent gagging/choking when eating, slurred
speech/hoarse
Arms/legs: weak
Severe cases: SOB
●● Alzheimer's pathophysiology
,Answer: Buildup of plaque and tangles of fibrous tissue that impairs
ability of impulses to be transferred between neurons
Cortex shrivels-> affect thinking, planning, memory
Ventricles fill with fluid and grow
Hippocampus shrinks
●● Vascular dementia pathophysiology
Answer: Decreased blood flow to specific lobe of brain
More predictable deficits than other types of dementia
Common following stroke, seizures
●● Dementia assessment findings
Answer: Chronic confused state
Most common >65 yo
Affect ability to learn new info
Memory loss
Poor self care
Under/overweight
Short fuse/agitation
Sundowning: confusion increases, personality changes at/around sunset
●● Seizure pathophysiology
,Answer: Sudden, abnormal, excessive, uncontrolled discharge of
neurons within the brain that may result in change in LOC, motor or
sensory ability, or bahavior
●● Epilepsy
Answer: 2+ seizures unprovoked by seizure activity
●● Primary (idiopathic) epilepsy
Answer: Seizures not associated with any identifiable brain lesion
●● Secondary epilepsy
Answer: Seizures associated with underlying brain lesion. metabolic
disorders, alcohol withdrawal/substance abuse, electrolyte imbalance,
stroke/head trauma, or heart disease
●● Urate
Answer: Byproduct of purine metabolism
Buildup of uric acid
●● Formation of uric acid
Answer: Purine metabolism-> hypoxanthine-> xanthine-> uric acid
●● Osteoporosis
, Answer: Chronic disease that causes significant decrease in bone density
●● Osteopenia
Answer: Bone loss not to extent of osteoporosis
●● Osteoblast/clast activity over lifetime
Answer: Osteoblast activity decreases to be lower than osteoclast
activity at 30 yo
●● Menopause affect on osteoblast activity
Answer: Decrease in estrogen leads to decrease in osteoblast activity->
bone loss
●● Foods high in tyramine
Answer: Avocadoes, soybeans, figs, smoked meats, cheese, yeast,
chocolate, caffeine
●● Osteoporosis meds
Answer: Calcium w/ vit D, Calcitonin, SERMs, Biphosphonates
●● CVA pathophysiology
Answer: Interruption of perfusion to any part of brain
