NURS 623 MARYVILLE ADULT GERIATRIC
TWO COMPREHENSIVE EXAM PAPER 2026
FULL QUESTIONS AND VERIFIED
SOLUTIONS GRADED A+
⩥ A thyroid bruit, gynomastia, fine hair, warm, smoot, moist skin are all
associated with what thyroid disorder.
Answer: hyperthyroidism
⩥ Hirsutism, Purple striae over the abdomen is seen with what condition
and hyperpigmentation are seen with what disease?.
Answer: Cushings syndrome
⩥ ACE inhibitors are given to patients who have diabetes with
persistent?.
Answer: proteinuria
⩥ Addison crisis can be precipitated by?.
Answer: abruptly stopping glucocorticoid medications
⩥ Signs and symptoms of DKA.
,Answer: Kussmaul respirations (very deep), hypergylcemia, glucosuria,
polyuria, polydipsia, anorexia and headache, keytonuria, decreased
blood pH
⩥ Metformin works by.
Answer: improving the effectiveness of insulin in suppressing excess
hepatic glucose production and increasing insulin sensitivity in the
peripheral tissues
⩥ The medication of choice for an initial acute attach of gout is?.
Answer: indomethacin (indocin); naproxen can be an alternative
⩥ Colchicine is an effective medication to terminate and acute gout
attack but must be administered within what time frame ?.
Answer: 48 hours
⩥ In a gout attack corticosteroids can provide dramatic systemic relief
but are contraindicated in septic conditions therefore they should not be
administered before the analysis of what ?.
Answer: synovial aspirate
⩥ What lab value findings would you see in a patient with Cushings
syndrome?.
, Answer: increased cortisol, increased sodium, decreased K+, decreased
glucose, normal BUN
⩥ What is a carpopedal spasm and what is it a sign of?.
Answer: violent, painful contraction of the hands or feet; neuromuscular
sign indicating hypocalcemia
⩥ With gout what will your labs indicate?.
Answer: ESR and WBC elevated, uric acid level >7.5, BUN normal,
WBC >10,000
⩥ What is the follow up for an acute gout attach?.
Answer: reevaluate in 1-2 weeks and antihyperuricemia therapy needs to
be followed every 4-6 weeks to adjust medications
⩥ What are some classic findings in an x-ray of an affected joint with
gout.
Answer: tophi, normal mineralization of bone, joint space preservation,
asymmetric polyarticular distribution, overhanging edge cortex and
punched out erosion of bone
⩥ An autoimmune response that may reflect a defect in suppressor T-cell
function ?.
Answer: Graves disease
TWO COMPREHENSIVE EXAM PAPER 2026
FULL QUESTIONS AND VERIFIED
SOLUTIONS GRADED A+
⩥ A thyroid bruit, gynomastia, fine hair, warm, smoot, moist skin are all
associated with what thyroid disorder.
Answer: hyperthyroidism
⩥ Hirsutism, Purple striae over the abdomen is seen with what condition
and hyperpigmentation are seen with what disease?.
Answer: Cushings syndrome
⩥ ACE inhibitors are given to patients who have diabetes with
persistent?.
Answer: proteinuria
⩥ Addison crisis can be precipitated by?.
Answer: abruptly stopping glucocorticoid medications
⩥ Signs and symptoms of DKA.
,Answer: Kussmaul respirations (very deep), hypergylcemia, glucosuria,
polyuria, polydipsia, anorexia and headache, keytonuria, decreased
blood pH
⩥ Metformin works by.
Answer: improving the effectiveness of insulin in suppressing excess
hepatic glucose production and increasing insulin sensitivity in the
peripheral tissues
⩥ The medication of choice for an initial acute attach of gout is?.
Answer: indomethacin (indocin); naproxen can be an alternative
⩥ Colchicine is an effective medication to terminate and acute gout
attack but must be administered within what time frame ?.
Answer: 48 hours
⩥ In a gout attack corticosteroids can provide dramatic systemic relief
but are contraindicated in septic conditions therefore they should not be
administered before the analysis of what ?.
Answer: synovial aspirate
⩥ What lab value findings would you see in a patient with Cushings
syndrome?.
, Answer: increased cortisol, increased sodium, decreased K+, decreased
glucose, normal BUN
⩥ What is a carpopedal spasm and what is it a sign of?.
Answer: violent, painful contraction of the hands or feet; neuromuscular
sign indicating hypocalcemia
⩥ With gout what will your labs indicate?.
Answer: ESR and WBC elevated, uric acid level >7.5, BUN normal,
WBC >10,000
⩥ What is the follow up for an acute gout attach?.
Answer: reevaluate in 1-2 weeks and antihyperuricemia therapy needs to
be followed every 4-6 weeks to adjust medications
⩥ What are some classic findings in an x-ray of an affected joint with
gout.
Answer: tophi, normal mineralization of bone, joint space preservation,
asymmetric polyarticular distribution, overhanging edge cortex and
punched out erosion of bone
⩥ An autoimmune response that may reflect a defect in suppressor T-cell
function ?.
Answer: Graves disease
