Nr 601 final exam review
A Clinical analysis of PD calls for the presence of? - ANS-Bradykinesia, w/ as a minimum
one Cardinal sign: resting tremor, pressure, asymmetric onset
A Gleason score of < or equal to 7 is what? - ANS-Pts w/ localized disease and men 70+ W/
well differentiated tumor. These pts should be under close observation.
A Gleason score of 8+ is what? - ANS-Pts w/ a poorly differentiated tumor, w extracapsular
involvement beyond the seminal vesicles. And a PSA level >30. Aggressive tumor, with poor
prognostics
A pt who's on levodopa, and is having s/e of dyskinesia? - ANS-For pts who have dyskinesia
during the 1st five years of treatment 'may also want a distinctive remedy.
Acute onset of UI or the presence of Suprapubic, lower belly, or pelvic ache are what kind of
signs? What ought to be accomplished? - ANS-Red flag symptoms. For underlying
neurologic or neoplastic ailment. Requires instantaneous referral to neuro, uro, gyno.
After a UTI, observe up samples urine must best be received if? - ANS-Symptoms of
contamination persist or recur to verify if a secondary contamination with a new organism
proof against therapy has emerged throughout the treatment
After the onset of stroke is decided, what need to be decided next? - ANS-Chronology of
signs and symptoms to differentiate stroke from different common sicknesses. Like migraine
or seizures.
All sufferers with UI need to be screened for?Ex? - ANS-Functional repute and despair.
Functional impairment can be assessed with the aid of timed up and move and minicog
check
All screening gear used for AD? - ANS-MMSE, moca, SLUMS, AD 8, mini-cog
Alzheimer's disease (AD) pharmacological therapy? - ANS-Cholinesterase inhibitors and
NMDA receptor inhibitors
Antimuscarinics and anticholinergics need to be averted wherein sufferers?Consistent with
BEERS standards - ANS-Patients with dementia or cognitive impairment
Asymptomatic bacteriuria will increase with? - ANS-Age and debility
Autonomic dysfunction in Pts W/PD consist of? - ANS-Ortho hypotension, constipation,
urinary signs, and sexual dysfunction.
,Benefits and cons of terazosin and doxazosin? - ANS-Both are less expensive, however
calls for dose titration and BP monitoring
BPH prevalence? - ANS-More than half of men over the age of sixty five and affects most
guys older than eighty five.
BPPV (benign paroxysmal positional vertigo) is characterized by way of? - ANS-Intensive
vertigo after movement. Has dizziness and nystagmus.
Cholinesterase inhibitors are contraindicated in who? - ANS-Pts w/baseline bradycardia, or
cardiac conduction disorders ( av node)
Cholinesterase inhibitors can not do what? - ANS-In sufferers With MCI, it's miles NOT
effective in treating Symptoms or stopping development to dementia
Cholinesterase inhibitors do no longer have an effect on what? - ANS-No impact on
behavioral dementia signs and symptoms
Cholinesterase inhibitors? - ANS-Donepezil
Rivastigmine
Galantamine
Comorbidities of frailty? - ANS-AML, myeloma, lymphoma, myelodyspasia, CKD, COPD,
lung transplant, ILD, CAD, CHF, rhythm issues. Thyroid, obesity, growth hormone,
testosterone, cortisol, Ui, prostate ailment
Complicated UTI is what? - ANS-UTIs in human beings with Urinary tract abnormalities,
UTIs in guys, catheters, signs of polynephritis
Cranberry juice can reduce bacteriuria in older women how? - ANS-By inhibiting the binding
of gram terrible bacilli to uroepithelial cells
Current pointers require what, to start treatment w/ IV alteplase? - ANS-A finger stick
glucose; except pt is on warfarin, then INR is needed earlier than remedy.
Death from dementia outcomes from? - ANS-Malnutrition, infections ( asp pneumo),
pressure ulcers
Delirium may be because of what particular elements? - ANS-Infection, hypoxia, trauma,
Surgery, medication s/e, intoxication, withdrawal, circadian rhythm disruption
Delirium can be caused by? - ANS-A scientific situation which can be reversible.
Depressed patients who're sixty five years and older are much more likely to offer with? -
ANS-Somatic court cases like GI consequences or infection tension
Depression can mimic? - ANS-dementia
, Diagnostic check for BPH are completed to ? - ANS-To determine reason and rule out other
diseases.
Dix-Hallpike maneuver? - ANS-Checks BPPV. Rapidly sitting pt from supine function with
head tilted 30 ranges to 1 aspect.
Dizziness in older adults can result in? - ANS-Fear of falling, restrained activity,
deconditioning.
Dizziness w/ hearingloss and tinnitus indicates? - ANS-Labyrinthine source
DNR order - ANS-Only applies to cardiac arrest; it isn't always equal to do now not deal with.
Education for stroke prevention? - ANS-Smoking cessation, weight-reduction plan, weight
reduction, workout
Education to offer for menopausal women? - ANS-To avoid triggers of warm flashes... Avoid
highly spiced meals, alcohol, caffeine
Estrogen patches, lower the threat of? - ANS-DVT
Estrogen remedy includes the danger of? - ANS-Cardiovascular and stroke.
First line tx for depression? - ANS-SSRI/SNRI
For older adults, treatment should no longer be initiated handiest based totally on signs and
symptoms... Why? - ANS-Common signs and symptoms can mimic different illnesses
Frailty has been associated w? - ANS-A formal dementia analysis, and it has been to bea
enormous predictor of AD.
Frailty increases the risk of? - ANS-Dementia.
How are complex UTIs treated? - ANS-Based on urine subculture outcomes
Empiric ATB use, and then slim down as soon as cultures return
Bactrim DS BID x 14 days
Ciprofloxacin 500mg BID x7 days
Levofloxacin 750mg day by day x7 days
How can topical estrogens reduce the chance of recurrent UTIs in older ladies.
? - ANS-It allows normalize vaginal ph and restores vegetation
How does vertigo present? - ANS-Episodic and can have nv
How a whole lot % of the older population uses condoms? - ANS-10%
How ought to carbidopa levodopa be taken? - ANS-On n empty belly 30-60 minutes earlier
than or 45-60 mins after a meal, bc they compete with absorption of other amino acids
A Clinical analysis of PD calls for the presence of? - ANS-Bradykinesia, w/ as a minimum
one Cardinal sign: resting tremor, pressure, asymmetric onset
A Gleason score of < or equal to 7 is what? - ANS-Pts w/ localized disease and men 70+ W/
well differentiated tumor. These pts should be under close observation.
A Gleason score of 8+ is what? - ANS-Pts w/ a poorly differentiated tumor, w extracapsular
involvement beyond the seminal vesicles. And a PSA level >30. Aggressive tumor, with poor
prognostics
A pt who's on levodopa, and is having s/e of dyskinesia? - ANS-For pts who have dyskinesia
during the 1st five years of treatment 'may also want a distinctive remedy.
Acute onset of UI or the presence of Suprapubic, lower belly, or pelvic ache are what kind of
signs? What ought to be accomplished? - ANS-Red flag symptoms. For underlying
neurologic or neoplastic ailment. Requires instantaneous referral to neuro, uro, gyno.
After a UTI, observe up samples urine must best be received if? - ANS-Symptoms of
contamination persist or recur to verify if a secondary contamination with a new organism
proof against therapy has emerged throughout the treatment
After the onset of stroke is decided, what need to be decided next? - ANS-Chronology of
signs and symptoms to differentiate stroke from different common sicknesses. Like migraine
or seizures.
All sufferers with UI need to be screened for?Ex? - ANS-Functional repute and despair.
Functional impairment can be assessed with the aid of timed up and move and minicog
check
All screening gear used for AD? - ANS-MMSE, moca, SLUMS, AD 8, mini-cog
Alzheimer's disease (AD) pharmacological therapy? - ANS-Cholinesterase inhibitors and
NMDA receptor inhibitors
Antimuscarinics and anticholinergics need to be averted wherein sufferers?Consistent with
BEERS standards - ANS-Patients with dementia or cognitive impairment
Asymptomatic bacteriuria will increase with? - ANS-Age and debility
Autonomic dysfunction in Pts W/PD consist of? - ANS-Ortho hypotension, constipation,
urinary signs, and sexual dysfunction.
,Benefits and cons of terazosin and doxazosin? - ANS-Both are less expensive, however
calls for dose titration and BP monitoring
BPH prevalence? - ANS-More than half of men over the age of sixty five and affects most
guys older than eighty five.
BPPV (benign paroxysmal positional vertigo) is characterized by way of? - ANS-Intensive
vertigo after movement. Has dizziness and nystagmus.
Cholinesterase inhibitors are contraindicated in who? - ANS-Pts w/baseline bradycardia, or
cardiac conduction disorders ( av node)
Cholinesterase inhibitors can not do what? - ANS-In sufferers With MCI, it's miles NOT
effective in treating Symptoms or stopping development to dementia
Cholinesterase inhibitors do no longer have an effect on what? - ANS-No impact on
behavioral dementia signs and symptoms
Cholinesterase inhibitors? - ANS-Donepezil
Rivastigmine
Galantamine
Comorbidities of frailty? - ANS-AML, myeloma, lymphoma, myelodyspasia, CKD, COPD,
lung transplant, ILD, CAD, CHF, rhythm issues. Thyroid, obesity, growth hormone,
testosterone, cortisol, Ui, prostate ailment
Complicated UTI is what? - ANS-UTIs in human beings with Urinary tract abnormalities,
UTIs in guys, catheters, signs of polynephritis
Cranberry juice can reduce bacteriuria in older women how? - ANS-By inhibiting the binding
of gram terrible bacilli to uroepithelial cells
Current pointers require what, to start treatment w/ IV alteplase? - ANS-A finger stick
glucose; except pt is on warfarin, then INR is needed earlier than remedy.
Death from dementia outcomes from? - ANS-Malnutrition, infections ( asp pneumo),
pressure ulcers
Delirium may be because of what particular elements? - ANS-Infection, hypoxia, trauma,
Surgery, medication s/e, intoxication, withdrawal, circadian rhythm disruption
Delirium can be caused by? - ANS-A scientific situation which can be reversible.
Depressed patients who're sixty five years and older are much more likely to offer with? -
ANS-Somatic court cases like GI consequences or infection tension
Depression can mimic? - ANS-dementia
, Diagnostic check for BPH are completed to ? - ANS-To determine reason and rule out other
diseases.
Dix-Hallpike maneuver? - ANS-Checks BPPV. Rapidly sitting pt from supine function with
head tilted 30 ranges to 1 aspect.
Dizziness in older adults can result in? - ANS-Fear of falling, restrained activity,
deconditioning.
Dizziness w/ hearingloss and tinnitus indicates? - ANS-Labyrinthine source
DNR order - ANS-Only applies to cardiac arrest; it isn't always equal to do now not deal with.
Education for stroke prevention? - ANS-Smoking cessation, weight-reduction plan, weight
reduction, workout
Education to offer for menopausal women? - ANS-To avoid triggers of warm flashes... Avoid
highly spiced meals, alcohol, caffeine
Estrogen patches, lower the threat of? - ANS-DVT
Estrogen remedy includes the danger of? - ANS-Cardiovascular and stroke.
First line tx for depression? - ANS-SSRI/SNRI
For older adults, treatment should no longer be initiated handiest based totally on signs and
symptoms... Why? - ANS-Common signs and symptoms can mimic different illnesses
Frailty has been associated w? - ANS-A formal dementia analysis, and it has been to bea
enormous predictor of AD.
Frailty increases the risk of? - ANS-Dementia.
How are complex UTIs treated? - ANS-Based on urine subculture outcomes
Empiric ATB use, and then slim down as soon as cultures return
Bactrim DS BID x 14 days
Ciprofloxacin 500mg BID x7 days
Levofloxacin 750mg day by day x7 days
How can topical estrogens reduce the chance of recurrent UTIs in older ladies.
? - ANS-It allows normalize vaginal ph and restores vegetation
How does vertigo present? - ANS-Episodic and can have nv
How a whole lot % of the older population uses condoms? - ANS-10%
How ought to carbidopa levodopa be taken? - ANS-On n empty belly 30-60 minutes earlier
than or 45-60 mins after a meal, bc they compete with absorption of other amino acids
