Nr 547 Final Exam - Practice Exam Study Questionss And Answers

NR 547 FINAL EXAM - PRACTICE EXAM
STUDY QUESTIONSS
VSVQUESTIONSSANDSANSWERS

Differntial Diagnosis (Chamberlain University)
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,1. A client was diagnosed with major neurocognitive disorder due to Alzheimer’s disease. What pha
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rmacologic therapy would be anticipated? A. Carbidopa- sv sv sv sv sv sv



Levodopa B. Amitriptyline C. Memantine D. Quetiapine sv s v sv sv sv sv




2. An 89-year- sv




old presents with symptoms of Dementia. Which diagnostic test should be perform
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ed initially to rule out treatable causes of symptoms? A- Arterial Blood Gas, B-
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sv Magnetic Resonance Imaging, C-Electrocardiogram. D-Cobalamin level
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In the case of an 89-year-
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old patient presenting with symptoms of dementia, the initial diagnostic test to r
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ule out treatable causes of symptoms should be **D - Cobalamin level**.
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Cobalamin (Vitamin B12) deficiency can lead to cognitive impairments and dementi
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a-
like symptoms, making it a treatable cause of such symptoms. Other tests, such as
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MRI, can provide more information on brain structure and an electrocardiogram mig
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ht help identify cardiovascular issues, but checking cobalamin levels is more directly
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vrelated to reversible causes of dementia. sv sv sv sv sv




The most appropriate initial diagnostic test to rule out treatable causes of dementia sympt
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oms is: sv




D. Cobalamin level
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A cobalamin (vitamin B12) deficiency can cause reversible cognitive impairment and sy
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mptoms that mimic dementia, especially in older adults. It's important to check for thi
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s deficiency early in the diagnostic process, as treatment can improve or reverse sym
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ptoms if identified. sv sv




• Arterial Blood Gas (A) is used to assess oxygen and carbon dioxide levels in the
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blood, which is not typically relevant for diagnosing dementia.
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,• Magnetic Resonance Imaging (MRI) (B) can be helpful to assess structural brain
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changes, but it's not usually the first step when ruling out rmeevsesargseisb.pldef_ccoaveur_sqer_scoodfe_label
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, dementia.
• Electrocardiogram (C) assesses heart rhythm and function but is not directly
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relevant to diagnosing cognitive impairment.
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Starting with a cobalamin level helps identify a common and easily treatable cause o
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f cognitive decline.
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3. What information can assist the clinician in differentiating Dementia from Depression?
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A patient with dementia has symptoms for a long time before seeking medical hel
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clients with the diagnosis typically have a slow progression of symptoms after onset. C
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- A client with depression typically presents with an insidious onset of symptoms. D-
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sv client with dementia typically provide detailed complaints of specific cognitive dysfu
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nction.
From Kaplan pg 237 sv sv sv




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