NSG 6420 FINAL questions and answers 100% verified.

NSG 6420 FINAL questions and answers 100% verified. Most accurate test in diagnosing pancreatitis? - correct answers.LIPASE When to d/c an ACE I based on creatinine - correct answers.2.0 Predisposing factors of hyperthyroidism - correct answers.Fam hx of hyperthy or other autoimmune, RA, vitiligo, pernicious anemia, trisomy 21, pregnancy/mothers with grave's, puberty, myasthenia gravis, addison, amiodarone, Iodine contrast dye, stress, sex steroids, DM I, SLE, smoking, neck radiation hypothyroidism prevalence - correct answers.More prevalent in women than men at a ratio of 5- 10:1 More common in older: 60 yrs increases to 6-10% of women and 2-3% of men with 13.7% with subclinical presentation DM diagnosis - correct answers.A1C: /6.5% FPG /126 2 hour PP glucose /200 during OGTT Random: /200 with sx DM 2 symptoms - correct ue, recurrent infections, recurrent vaginal yeast infections, prolonged wound healing, visual changes, may have classic sx of type 1 (polys) When is Niacin used? - correct answers.In combo with other meds to tx triglycerides Common sign associated with parkinsons? - correct rolling tremor First line tx for OA? - correct answers.Acetaminophen MOA of metformin? - correct answers.Pulls glucose into muscle cells to be utilized -enhances insulin sensitivity at tissues -Reduces glucose production by liver When is MRI indicated in low back pain? - correct defects Test for tenosynovitis? - correct answers.Finkelstein Tests for Carpal tunnel? - correct answers.Phalen's and Tinnel's Rotator cuff injury test - correct answers.Inability to maintain abduction Initial treatment for diagnosis of bursitis? - correct answers.Rest/avoidance of activity and NSAIDs OA risk factors? - correct answers.Older age, sex (women), obesity, joint injuries, genetics, bone deformities OGTT diagnoses what? - correct tional diabetes Lab indicative of hypothyroidism? - correct answers.TSH primary screening test: Increased TSH, dec free T4: primary Central: Dec TSH, serum T4 dec, notice impaired TSH response to TRH Tx levels above 10 or if symptomatic Normal TSH levels? - correct answers.0.40-4.2 Hypothyroidism labs? - correct answers.Increased TSH Decreased T3 T4 S/sx of grave's - correct answers.Diffuse enlargement of both thyroid lobes, with uniform uptake of isotope and elevated radioactive iodine uptake -weight loss/inc appetite Fatigue/weakness, tremors, heat intolerance, nervousness/anxiety, heart palps, consipation/diarrhea, swelling, inc sweating, diplopia, fine hair, moist smooth skin, hyperactivity, nightmares RAI in hyperthyroid tx - correct e dose to 2 doses of 75-200 mCi/g capsule orally to render hypothyroid **Tx of choice for Grave's dx -Euthyroid in 2-6 months **NOT IN children or pregnancy Lantus- type of insulin and peak - correct answers.Long-acting -Peak: no pronounced peak -onset 1-2 hours duration 24+ hours CKD risk factors - correct answers.DM, HTN, Heart dx, smoking, obesity, high cholesterol, AA/NA/Asian-am, fam hx, 65yrs Gold standard for diagnosis of CKD? - correct answers. MVP heart sound - correct mid systolic click Rovsing sign - correct answers.RLQ pain with palpation of the LLQ- suggests peritoneal irritation in the RLQ precipitated by palpation at a remote location Obturator sign - correct answers.RLQ pain with internal and external rotation of flexed right hip- suggests inflamed appendix is located deep in the right hemipelvis Psoas sign - correct answers.RLQ pain with extension of right hip or with flexion of right hip against resistance- inflamed appendix located along course of right psoas muscle -(lifting extended right leg against resistance) Murphy sign - correct answers.Increased tenderness with inspiration in RUQ- gallbladder Tenderness at McBurney's point - correct dicitis Negative HbsAg Positive HbsAb Negative HbcAB - correct ative of immunization Synthroid dosage - correct answers.Kg x 1.6 Hypothyroid prevalence in countries - correct lence in US is low compared to rest of world 0.3% d/t iodine consumption S/sx hypothyroidism - correct ssion, forgetfulness, los of hair, weight gain, dry skin, infertility, brady, goiter, brittle nails, cold skin, constipation, fullness in throat (hashimoto), jaundice, and distention, muscle aches Hypothyroidism physical findings - correct ased mentation, swelling hands and feet (non pitting), periorbital puffiness, coarsening of voice, brady, inc DBP, reduced SBP, delayed relaxation of DTR (achilles) Most common etiology of cervicitis? - correct answers.Infection: STDs -Chlamydia. trachomatis (number 1)and N.Gonorrhoeae Choice of antibiotics for cervicitis? - correct answers.Azithromycin and doxy DOC for tx of trich - correct nidazole or tinidazole Tx of choice for epididymitis - correct iaxone plus doxycycline Skin lesion fluoresces under a wood's lamp- what microscopic finding is consistent with this? - correct answers.Spores Conditions associated with atopic dermatitis? - correct allergy, asthma, allergic rhinitis "atopic march" Positive WB and ELISA with a tick bite and erythema migrans- how to treat - correct answers.Lyme disease - 14-21 days tx -Doxy, amoxicillin Elderly and appendicitis? - correct nt late with atypical symptoms -Half of pts are afebrile half demonstrate no rebound or involuntary guarding 1/4 have no RLQ tenderness Med of choice for scabies? - correct thrin 5% lotion H.pylori treatment - correct answers.Triple: clarith + amox + PPI clarith + flagyl + PPI levo + amox + PPI QUAD: Pepto + flagyl + tetracycline + PPI Hyperlipidemia treatment and LFTs-- which med doesn't monitor - correct answers.Bile Acid sequestran Anterior drawer test? - correct integrity of ACL Red flags associated with a migraine? - correct or worst HA of life, change in frequency/severity, new progressive HA persisting for days, precipitation of HA with valsalva, presence of neuro sx, onset after 55, persistent one sided, stiff neck/fever Indications for migraine prophy? - correct answers.*Suffers from frequent high-impact migraine attacks (/3 attacks per month) *Significant disability despite receiving acute tx *concomitant co-morbids or illness that precludes effective acute therapy *At risk of using acute meds and therefore developing chronic daily HA *One of rare migraine subtypes such as hemiplegic or basilar migraine, migraine with prolonged aura or migrainous infarction Asthma definition - correct answers.Primarily inflammation with superimposed bronchospasm What does the get up and go test evaluate for? - correct ce/falls fall risk Most common s/sx of cholecystitis - correct answers.Upper abd pain right shoulder/scapula pain colicky or constant pain N/V/fever High frequency hearing loss d/t non-pathological/normal aging - correct answers.Prebycusis Interference of sound through external auditory canal or transmission of vibration from tympanic membrane through ossicular chain to the oval window - correct answers.Conductive hearing loss Hearing loss- involves inner ear, cochlea, or auditory nerve - correct rineural Sensorineural hearing loss causes - correct noises, ototoxic meds (antibiotics-vanco, gent, diuretics, salicylates) neuro disorders (MS, syphilis, meniere's) chalky white mark on TM - correct ing 3 types of ADHD - correct answers.1. inattentive 2. Hyperactie-impulsive 3. combo