NSG 6420 FINAL EXAM 2024/2025 ACTUAL EXAM QUESTIONS AND CORRECT ANSWER S|ALREADY
GRADED A(COMPLETE EXAM)
Most accurate test in diagnosing pancreatitis? - correct answer LIPASE
When to d/c an ACE I based on creatinine - correct answer 2.0
Predisposing factors of hyperthyroidism - correct answer 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 answer 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 answer A1C: >/6.5%
FPG >/126
2 hour PP glucose >/200 during OGTT
Random: >/200 with sx
DM 2 symptoms - correct answer fatigue, recurrent infections, recurrent vaginal yeast
infections, prolonged wound healing, visual changes, may have classic sx of type 1 (polys)
When is Niacin used? - correct answer In combo with other meds to tx triglycerides
Common sign associated with parkinsons? - correct answer pill rolling tremor
First line tx for OA? - correct answer Acetaminophen
MOA of metformin? - correct answer 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 answer neuro defects
Test for tenosynovitis? - correct answer Finkelstein
Tests for Carpal tunnel? - correct answer Phalen's and Tinnel's
Rotator cuff injury test - correct answer Inability to maintain abduction
Initial treatment for diagnosis of bursitis? - correct answer Rest/avoidance of activity and
NSAIDs
OA risk factors? - correct answer Older age, sex (women), obesity, joint injuries, genetics, bone
deformities
, NSG 6420 FINAL EXAM 2024/2025 ACTUAL EXAM QUESTIONS AND CORRECT ANSWER S|ALREADY
GRADED A(COMPLETE EXAM)
OGTT diagnoses what? - correct answer gestational diabetes
Lab indicative of hypothyroidism? - correct answer 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 answer 0.40-4.2
Hypothyroidism labs? - correct answer Increased TSH
Decreased T3 T4
S/sx of grave's - correct answer 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 answer single 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 answer Long-acting
-Peak: no pronounced peak
-onset 1-2 hours
duration 24+ hours
CKD risk factors - correct answer DM, HTN, Heart dx, smoking, obesity, high cholesterol,
AA/NA/Asian-am, fam hx, >65yrs
Gold standard for diagnosis of CKD? - correct answer
MVP heart sound - correct answer crisp mid systolic click
Rovsing sign - correct answer RLQ pain with palpation of the LLQ- suggests peritoneal irritation
in the RLQ precipitated by palpation at a remote location
GRADED A(COMPLETE EXAM)
Most accurate test in diagnosing pancreatitis? - correct answer LIPASE
When to d/c an ACE I based on creatinine - correct answer 2.0
Predisposing factors of hyperthyroidism - correct answer 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 answer 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 answer A1C: >/6.5%
FPG >/126
2 hour PP glucose >/200 during OGTT
Random: >/200 with sx
DM 2 symptoms - correct answer fatigue, recurrent infections, recurrent vaginal yeast
infections, prolonged wound healing, visual changes, may have classic sx of type 1 (polys)
When is Niacin used? - correct answer In combo with other meds to tx triglycerides
Common sign associated with parkinsons? - correct answer pill rolling tremor
First line tx for OA? - correct answer Acetaminophen
MOA of metformin? - correct answer 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 answer neuro defects
Test for tenosynovitis? - correct answer Finkelstein
Tests for Carpal tunnel? - correct answer Phalen's and Tinnel's
Rotator cuff injury test - correct answer Inability to maintain abduction
Initial treatment for diagnosis of bursitis? - correct answer Rest/avoidance of activity and
NSAIDs
OA risk factors? - correct answer Older age, sex (women), obesity, joint injuries, genetics, bone
deformities
, NSG 6420 FINAL EXAM 2024/2025 ACTUAL EXAM QUESTIONS AND CORRECT ANSWER S|ALREADY
GRADED A(COMPLETE EXAM)
OGTT diagnoses what? - correct answer gestational diabetes
Lab indicative of hypothyroidism? - correct answer 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 answer 0.40-4.2
Hypothyroidism labs? - correct answer Increased TSH
Decreased T3 T4
S/sx of grave's - correct answer 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 answer single 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 answer Long-acting
-Peak: no pronounced peak
-onset 1-2 hours
duration 24+ hours
CKD risk factors - correct answer DM, HTN, Heart dx, smoking, obesity, high cholesterol,
AA/NA/Asian-am, fam hx, >65yrs
Gold standard for diagnosis of CKD? - correct answer
MVP heart sound - correct answer crisp mid systolic click
Rovsing sign - correct answer RLQ pain with palpation of the LLQ- suggests peritoneal irritation
in the RLQ precipitated by palpation at a remote location
