HCC III FINAL EXAM QUESTIONS WITH ANSWERS
MS; Manifestations ✔️✔️- Vision loss is an early sign.
- Muscle weakness
- Balance & coordination issues.
- Fatigue
- Paresthesia
- Unsteady gait
- Tremor
- Bladder and bowel dysfunction.
- Sexual dysfunction
- Depression
- Anxiety
MS Classifications; Relapsing- Remitting ✔️✔️- Most common
- Body re-myelinates during remission.
MS Classifications; Primary ✔️✔️- Progressive
- Slow
- Continuous process
MS Classifications; Secondary- Progressive ✔️✔️Starts off as a relapsing- remitting and then
continues without remission.
MS Classifications; Progressive- relapsing ✔️✔️Rare
Periods between relapses characterized by continued progression rather than remission.
MS; Diagnostic Tests ✔️✔️- MRI
,- Lumbar puncture
- Evoked potential
- Blood test.
MS; Medications ✔️✔️Intrathecal pump
- Baclofen
- Spasticity
Rhizotomy
- a surgical procedure to sever nerve roots in the spinal cord.
- Treats specific problems.
- Destroys problematic nerve roots.
Beta Interferons
- Glatiramer Acetate
- Fingolimod
- Natalizumab
- Mitoxantrone
- Teriflunomide
- Dimethyl Fumarate
- Baclofen
Ulcerative Colitis; Manifestations ✔️✔️- Continuous lesions
- NO fistulas
- Diarrhea
- Blood and mucus
Mild to moderate;
,- 6 or fewer stools/ day
- Intermittent rectal bleeding and mucus.
Severe
- 6-10 bloody stools/day
- Anemia, hypovolemia, malnutrition
- Rectal inflammation
LLQ cramping relieved by defecation.
Fatigue, anorexia, weakness.
Crohn's; Manifestations ✔️✔️- Patches of lesions
- Has fistulas
- Persistent diarrhea; Liquid or semi-formed
- Not blood typically unless colon is involved.
- Abdominal pain and tenderness
- Relieved by defecation
- Systemic
- Fever
- Fatigue
- Malaise
- Weight loss
- Anemia
- Anorectal lesions
Care of Seizure Patients ✔️✔️*PLACE ON SEIZURE PRECAUTIONS*
1. Provide safety - nothing in mouth, don't restrain, apply seizure pads, document time of start,
apply helmet in children, help slowly to the ground
, 2. Maintain airway; turn on side, keep O2 greater than 95%, give IV meds slowly
3.Educate;
medical alert bracelet, avoid triggers, emotional support, have a plan in place
Stroke Characteristics: BEFAST ✔️✔️B: balance - difficulties with balance
E: eyes - loss of vision, unable to move eyes individually of head
F: face - weakness or numbness of face, drooping
A: arms - weakness or numbness of arms, unable to hold arm up without drifting
S: speech - difficulties with speech, slurring of words
T: time - time when the symptoms first began and call 911
Medications and Treatment of Stroke ✔️✔️TPA, Alteplase
- Ischemic strokes only; Do not give if:
- Under age 80
- Has DM
- Has previous stroke
- BP below 185/110
- More than 4.5 hours after first symptom onset
Heparin, Warfarin, Enoxaparin
- Ischemic strokes only;
- Prevent future clots from forming
Surgery
- Carotid endarterectomy
MS; Manifestations ✔️✔️- Vision loss is an early sign.
- Muscle weakness
- Balance & coordination issues.
- Fatigue
- Paresthesia
- Unsteady gait
- Tremor
- Bladder and bowel dysfunction.
- Sexual dysfunction
- Depression
- Anxiety
MS Classifications; Relapsing- Remitting ✔️✔️- Most common
- Body re-myelinates during remission.
MS Classifications; Primary ✔️✔️- Progressive
- Slow
- Continuous process
MS Classifications; Secondary- Progressive ✔️✔️Starts off as a relapsing- remitting and then
continues without remission.
MS Classifications; Progressive- relapsing ✔️✔️Rare
Periods between relapses characterized by continued progression rather than remission.
MS; Diagnostic Tests ✔️✔️- MRI
,- Lumbar puncture
- Evoked potential
- Blood test.
MS; Medications ✔️✔️Intrathecal pump
- Baclofen
- Spasticity
Rhizotomy
- a surgical procedure to sever nerve roots in the spinal cord.
- Treats specific problems.
- Destroys problematic nerve roots.
Beta Interferons
- Glatiramer Acetate
- Fingolimod
- Natalizumab
- Mitoxantrone
- Teriflunomide
- Dimethyl Fumarate
- Baclofen
Ulcerative Colitis; Manifestations ✔️✔️- Continuous lesions
- NO fistulas
- Diarrhea
- Blood and mucus
Mild to moderate;
,- 6 or fewer stools/ day
- Intermittent rectal bleeding and mucus.
Severe
- 6-10 bloody stools/day
- Anemia, hypovolemia, malnutrition
- Rectal inflammation
LLQ cramping relieved by defecation.
Fatigue, anorexia, weakness.
Crohn's; Manifestations ✔️✔️- Patches of lesions
- Has fistulas
- Persistent diarrhea; Liquid or semi-formed
- Not blood typically unless colon is involved.
- Abdominal pain and tenderness
- Relieved by defecation
- Systemic
- Fever
- Fatigue
- Malaise
- Weight loss
- Anemia
- Anorectal lesions
Care of Seizure Patients ✔️✔️*PLACE ON SEIZURE PRECAUTIONS*
1. Provide safety - nothing in mouth, don't restrain, apply seizure pads, document time of start,
apply helmet in children, help slowly to the ground
, 2. Maintain airway; turn on side, keep O2 greater than 95%, give IV meds slowly
3.Educate;
medical alert bracelet, avoid triggers, emotional support, have a plan in place
Stroke Characteristics: BEFAST ✔️✔️B: balance - difficulties with balance
E: eyes - loss of vision, unable to move eyes individually of head
F: face - weakness or numbness of face, drooping
A: arms - weakness or numbness of arms, unable to hold arm up without drifting
S: speech - difficulties with speech, slurring of words
T: time - time when the symptoms first began and call 911
Medications and Treatment of Stroke ✔️✔️TPA, Alteplase
- Ischemic strokes only; Do not give if:
- Under age 80
- Has DM
- Has previous stroke
- BP below 185/110
- More than 4.5 hours after first symptom onset
Heparin, Warfarin, Enoxaparin
- Ischemic strokes only;
- Prevent future clots from forming
Surgery
- Carotid endarterectomy
