NR668 Week 1 Test Questions and
Answers| Latest Update
Adventitious lung Sounds ✔️✔️• Wheezes: Narrow airway, musical quality: Asthma, COPD.
• Rhonchi: Rattling. Think secretions.
• Stridor: Musical. Upper airway partial obstruction.
• Crackles: Opening of alveoli collapsed by fluid. CHF.
-Transmitted voice sounds:
• Bronchophony: "99" normally muffled. Clear voice sounds may indicate consolidation (i.e.
PNA).
• Egophony: "eee" normally muffled. A nasal "Ay" sound may indicate consolidation (i.e. PNA).
Colon Cancer Screening ✔️✔️• Age 50 - 75
• Colonoscopy every 10 years or
• Flex sigmoidoscopy Q 5 years (If positive obtain colonoscopy) or
• CT colonoscopy Q 5 years (If positive obtain colonoscopy) or
• Annual iFOBT
• **Family history /risk may alter schedule
Gastrointestinal assessment ✔️✔️• Inspect
• Auscultate
• Palpate
• Rebound tenderness
• Murphy's sign
Basic Lab Values ✔️✔️• WBC 4800 - 10,800
,• ANC 1.5 - 8 or (1,500 - 8000/mm3)
• RBC 4.00 - 5.10
• MCV 78.0 - 102 fL
• Hemoglobin 12.1 - 15.7 g/dl
• Hematocrit 35.0 - 45.0 %
• PLT 150k - 400k
• ESR <20 if < than 85 years old
• CRP < 10 mg/dl
• Glucose 70 - 120 mg/dl
• BUN 10 - 24 mg/dl
• CR (Serum) 0.6 - 1.35 mg /dl, < 2 in older adults
• GFR 90 or greater, 60 - 89 in older adults
• Calcium 8.6 - 10.3 mg/dl
• Sodium 135 - 145 mEQ/L
• Potassium 3.5 - 5.0 mEQ/L
• Uric Acid 2.4 - 7.0 mg/dl
• CPK 21 - 232 U/L
• Bilirubin < 1.0 mg /dl
• Albumin 3.4 - 5.0 g/dl
• AST/ALT 1- 40 and 7 -56 U/L
• Triglycerides < 150 mg/dl
• Total Cholesterol < 200 mg/dl
• HDL 40mg/dl or higher
• LDL-C < 130 mg/dl
hypertensive crisis ✔️✔️>180 and/or >120
, stevens johnson syndrome is especially associated with: ✔️✔️lamotrigine and carbamazepine
lithium can cause ___________ ✔️✔️hypothyroidism
ventricular systole ✔️✔️contraction
-AV valves (tricuspid & mitral) close
• produces S1 heart sound
-aortic valve open
• blood ejected from left ventricle into aorta
diastole ✔️✔️-Left Ventricle pressure fall
-semilunar valves (aortic & pulmonic) close
• S2 heart sounds
-relaxed period of heart
-time for relaxation between S2 till S1
when you may hear S3 heart sound ✔️✔️-children
-adolescents
-3rd trimester of pregnancy
-older adults known as a gallop
• may indicate pathology with ventricular compliance (systolic heart failure, CHF)
Atrial Fibrillation ✔️✔️irregularly irregular rhythm
-pt may complain of:
• palpitations
• skipped beats
Answers| Latest Update
Adventitious lung Sounds ✔️✔️• Wheezes: Narrow airway, musical quality: Asthma, COPD.
• Rhonchi: Rattling. Think secretions.
• Stridor: Musical. Upper airway partial obstruction.
• Crackles: Opening of alveoli collapsed by fluid. CHF.
-Transmitted voice sounds:
• Bronchophony: "99" normally muffled. Clear voice sounds may indicate consolidation (i.e.
PNA).
• Egophony: "eee" normally muffled. A nasal "Ay" sound may indicate consolidation (i.e. PNA).
Colon Cancer Screening ✔️✔️• Age 50 - 75
• Colonoscopy every 10 years or
• Flex sigmoidoscopy Q 5 years (If positive obtain colonoscopy) or
• CT colonoscopy Q 5 years (If positive obtain colonoscopy) or
• Annual iFOBT
• **Family history /risk may alter schedule
Gastrointestinal assessment ✔️✔️• Inspect
• Auscultate
• Palpate
• Rebound tenderness
• Murphy's sign
Basic Lab Values ✔️✔️• WBC 4800 - 10,800
,• ANC 1.5 - 8 or (1,500 - 8000/mm3)
• RBC 4.00 - 5.10
• MCV 78.0 - 102 fL
• Hemoglobin 12.1 - 15.7 g/dl
• Hematocrit 35.0 - 45.0 %
• PLT 150k - 400k
• ESR <20 if < than 85 years old
• CRP < 10 mg/dl
• Glucose 70 - 120 mg/dl
• BUN 10 - 24 mg/dl
• CR (Serum) 0.6 - 1.35 mg /dl, < 2 in older adults
• GFR 90 or greater, 60 - 89 in older adults
• Calcium 8.6 - 10.3 mg/dl
• Sodium 135 - 145 mEQ/L
• Potassium 3.5 - 5.0 mEQ/L
• Uric Acid 2.4 - 7.0 mg/dl
• CPK 21 - 232 U/L
• Bilirubin < 1.0 mg /dl
• Albumin 3.4 - 5.0 g/dl
• AST/ALT 1- 40 and 7 -56 U/L
• Triglycerides < 150 mg/dl
• Total Cholesterol < 200 mg/dl
• HDL 40mg/dl or higher
• LDL-C < 130 mg/dl
hypertensive crisis ✔️✔️>180 and/or >120
, stevens johnson syndrome is especially associated with: ✔️✔️lamotrigine and carbamazepine
lithium can cause ___________ ✔️✔️hypothyroidism
ventricular systole ✔️✔️contraction
-AV valves (tricuspid & mitral) close
• produces S1 heart sound
-aortic valve open
• blood ejected from left ventricle into aorta
diastole ✔️✔️-Left Ventricle pressure fall
-semilunar valves (aortic & pulmonic) close
• S2 heart sounds
-relaxed period of heart
-time for relaxation between S2 till S1
when you may hear S3 heart sound ✔️✔️-children
-adolescents
-3rd trimester of pregnancy
-older adults known as a gallop
• may indicate pathology with ventricular compliance (systolic heart failure, CHF)
Atrial Fibrillation ✔️✔️irregularly irregular rhythm
-pt may complain of:
• palpitations
• skipped beats
