MGRADES EXAMS
NURS 5461 UPDATED ACTUAL Exam
Questions and CORRECT Answers
Treatment of peripheral neuropathy
general - CORRECT ANSWER - depends on underlying cause,
Optimizing glycemic control can lessen the severity of diabetic peripheral neuropathy
drugs
treatment of peripheral neuropathy
drugs - CORRECT ANSWER - tricyclic antidepressants- off-label
gabapentin and pregabalin- fda approved for post herpetic neuralgia; preagablin also approved
for diabetic neuropathy
duloxetine- fda approved
tapentadol- fda approved
tramadol and opiods- off label
topical agents
rediculopathy - CORRECT ANSWER - compression of spinal root as it exits spinal cord
rediculopathy
in older adults may result from - CORRECT ANSWER - herniated disc
osteophyte
radiculopathy
pain characteristics - CORRECT ANSWER - pain may radiate down neck, back, arm or leg
has proximal arm weakness
radiculopathy
,MGRADES EXAMS
neurologic examination may revel - CORRECT ANSWER - motor and sensory defects
diminution of reflexes in the distribution of spinal roots
radiculopathy
what may help with diagnosis - CORRECT ANSWER - mri with contrast and lumbar
puncture with cytology may help
radiculopathy
Acute Inflammatory Demyelinating Polyradiculoneuropathy - CORRECT ANSWER - aka
guillain barre syndrome
treat acutely with plasma exchange or IV immunoglobulin
radiculopathy
chronic inflammatory demyelinating polyradiculoneuropathy - CORRECT ANSWER - is a
from of AIDP and requres long term immunotherapy
radiculopathy
patient with diabetes - CORRECT ANSWER - may present with diabetic amyotrophy, a
lumbosacral polyradiculitis, and plexopathy
starts with subacute onset of severe neuropathic pain in the thighs, often asymmetric, followed
by proximal muscle weakness in the legs and eventual atrophy
Myopathy in peripheral neuropathies - CORRECT ANSWER - characterized by proximal
muscle weakness, wasting, and diminished or absent reflexes
can be accompanied by an increase in muscle enzymes, the myopathic pattern on
electromyogram, and an abnormal muscle biopsy
polymyositis - CORRECT ANSWER - disorder of skeletal muscle
, MGRADES EXAMS
muscle biopsy sows signs of lymphocytic inflitration and usually also myocyte degeneration and
regeneration
Prednisone is the treatment of choice, but should be used with caution in older adults
Myopathy
thyroid related - CORRECT ANSWER - weakness and wasting are greatest in the pelvic
girdle muscles, and to some extent, the muscles of the shoulder region
reflexes cam be normal, and dignosis is based on the distribution of muscle weakness
Improves with successful treatment of the underlying endocrine disorder, such as
hypothyroidism
myopathy
drug induced - CORRECT ANSWER - example with corticosteroids, lipid-lowering agents,
colchicine, procainamide
high-dose statin drugs, rare but dose-related
amyotrophic lateral sclerosis - CORRECT ANSWER - progressive fatal neurodegenerative
condition involving both upper and lower motor neuron cell bodies
progressive weakness and wasting of skeletal muscles, often in combination with bulbar palsy
and respiratory failure
als common symptoms - CORRECT ANSWER - gait disturbance
falls
footdrop
weakness in grip
dysphagia
dysarthria
NURS 5461 UPDATED ACTUAL Exam
Questions and CORRECT Answers
Treatment of peripheral neuropathy
general - CORRECT ANSWER - depends on underlying cause,
Optimizing glycemic control can lessen the severity of diabetic peripheral neuropathy
drugs
treatment of peripheral neuropathy
drugs - CORRECT ANSWER - tricyclic antidepressants- off-label
gabapentin and pregabalin- fda approved for post herpetic neuralgia; preagablin also approved
for diabetic neuropathy
duloxetine- fda approved
tapentadol- fda approved
tramadol and opiods- off label
topical agents
rediculopathy - CORRECT ANSWER - compression of spinal root as it exits spinal cord
rediculopathy
in older adults may result from - CORRECT ANSWER - herniated disc
osteophyte
radiculopathy
pain characteristics - CORRECT ANSWER - pain may radiate down neck, back, arm or leg
has proximal arm weakness
radiculopathy
,MGRADES EXAMS
neurologic examination may revel - CORRECT ANSWER - motor and sensory defects
diminution of reflexes in the distribution of spinal roots
radiculopathy
what may help with diagnosis - CORRECT ANSWER - mri with contrast and lumbar
puncture with cytology may help
radiculopathy
Acute Inflammatory Demyelinating Polyradiculoneuropathy - CORRECT ANSWER - aka
guillain barre syndrome
treat acutely with plasma exchange or IV immunoglobulin
radiculopathy
chronic inflammatory demyelinating polyradiculoneuropathy - CORRECT ANSWER - is a
from of AIDP and requres long term immunotherapy
radiculopathy
patient with diabetes - CORRECT ANSWER - may present with diabetic amyotrophy, a
lumbosacral polyradiculitis, and plexopathy
starts with subacute onset of severe neuropathic pain in the thighs, often asymmetric, followed
by proximal muscle weakness in the legs and eventual atrophy
Myopathy in peripheral neuropathies - CORRECT ANSWER - characterized by proximal
muscle weakness, wasting, and diminished or absent reflexes
can be accompanied by an increase in muscle enzymes, the myopathic pattern on
electromyogram, and an abnormal muscle biopsy
polymyositis - CORRECT ANSWER - disorder of skeletal muscle
, MGRADES EXAMS
muscle biopsy sows signs of lymphocytic inflitration and usually also myocyte degeneration and
regeneration
Prednisone is the treatment of choice, but should be used with caution in older adults
Myopathy
thyroid related - CORRECT ANSWER - weakness and wasting are greatest in the pelvic
girdle muscles, and to some extent, the muscles of the shoulder region
reflexes cam be normal, and dignosis is based on the distribution of muscle weakness
Improves with successful treatment of the underlying endocrine disorder, such as
hypothyroidism
myopathy
drug induced - CORRECT ANSWER - example with corticosteroids, lipid-lowering agents,
colchicine, procainamide
high-dose statin drugs, rare but dose-related
amyotrophic lateral sclerosis - CORRECT ANSWER - progressive fatal neurodegenerative
condition involving both upper and lower motor neuron cell bodies
progressive weakness and wasting of skeletal muscles, often in combination with bulbar palsy
and respiratory failure
als common symptoms - CORRECT ANSWER - gait disturbance
falls
footdrop
weakness in grip
dysphagia
dysarthria
