NR 667 VISE Prep Exam| QUESTIONS AND CORRECT
ANSWERS ACTUAL| ALREADY GRADED A+
What are common symptoms of hypertension?
-Solution
May be asymptomatic or occipital headache, headache upon
waking, blurry vision
What are non-pharmacological interventions for hypertension?
-Solution
Weight loss, 30 mins aerobic exercise 5x/week, smoking
cessation, alcohol cessation, diet improvement (avoid salt)
What are pharmacological interventions for hypertension?
-Solution
Start with Thiazide Diuretic- HCTZ
CCB- Amlodipine
ACE/ARB- Lisinopril
What labs would you check for a patient with hypertension?
-Solution
CBC, CMP, fasting glucose, lipid panel, UA
What diagnostics would you check for a patient with HTN?
-Solution
EKG
Who would you refer a patient with hypertension to?
-Solution
Cardiology if EKG is abnormal.
When would you follow up with a patient with hypertension?
-Solution
2-4 weeks
What are common symptoms of hyperlipidemia?
-Solution
Usually asymptomatic. Xanthelasma (fat deposits around eyes) or
Corneal arcus in patients under 50.
1
,What non-pharmacological interventions can be done for a patient
with hyperlipidemia?
-Solution
Diet and exercise to raise HDL.
What pharmacological interventions can be done for a patient with
hyperlipidemia?
-Solution
Statins. Pravastatin, Simvastatin, Atorvastatin, Rosuvastatin.
If muscle pain try Ezetimibe or Colesevelam.
What labs would you check for a patient with hyperlipidemia?
-Solution
Lipid panel, CBC, CMP, UA and creatinine (check for nephrotic
syndrome), TSH (hypothyroidism)
When would you follow up for a patient with hyperlipidemia?
-Solution
6-8 weeks
Who would you refer a patient with hyperlipidemia to?
-Solution
Nutritionist
What are common symptoms of Type 2 Diabetes?
-Solution
Polydipsia, polyuria, polyphagia. Obesity, nervousness, blurry
vision, fatigue. A1C of 6.5% or higher on two tests or fasting BG
greater than 126.
What are non-pharmacological interventions you would do for a
patient with T2DM?
-Solution
Lifestyle modification, diet, exercise.
Monitor BG at home.
Avoid alcohol and smoking.
What are pharmacological interventions you would do for a patient
with T2DM?
-Solution
Start with metformin combined with dietary changes.
Sulfonylureas (Amaryl, Glucotrol XL)
SGLT2 (Jardiance, Farxiga)
2
, Etc. and add insulin if PO medication is insufficient.
What diagnostics would be done for a patient who has T2DM?
-Solution
CBC, CMP, A1C, TSH, fasting glucose, urine for microalbumin,
lipid panel
When would you follow up for a patient with T2DM?
-Solution
2-4 weeks
Who would you refer a patient with T2DM to?
-Solution
Ophthalmology, Podiatry, Diabetic Educator
How does a patient with back pain typically present?
-Solution
C/O pain may be localized, referred or radiating. OLDCARTS.
What are some contributing factors of back pain?
-Solution
Trauma, surgery, pre-existing condition, jobs
What is the gold standard for diagnosing back pain?
-Solution
CT or MRI
What imaging would you get if a patient with back pain
experienced trauma?
-Solution
X-RAY to rule out fracture or degeneration
What labs would you check for a patient with back pain?
-Solution
CBC, CMP, UA
What is non-pharmacological management that can be done for a
patient with back pain?
-Solution
Avoid heavy lifting.
Apply heat for 20-30 minutes a few times per day.
Weight loss.
Gradually resume activity.
3
ANSWERS ACTUAL| ALREADY GRADED A+
What are common symptoms of hypertension?
-Solution
May be asymptomatic or occipital headache, headache upon
waking, blurry vision
What are non-pharmacological interventions for hypertension?
-Solution
Weight loss, 30 mins aerobic exercise 5x/week, smoking
cessation, alcohol cessation, diet improvement (avoid salt)
What are pharmacological interventions for hypertension?
-Solution
Start with Thiazide Diuretic- HCTZ
CCB- Amlodipine
ACE/ARB- Lisinopril
What labs would you check for a patient with hypertension?
-Solution
CBC, CMP, fasting glucose, lipid panel, UA
What diagnostics would you check for a patient with HTN?
-Solution
EKG
Who would you refer a patient with hypertension to?
-Solution
Cardiology if EKG is abnormal.
When would you follow up with a patient with hypertension?
-Solution
2-4 weeks
What are common symptoms of hyperlipidemia?
-Solution
Usually asymptomatic. Xanthelasma (fat deposits around eyes) or
Corneal arcus in patients under 50.
1
,What non-pharmacological interventions can be done for a patient
with hyperlipidemia?
-Solution
Diet and exercise to raise HDL.
What pharmacological interventions can be done for a patient with
hyperlipidemia?
-Solution
Statins. Pravastatin, Simvastatin, Atorvastatin, Rosuvastatin.
If muscle pain try Ezetimibe or Colesevelam.
What labs would you check for a patient with hyperlipidemia?
-Solution
Lipid panel, CBC, CMP, UA and creatinine (check for nephrotic
syndrome), TSH (hypothyroidism)
When would you follow up for a patient with hyperlipidemia?
-Solution
6-8 weeks
Who would you refer a patient with hyperlipidemia to?
-Solution
Nutritionist
What are common symptoms of Type 2 Diabetes?
-Solution
Polydipsia, polyuria, polyphagia. Obesity, nervousness, blurry
vision, fatigue. A1C of 6.5% or higher on two tests or fasting BG
greater than 126.
What are non-pharmacological interventions you would do for a
patient with T2DM?
-Solution
Lifestyle modification, diet, exercise.
Monitor BG at home.
Avoid alcohol and smoking.
What are pharmacological interventions you would do for a patient
with T2DM?
-Solution
Start with metformin combined with dietary changes.
Sulfonylureas (Amaryl, Glucotrol XL)
SGLT2 (Jardiance, Farxiga)
2
, Etc. and add insulin if PO medication is insufficient.
What diagnostics would be done for a patient who has T2DM?
-Solution
CBC, CMP, A1C, TSH, fasting glucose, urine for microalbumin,
lipid panel
When would you follow up for a patient with T2DM?
-Solution
2-4 weeks
Who would you refer a patient with T2DM to?
-Solution
Ophthalmology, Podiatry, Diabetic Educator
How does a patient with back pain typically present?
-Solution
C/O pain may be localized, referred or radiating. OLDCARTS.
What are some contributing factors of back pain?
-Solution
Trauma, surgery, pre-existing condition, jobs
What is the gold standard for diagnosing back pain?
-Solution
CT or MRI
What imaging would you get if a patient with back pain
experienced trauma?
-Solution
X-RAY to rule out fracture or degeneration
What labs would you check for a patient with back pain?
-Solution
CBC, CMP, UA
What is non-pharmacological management that can be done for a
patient with back pain?
-Solution
Avoid heavy lifting.
Apply heat for 20-30 minutes a few times per day.
Weight loss.
Gradually resume activity.
3
