NSG 6420 FINAL EXAM QUESTIONS AND ANSWERS
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
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
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
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
