NUR 631 EXAM SCRIPT UPDATED QUESTIONS AND
SOLUTIONS GRADED A+
✔✔Dysuria Cause - ✔✔inflammation
bladder/urethral infection
most common cause is lower UTI
✔✔Medications that can cause dysuria - ✔✔SSRI
opiates
Scopalamine
✔✔Less common causes of dysuris - ✔✔Tumors
Renal Failure
Nephrolithiasis
STIs
✔✔Heamuturia Diagnostically - ✔✔3 RBCs or more per high powered field
✔✔Transient Hematuria - ✔✔Occurs on one occasion
✔✔Persistent - ✔✔occurs on two or more occosion
✔✔Substances that can mock hematuria - ✔✔Beets
✔✔Substances that can be related to hematuria - ✔✔caffeine, spices, tomatoes,
chocolate, alcholol, citurs, soy sauce
✔✔medications that cause hematuria - ✔✔Beta-lactam antibiotics, sulfonamides,
NSAIDs, Cipro, allopurinol, tagamet, dilantin
✔✔Any hematuria in a male over 50 requires? - ✔✔further work up
✔✔What indicates hematuria is of renal origin? - ✔✔Casts
✔✔What does proteinuria mean? - ✔✔Typically indicates renal pathology, specifically
glmerular in origin
✔✔Mild Transient Proteinuria can result from? - ✔✔Fever, CHF, acute pulmonary
edema, head injury, or stroke
Proteinuria will improve as the patient's condition improves
✔✔Bence Jones Proteins - ✔✔present in MM, lymphosarcoma, leukemia, and
Hodgkin's disease
, ✔✔Intermittent Proteinuria is often? - ✔✔Asymptomatic and benign
✔✔Continuous Proteinuria is often? - ✔✔Renal Pathology
✔✔Best test for proteinuria? - ✔✔24 hour urine
more than 160mg of urine is abnormal
✔✔3.5g of protein - ✔✔indicative of nephrotic disease
✔✔When should a patient be refered to a nephrologist? - ✔✔If the protein excretion
rate is above 3.0-3.5 grams/ day
which indicates nephrotic syndrome
✔✔Type 1 insulin therapy goals a1c - ✔✔80-130
✔✔Typle 1 insulin therapy goals 2hpp - ✔✔<180
✔✔type 1 insulin therapy goals A1C - ✔✔<7%
✔✔Diabetes type1a - ✔✔insulin dependent
✔✔diabetes type 1b - ✔✔variably insulin dependent
✔✔First line treatment for type 2 diabetes? - ✔✔lifestyle managment
weight loss of at least 5%
✔✔Metformin not used with an eGFR below?? - ✔✔45/ 1.73
✔✔Typle 2 diabetes a1c strong control - ✔✔less than 7%
✔✔type 2 diabetes decrease complications a1c? - ✔✔6.5% or less
✔✔Single dose therapy - ✔✔intermediate or long acting insulin
check blood sugar at least once in the morning and at bedtime
✔✔conventional split dose therapy - ✔✔two injections- NPH and Regular
✔✔intensive insulin therapy - ✔✔three injections
regular insulin in the morning and dinner
NPH at bedtime
✔✔Intensive insulin therapy 4 injections - ✔✔regular or lispro before meals and long
acting to maintain
SOLUTIONS GRADED A+
✔✔Dysuria Cause - ✔✔inflammation
bladder/urethral infection
most common cause is lower UTI
✔✔Medications that can cause dysuria - ✔✔SSRI
opiates
Scopalamine
✔✔Less common causes of dysuris - ✔✔Tumors
Renal Failure
Nephrolithiasis
STIs
✔✔Heamuturia Diagnostically - ✔✔3 RBCs or more per high powered field
✔✔Transient Hematuria - ✔✔Occurs on one occasion
✔✔Persistent - ✔✔occurs on two or more occosion
✔✔Substances that can mock hematuria - ✔✔Beets
✔✔Substances that can be related to hematuria - ✔✔caffeine, spices, tomatoes,
chocolate, alcholol, citurs, soy sauce
✔✔medications that cause hematuria - ✔✔Beta-lactam antibiotics, sulfonamides,
NSAIDs, Cipro, allopurinol, tagamet, dilantin
✔✔Any hematuria in a male over 50 requires? - ✔✔further work up
✔✔What indicates hematuria is of renal origin? - ✔✔Casts
✔✔What does proteinuria mean? - ✔✔Typically indicates renal pathology, specifically
glmerular in origin
✔✔Mild Transient Proteinuria can result from? - ✔✔Fever, CHF, acute pulmonary
edema, head injury, or stroke
Proteinuria will improve as the patient's condition improves
✔✔Bence Jones Proteins - ✔✔present in MM, lymphosarcoma, leukemia, and
Hodgkin's disease
, ✔✔Intermittent Proteinuria is often? - ✔✔Asymptomatic and benign
✔✔Continuous Proteinuria is often? - ✔✔Renal Pathology
✔✔Best test for proteinuria? - ✔✔24 hour urine
more than 160mg of urine is abnormal
✔✔3.5g of protein - ✔✔indicative of nephrotic disease
✔✔When should a patient be refered to a nephrologist? - ✔✔If the protein excretion
rate is above 3.0-3.5 grams/ day
which indicates nephrotic syndrome
✔✔Type 1 insulin therapy goals a1c - ✔✔80-130
✔✔Typle 1 insulin therapy goals 2hpp - ✔✔<180
✔✔type 1 insulin therapy goals A1C - ✔✔<7%
✔✔Diabetes type1a - ✔✔insulin dependent
✔✔diabetes type 1b - ✔✔variably insulin dependent
✔✔First line treatment for type 2 diabetes? - ✔✔lifestyle managment
weight loss of at least 5%
✔✔Metformin not used with an eGFR below?? - ✔✔45/ 1.73
✔✔Typle 2 diabetes a1c strong control - ✔✔less than 7%
✔✔type 2 diabetes decrease complications a1c? - ✔✔6.5% or less
✔✔Single dose therapy - ✔✔intermediate or long acting insulin
check blood sugar at least once in the morning and at bedtime
✔✔conventional split dose therapy - ✔✔two injections- NPH and Regular
✔✔intensive insulin therapy - ✔✔three injections
regular insulin in the morning and dinner
NPH at bedtime
✔✔Intensive insulin therapy 4 injections - ✔✔regular or lispro before meals and long
acting to maintain
