1|Page
NRNP 6560 MIDTERM EXAM LATEST 2025/2026 ACTUAL EXAM WITH
COMPLETE QUESTIONS AND CORRECT DETAILED ANSWERS (100%
VERIFIED ANSWERS) |ALREADY GRADED A+| ||PROFESSOR
VERIFIED|| ||BRANDNEW!!!||
Recommended vaccines for HIV - ANSWER-- Hep B, if Hep B
antigen neg
- Inactivated flu vaccine (assess viral load and do not give live
vaccine)
- Hep A, liver disease risk, iv drug use, MSM
- Pneumococcal vaccine
- Tdap (instead of Td)
- Varcella Zoster for elderly
Test for HIV with following infections - ANSWER-- candidiasis of
esophagus/ trachea/ bronchi/ lungs
- extrapulm cryptococcus
- invasive cervical ca
- cryptosporidiosis with diarrhea
- CMV
- Herpes simplex lasting longer than 1mo
,2|Page
- Lymphoma brain, in younger than 60
- Kaposi sarcoma, younger than 60
- Mycobacterium TB
- Pneumocystis jiroveci pneumonia
- CD4 less than 200
Giant cell arteritis, definition and etiology - ANSWER-Inflammation
of the medium and large arteries, often temporal artery or aorta,
represents polymyalgia rheumatica
- adults older than 50
- more women than men
- most will also have polymyalgia rheumatica
- at risk for aortic aneurysm
polymylagia rheumatica - ANSWER-Medical emergency because
temporal arteritis can lead to blindness and aortic arteritis can
cause aortic occlusion
- pain, stiffness in shoulder and pelvic girdle region
,3|Page
- malaise weight loss, fever
- headache, jaw claudication, scalp tenderness, throat pain
Giant cell arteritis findings - ANSWER-- headache
- jaw pain
- visual impairment
- throat pain
- arm claudication
- difficulty talking
- fever
- enlarged and tender temporal artery
- blindness
CT: arterial narrowing
WBC normal
ESR elevated
CRP elevated
Gold standard: biopsy of affected artery
, 4|Page
Giant Cell arteritis treatment - ANSWER-Prednisone, do not wait
for biopsy
IV for 3 days when vision loss
Oral for 6 wks to 2mo
systemic lupus erythematosus (SLE) - ANSWER-Chronic,
inflammatory, autoimmune disorder that affects multiple body
systems, caused by trapping of antibodies in capillary and visceral
structures, destructing host cells. Exacerbations/ remissions
systemic lupus erythematosus (SLE), incidence - ANSWER--
drug-induced; hydralazine, methyldopa, quinidine,
chlorpramazine, isoniazid
- triggers for malfunctioning of T and B cellsL sex hormones, UV
radiation, infection, stress
- mostly women
- mostly African-American
- familial risk
NRNP 6560 MIDTERM EXAM LATEST 2025/2026 ACTUAL EXAM WITH
COMPLETE QUESTIONS AND CORRECT DETAILED ANSWERS (100%
VERIFIED ANSWERS) |ALREADY GRADED A+| ||PROFESSOR
VERIFIED|| ||BRANDNEW!!!||
Recommended vaccines for HIV - ANSWER-- Hep B, if Hep B
antigen neg
- Inactivated flu vaccine (assess viral load and do not give live
vaccine)
- Hep A, liver disease risk, iv drug use, MSM
- Pneumococcal vaccine
- Tdap (instead of Td)
- Varcella Zoster for elderly
Test for HIV with following infections - ANSWER-- candidiasis of
esophagus/ trachea/ bronchi/ lungs
- extrapulm cryptococcus
- invasive cervical ca
- cryptosporidiosis with diarrhea
- CMV
- Herpes simplex lasting longer than 1mo
,2|Page
- Lymphoma brain, in younger than 60
- Kaposi sarcoma, younger than 60
- Mycobacterium TB
- Pneumocystis jiroveci pneumonia
- CD4 less than 200
Giant cell arteritis, definition and etiology - ANSWER-Inflammation
of the medium and large arteries, often temporal artery or aorta,
represents polymyalgia rheumatica
- adults older than 50
- more women than men
- most will also have polymyalgia rheumatica
- at risk for aortic aneurysm
polymylagia rheumatica - ANSWER-Medical emergency because
temporal arteritis can lead to blindness and aortic arteritis can
cause aortic occlusion
- pain, stiffness in shoulder and pelvic girdle region
,3|Page
- malaise weight loss, fever
- headache, jaw claudication, scalp tenderness, throat pain
Giant cell arteritis findings - ANSWER-- headache
- jaw pain
- visual impairment
- throat pain
- arm claudication
- difficulty talking
- fever
- enlarged and tender temporal artery
- blindness
CT: arterial narrowing
WBC normal
ESR elevated
CRP elevated
Gold standard: biopsy of affected artery
, 4|Page
Giant Cell arteritis treatment - ANSWER-Prednisone, do not wait
for biopsy
IV for 3 days when vision loss
Oral for 6 wks to 2mo
systemic lupus erythematosus (SLE) - ANSWER-Chronic,
inflammatory, autoimmune disorder that affects multiple body
systems, caused by trapping of antibodies in capillary and visceral
structures, destructing host cells. Exacerbations/ remissions
systemic lupus erythematosus (SLE), incidence - ANSWER--
drug-induced; hydralazine, methyldopa, quinidine,
chlorpramazine, isoniazid
- triggers for malfunctioning of T and B cellsL sex hormones, UV
radiation, infection, stress
- mostly women
- mostly African-American
- familial risk
