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NR 507 Midterm and Final Exam Newest Exam Preparation Newest With Complete Questions And Correct Detailed Answers| Brand New Version

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NR 507 Midterm and Final Exam Newest Exam
Preparation Newest With Complete Questions And
Correct Detailed Answers| Brand New Version




Duodenal Ulcer - - answer --Characteristic manifestation = chronic intermittent
pain in epigastric area


Pain begins 30 minutes to 2 hours after eating when stomach is empty


Not unusual for pain to occur in middle of the night and disappear by morning


Peptic Ulcer Disease - - answer --Peptic ulcer is a break or ulceration in the
protective mucosal lining of the lower esophagus, stomach or duodenum


Least likely to occur in the large intestine


Major Depressive Disorder - - answer --SSRIs are the standard first-line treatment
for major depression


Initial selection of an antidepressant includes:
-Assessment of symptoms
-Age

,-Side effects
-Safety
-Cost


Social Anxiety Disorder - - answer --Fear and avoidance of social situations


Example: anxious person may feel very uncomfortable having a conversation or
interacting with others and very conscious of being scrutinized and humiliated or
rejected by others


Schizophrenia Diagnosis: - - answer --Advanced neuroimaging techniques have
revealed structural brain abnormalities


A consistent finding is the enlargement of the lateral and third ventricles and the
widening of frontocortical fissures and sulci .


Schizophrenia Positive symptoms - - answer --("More" symptoms):
Hallucinations
Delusions
Formal thought disorder
Bizarre behavior


Schizophrenia Negative symptoms - - answer --Flattened affect
Alogia
Anhedonia
Attention deficits

,Apathy


Schizophrenia Cognitive symptoms: - - answer --Inability to perform daily tasks
requiring attention and planning


Hypothyroidism - - answer --Most common thyroid function disorder


Affects between 0.1% and 2% of the U.S. population


More common in women and elderly


Hormone replacement therapy with the hormone levothyroxine is the treatment
of choice


Thyroid-Stimulating Hormone (TSH) - - answer --TSH released by anterior pituitary


Review hypothalamic-pituitary axis (Picture)


Thyroid-releasing hormone (hypothalamus)


Hyperthyroidism/ Grave's Disease - - answer --Two most distinguishing factors of
Grave's disease = pretibial myxedema and exophthalmos


Treatment directed at controlling excessive TH production, secretion or action
and includes antithyroid drug therapy (methimazole or propylthiouracil),

, radioactive iodine therapy (absorbed only by thyroid tissue, causing death of
cells), and surgery


Goal of radioactive iodine ablation for the treatment of Grave's disease is to
destroy overactive thyroid tissue


Two categories of ophthalmopathy associated with Grave's Disease: - - answer --
Functional Abnormalities: resulting from hyperactivity of the sympathetic division
of the autonomic nervous system (lag of the globe on upward gaze or a lag of the
upper lid on downward gaze)


Infiltrative Changes: involving the orbital contents with enlargement of the ocular
muscles. These changes affect more than half of individuals with Grave's Disease.
Increased secretion of hyaluronic acid, adipogenesis, inflammation and edema of
the orbital contents results in exophthalmos (protrusion of the eyeball),
periorbital edema and extraocular muscle weakness leading to strabismus and
diplopia (double vision)
Dermatomes - - answer --area of the skin that is mainly supplied by branches of a
single spinal sensory nerve root. These spinal sensory nerves enter the nerve root
at the spinal cord, and their branches reach to the periphery of the body.


Substance release at the synapse - - answer --Acetylcholine- Excitatory or
inhibitory- alzheimers


Norepi- Excitatory or inhibitory- sleep/wake cycle, SYNS transmission


Dopa- Excitatory (h1 and h2 receptors) and inhibitory (H3 receptors). parkinson
disease

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