NURS 5461 Quiz 1 100% CORRECT!!
Pernicious anemia - ANSWER lack of intrinsic factor, decreased b12
Pernicious anemia s/s - ANSWER beefy red tongue, fatigue, paresthesia of hands/feet,
fatigue
macrocytic anemias - ANSWER Pernicious anemia, folate deficiency anemia >103mm
causes of macrocytic anemias - ANSWER liver disease, low b12 or folate, gastrectomy,
malabsorption, alcoholics
microcytic anemia - ANSWER iron deficiency, anemia of chronic disease late stage,
lead poisoning, thalassemias,, occult blood in stool, menorrhagia, <87mm
normocytic anemia - ANSWER anemia of chronic disease, sickle cell, impaired bone
marrow, hemolytic anemia, 87-103mm
primary storage for iron - ANSWER ferritin >100 = normal
increased ferritin - ANSWER inflammatory disease, hepatitis, CRF,
transferrin - ANSWER regulates iron absorption and transport in body, low levels =
protein malnutrition, >200 is normal
total iron binding capacity (TIBC) - ANSWER high when iron low 240-450
> 400 with iron deficiency anemia
Primary hypothyroidism - ANSWER High TSH, low T3 and T4
Secondary hypothyroidism - ANSWER low TSH, low T3/T4, malfunction of pituitary
Hashimoto's thyroiditis - ANSWER autoimmune thyroiditis, high TSH, low T3/T4
Myxedema - ANSWER puffy face with hypothyroid
Grave's disease - ANSWER autoimmune disorder leading to hyperthyroidism,
antibodies mimicking TSH, high T4/T3
, Primary Hyperthyroidism - ANSWER Low TSH High T3,T4
excessive iodine uptake - ANSWER hyperthyroidism
most effective for decreasing LVH - ANSWER ACE inhibitors
stage 1 HTN - ANSWER 140-159/90-99
stage 2 HTN - ANSWER >160/>100
HTN Emergency - ANSWER >180/120 with end organ damage
Treat with IV nitroprusside, labetalol, Clonidine, Cardene
pseudohypertension - ANSWER brachial artery sclerotic- BP cuff collapses artery- false
high reading- doesn't respond to treatment
BP goal: <60 yrs, no diabetes or CKD - ANSWER <140/<90
BP goal > 60 w/ DM or CKD - ANSWER <140/<90
dihydropyridines- CCB - ANSWER Nicardipine, amlodipine, nifedipine- dilates arteries,
avoid in CKD
non-dihydropyridines CCB - ANSWER Verapamil, Diltiazem- reduces HR and
contractility, CI in left ventricle dysfunction/ AV block
reduces pedal edema caused by CCB - ANSWER adding ACE Inhibitor
masks hypoglycemia except for diaphoresis - ANSWER BB
stage 1 HTN with any risk factors - ANSWER initial TX
stage 2 HTN - ANSWER 2 drug treatment
DM Diagnosis - ANSWER FBG >126, BG >200 with s/s, 2 hr post meal >200, A1C
>6.5%
hyperkeratotic condition, hyperpigmented at neck of axillae - ANSWER Acanthosis
Nigricans
Pernicious anemia - ANSWER lack of intrinsic factor, decreased b12
Pernicious anemia s/s - ANSWER beefy red tongue, fatigue, paresthesia of hands/feet,
fatigue
macrocytic anemias - ANSWER Pernicious anemia, folate deficiency anemia >103mm
causes of macrocytic anemias - ANSWER liver disease, low b12 or folate, gastrectomy,
malabsorption, alcoholics
microcytic anemia - ANSWER iron deficiency, anemia of chronic disease late stage,
lead poisoning, thalassemias,, occult blood in stool, menorrhagia, <87mm
normocytic anemia - ANSWER anemia of chronic disease, sickle cell, impaired bone
marrow, hemolytic anemia, 87-103mm
primary storage for iron - ANSWER ferritin >100 = normal
increased ferritin - ANSWER inflammatory disease, hepatitis, CRF,
transferrin - ANSWER regulates iron absorption and transport in body, low levels =
protein malnutrition, >200 is normal
total iron binding capacity (TIBC) - ANSWER high when iron low 240-450
> 400 with iron deficiency anemia
Primary hypothyroidism - ANSWER High TSH, low T3 and T4
Secondary hypothyroidism - ANSWER low TSH, low T3/T4, malfunction of pituitary
Hashimoto's thyroiditis - ANSWER autoimmune thyroiditis, high TSH, low T3/T4
Myxedema - ANSWER puffy face with hypothyroid
Grave's disease - ANSWER autoimmune disorder leading to hyperthyroidism,
antibodies mimicking TSH, high T4/T3
, Primary Hyperthyroidism - ANSWER Low TSH High T3,T4
excessive iodine uptake - ANSWER hyperthyroidism
most effective for decreasing LVH - ANSWER ACE inhibitors
stage 1 HTN - ANSWER 140-159/90-99
stage 2 HTN - ANSWER >160/>100
HTN Emergency - ANSWER >180/120 with end organ damage
Treat with IV nitroprusside, labetalol, Clonidine, Cardene
pseudohypertension - ANSWER brachial artery sclerotic- BP cuff collapses artery- false
high reading- doesn't respond to treatment
BP goal: <60 yrs, no diabetes or CKD - ANSWER <140/<90
BP goal > 60 w/ DM or CKD - ANSWER <140/<90
dihydropyridines- CCB - ANSWER Nicardipine, amlodipine, nifedipine- dilates arteries,
avoid in CKD
non-dihydropyridines CCB - ANSWER Verapamil, Diltiazem- reduces HR and
contractility, CI in left ventricle dysfunction/ AV block
reduces pedal edema caused by CCB - ANSWER adding ACE Inhibitor
masks hypoglycemia except for diaphoresis - ANSWER BB
stage 1 HTN with any risk factors - ANSWER initial TX
stage 2 HTN - ANSWER 2 drug treatment
DM Diagnosis - ANSWER FBG >126, BG >200 with s/s, 2 hr post meal >200, A1C
>6.5%
hyperkeratotic condition, hyperpigmented at neck of axillae - ANSWER Acanthosis
Nigricans
