NURSl 5433/l NURS5433l Finall Examl
(NEWl 2026l Update)l –l Familyl IIl (FNPl
2)l Guidel |l Questionsl &l Answersl |l Gradel
A|l 100%l Correctl (Verifiedl Solutions)-l
UTA
QUESTION
Addison'sl disease
Answer:
primaryl adrenall insufficiency,l damagel tol adrenall glandl causesl decreasedl cortisoll andl
aldosterone
1*l causedl byl autoimmune,l TB,l HIV,l CMV,l fungal,l tumors,l congentiall adrenall
hyperplasia,l hemorrhage
2*l causedl byl pituitaryl dysfunctionl leadingl tol decreasedl ACHl andl adrenall atrophy,l
couldl bel froml chronicl steroidl usel withl abruptl withdrawall
s/s:l fatigue,l weightl loss,l hypotension,l saltl craving,l hyperpigmentationl inl 1*
QUESTION
addisonianl crisis
Answer:
lifel threatening,l cortisoll deficiency,l triggeredl byl stress,l illness,l steroidl withdrawal
s/s:l hypotension,l shock,l hyponatremia,l hyperkalemia
Tx:l hydrocortisone,l fluids,l correctl electrolytes,l glucose
dx:l electrolytes,l seruml ACHl stimulationl test,l cortisoll levels
,QUESTION
cushing'sl syndrome
Answer:
chronicl excessl cortisol,l anyl cause
QUESTION
cushing'sl disease
Answer:
pituitaryl adenomal causingl increasedl ACTHl andl increasedl cortisol
QUESTION
Cushings
Answer:
s/s:l moonl face,l buffalol hump,l centrall obesity,l HTN,l hyperglycemia,l musclel weakness,l
purplel striae,l skinl thinning,l poorl woundl healing,l easyl bruisingl
dx:l 1stl linel tests
24l hourl urinaryl freel cortisol
lowl dosel dexamethasonel suppressionl test
tx:l cushing'sl diseasel -l transsphenoidall surgeryl tol removel adenoma
cushingsl syndrome:l graduall taperl ofl steroids
QUESTION
risksl ofl cushingsl ifl untreated
Answer:
osteoporosis
infections
severel hypertension
,QUESTION
hyperparathyroidism
Answer:
primary:l increasedl PTH,l increasedl calcium,l decreasedl Phos
secondary:l increasedl PTH,l increasedl phos,l normall orl decreasedl calcium
tx:l parathyroidectomy
QUESTION
hypoparathyroidsm
Answer:
decreasedl PTH,l decreasedl calcium,l increasedl phos
tx:l calciuml andl vitaminl D
QUESTION
stepwisel approachl forl managingl asthma
Answer:
Stepl 1:l Intermittentl asthmal -l Asl neededl lowl dosel ICS-formoterol,l sxl lessl thanl 2x/month
Stepl 2:l Mildl Persistentl -l Dailyl lowl dosel ICSl andl asl neededl ICS-formoterol,l sxl
2x/monthl orl morel butl lessl thanl daily
Stepl 3:l Moderatel Persistantl -l mediuml dosel ICSl andl lowl dosel ICS-formoteroll asl
needed,l sxl mostl daysl orl wakingl upl withl asthmal oncel al weekl orl more
Stepl 4:l Severel Persistentl -l addl onl LAMAl andl referl outl forl phenotyping,l considerl highl
dosel ICS-formoterol,l sxl mostl daysl orl wakingl withl asthmal oncel al weekl orl morel withl
lowl lungl function
, QUESTION
asthma
Answer:
chronicl airwayl inflammation,l wheezing,l SOB,l chestl tightness,l cough,l expiratoryl airflowl
limitation
QUESTION
COPD
Answer:
persistentl respiratoryl symptoms,l airflowl limitationl d/tl airwayl and/orl alveolarl
abnormalities
QUESTION
pathophysiologyl ofl asthma
Answer:
airwayl inflammationl triggeredl byl allergens,l irritants,l orl respiratoryl infectionsl leadsl tol
airwayl hyperresponsiveness,l bronchoconstriction,l mucusl productionl andl airwayl
remodelingl (thickeningl ofl basementl membranel andl smoothl musclel hypertrophyl andl
fibrosis)
QUESTION
s/sl ofl asthmal andl diagnosis
Answer:
wheezing,l cough,l SOB,l chestl tightness,l sxl triggers,l tachypnea,l prolongedl expiration,l
decreasedl breathl sounds,l tachycardia
diagnosedl vial spirometry,l peakl flow,l andl methacholinel challenge
(NEWl 2026l Update)l –l Familyl IIl (FNPl
2)l Guidel |l Questionsl &l Answersl |l Gradel
A|l 100%l Correctl (Verifiedl Solutions)-l
UTA
QUESTION
Addison'sl disease
Answer:
primaryl adrenall insufficiency,l damagel tol adrenall glandl causesl decreasedl cortisoll andl
aldosterone
1*l causedl byl autoimmune,l TB,l HIV,l CMV,l fungal,l tumors,l congentiall adrenall
hyperplasia,l hemorrhage
2*l causedl byl pituitaryl dysfunctionl leadingl tol decreasedl ACHl andl adrenall atrophy,l
couldl bel froml chronicl steroidl usel withl abruptl withdrawall
s/s:l fatigue,l weightl loss,l hypotension,l saltl craving,l hyperpigmentationl inl 1*
QUESTION
addisonianl crisis
Answer:
lifel threatening,l cortisoll deficiency,l triggeredl byl stress,l illness,l steroidl withdrawal
s/s:l hypotension,l shock,l hyponatremia,l hyperkalemia
Tx:l hydrocortisone,l fluids,l correctl electrolytes,l glucose
dx:l electrolytes,l seruml ACHl stimulationl test,l cortisoll levels
,QUESTION
cushing'sl syndrome
Answer:
chronicl excessl cortisol,l anyl cause
QUESTION
cushing'sl disease
Answer:
pituitaryl adenomal causingl increasedl ACTHl andl increasedl cortisol
QUESTION
Cushings
Answer:
s/s:l moonl face,l buffalol hump,l centrall obesity,l HTN,l hyperglycemia,l musclel weakness,l
purplel striae,l skinl thinning,l poorl woundl healing,l easyl bruisingl
dx:l 1stl linel tests
24l hourl urinaryl freel cortisol
lowl dosel dexamethasonel suppressionl test
tx:l cushing'sl diseasel -l transsphenoidall surgeryl tol removel adenoma
cushingsl syndrome:l graduall taperl ofl steroids
QUESTION
risksl ofl cushingsl ifl untreated
Answer:
osteoporosis
infections
severel hypertension
,QUESTION
hyperparathyroidism
Answer:
primary:l increasedl PTH,l increasedl calcium,l decreasedl Phos
secondary:l increasedl PTH,l increasedl phos,l normall orl decreasedl calcium
tx:l parathyroidectomy
QUESTION
hypoparathyroidsm
Answer:
decreasedl PTH,l decreasedl calcium,l increasedl phos
tx:l calciuml andl vitaminl D
QUESTION
stepwisel approachl forl managingl asthma
Answer:
Stepl 1:l Intermittentl asthmal -l Asl neededl lowl dosel ICS-formoterol,l sxl lessl thanl 2x/month
Stepl 2:l Mildl Persistentl -l Dailyl lowl dosel ICSl andl asl neededl ICS-formoterol,l sxl
2x/monthl orl morel butl lessl thanl daily
Stepl 3:l Moderatel Persistantl -l mediuml dosel ICSl andl lowl dosel ICS-formoteroll asl
needed,l sxl mostl daysl orl wakingl upl withl asthmal oncel al weekl orl more
Stepl 4:l Severel Persistentl -l addl onl LAMAl andl referl outl forl phenotyping,l considerl highl
dosel ICS-formoterol,l sxl mostl daysl orl wakingl withl asthmal oncel al weekl orl morel withl
lowl lungl function
, QUESTION
asthma
Answer:
chronicl airwayl inflammation,l wheezing,l SOB,l chestl tightness,l cough,l expiratoryl airflowl
limitation
QUESTION
COPD
Answer:
persistentl respiratoryl symptoms,l airflowl limitationl d/tl airwayl and/orl alveolarl
abnormalities
QUESTION
pathophysiologyl ofl asthma
Answer:
airwayl inflammationl triggeredl byl allergens,l irritants,l orl respiratoryl infectionsl leadsl tol
airwayl hyperresponsiveness,l bronchoconstriction,l mucusl productionl andl airwayl
remodelingl (thickeningl ofl basementl membranel andl smoothl musclel hypertrophyl andl
fibrosis)
QUESTION
s/sl ofl asthmal andl diagnosis
Answer:
wheezing,l cough,l SOB,l chestl tightness,l sxl triggers,l tachypnea,l prolongedl expiration,l
decreasedl breathl sounds,l tachycardia
diagnosedl vial spirometry,l peakl flow,l andl methacholinel challenge