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NR601 Primary Care of the Maturing & Aged Family | Final Exam Study Guide | Practice Questions, Answers & Rationales

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NR601 · Primary Care of the Maturing & Aged Family
Final exam · 100 questions · graded review 100/100 shown



Q1 pts

Mrs. G, 72, T2DM, eGFR 38 mL/min. Which oral agent is safest?
Diabetic nephropathy, HbA1c 7.6%


Sitagliptin (DPP-4) – dose adjust


Metformin – contraindicated eGFR<45


Glyburide – high hypoglycemia


Pioglitazone – fluid retention

, correct DPP-4 inhibitors preferred in CKD with dose adjustment.




Q2 pts

Mr. R, 68, acute confusion, fluctuating, UTI. Priority?
Delirium vs dementia


Start donepezil for Alzheimer’s


Treat UTI, review meds, evaluate delirium


Order head CT/MRI


Neurology referral

, incorrect Delirium is acute; treat underlying infection first.




Q3 pts

Ms. A, 80, hypothyroidism, CAD. Levothyroxine approach?
Start low, go slow


25 mcg/day, titrate 12.5 mcg q4-6w


75 mcg/day, recheck TSH 2w


100 mcg/day for rapid control


Liothyronine instead

, correct Low dose reduces angina risk in cardiac patients.




Q4 pts

Mr. J, 74, BPH + HTN. Which alpha-blocker preferred?
CV safety


Tamsulosin 0.4 mg – uroselective


Doxazosin – orthostatic risk


Terazosin – first-dose hypotension


Alfuzosin – moderate BP effect

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