nurs 5461 The University of Texas at Arlington | UPDATED Questions
with 100% Verified Answers
Question:
Treatment of peripheral neuropathy
general
Answer:
depends on underlying cause,
Optimizing glycemic control can lessen the severity of diabetic peripheral neuropathy
drugs
Question:
treatment of peripheral neuropathy
drugs
Answer:
tricyclic antidepressants- off-label
gabapentin and pregabalin- fda approved for post herpetic neuralgia; preagablin also
approved for diabetic neuropathy
duloxetine- fda approved
tapentadol- fda approved
tramadol and opiods- off label
topical agents
Question:
rediculopathy
Answer:
compression of spinal root as it exits spinal cord
Question:
rediculopathy
in older adults may result from
Answer:
,herniated disc
osteophyte
Question:
radiculopathy
pain characteristics
Answer:
pain may radiate down neck, back, arm or leg
has proximal arm weakness
Question:
radiculopathy
neurologic examination may revel
Answer:
motor and sensory defects
diminution of reflexes in the distribution of spinal roots
Question:
radiculopathy
what may help with diagnosis
Answer:
mri with contrast and lumbar puncture with cytology may help
Question:
radiculopathy
Acute Inflammatory Demyelinating Polyradiculoneuropathy
Answer:
aka guillain barre syndrome
treat acutely with plasma exchange or IV immunoglobulin
Question:
radiculopathy
chronic inflammatory demyelinating polyradiculoneuropathy
Answer:
, is a from of AIDP and requres long term immunotherapy
Question:
radiculopathy
patient with diabetes
Answer:
may present with diabetic amyotrophy, a lumbosacral polyradiculitis, and plexopathy
starts with subacute onset of severe neuropathic pain in the thighs, often asymmetric,
followed by proximal muscle weakness in the legs and eventual atrophy
Question:
Myopathy in peripheral neuropathies
Answer:
characterized by proximal muscle weakness, wasting, and diminished or absent reflexes
can be accompanied by an increase in muscle enzymes, the myopathic pattern on
electromyogram, and an abnormal muscle biopsy
Question:
polymyositis
Answer:
disorder of skeletal muscle
muscle biopsy sows signs of lymphocytic inflitration and usually also myocyte
degeneration and regeneration
Prednisone is the treatment of choice, but should be used with caution in older adults
Question:
Myopathy
thyroid related
Answer:
weakness and wasting are greatest in the pelvic girdle muscles, and to some extent, the
muscles of the shoulder region
reflexes cam be normal, and dignosis is based on the distribution of muscle weakness
Improves with successful treatment of the underlying endocrine disorder, such as
hypothyroidism
with 100% Verified Answers
Question:
Treatment of peripheral neuropathy
general
Answer:
depends on underlying cause,
Optimizing glycemic control can lessen the severity of diabetic peripheral neuropathy
drugs
Question:
treatment of peripheral neuropathy
drugs
Answer:
tricyclic antidepressants- off-label
gabapentin and pregabalin- fda approved for post herpetic neuralgia; preagablin also
approved for diabetic neuropathy
duloxetine- fda approved
tapentadol- fda approved
tramadol and opiods- off label
topical agents
Question:
rediculopathy
Answer:
compression of spinal root as it exits spinal cord
Question:
rediculopathy
in older adults may result from
Answer:
,herniated disc
osteophyte
Question:
radiculopathy
pain characteristics
Answer:
pain may radiate down neck, back, arm or leg
has proximal arm weakness
Question:
radiculopathy
neurologic examination may revel
Answer:
motor and sensory defects
diminution of reflexes in the distribution of spinal roots
Question:
radiculopathy
what may help with diagnosis
Answer:
mri with contrast and lumbar puncture with cytology may help
Question:
radiculopathy
Acute Inflammatory Demyelinating Polyradiculoneuropathy
Answer:
aka guillain barre syndrome
treat acutely with plasma exchange or IV immunoglobulin
Question:
radiculopathy
chronic inflammatory demyelinating polyradiculoneuropathy
Answer:
, is a from of AIDP and requres long term immunotherapy
Question:
radiculopathy
patient with diabetes
Answer:
may present with diabetic amyotrophy, a lumbosacral polyradiculitis, and plexopathy
starts with subacute onset of severe neuropathic pain in the thighs, often asymmetric,
followed by proximal muscle weakness in the legs and eventual atrophy
Question:
Myopathy in peripheral neuropathies
Answer:
characterized by proximal muscle weakness, wasting, and diminished or absent reflexes
can be accompanied by an increase in muscle enzymes, the myopathic pattern on
electromyogram, and an abnormal muscle biopsy
Question:
polymyositis
Answer:
disorder of skeletal muscle
muscle biopsy sows signs of lymphocytic inflitration and usually also myocyte
degeneration and regeneration
Prednisone is the treatment of choice, but should be used with caution in older adults
Question:
Myopathy
thyroid related
Answer:
weakness and wasting are greatest in the pelvic girdle muscles, and to some extent, the
muscles of the shoulder region
reflexes cam be normal, and dignosis is based on the distribution of muscle weakness
Improves with successful treatment of the underlying endocrine disorder, such as
hypothyroidism
