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NR601 MIDTERM QUESTIONS AND ANSWERS

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Institution NR601 / NR-601
Course NR601 / NR-601
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NR601 MIDTERM QUESTIONS AND ANSWERS

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NR 601 MIDTERM QUESTIONS AND
ANSWERS


ThexpercentagexofxthexFVCxexpiredxinxonexsecondxisx-xans✔✔FEV1/FVCxratio

Thexagingxprocessxcausesxwhatxnormalxphysiologicalxchangesxinxthexheartx-
xans✔✔Thexheartxvalvexthickensxandxbecomesxrigid,xsecondaryxtoxfibrosisxandxsclerosis



Ax55xyoxCaucasianxmalexfollowsxupxafterxreferralxtoxcardiologist.xHexthinksxhisxmedxisxcau
singxaxcoughxandxsometimesxhexhasxdifficultyxbreathing.xWhichxmedxwasxmostxlikelyxpres
cribed?x-xans✔✔Lisinopril

MJxpresentsxwithxh/
oxstructuralxdamagexwithxcurrentxs/
sxofxHF.xTreatmentxwillxbexbasedxonxhisxstagexofxHFxwhichxisx-xans✔✔StagexC

65xyoxCaucasianxpresentsxwithxmitralxvalvexstenosis,xphysicalxexamxisxunremarkable.xyo
uxknowxherxstagexofxHFxisx-xans✔✔StagexB

Thexbestxwayxtoxdiagnosexstructuralxheartxdisease/dysfunctionxnoninvasivelyxisx-
xans✔✔Echocardiogram



Chronicxpainxcanxhavexmajorximpactxonxpatientsxabilityxtoxfunctionxandxhavexprofoundximp
actxonxoverallxQOL.xOngoingxpainxmayxbexlinkedxtox-
xans✔✔Depression,xsleepxdisturbance,xdecreasedxsocialization



ThexBeersxcriteriaxarexappropriatexforxusexinxevaluatingxusexofxcertainxmedsxinxpatientsx-
xans✔✔>65xy/o



Allxofxthexfollowingxstatementsxarextruexaboutxlabxvaluesxinxolderxadultsxexceptx-
xans✔✔Abnormalxfindingsxarexoftenxduextoxphysiologicalxaging



Accordingxtoxthex2017xACCxHTNxguidelines,xthexrecommendedxBPxgoalxforxax65y/
oxAfricanxAmericanxwomanxwithxaxh/oxHTNxandxDMxandxnoxh/oxCKDxisx-xans✔✔<140/80

THexpathophysiologyxofxHFxisxduextox-
xans✔✔InadequatexcardiacxoutputxtoxmeetxthexmetabolicxandxO2xdemandsxofxthexbody



Thexvolumexofxairxaxpatientxtoxexhalexforxtotalxdurationxofxthextestxduringxmaximalxeffortxisx
-xans✔✔FVC

, Accordingxitxthex2017xACCxHTNxguidelines,xnormalxBPxisx-xans✔✔<120/80

Functionalxabilitiesxarexbestxassessedxbyx-xans✔✔Observedxassessmentxofxfunction

LBxisxax77xyoxwithxchronicxpoorlyxcontrolledxHTN.xYouxknowxthatxgoalsxincludexprevention
xofxtargetxorganxdamage.xDuringxyourxevalxyouxwillxassessxforxevidencexofx-

xans✔✔Leftxventricularxhypertrophy



AorticxregurgitationxrequiresxmedicalxtreatmentxforxearlyxsignsxofxHFxwithx-xans✔✔ACEi

Thexvolumexofxairxinxthexlungsxatxmaxxinflationxisx-xans✔✔TLCx(totalxlungxcapacity)

Preferredxamountxofxexercisexforxolderxadultsxisx-xans✔✔30min/
dayxofxaerobicxexercisex5xdaysxaxweek

Youxknowxthexfollowingxstatementsxregardingxthxpainxofxacutexcoronaryxsyndromexarextru
exexceptx-xans✔✔Presentxatypicallyxmorexoftenxinxmenxthanxwomen

Elderlyxpatientxpresentsxwithxnewxonsetxofxfeelingxheartxrace,xfatigue.xEKGxrevealsxAfibxw
ithxratex>100.xPatientxalsoxhasxaxnewxtremorxinxbothxhands.xWhichxofxthexfollowingxwouldx
youxsuspectx-xans✔✔Hyperthyroidism

Whichxpatientxisxmorexlikelyxtoxhavexosteoporosisx-xans✔✔80xy/
o.xUnderweightxmalexwhoxsmokesxandxhasxbeenxonxsteroidsxforxpsoriasis

Postxmenopausalxwomanxwithxosteoporosisxisxtakingxbisphosphonatexdailyxpo.xWhatxacti
onxinfoxstatementxwouldxindicatexshexunderstoodxyourxinstructionsxregardingxthisxmed?x-
xans✔✔TakexmedxwithxfullxglassxofxwaterxwhenxupxinxthexAMx30xminxbeforexotherxfoodxan

dxmeds

60xy/
oxobesexmalexhasxT2DMxandxlipidxpanelxofxTC=x250xHDL=32,xLDL=165.xYouxteachxhimxa
boutxhisxmodifiablexcardiacxriskxfactorsxwhichxincludex-
xans✔✔DM,xobesity,xhyperlipidemia



OAxofxcervicalxandxlumbarxspinexcausesxpainxrelatedxtoxallxofxthexfollowingxexceptx-
xans✔✔Crystalxdeposition



InxdifferentiatingxOAxfromxchronicxgout,xpseudoxgout,xorxsepticxarthritis,xthexmostxvaluable
xdiagnosticxstudyxwouldxbex-xans✔✔Synovialxfluidxanalysis



PatientsxwithxOAxofxthexhipxandxkneexoftenxhavexaxdistinguishablexgaitxdescribedxasx-
xans✔✔Antalgic

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