NUR 654 FINAL EXAM 2024/2025 WITH 100% ACCURATE SOLUTIONS
A patient has rapid weight gain, amenorrhea without pregnancy, and mild
hypertension. Once confirmatory tests are performed, what is a possible treatment
for this patient? - AnswerPituitary tumor resection
A patient has unexplained weight loss and the provider notes increased skin
pigmentation on light-exposed skin folds along with darkened palmar creases.
Which laboratory tests will the provider order vs NOT order - AnswerORDER:
Serum ACTH, Serum electrolytes, TB skin testing
NOT: Serum cortisol
T or F: Patient wishes related to palliative care should be discussed at the initial
visit and updated at preventive visits - AnswerT
T or F: A patient on chemo has a high temperature and absolute neutropenic count
>500,000 needs immediate ER workup - AnswerT
Radiation therapy can be used for all of the following in cancer treatment EXCEPT
- AnswerTreatment of side effects of chemo
T or F: SIADH is an oncological emergency requiring urgent oncologic care -
AnswerT
What is an effective pharmacologic medication to treat non-cancer chronic pain? -
AnswerIbuprofen
,T or F: The most common sites for breast CA metastasis include lymph, lungs,
liver, bone, and brain - AnswerT
What is an FDA approved treatment for osteoporosis? - AnswerBiphosphonate
therapy
T or F: Bone density improvement is the primary goal of biphosphonate treatment?
- AnswerF (it is to slow the progression of disease)
An elevated serum alkaline phosphate (SAP) may include all of the following
EXCEPT - AnswerHypothyroidism
T or F: Xray findings associated with Paget's disease can show enlargement of
bone and specific deformities (long bone bowing) - AnswerT
Symptoms of Cushing's Syndrome include - AnswerAmenorrhea
T or F: Pituitary tumor resection may be first line treatment for Cushing's
Syndrome if indicated - AnswerT
Addison's Disease may cause which of the following lab abnormalities? -
AnswerElevated ACTH (not hypokalemia, hypernatremia, or elevated cortisol)
T or F: A patient with suspected hirsituism should be referred to endocrinology for
an evaluation - AnswerT
A positive Trousseau's sign occurs with which serum abnormality? -
AnswerHYPOcalcemia
, Which of the following can cause hypocalcemia? - AnswerVit D Deficiency,
hypomagnesemia
T or F: Low serum albumin may lower serum calcium - AnswerT
Which can cause hyperkalemia in a patient with normal renal function? -
AnswerAdrenocorticol deficiency
T or F: Medical management of primary hyperparathyroidism involves close
monitoring of calcium, creatinine, and bone density - AnswerT
Criteria for parathyroidectomy in a case of primary hyperparathyroidism includes
all EXCEPT - Answerunder age 50
T or F: Primary hypoparathyroidism is characterized by inappropriate secretion of
PTH along with hypercalcemia - AnswerF
T or F: Patients with a history of migraines with aura is an absolute
contraindication for combined oral contraceptives - AnswerT
When an OCP is forgotten for 2 days or fewer... - Answer2 pills for 2 days, resume
pills, use back up method for rest of cycle
T or F: 45 year old patient with secondary amenorrhea for 4 months and negative
HcG needs no further evaluation for underlying cause - AnswerF
A patient has rapid weight gain, amenorrhea without pregnancy, and mild
hypertension. Once confirmatory tests are performed, what is a possible treatment
for this patient? - AnswerPituitary tumor resection
A patient has unexplained weight loss and the provider notes increased skin
pigmentation on light-exposed skin folds along with darkened palmar creases.
Which laboratory tests will the provider order vs NOT order - AnswerORDER:
Serum ACTH, Serum electrolytes, TB skin testing
NOT: Serum cortisol
T or F: Patient wishes related to palliative care should be discussed at the initial
visit and updated at preventive visits - AnswerT
T or F: A patient on chemo has a high temperature and absolute neutropenic count
>500,000 needs immediate ER workup - AnswerT
Radiation therapy can be used for all of the following in cancer treatment EXCEPT
- AnswerTreatment of side effects of chemo
T or F: SIADH is an oncological emergency requiring urgent oncologic care -
AnswerT
What is an effective pharmacologic medication to treat non-cancer chronic pain? -
AnswerIbuprofen
,T or F: The most common sites for breast CA metastasis include lymph, lungs,
liver, bone, and brain - AnswerT
What is an FDA approved treatment for osteoporosis? - AnswerBiphosphonate
therapy
T or F: Bone density improvement is the primary goal of biphosphonate treatment?
- AnswerF (it is to slow the progression of disease)
An elevated serum alkaline phosphate (SAP) may include all of the following
EXCEPT - AnswerHypothyroidism
T or F: Xray findings associated with Paget's disease can show enlargement of
bone and specific deformities (long bone bowing) - AnswerT
Symptoms of Cushing's Syndrome include - AnswerAmenorrhea
T or F: Pituitary tumor resection may be first line treatment for Cushing's
Syndrome if indicated - AnswerT
Addison's Disease may cause which of the following lab abnormalities? -
AnswerElevated ACTH (not hypokalemia, hypernatremia, or elevated cortisol)
T or F: A patient with suspected hirsituism should be referred to endocrinology for
an evaluation - AnswerT
A positive Trousseau's sign occurs with which serum abnormality? -
AnswerHYPOcalcemia
, Which of the following can cause hypocalcemia? - AnswerVit D Deficiency,
hypomagnesemia
T or F: Low serum albumin may lower serum calcium - AnswerT
Which can cause hyperkalemia in a patient with normal renal function? -
AnswerAdrenocorticol deficiency
T or F: Medical management of primary hyperparathyroidism involves close
monitoring of calcium, creatinine, and bone density - AnswerT
Criteria for parathyroidectomy in a case of primary hyperparathyroidism includes
all EXCEPT - Answerunder age 50
T or F: Primary hypoparathyroidism is characterized by inappropriate secretion of
PTH along with hypercalcemia - AnswerF
T or F: Patients with a history of migraines with aura is an absolute
contraindication for combined oral contraceptives - AnswerT
When an OCP is forgotten for 2 days or fewer... - Answer2 pills for 2 days, resume
pills, use back up method for rest of cycle
T or F: 45 year old patient with secondary amenorrhea for 4 months and negative
HcG needs no further evaluation for underlying cause - AnswerF
