NR 545 EXAM 2 EXAM QUESTIONS
WITH COMPLETE SOLUTIONS
S/s of right sided chf - answer-dependent edema in feet, heptomegaly and splenomegaly,
ascites, distended neck veins, headache, flushed face
What are the basic effects of r sided chf - answer-decreased co, systemic congestion, and
edema of legs and abdomen
Hx of theumatic heart disease or chaga's disease could mean you are prone to what ? - answer-
heart failure
What are the cardinal clinical symptoms of hf? - answer--dyspnea
-fatigue
-edema
-rales
If a pt come in the complaints of discomfort when lying down and feelings of feeling better when
sits up. As a clinician what should you suspect? - answer-hf
What are the cardiac signs of hf? - answer-- sbp> 160
- tachycardia
- murmurs of the mitral and tricuspid regurgitation
- cardiac cachexia
What does bnp measure? - answer-- releases from failing heart
- indicator of heart failure, normal is < 100
What's one non pharmacological way you can treat hf ? - answer-patients should avoid nsaid's,
antiarrhythmic drugs, calcium channel blockers, and
Thiazolidinediones
What is the pathway for impulses of cardiac conduction ? - answer-sa node - av node - bundle
of his - purkinje network of fibers
What is the other name for bundle of his ? - answer-av bundle
What is stenosis? - answer-narrowing of a valve
What is a incompetent valve ? - answer-blood backflows so heart repumps same blood over
and over
, What is mitral valve prolapse? - answer-valvular leaflets enlarge & prolapse into la during
systole
Rheumatic heart disease - answer-damage to the heart muscle or heart valves caused by one
or more episodes of rheumatic fever
R-i-c-e - answer-rest, ice, compression, elevation
(frxs)
If an elderly comes to you with no signs of abuse but suffers a frx. What could be the cause? -
answer-deficiency in vitamin d3
Pt comes in with swelling or bulging of the muscles suggest what? - answer-compartment
syndrome
What is the treatment for compartment syndrome? - answer-fasciotomy
What are some signs and symptoms of osteoarthritis ? - answer-- joints appear enlarges
- crepitus
Ways to treat osteoarthritis? - answer-- rest
- glucocorticoids
- analgesics and nsaids
What is rheumatoid arthritis ? - answer-inflammation of joint due to attack on synovial
components by immune system
(autoimmune disease)
If a pt comes in with joint pain, stiffness lasting more than 30 mins suggest what ? - answer-
rheumatoid arthritis
If a pt comes in with clicking sounds from joint suggest ? - answer-osteoarthritis
How do you diagnose ra? - answer-erythrocyte sedimentation rate(esr)-elevated
C-reactive protein(crp)-elevated
Rheumatoid factor(rf)-an antibody against
immunoglobulin g
Anti-cyclic citrullinated peptide(anti-ccp)
Igm-found in75-80% of patients with ra
How do you treat ra ? - answer-rest and moderate activity
pt and ot
High doses of anti-inflammatory analgesic aspirin (asa) or nsaids
WITH COMPLETE SOLUTIONS
S/s of right sided chf - answer-dependent edema in feet, heptomegaly and splenomegaly,
ascites, distended neck veins, headache, flushed face
What are the basic effects of r sided chf - answer-decreased co, systemic congestion, and
edema of legs and abdomen
Hx of theumatic heart disease or chaga's disease could mean you are prone to what ? - answer-
heart failure
What are the cardinal clinical symptoms of hf? - answer--dyspnea
-fatigue
-edema
-rales
If a pt come in the complaints of discomfort when lying down and feelings of feeling better when
sits up. As a clinician what should you suspect? - answer-hf
What are the cardiac signs of hf? - answer-- sbp> 160
- tachycardia
- murmurs of the mitral and tricuspid regurgitation
- cardiac cachexia
What does bnp measure? - answer-- releases from failing heart
- indicator of heart failure, normal is < 100
What's one non pharmacological way you can treat hf ? - answer-patients should avoid nsaid's,
antiarrhythmic drugs, calcium channel blockers, and
Thiazolidinediones
What is the pathway for impulses of cardiac conduction ? - answer-sa node - av node - bundle
of his - purkinje network of fibers
What is the other name for bundle of his ? - answer-av bundle
What is stenosis? - answer-narrowing of a valve
What is a incompetent valve ? - answer-blood backflows so heart repumps same blood over
and over
, What is mitral valve prolapse? - answer-valvular leaflets enlarge & prolapse into la during
systole
Rheumatic heart disease - answer-damage to the heart muscle or heart valves caused by one
or more episodes of rheumatic fever
R-i-c-e - answer-rest, ice, compression, elevation
(frxs)
If an elderly comes to you with no signs of abuse but suffers a frx. What could be the cause? -
answer-deficiency in vitamin d3
Pt comes in with swelling or bulging of the muscles suggest what? - answer-compartment
syndrome
What is the treatment for compartment syndrome? - answer-fasciotomy
What are some signs and symptoms of osteoarthritis ? - answer-- joints appear enlarges
- crepitus
Ways to treat osteoarthritis? - answer-- rest
- glucocorticoids
- analgesics and nsaids
What is rheumatoid arthritis ? - answer-inflammation of joint due to attack on synovial
components by immune system
(autoimmune disease)
If a pt comes in with joint pain, stiffness lasting more than 30 mins suggest what ? - answer-
rheumatoid arthritis
If a pt comes in with clicking sounds from joint suggest ? - answer-osteoarthritis
How do you diagnose ra? - answer-erythrocyte sedimentation rate(esr)-elevated
C-reactive protein(crp)-elevated
Rheumatoid factor(rf)-an antibody against
immunoglobulin g
Anti-cyclic citrullinated peptide(anti-ccp)
Igm-found in75-80% of patients with ra
How do you treat ra ? - answer-rest and moderate activity
pt and ot
High doses of anti-inflammatory analgesic aspirin (asa) or nsaids
