Nr 601 final exam review |272 questions with
verified answers
A Clinical diagnosis of PD requires the presence of? Ans✓✓✓ Bradykinesia, w/ at
least one Cardinal sign: resting tremor, rigidity, asymmetric onset
A Gleason score of < or equal to 7 is what? Ans✓✓✓ Pts w/ localized disease and
men 70+ W/ well differentiated tumor. These pts should be under close
observation.
A Gleason score of 8+ is what? Ans✓✓✓ Pts w/ a poorly differentiated tumor, w
extracapsular involvement beyond the seminal vesicles. And a PSA level >30.
Aggressive tumor, with poor prognostics
A pt who is on levodopa, and is having s/e of dyskinesia? Ans✓✓✓ For pts who
have dyskinesia during the 1st 5 years of treatment 'may need a different
medication.
Acute onset of UI or the presence of Suprapubic, lower abdominal, or pelvic pain
are what kind of symptoms? What should be done? Ans✓✓✓ Red flag
symptoms. For underlying neurologic or neoplastic disease. Requires immediate
referral to neuro, uro, gyno.
After a UTI, follow up samples urine should only be obtained if? Ans✓✓✓
Symptoms of infection persist or recur to verify if a secondary infection with a
new organism resistant to therapy has emerged during the treatment
,After the onset of stroke is determined, what should be determined next?
Ans✓✓✓ Chronology of symptoms to differentiate stroke from other common
diseases. Like migraine or seizures.
All patients with UI should be screened for?ex? Ans✓✓✓ Functional status and
depression.
Functional impairment can be assessed by timed up and go and minicog test
All screening tools used for AD? Ans✓✓✓ MMSE, moca, SLUMS, AD 8, mini-cog
Alzheimer's disease (AD) pharmacological therapy? Ans✓✓✓ Cholinesterase
inhibitors and NMDA receptor inhibitors
Antimuscarinics and anticholinergics should be avoided in which patients?
according to BEERS criteria Ans✓✓✓ Patients with dementia or cognitive
impairment
Asymptomatic bacteriuria increases with? Ans✓✓✓ Age and debility
Autonomic dysfunction in Pts W/PD include? Ans✓✓✓ Ortho hypotension,
constipation, urinary symptoms, and sexual dysfunction.
Benefits and cons of terazosin and doxazosin? Ans✓✓✓ Both are cheaper, but
requires dose titration and BP monitoring
BPH incidence? Ans✓✓✓ More than half of men over the age of 65 and affects
most men older than 85.
,BPPV (benign paroxysmal positional vertigo) is characterized by? Ans✓✓✓
Intensive vertigo after movement. Has dizziness and nystagmus.
Cholinesterase inhibitors are contraindicated in who? Ans✓✓✓ Pts w/baseline
bradycardia, or cardiac conduction disorders ( av node)
Cholinesterase inhibitors cannot do what? Ans✓✓✓ In patients With MCI, it is
NOT effective in treating Symptoms or preventing progression to dementia
Cholinesterase inhibitors do not have an effect on what? Ans✓✓✓ No effect on
behavioral dementia symptoms
Cholinesterase inhibitors? Ans✓✓✓ Donepezil
Rivastigmine
Galantamine
Comorbidities of frailty? Ans✓✓✓ AML, myeloma, lymphoma, myelodyspasia,
CKD, COPD, lung transplant, ILD, CAD, CHF, rhythm disorders. Thyroid, obesity,
growth hormone, testosterone, cortisol, Ui, prostate disease
Complicated UTI is what? Ans✓✓✓ UTIs in people with Urinary tract
abnormalities, UTIs in men, catheters, symptoms of polynephritis
Cranberry juice can reduce bacteriuria in older women how? Ans✓✓✓ By
inhibiting the binding of gram negative bacilli to uroepithelial cells
, Current guidelines require what, to begin treatment w/ IV alteplase? Ans✓✓✓ A
finger stick glucose; unless pt is on warfarin, then INR is needed before treatment.
Death from dementia results from? Ans✓✓✓ Malnutrition, infections ( asp
pneumo), pressure ulcers
Delirium can be caused by what specific factors? Ans✓✓✓ Infection, hypoxia,
trauma, Surgery, medication s/e, intoxication, withdrawal, circadian rhythm
disruption
Delirium can be caused by? Ans✓✓✓ A medical condition which can be
reversible.
Depressed patients who are 65 years and older are more likely to present with?
Ans✓✓✓ Somatic complaints like GI effects or illness anxiety
Depression can mimic? Ans✓✓✓ dementia
Diagnostic test for BPH are done to ? Ans✓✓✓ To determine cause and rule out
other diseases.
Dix-Hallpike maneuver? Ans✓✓✓ Checks BPPV. Rapidly sitting pt from supine
position with head tilted 30 degrees to one side.
Dizziness in older adults can lead to? Ans✓✓✓ Fear of falling, restricted activity,
deconditioning.
verified answers
A Clinical diagnosis of PD requires the presence of? Ans✓✓✓ Bradykinesia, w/ at
least one Cardinal sign: resting tremor, rigidity, asymmetric onset
A Gleason score of < or equal to 7 is what? Ans✓✓✓ Pts w/ localized disease and
men 70+ W/ well differentiated tumor. These pts should be under close
observation.
A Gleason score of 8+ is what? Ans✓✓✓ Pts w/ a poorly differentiated tumor, w
extracapsular involvement beyond the seminal vesicles. And a PSA level >30.
Aggressive tumor, with poor prognostics
A pt who is on levodopa, and is having s/e of dyskinesia? Ans✓✓✓ For pts who
have dyskinesia during the 1st 5 years of treatment 'may need a different
medication.
Acute onset of UI or the presence of Suprapubic, lower abdominal, or pelvic pain
are what kind of symptoms? What should be done? Ans✓✓✓ Red flag
symptoms. For underlying neurologic or neoplastic disease. Requires immediate
referral to neuro, uro, gyno.
After a UTI, follow up samples urine should only be obtained if? Ans✓✓✓
Symptoms of infection persist or recur to verify if a secondary infection with a
new organism resistant to therapy has emerged during the treatment
,After the onset of stroke is determined, what should be determined next?
Ans✓✓✓ Chronology of symptoms to differentiate stroke from other common
diseases. Like migraine or seizures.
All patients with UI should be screened for?ex? Ans✓✓✓ Functional status and
depression.
Functional impairment can be assessed by timed up and go and minicog test
All screening tools used for AD? Ans✓✓✓ MMSE, moca, SLUMS, AD 8, mini-cog
Alzheimer's disease (AD) pharmacological therapy? Ans✓✓✓ Cholinesterase
inhibitors and NMDA receptor inhibitors
Antimuscarinics and anticholinergics should be avoided in which patients?
according to BEERS criteria Ans✓✓✓ Patients with dementia or cognitive
impairment
Asymptomatic bacteriuria increases with? Ans✓✓✓ Age and debility
Autonomic dysfunction in Pts W/PD include? Ans✓✓✓ Ortho hypotension,
constipation, urinary symptoms, and sexual dysfunction.
Benefits and cons of terazosin and doxazosin? Ans✓✓✓ Both are cheaper, but
requires dose titration and BP monitoring
BPH incidence? Ans✓✓✓ More than half of men over the age of 65 and affects
most men older than 85.
,BPPV (benign paroxysmal positional vertigo) is characterized by? Ans✓✓✓
Intensive vertigo after movement. Has dizziness and nystagmus.
Cholinesterase inhibitors are contraindicated in who? Ans✓✓✓ Pts w/baseline
bradycardia, or cardiac conduction disorders ( av node)
Cholinesterase inhibitors cannot do what? Ans✓✓✓ In patients With MCI, it is
NOT effective in treating Symptoms or preventing progression to dementia
Cholinesterase inhibitors do not have an effect on what? Ans✓✓✓ No effect on
behavioral dementia symptoms
Cholinesterase inhibitors? Ans✓✓✓ Donepezil
Rivastigmine
Galantamine
Comorbidities of frailty? Ans✓✓✓ AML, myeloma, lymphoma, myelodyspasia,
CKD, COPD, lung transplant, ILD, CAD, CHF, rhythm disorders. Thyroid, obesity,
growth hormone, testosterone, cortisol, Ui, prostate disease
Complicated UTI is what? Ans✓✓✓ UTIs in people with Urinary tract
abnormalities, UTIs in men, catheters, symptoms of polynephritis
Cranberry juice can reduce bacteriuria in older women how? Ans✓✓✓ By
inhibiting the binding of gram negative bacilli to uroepithelial cells
, Current guidelines require what, to begin treatment w/ IV alteplase? Ans✓✓✓ A
finger stick glucose; unless pt is on warfarin, then INR is needed before treatment.
Death from dementia results from? Ans✓✓✓ Malnutrition, infections ( asp
pneumo), pressure ulcers
Delirium can be caused by what specific factors? Ans✓✓✓ Infection, hypoxia,
trauma, Surgery, medication s/e, intoxication, withdrawal, circadian rhythm
disruption
Delirium can be caused by? Ans✓✓✓ A medical condition which can be
reversible.
Depressed patients who are 65 years and older are more likely to present with?
Ans✓✓✓ Somatic complaints like GI effects or illness anxiety
Depression can mimic? Ans✓✓✓ dementia
Diagnostic test for BPH are done to ? Ans✓✓✓ To determine cause and rule out
other diseases.
Dix-Hallpike maneuver? Ans✓✓✓ Checks BPPV. Rapidly sitting pt from supine
position with head tilted 30 degrees to one side.
Dizziness in older adults can lead to? Ans✓✓✓ Fear of falling, restricted activity,
deconditioning.
