NR 601 FINAL EXAM QUESTIONS
BANK (CH 1-CH 54)/ QUESTIONS
AND CORRECT DETAILED
ANSWERS
Menopause - CORRECT-ANSWER--12 months of amenorrhea (aver: 51.5
yo)
-menstrual changes physiology: FSH > 40 = approach of menopause,
high LH levels, levels of estradiol
- symptom management: wt loss, aerobic activity, dress in layers, avoid
ETOH, caffeine, stress, fans, wt loss,high complex carb & fiber, low fat
diet, SSRIs, SNRIs, hormone therapy x 10 years(mod-sev sx, no breast
CA), Clonidine 100-150mcg, Duavee, Black cohosh, no soy if CA hx,
vaginal estrogen, Osphena (SERM, oral, non-estrogen), regular sex,
Bisphosphonates (Fosamax, Boniva, Actonel) to prevent bone loss
,Erectile dysfunction - CORRECT-ANSWER-- Dx: R/o other conditions: BS,
Lipid, TSH, testosterone (if <300, serum prolactin). CBC, BMP, PSA.
NPTR test to assess ability to get an erection. Doppler sonography
- Tx: vacuum constriction device, penile prosthesis, penile
revascularization,
-Meds: Testosterone (no BPH, CVD, HTN, or Prostate CA)
-Comorbid dx: DM/Htn, nerve disease, leriche syndrome, priapism,
trauma, peyronie's disease, medications (CA channel blockers, etoh,
spironolactone, thioridazine, heroin)
ED meds - CORRECT-ANSWER-- Parenteral Test- incr libido within 72
hours of injection
- oral agents Test: not recommended d/t hepatotoxicity
- transdermal (androderm)- dont out on scrotum
- implant pellets- steady blood levels for 3-4 months
- Buccal Tes- take BID, steady blood levels
- Vasoactives: take 1 hour before. viagra, cialis(48 hours no nitrates),
stendra, levitra- don't take nitrates or alpha blockers within 24 hours.
- injectable vasoact (alprostadil)-works in 20 minutes, lasts 30-60 min.
use only once in 24 hours, max of 3x per week. inject in penis. Incr
bleeding with anticoagulants
, -urethral suppository (Alprostadil): works in 5-10 minutes, don't use
with pregnant partner
Elder Abuse - CORRECT-ANSWER--Types:Physical, Sexual, Neglect,
Exploitation (taking funds, property without benefit to them),
Emotional, Abandonment, Self- neglect
-Provider responsibility: Must report to either 911 or state elder abuse
hotline
Alzheimer's disease - CORRECT-ANSWER-- S: personality changes,
psychiatric symptoms,
- O: deficits in executive functioning, ADLs, behavior, learning new
things, coordination, perception, neuropsychiatric symptoms,
- Tx: Biological: treat underlying conditions. Psychotherapeutic:
behavioral therapy. Social: functional/safety assessment and
intervention. Family: caregiver education. Pharmacotherapy: ChEIs
(donepezil, rivastigmine, galantamine), NMDA receptor agonist
(Namenda)
BANK (CH 1-CH 54)/ QUESTIONS
AND CORRECT DETAILED
ANSWERS
Menopause - CORRECT-ANSWER--12 months of amenorrhea (aver: 51.5
yo)
-menstrual changes physiology: FSH > 40 = approach of menopause,
high LH levels, levels of estradiol
- symptom management: wt loss, aerobic activity, dress in layers, avoid
ETOH, caffeine, stress, fans, wt loss,high complex carb & fiber, low fat
diet, SSRIs, SNRIs, hormone therapy x 10 years(mod-sev sx, no breast
CA), Clonidine 100-150mcg, Duavee, Black cohosh, no soy if CA hx,
vaginal estrogen, Osphena (SERM, oral, non-estrogen), regular sex,
Bisphosphonates (Fosamax, Boniva, Actonel) to prevent bone loss
,Erectile dysfunction - CORRECT-ANSWER-- Dx: R/o other conditions: BS,
Lipid, TSH, testosterone (if <300, serum prolactin). CBC, BMP, PSA.
NPTR test to assess ability to get an erection. Doppler sonography
- Tx: vacuum constriction device, penile prosthesis, penile
revascularization,
-Meds: Testosterone (no BPH, CVD, HTN, or Prostate CA)
-Comorbid dx: DM/Htn, nerve disease, leriche syndrome, priapism,
trauma, peyronie's disease, medications (CA channel blockers, etoh,
spironolactone, thioridazine, heroin)
ED meds - CORRECT-ANSWER-- Parenteral Test- incr libido within 72
hours of injection
- oral agents Test: not recommended d/t hepatotoxicity
- transdermal (androderm)- dont out on scrotum
- implant pellets- steady blood levels for 3-4 months
- Buccal Tes- take BID, steady blood levels
- Vasoactives: take 1 hour before. viagra, cialis(48 hours no nitrates),
stendra, levitra- don't take nitrates or alpha blockers within 24 hours.
- injectable vasoact (alprostadil)-works in 20 minutes, lasts 30-60 min.
use only once in 24 hours, max of 3x per week. inject in penis. Incr
bleeding with anticoagulants
, -urethral suppository (Alprostadil): works in 5-10 minutes, don't use
with pregnant partner
Elder Abuse - CORRECT-ANSWER--Types:Physical, Sexual, Neglect,
Exploitation (taking funds, property without benefit to them),
Emotional, Abandonment, Self- neglect
-Provider responsibility: Must report to either 911 or state elder abuse
hotline
Alzheimer's disease - CORRECT-ANSWER-- S: personality changes,
psychiatric symptoms,
- O: deficits in executive functioning, ADLs, behavior, learning new
things, coordination, perception, neuropsychiatric symptoms,
- Tx: Biological: treat underlying conditions. Psychotherapeutic:
behavioral therapy. Social: functional/safety assessment and
intervention. Family: caregiver education. Pharmacotherapy: ChEIs
(donepezil, rivastigmine, galantamine), NMDA receptor agonist
(Namenda)
