NURS 6501 Final Exam
about PHQ2
- what does it screen for, what are the questions, scoring - correct answer- Screens for
MDD
- It is the first two questions of the PHQ9
- In the last two week, have you been feeling these (not at all, several days, more than
half the day, nearly everyday):
- Little interest or pleasure in doing things?
- Feeling down, depressed, or hopeless?
Scoring:
A single yes or score >3 (out of 0-6) = possible clinical depression ⇒ due the PHQ9
If the pt screens (+) ⇒ continue to eval with the PHQ9
about PHQ9
- what its used for, questions, scoring - correct answerUsed for screening, diagnosing,
and treating
- It asks about functioning impairments which is needed for the DSM-based diagnosis
Includes asking about suicide or hurting self
Scoring:
0-27 available
0-4: Minimal/none
Monitor; may not require treatment
5-9: Mild
Use clinical judgment; follow-up in one month
10-14: Moderate
Use clinical judgment; may need meds if functionally impaired
15-19: Moderately Severe
Warrants active treatment with psychotherapy, meds, or combo
20-27: Severe
Warrants active treatment with psychotherapy, meds, or combo
American Society of Anesthesiologists Anesthesia Classification System 1-4 - correct
answerASA Class 1: healthy, normal patient
ASA Class 2: patient with mild systemic disease
ASA Class 3: patient with severe systemic disease
ASA Class 4: patient with severe systemic disease that is a threat to life
anaphylaxis ss - correct answerOccurs within 5-30 minutes of exposure to:
Generalized itching with or without hives
Swollen lips, throat, body part
, Difficulty breathing, cough
Chest tightness
Abdominal cramping
NVD
Feeling of impending doom
are most DM PO agents taken the day of surgery? - correct answeryes
Bell's Palsy
- definition, etiology, SS, PE, treatment - correct answerDEFINITION
- Acute, unilateral weakness or paralysis of the facial nerve with an onset of , 72h and
unknown cause
ETIOLOGY
- genetics, vascular, nerve compression, infectious, and metabolic ▲
- HSV, VZV ⇒ cause latent infections in nerves ⇒ reactivation of these can cause Bell's
SS
- may have pain behind the ipsilateral ear preceding the paralysis by 1-2 days
- may have altered taste and ↑ sensitivity to sound
* Timing is ESSENTIAL *
- presents within 38-72h
- slower, progressive, or relapsing is a different entity
PE
- must do a complete CNS exam to r/o stroke, tumor
- must find that CN7 is the primary peripheral source of the facial weakness
- will cause a unilateral, full-face paralysis with an ipsilateral source indicating a
peripheral nerve problem
- lack of eyelid closure and absence of wrinkling forehead
- look for vesicles → Ramsay Hunt Syndrome
TRTMT
Eye Protection = most impt
- exposure keratitis can cause blindness, cornea can get abrasions
Steroids:
- w/i 72h
- prednisone 60mg/day with 5 day taper
Antivirals:
- Acyclovir 400mg/day x 7 days
- MUST be given with steroids otherwise no effect
Bupropion
- MOA
- BENFITS
AE
about PHQ2
- what does it screen for, what are the questions, scoring - correct answer- Screens for
MDD
- It is the first two questions of the PHQ9
- In the last two week, have you been feeling these (not at all, several days, more than
half the day, nearly everyday):
- Little interest or pleasure in doing things?
- Feeling down, depressed, or hopeless?
Scoring:
A single yes or score >3 (out of 0-6) = possible clinical depression ⇒ due the PHQ9
If the pt screens (+) ⇒ continue to eval with the PHQ9
about PHQ9
- what its used for, questions, scoring - correct answerUsed for screening, diagnosing,
and treating
- It asks about functioning impairments which is needed for the DSM-based diagnosis
Includes asking about suicide or hurting self
Scoring:
0-27 available
0-4: Minimal/none
Monitor; may not require treatment
5-9: Mild
Use clinical judgment; follow-up in one month
10-14: Moderate
Use clinical judgment; may need meds if functionally impaired
15-19: Moderately Severe
Warrants active treatment with psychotherapy, meds, or combo
20-27: Severe
Warrants active treatment with psychotherapy, meds, or combo
American Society of Anesthesiologists Anesthesia Classification System 1-4 - correct
answerASA Class 1: healthy, normal patient
ASA Class 2: patient with mild systemic disease
ASA Class 3: patient with severe systemic disease
ASA Class 4: patient with severe systemic disease that is a threat to life
anaphylaxis ss - correct answerOccurs within 5-30 minutes of exposure to:
Generalized itching with or without hives
Swollen lips, throat, body part
, Difficulty breathing, cough
Chest tightness
Abdominal cramping
NVD
Feeling of impending doom
are most DM PO agents taken the day of surgery? - correct answeryes
Bell's Palsy
- definition, etiology, SS, PE, treatment - correct answerDEFINITION
- Acute, unilateral weakness or paralysis of the facial nerve with an onset of , 72h and
unknown cause
ETIOLOGY
- genetics, vascular, nerve compression, infectious, and metabolic ▲
- HSV, VZV ⇒ cause latent infections in nerves ⇒ reactivation of these can cause Bell's
SS
- may have pain behind the ipsilateral ear preceding the paralysis by 1-2 days
- may have altered taste and ↑ sensitivity to sound
* Timing is ESSENTIAL *
- presents within 38-72h
- slower, progressive, or relapsing is a different entity
PE
- must do a complete CNS exam to r/o stroke, tumor
- must find that CN7 is the primary peripheral source of the facial weakness
- will cause a unilateral, full-face paralysis with an ipsilateral source indicating a
peripheral nerve problem
- lack of eyelid closure and absence of wrinkling forehead
- look for vesicles → Ramsay Hunt Syndrome
TRTMT
Eye Protection = most impt
- exposure keratitis can cause blindness, cornea can get abrasions
Steroids:
- w/i 72h
- prednisone 60mg/day with 5 day taper
Antivirals:
- Acyclovir 400mg/day x 7 days
- MUST be given with steroids otherwise no effect
Bupropion
- MOA
- BENFITS
AE
