NURS 5433University Of Texas - Arlington -NURS 5433
FNP II Final Exam Questions With Complete Solutions
____ % of all beta cell function is lost by the time type 2 DM is
diagnosed
50%
4 classic signs of ACL tear
"pop"
swelling immediately
feel like knee giving out
severe pain, can't continue to play
2nd generation cephalosporins
cefuroxime
cefaclor
cefoxitin
3rd generation cephalosporins
cefexime
cefpodoxime
ceftriaxone
cefdinir
Angle Closure Glaucoma
sudden blockage of the drainage angle (between cornea and iris)
causing a rapid rise in IOP, causing optic nerve damage within
hours
,s/s sudden severe eye pain, blurred vision, halos around lights,
headache, nausea, vomiting, red eye, mid-dilated pupil, hard
eyeball
Tx: during acute attack give acetazolamide, IV mannitol, topical
miotic like pilocarpine
laser iridotomy
peripheral iridectomy
bedrest
aspirin
irreversible COX1 and COX2 inhibitor in order to provide
analgesia, anti-inflammatory
inhibits COX-1, reducing thromboxane A2 production, which
prevents platelet aggregation and blood clot formation,
lowering the risk of heart attack and stroke
avoid in children with viral infections due to reyes syndrome
(life threatening condition effecting the liver)
anabolic agents
treat severe osteoporosis
ex. teriparatide, abaloparatide, romosozumab
stimulate osteoblast activity to increase bone formation, builds
new bone
Peripheral Neuropathy tests
,microfilament testing, vibration (tuning fork) and temperature
testing
Peripheral neuropathy tx
tight glucose control
gabapentin
preglabalin
duloxetine
foot care education
daily foot checks
15-15 rule
15g fast acting carbs --> recheck in 15 minutes and repeat if
needed
FBG, PPG, A1C
adults:
fbg 80-130
2 hour ppg <180
a1c <7
peds:
fbg 90-130
2 hour ppg <180
a1c <7.5
pregnant:
fbg <95
, 2 hour ppg <120
a1c <6
Biguanides
Metformin
Lowers hepatic gluconeogenesis and increases insulin sensitivity
SE: GI upset, B12 deficiency, lactic acidosis
Caution in renal dysfunction (GFR <30) and in liver disease
A1C Drops 1-1.5%
Sulfonyureas
Glipizide, Glyburide
Increases insulin secretion from pancreas
SE: hypoglycemia, weight gain
Caution in hypoglycemia in elderly and renal impairment
A1C drops 1-1.5%
DPP-4 inhibitors
Sitagliptin
Increases incretin which then increases insulin and decreases
glucagon
SE: nasopharyngitis, headache
A1C: 0.6-0.8%
SGLT2 Inhibitors
Empagliflozin, Canagliflozin
Blocks glucose reabsorption in kidneys and excretes glucose in
urine
FNP II Final Exam Questions With Complete Solutions
____ % of all beta cell function is lost by the time type 2 DM is
diagnosed
50%
4 classic signs of ACL tear
"pop"
swelling immediately
feel like knee giving out
severe pain, can't continue to play
2nd generation cephalosporins
cefuroxime
cefaclor
cefoxitin
3rd generation cephalosporins
cefexime
cefpodoxime
ceftriaxone
cefdinir
Angle Closure Glaucoma
sudden blockage of the drainage angle (between cornea and iris)
causing a rapid rise in IOP, causing optic nerve damage within
hours
,s/s sudden severe eye pain, blurred vision, halos around lights,
headache, nausea, vomiting, red eye, mid-dilated pupil, hard
eyeball
Tx: during acute attack give acetazolamide, IV mannitol, topical
miotic like pilocarpine
laser iridotomy
peripheral iridectomy
bedrest
aspirin
irreversible COX1 and COX2 inhibitor in order to provide
analgesia, anti-inflammatory
inhibits COX-1, reducing thromboxane A2 production, which
prevents platelet aggregation and blood clot formation,
lowering the risk of heart attack and stroke
avoid in children with viral infections due to reyes syndrome
(life threatening condition effecting the liver)
anabolic agents
treat severe osteoporosis
ex. teriparatide, abaloparatide, romosozumab
stimulate osteoblast activity to increase bone formation, builds
new bone
Peripheral Neuropathy tests
,microfilament testing, vibration (tuning fork) and temperature
testing
Peripheral neuropathy tx
tight glucose control
gabapentin
preglabalin
duloxetine
foot care education
daily foot checks
15-15 rule
15g fast acting carbs --> recheck in 15 minutes and repeat if
needed
FBG, PPG, A1C
adults:
fbg 80-130
2 hour ppg <180
a1c <7
peds:
fbg 90-130
2 hour ppg <180
a1c <7.5
pregnant:
fbg <95
, 2 hour ppg <120
a1c <6
Biguanides
Metformin
Lowers hepatic gluconeogenesis and increases insulin sensitivity
SE: GI upset, B12 deficiency, lactic acidosis
Caution in renal dysfunction (GFR <30) and in liver disease
A1C Drops 1-1.5%
Sulfonyureas
Glipizide, Glyburide
Increases insulin secretion from pancreas
SE: hypoglycemia, weight gain
Caution in hypoglycemia in elderly and renal impairment
A1C drops 1-1.5%
DPP-4 inhibitors
Sitagliptin
Increases incretin which then increases insulin and decreases
glucagon
SE: nasopharyngitis, headache
A1C: 0.6-0.8%
SGLT2 Inhibitors
Empagliflozin, Canagliflozin
Blocks glucose reabsorption in kidneys and excretes glucose in
urine
