1
NR 565 Final Exam
______________ should be used with caution in patients with renal dysfunction,
cardiovascular disease, dehydration, and diabetes mellitus (can cause hyperglycemia).
m
These agents are contraindicated in older adults, and patients with heart failure. -
.co
ANSWER saline agents
ail
gm
"As long as the short-acting insulin is drawn up first I can mix my insulin glargine with
it". - ANSWER Nope- Only NPH can be mixed with short acting
r@
he
-Always draw regular (Clear) before NPH (Cloudy)
hig
2 hour post-load plasma glucose in an oral glucose tolerance test greater than or equal to
ing
200 mg/dL. The test uses a glucose load containing the equivalent of 75 g anhydrous
fly
glucose dissolved in water.
a. Pre-diabetes
b. Diabetes mellitus - ANSWER b
, 2
A female patient taking Canagliflozin comes in with a UTI and 6 months ago had a
fungal infection. What are your next steps? - ANSWER -Stop the med and start a new
one
A newly pregnant mother shows understanding go hypothyroidism in pregnant women
m
by stating (select all that apply)
.co
a. I can keep my current dose of levothyroxine
ail
b. I know that if I don't take my medicine, it can cause permanent damage to my fetus
gm
c. I will need to increase my dose of medication for a shirt time
d. my baby will start to maker her won thyroid hormone in week 3 - ANSWER b,c
r@
increase dose upto 50% starting in weeks 4-8 and level off at week 16. It can cause
he
neurophysiological damage, low IQ, retardation mentally and physically
hig
A newly pregnant patient shows understanding of Hypothyroidism in pregnant women
ing
by stating? - ANSWER 2. I know that if I do not take my medicine it can cause
fly
permanent damage to my baby.
3. I will need to increase my dose of medicine for a short time.
(Increased by 50% from weeks 4-8, back to normal by wk 16)
, 3
A patient comes into the clinic complaining of sore throat and fever. She has recently
started Methimazole in the last 4 weeks. What does this suggest? - ANSWER
-Agranulocytosis
m
-Labs to check:
.co
CBC
ail
LFTs
gm
A patient comes into the clinic complaining of sore throat and fever. She has recently
r@
started Methimazole in the last 4 weeks. What does this suggest? - ANSWER
he
Agranulocytosis. Must check CBC and LFTs. Labs may only catch in time since it
hig
progresses quickly
ing
A patient comes into the clinic with c/o bloating and abdominal pain for a few weeks.
fly
What are appropriate options for treatment? - ANSWER Lifestyle mods and H2RA
A patient has a TSH of .28 (Low), a free T4 of 3 (High), and a free T3 over 650 (Very
High). What med should she be started on? - ANSWER -Patient has Hyperthyroidism
, 4
-Treatment for a thyroid storm is (to suppress hormone release):
Potassium iodide
Strong iodine solution
Methimazole
m
.co
A patient has a TSH of .28, a free T4 of 3, a free T3 over 650. What medication should
ail
she be started on? - ANSWER Methimazole, PTU, radioactive iodine.
gm
A patient has just been prescribed levothyroxine, the NP puts in a lab order to check
r@
TSH levels in? - ANSWER 6-8 weeks
he
hig
A patient has just been prescribed levothyroxine. The NP put in a lab order to check
TSH levels in:
ing
a. 4-6 weeks
fly
b. one week
c. 6-8 weeks
d. once a year - ANSWER c
NR 565 Final Exam
______________ should be used with caution in patients with renal dysfunction,
cardiovascular disease, dehydration, and diabetes mellitus (can cause hyperglycemia).
m
These agents are contraindicated in older adults, and patients with heart failure. -
.co
ANSWER saline agents
ail
gm
"As long as the short-acting insulin is drawn up first I can mix my insulin glargine with
it". - ANSWER Nope- Only NPH can be mixed with short acting
r@
he
-Always draw regular (Clear) before NPH (Cloudy)
hig
2 hour post-load plasma glucose in an oral glucose tolerance test greater than or equal to
ing
200 mg/dL. The test uses a glucose load containing the equivalent of 75 g anhydrous
fly
glucose dissolved in water.
a. Pre-diabetes
b. Diabetes mellitus - ANSWER b
, 2
A female patient taking Canagliflozin comes in with a UTI and 6 months ago had a
fungal infection. What are your next steps? - ANSWER -Stop the med and start a new
one
A newly pregnant mother shows understanding go hypothyroidism in pregnant women
m
by stating (select all that apply)
.co
a. I can keep my current dose of levothyroxine
ail
b. I know that if I don't take my medicine, it can cause permanent damage to my fetus
gm
c. I will need to increase my dose of medication for a shirt time
d. my baby will start to maker her won thyroid hormone in week 3 - ANSWER b,c
r@
increase dose upto 50% starting in weeks 4-8 and level off at week 16. It can cause
he
neurophysiological damage, low IQ, retardation mentally and physically
hig
A newly pregnant patient shows understanding of Hypothyroidism in pregnant women
ing
by stating? - ANSWER 2. I know that if I do not take my medicine it can cause
fly
permanent damage to my baby.
3. I will need to increase my dose of medicine for a short time.
(Increased by 50% from weeks 4-8, back to normal by wk 16)
, 3
A patient comes into the clinic complaining of sore throat and fever. She has recently
started Methimazole in the last 4 weeks. What does this suggest? - ANSWER
-Agranulocytosis
m
-Labs to check:
.co
CBC
ail
LFTs
gm
A patient comes into the clinic complaining of sore throat and fever. She has recently
r@
started Methimazole in the last 4 weeks. What does this suggest? - ANSWER
he
Agranulocytosis. Must check CBC and LFTs. Labs may only catch in time since it
hig
progresses quickly
ing
A patient comes into the clinic with c/o bloating and abdominal pain for a few weeks.
fly
What are appropriate options for treatment? - ANSWER Lifestyle mods and H2RA
A patient has a TSH of .28 (Low), a free T4 of 3 (High), and a free T3 over 650 (Very
High). What med should she be started on? - ANSWER -Patient has Hyperthyroidism
, 4
-Treatment for a thyroid storm is (to suppress hormone release):
Potassium iodide
Strong iodine solution
Methimazole
m
.co
A patient has a TSH of .28, a free T4 of 3, a free T3 over 650. What medication should
ail
she be started on? - ANSWER Methimazole, PTU, radioactive iodine.
gm
A patient has just been prescribed levothyroxine, the NP puts in a lab order to check
r@
TSH levels in? - ANSWER 6-8 weeks
he
hig
A patient has just been prescribed levothyroxine. The NP put in a lab order to check
TSH levels in:
ing
a. 4-6 weeks
fly
b. one week
c. 6-8 weeks
d. once a year - ANSWER c
