Family Practicum Final Exam | Actual Questions and
Answers Latest Updated (Graded A+)
– Chamberlain
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NR601 / NR 601 Primary Care of the Maturing & Aged Family Practicum
Final Exam
except:
, D B
C A
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Term
Imaging plays a limited role in diagnoses of PD but is central in making
diagnosis of:
a. Multiple system atrophy (MSA)
b. Progressive supranuclear palsy
c. Dementia of Lewy body type
d. Normal pressure hydrocephalus
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A C
E D
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,Term
An 82-year-old woman with a past medical history of essential
hypertension and type 2 diabetes mellitus, and who currently smokes,
was brought to the hospital after collapsing at home. The onset of her
symptoms was 1 hour before arrival to the emergency room. On
examination, she is awake, alert, and oriented to person, place, and
time. She has moderate dysarthria, right gaze preference, left
hemineglect, and left face, arm, and leg weakness. Her blood pressure
is 190/90 mmHg and her glucose is 110 mg/dL.
What diagnostic test should be done first?
a. Complete blood count and basic metabolic panel
b. A STAT noncontrast head computed tomography (CT)
c. A two-dimensional echocardiogram
d. Urinalysis
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C B
A D
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Definition
Residents of long-term care facilities may not present with typical signs
of UTIs, and they may be more likely to have chronic urinary symptoms
, such as frequency, nocturia, or incontinence. Change in mental status
may be the most common symptom associated with UTI in long-term
care.
Other symptoms of a suspected UTI in this population include a
change in urine character, fever, declining functional status, and
hematuria. Evidence-based consensus criteria should be used to
determine when to initiate treatment.
McGeer criteria
Acute dysuria
OR
Fever >37.9 Celsius plus one of the following:
· Urgency
· Frequency
· Suprapubic pain
· Gross hematuria
· Costovertebral angle tenderness
· Urinary incontinence
Loeb criteria
Three of the following:
· Fever >38 Celsius
· New/increased burning, frequency, urgency
· New flank or suprapubic pain
· Change in character of urine
· New or worsening mental status changes
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