NUR 654 Final Exam UPDATED
QUESTIONS AND CORRECT ANSWERS
A patient has rapid weight gain, amenorrhea without pregnancy, and mild hypertension. Once
confirmatory tests are performed, what is a possible treatment for this patient? - CORRECT
ANSWER Pituitary tumor resection
A patient has unexplained weight loss and the provider notes increased skin pigmentation on light-
exposed skin folds along with darkened palmar creases. Which laboratory tests will the provider order
vs NOT order - CORRECT ANSWER ORDER: Serum ACTH, Serum electrolytes, TB skin
testing
NOT: Serum cortisol
T or F: Patient wishes related to palliative care should be discussed at the initial visit and updated at
preventive visits - CORRECT ANSWER T
T or F: A patient on chemo has a high temperature and absolute neutropenic count >500,000 needs
immediate ER workup - CORRECT ANSWER T
Radiation therapy can be used for all of the following in cancer treatment EXCEPT - CORRECT
ANSWER Treatment of side effects of chemo
T or F: SIADH is an oncological emergency requiring urgent oncologic care - CORRECT ANSWER
T
What is an effective pharmacologic medication to treat non-cancer chronic pain? - CORRECT
ANSWER Ibuprofen
T or F: The most common sites for breast CA metastasis include lymph, lungs, liver, bone, and brain -
CORRECT ANSWER T
What is an FDA approved treatment for osteoporosis? - CORRECT ANSWER Biphosphonate
therapy
,T or F: Bone density improvement is the primary goal of biphosphonate treatment? - CORRECT
ANSWER F (it is to slow the progression of disease)
An elevated serum alkaline phosphate (SAP) may include all of the following EXCEPT - CORRECT
ANSWER Hypothyroidism
T or F: Xray findings associated with Paget's disease can show enlargement of bone and specific
deformities (long bone bowing) - CORRECT ANSWER T
Symptoms of Cushing's Syndrome include - CORRECT ANSWER Amenorrhea
T or F: Pituitary tumor resection may be first line treatment for Cushing's Syndrome if indicated -
CORRECT ANSWER T
Addison's Disease may cause which of the following lab abnormalities? - CORRECT ANSWER
Elevated ACTH (not hypokalemia, hypernatremia, or elevated cortisol)
T or F: A patient with suspected hirsituism should be referred to endocrinology for an evaluation -
CORRECT ANSWER T
A positive Trousseau's sign occurs with which serum abnormality? - CORRECT ANSWER
HYPOcalcemia
Which of the following can cause hypocalcemia? - CORRECT ANSWER Vit D Deficiency,
hypomagnesemia
T or F: Low serum albumin may lower serum calcium - CORRECT ANSWER T
Which can cause hyperkalemia in a patient with normal renal function? - CORRECT ANSWER
Adrenocorticol deficiency
T or F: Medical management of primary hyperparathyroidism involves close monitoring of calcium,
creatinine, and bone density - CORRECT ANSWER T
, Criteria for parathyroidectomy in a case of primary hyperparathyroidism includes all EXCEPT -
CORRECT ANSWER under age 50
T or F: Primary hypoparathyroidism is characterized by inappropriate secretion of PTH along with
hypercalcemia - CORRECT ANSWER F
T or F: Patients with a history of migraines with aura is an absolute contraindication for combined
oral contraceptives - CORRECT ANSWER T
When an OCP is forgotten for 2 days or fewer... - CORRECT ANSWER 2 pills for 2 days,
resume pills, use back up method for rest of cycle
T or F: 45 year old patient with secondary amenorrhea for 4 months and negative HcG needs no
further evaluation for underlying cause - CORRECT ANSWER F
T or F: Herbal OTC remedies for menopausal women with vasomotor symptoms have not been
proven effective and may be harmful - CORRECT ANSWER T
Neuropathic pain may be characterized by - CORRECT ANSWER poorly localized, shooting
or stabbing pain
T or F: Naproxen is recommended for moderate pain or dysmenorrhea and should be dosed: 500mg
initially then 250mg q12 hours - CORRECT ANSWER T
The medical diagnosis associated with a transgender patient is - CORRECT ANSWER gender
dysphoria
T or F: Diminished testosterone may be a possible cause of decreased arousal, libido, and orgasm in
postmenopausal women - CORRECT ANSWER T
Causes of primary amenorrhea in a 17 year old may include all EXCEPT - CORRECT ANSWER
endometriosis
QUESTIONS AND CORRECT ANSWERS
A patient has rapid weight gain, amenorrhea without pregnancy, and mild hypertension. Once
confirmatory tests are performed, what is a possible treatment for this patient? - CORRECT
ANSWER Pituitary tumor resection
A patient has unexplained weight loss and the provider notes increased skin pigmentation on light-
exposed skin folds along with darkened palmar creases. Which laboratory tests will the provider order
vs NOT order - CORRECT ANSWER ORDER: Serum ACTH, Serum electrolytes, TB skin
testing
NOT: Serum cortisol
T or F: Patient wishes related to palliative care should be discussed at the initial visit and updated at
preventive visits - CORRECT ANSWER T
T or F: A patient on chemo has a high temperature and absolute neutropenic count >500,000 needs
immediate ER workup - CORRECT ANSWER T
Radiation therapy can be used for all of the following in cancer treatment EXCEPT - CORRECT
ANSWER Treatment of side effects of chemo
T or F: SIADH is an oncological emergency requiring urgent oncologic care - CORRECT ANSWER
T
What is an effective pharmacologic medication to treat non-cancer chronic pain? - CORRECT
ANSWER Ibuprofen
T or F: The most common sites for breast CA metastasis include lymph, lungs, liver, bone, and brain -
CORRECT ANSWER T
What is an FDA approved treatment for osteoporosis? - CORRECT ANSWER Biphosphonate
therapy
,T or F: Bone density improvement is the primary goal of biphosphonate treatment? - CORRECT
ANSWER F (it is to slow the progression of disease)
An elevated serum alkaline phosphate (SAP) may include all of the following EXCEPT - CORRECT
ANSWER Hypothyroidism
T or F: Xray findings associated with Paget's disease can show enlargement of bone and specific
deformities (long bone bowing) - CORRECT ANSWER T
Symptoms of Cushing's Syndrome include - CORRECT ANSWER Amenorrhea
T or F: Pituitary tumor resection may be first line treatment for Cushing's Syndrome if indicated -
CORRECT ANSWER T
Addison's Disease may cause which of the following lab abnormalities? - CORRECT ANSWER
Elevated ACTH (not hypokalemia, hypernatremia, or elevated cortisol)
T or F: A patient with suspected hirsituism should be referred to endocrinology for an evaluation -
CORRECT ANSWER T
A positive Trousseau's sign occurs with which serum abnormality? - CORRECT ANSWER
HYPOcalcemia
Which of the following can cause hypocalcemia? - CORRECT ANSWER Vit D Deficiency,
hypomagnesemia
T or F: Low serum albumin may lower serum calcium - CORRECT ANSWER T
Which can cause hyperkalemia in a patient with normal renal function? - CORRECT ANSWER
Adrenocorticol deficiency
T or F: Medical management of primary hyperparathyroidism involves close monitoring of calcium,
creatinine, and bone density - CORRECT ANSWER T
, Criteria for parathyroidectomy in a case of primary hyperparathyroidism includes all EXCEPT -
CORRECT ANSWER under age 50
T or F: Primary hypoparathyroidism is characterized by inappropriate secretion of PTH along with
hypercalcemia - CORRECT ANSWER F
T or F: Patients with a history of migraines with aura is an absolute contraindication for combined
oral contraceptives - CORRECT ANSWER T
When an OCP is forgotten for 2 days or fewer... - CORRECT ANSWER 2 pills for 2 days,
resume pills, use back up method for rest of cycle
T or F: 45 year old patient with secondary amenorrhea for 4 months and negative HcG needs no
further evaluation for underlying cause - CORRECT ANSWER F
T or F: Herbal OTC remedies for menopausal women with vasomotor symptoms have not been
proven effective and may be harmful - CORRECT ANSWER T
Neuropathic pain may be characterized by - CORRECT ANSWER poorly localized, shooting
or stabbing pain
T or F: Naproxen is recommended for moderate pain or dysmenorrhea and should be dosed: 500mg
initially then 250mg q12 hours - CORRECT ANSWER T
The medical diagnosis associated with a transgender patient is - CORRECT ANSWER gender
dysphoria
T or F: Diminished testosterone may be a possible cause of decreased arousal, libido, and orgasm in
postmenopausal women - CORRECT ANSWER T
Causes of primary amenorrhea in a 17 year old may include all EXCEPT - CORRECT ANSWER
endometriosis
