NR601 Final

A - correct answer You are reviewing a pt chart before the exam. You note that the pt is using topical capsaicin. You know that topical capsaicin is often used for tx of: a. Diabetic neuropathy b. Stress reduction c. All answers are appropriate d. Depression Symptoms of depression distinct to elderly include: a. Loss of pleasure in usual activities b. Lack of emotions c. Flat affect d. Appetite/wt disturbances - correct answer B 55yo woman presents with somatic complaints. You suspect anxiety. You know that somatic symptoms of anxiety include: a. All answers are appropriate b. Palpitations, CP, tachycardia c. Fatigue, insomnia, diaphoresis d. Diarrhea, nausea, vomiting - correct answer A KK, 53yo man, presents w/concerns about low energy, lack of joy. You assess him using SIG-E-CAPS. You know the C stands for: a. Catatonia b. Concentration c. Cognition d. Control - correct answer B Pt presents w/neuropathic pain. You know the most effective meds include: a. Opioids & tramadol b. Gabapentin c. Tramadol d. Topical lidocaine e. Opioids f. Gabapentin and topical lidocaine - correct answer F Justification for ordering CBC, TSH, serum B12 for a pt you suspect may have clinical depression is: a. Overlapping symptoms w/anemia, thyroid dysfunction, nutritional deficiencies b. Rule out vascular dz c. Differentiate between depression and anxiety d. Determine the cause of sadness - correct answer A 65yo woman w/BMI 29, 15yr h/o HTN, on HCTZ 25mg for years w/excellent response. Follow up visit: reports that for last 1-2mo, she has been thirsty, increased urination. Last fasting BGL was 118. What action should you take next? a. Plan to recheck BGL as scheduled at yearly physical b. Check POC glucose now, since she has just eaten breakfast c. Educate that the diuretic is causing the increased thirst d. Order fasting BGL - correct answer D 48yo female presents for annual exam. A1C is 6.2%. You interpret this result as: a. Prediabetes b. T2DM c. T1DM d. Normal - correct answer A Foot problems are a major concern for diabetics due to vascular insufficiency and neuropathy. Part of the annual exam for detection of neuropathy should include: a. Monofilament testing b. Assess for loss of temp sensation c. Physical exam of feet d. POC glucose - correct answer A Pt with BPH is seen for follow-up, has been taking finasteride (Proscar) for 6mo. You should assess for which side effect: a. Glaucoma b. Headache c. Ejaculatory dysfunction d. HTN - correct answer C Pt is prescribed metformin (Glucophage). Three days later, he c/o nausea and stomach cramping. How should you respond? a. D/C med immediately b. Reassure pt that this is anticipated side effect c. Double the dosage and have pt return in 1 wk d. Order chem 7 to check for lactic acidosis - correct answer B According to ADA guidelines, which of the following are appropriate screening tests for T2DM? a. Fasting plasma glucose b. 2-hour OGTT c. HgbA1C d. All of the above - correct answer D Which dx should be considered in a pt presenting with erectile dysfunction? a. HTN b. DM c. Atherosclerosis d. All of the above - correct answer D Which would be an appropriate tx for pt with minimal symptoms of BPH? a. Watchful waiting b. Refer to urology for surgery c. Prescribe trial of tamsulosin d. Recommend cranberry supplements - correct answer A Lifestyle approaches to postmenopausal symptom management include: