(Latest Update )
Differential Diagnosis and Primary
Care Practicum | Questions and
Answers | 100% correct| Grade A -
Chamberlain
The patient taking desiccated thyroid (e.g., Armour Thyroid) should be switched to what
medication?
levothyroxine, the synthetic form of T4, as the preferred treatment for hypothyroidism. The
hormone content in desiccated thyroid can vary between batches, leading to inconsistent
therapeutic effects and potential overtreatment or undertreatment. Levothyroxine provides a
stable, standardized, and predictable dose, ensuring better control of thyroid hormone levels.
who should definitely not receive desiccated thyroid medications?
They should not be used for patients with underlying cardiac disease, given the varied
concentrations of highly active T3, which poses a greater risk of overreplacement and iatrogenic
thyrotoxicosis.
For a patient experiencing unpredictable blood glucose readings and an increase in
hypoglycemic episodes while using Novolin N (NPH insulin) twice daily, a good alternative would
be a ?
a long-acting basal insulin such as insulin glargine (Lantus, Basaglar)
, NR 511 / NR511 Final Exam V1
(Latest Update )
Differential Diagnosis and Primary
Care Practicum | Questions and
Answers | 100% correct| Grade A -
Chamberlain
The oral diabetic agent most likely causing hypoglycemia is ?
a sulfonylurea, such as glipizide
Haloperidol given for psychotic-like crisis can cause ?
involuntary muscle contractions of his neck, jaw, and tongue muscles
RUQ location problems
gallbladder liver right kidney
LLQ PROBLEMS
Sigmoid, lef t ovary/tube
LUQ problems
, NR 511 / NR511 Final Exam V1
(Latest Update )
Differential Diagnosis and Primary
Care Practicum | Questions and
Answers | 100% correct| Grade A -
Chamberlain
Spleen stomach pancreas
RLQ PROBLEMS
appendix, cecum, right ovary-tube
rebound tenderness may suggest
peritoneal irritation like with perforated appendicitis
murphys sign
pain with palpation of RUQ DURING inhalation suggesting cholecystisits
rovsings sign
pain in RLQ while palpating LLQ suggesting appendicitis
, NR 511 / NR511 Final Exam V1
(Latest Update )
Differential Diagnosis and Primary
Care Practicum | Questions and
Answers | 100% correct| Grade A -
Chamberlain
tenderness to percussion means
peritonitis
tympany means
bowel obstruction or pneumoperitoneum
elevated amylase/lipase may suggest
pancreatitis
ct scan
first line for diagnosing appendicitis, diverticulitis, and bowel obstruction
x-ray can help diagnose? (abdominal)
can help diagnose free air(perforation)