NR 667 EXAM QUESTIONS WITH
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ANSWERS
a 4 mos. old is suspected of having developmental dysplasia of the hip. what
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
test would best assess for this? - CORRECT ANSWERS ✔✔Galeazzi and
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
Klisic: limited abduction and apparent thigh length discrepency is a better
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
indicator of DDH than is instability after 3 months of age, Barlow and
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
Ortolani maneuvers are tests used to test hip instability in newborns until
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
approx. 3 months old. Trendelenburg pelvic test is to test for walking age
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
children to test for hip weakness and is characterized by unilateral hip
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
dyspleasia.
which mitral disorder results from redundancy of the mitral valve leaflet? -
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
CORRECT ANSWERS ✔✔mitral valve prolapse. Most common . adult
|\ |\ |\ |\ |\ |\ |\ |\ |\
murmur. Valves annulus becomes enlarged in conjunction with elongated
|\ |\ |\ |\ |\ |\ |\ |\ |\
chordae tendonae (this is degeneration of the mitral tissue.
|\ |\ |\ |\ |\ |\ |\ |\
serum ferritin - CORRECT ANSWERS ✔✔demonstrates the amount of iron
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
in storage. helpful in evaluating pts being treated for iron deficiency anemia.
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a patient with aortic stenosis has been asymptomatic for decades and begins
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
c/o some dizziness c activity w/o chest pain or sob. - CORRECT ANSWERS
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
✔✔refer to cardiology; be alert for s/s that precede syncope. dizziness
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
precedes syncompe, and the patient is now presenting with symptoms of
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
aortic stenosis. |\
, A patient taking candesartan should avoid - CORRECT ANSWERS ✔✔K+
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
supplements. Candesartan can produce hyperkalemia because the MOA |\ |\ |\ |\ |\ |\ |\ |\
spares K+. |\
A patient taking long actin basal insulin has elevated blood glucose. What
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
blood sugars are important to evaluae and base insulin changes on -
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
CORRECT ANSWERS ✔✔AM fasting. . basal insulin mimics steady stream
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
of insulin produced by the pancrease throughout day. Should be based off of
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
fastin AM glucose check. The other blood sugars reflect blood sugar in
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
reflection to meals. |\ |\
hyperthyroidism may affect bp by increase SBP and DBP. It is also a common |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
cause of secondary HTN> other Endocrine disorders that do the same are: -
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
CORRECT ANSWERS ✔✔Pheochromocytoma, Cushings syndrome,
|\ |\ |\ |\ |\
neuroblastoma. all of these are causes of secondary HTN. |\ |\ |\ |\ |\ |\ |\ |\
An immune response to Strep A infection of the hear are - CORRECT
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
ANSWERS ✔✔rheumatic fever. Can also affect CNS and joints. most
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
common age group affected is 5-15 yo. Residual affects not felt until decades
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
later.
At what age should hearing screening be performed on older adults
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
according to Assessing Care in Vulnerable Elders - CORRECT ANSWERS
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
✔✔75 yo. completed at initial evaluation, if fails needs referral to audiology.
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
Correlation with compliance with heawring aids. |\ |\ |\ |\ |\
|\ |\ |\ |\ |\
ANSWERS
a 4 mos. old is suspected of having developmental dysplasia of the hip. what
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
test would best assess for this? - CORRECT ANSWERS ✔✔Galeazzi and
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
Klisic: limited abduction and apparent thigh length discrepency is a better
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
indicator of DDH than is instability after 3 months of age, Barlow and
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
Ortolani maneuvers are tests used to test hip instability in newborns until
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
approx. 3 months old. Trendelenburg pelvic test is to test for walking age
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
children to test for hip weakness and is characterized by unilateral hip
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
dyspleasia.
which mitral disorder results from redundancy of the mitral valve leaflet? -
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
CORRECT ANSWERS ✔✔mitral valve prolapse. Most common . adult
|\ |\ |\ |\ |\ |\ |\ |\ |\
murmur. Valves annulus becomes enlarged in conjunction with elongated
|\ |\ |\ |\ |\ |\ |\ |\ |\
chordae tendonae (this is degeneration of the mitral tissue.
|\ |\ |\ |\ |\ |\ |\ |\
serum ferritin - CORRECT ANSWERS ✔✔demonstrates the amount of iron
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
in storage. helpful in evaluating pts being treated for iron deficiency anemia.
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
a patient with aortic stenosis has been asymptomatic for decades and begins
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
c/o some dizziness c activity w/o chest pain or sob. - CORRECT ANSWERS
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
✔✔refer to cardiology; be alert for s/s that precede syncope. dizziness
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
precedes syncompe, and the patient is now presenting with symptoms of
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
aortic stenosis. |\
, A patient taking candesartan should avoid - CORRECT ANSWERS ✔✔K+
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
supplements. Candesartan can produce hyperkalemia because the MOA |\ |\ |\ |\ |\ |\ |\ |\
spares K+. |\
A patient taking long actin basal insulin has elevated blood glucose. What
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
blood sugars are important to evaluae and base insulin changes on -
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
CORRECT ANSWERS ✔✔AM fasting. . basal insulin mimics steady stream
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
of insulin produced by the pancrease throughout day. Should be based off of
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
fastin AM glucose check. The other blood sugars reflect blood sugar in
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
reflection to meals. |\ |\
hyperthyroidism may affect bp by increase SBP and DBP. It is also a common |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
cause of secondary HTN> other Endocrine disorders that do the same are: -
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
CORRECT ANSWERS ✔✔Pheochromocytoma, Cushings syndrome,
|\ |\ |\ |\ |\
neuroblastoma. all of these are causes of secondary HTN. |\ |\ |\ |\ |\ |\ |\ |\
An immune response to Strep A infection of the hear are - CORRECT
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
ANSWERS ✔✔rheumatic fever. Can also affect CNS and joints. most
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
common age group affected is 5-15 yo. Residual affects not felt until decades
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
later.
At what age should hearing screening be performed on older adults
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
according to Assessing Care in Vulnerable Elders - CORRECT ANSWERS
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
✔✔75 yo. completed at initial evaluation, if fails needs referral to audiology.
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
Correlation with compliance with heawring aids. |\ |\ |\ |\ |\
