Download NURS 5432 -Family 1 Final Exam Flashcards| UT Arlington and more Exams Nursing in PDF only on Docsity!
What age school Colon Cancer Screening start? – ✔✔Age 45 How often should a Colonoscopy be done? - ✔✔every 10 years When it comes to Colic, what is the Rules of 3's? - ✔✔Crating lasts > 3 hrs a day Occurs > 3 days per week Persists for > 3 weeks Occurs within the first 3 months of life Colic is benign and self limited, the majority of infants improve by age three to four months, True or False? - ✔✔True The classic triad of Colicky pain, vomiting and current jelly stools, indicated what condition in children? - ✔✔Intussusception What is the Gold Standard test for diagnosis of Intussusception? - ✔✔Ultrasound When diagnosing Intussusception you look for the ____ sign in the transverse view and the ____ ____ sign in the longitudinal view for the Ultrasound. - ✔✔1. Target Sign
- Coiled Spring Sign What is the First Line intervention for Intussusception? - ✔✔Air or Barium Enema Mary has been diagnosis with Pinworms, the NP says that she is the only one in her household that needs to be treated for Pinworms, True or False? - ✔✔False, all family members or classmates who are infected must be treated simultaneously Pyrantel Pamoate is used to treat pinworms, what is the dose of this medication? - ✔✔11mg/kg Single dose (max 1 gram) Albendazole is used to treat pinworms, what is the dose of this medication? - ✔✔400 mg Single Dose Albendazole and Pyrantel Pamoate need to be repeated in 3 weeks to avoid reinfection of pinworms, True or False? - ✔✔2 weeks What age is recommended for Elderly Patients get the Prevnar 13 Vaccination? - ✔✔Age 65 and older What age is recommended for Elderly Patients get the Pneumococcal Vaccination (PPSV23)? - ✔✔Age 65 and older What age is recommended for Elderly Patients get the Shingrix Vaccination? - ✔✔Age 59 and older How many doses are the Shingrix series? - ✔✔2 doses How many months apart should the Shingrix vaccine be given? - ✔✔ 2 - 6 months apart How often should an older adult get the influenza vaccine? - ✔✔Annually (every fall) How often should one get a Tdap Booster shot? - ✔✔Booster every 10 years
Which of the follow are considered normal BMI range for older adults? A. 20- 25 B. 23- 30 C. 30- 45 - ✔✔B. 23- 30 Malnutrition risk is considered > 5% weight loss in 1 month, True or False? - ✔✔True Malnutrition risk is considered > 10% weight loss in 10 months, True or False? - ✔✔False.
10% weight loss in 6 months In how many second should an older adult be able to complete the Get Up and Go test? - ✔✔< 12 seconds What are the 4 main factors that alter drug distributions in older adults? - ✔✔1. Increased body fat
- Decreased lean body mass
- Decreased body water
- Reduced serum albumin Fat soluble drugs accumulate in the adipose tissue leading to prolonged effects. True or False? - ✔✔True Hepatic Metabolism (Increases/Decreases) with age? - ✔✔Decreases Age Dependent Changes in Body Composition (Inc/Dec) in body fat by 35% (Inc/Dec) in plasma volume by 8% (Inc/Dec) in total body water by 17% (Inc/Dec) in extracellular body fluid by 40% - ✔✔(Inc) in body fat by 35% (Dec) in plasma volume by 8% (Dec) in total body water by 17% (Dec) in extracellular body fluid by 40% What labs would you complete to Rule Out Alzheimer's Disease? (5) - ✔✔1. CBC
- Metabolic Panel
- Vitamins B12 and Folate
- RPR Test
- TSH Why would an RPR Test be completed to rule out Alzheimer's? - ✔✔RPR Test is to help rule of Syphilis
How do cholinesterase inhibitors help the symptoms of Lewy Body Dementia? - ✔✔Cholinesterase inhibitors help by increasing the availability of acetylcholine Charles is a 75-year-old man. He has been diagnosed with Alzheimer's disease. He is currently presenting some new symptoms such as muscle stiffness and pill rolling tremor. What if the following medications would be best to cater to his symptoms? A. Donepezil B. Rivastigmine C. Galantamine D. Levadopa E. Memantine - ✔✔D. Levadopa This medication is best used to cater to patients presenting with Parkinson-like symptoms of Lewy body Dementia When a patient has Memory loss that improves with cues, they are more likely to have Dementia or Pseudodementia? - ✔✔Pseudodementia When a patient is completing a Cognitive Test and they try hard but still perform poorly, they are more likely to have Dementia or Pseudodementia? - ✔✔Dementia When recalling history a patient with Dementia/Pseudodementia will give a detailed history and a patient with Dementia/Pseudodementia will give a vague history with few details. The - ✔✔Pseudodementia Dementia Pseudodementia (depression) has a gradual progression, True or False? - ✔✔False, Rapid Onset Dementia has a gradual progression Which of the following medications can be used for Delirium? SATA A. Haloperidol B. Levadopa C. Diazepam D. Diphenhydramine E. Quetiapine - ✔✔A. Haloperidol E. Quetiapine (Seroquel) What dose (range) of Haloperidol is used for Delirium? - ✔✔0.25 - 0.5 mg PO/IM every 4 hours What dose of Quetiapine is used for Delirium? - ✔✔25mg once a day at bedtime, increase to BID What are the main symptoms of Gastroenteritis? - ✔✔Diarrhea
Nausea and vomiting Abdominal pain Fecal urgency Flatulence What virus is responsible for Gastroenteritis in children less than 1 year old? - ✔✔Rotavirus Which of the following bacterial causes of gastroenteritis is most common for post antibiotics use or hospitalization? A. Campylobacter Jejuni B. Salmonella C. Shigella D. E. Coli E. C. Difficile F. Clostridium perfringens - ✔✔E. C. Difficile Which of the following bacterial causes of gastroenteritis is most common fin children? A. Campylobacter Jejuni B. Salmonella C. Shigella D. E. Coli E. C. Difficile F. Clostridium perfringens - ✔✔A. Campylobacter Jejuni Which of the following bacterial causes of gastroenteritis is most common in pediatric patients specifically in daycares? A. Campylobacter Jejuni B. Salmonella C. Shigella D. E. Coli E. C. Difficile F. Clostridium perfringens - ✔✔C. Shigella
What is the Children's dose of Promethazine (range) given for Gastroenteritis? - ✔✔0.5mg/kg very 4-6 hours (Max 25mg) What is the recommended adult dose of Ondansetron for Gastroenteritis? - ✔✔8mg every 8 hours What is the recommended child dose of Ondansetron for Gastroenteritis? - ✔✔4mg every 4 hours Ondansetron is not safe for children under the age of 4 years old, True or False? - ✔✔True (Age 4-11 years old) New onset constipation after age 59 is considered a red flag, True or False? - ✔✔True What diagnostic should you consider if one of your patients has new onset constipation after age 50? - ✔✔Colonoscopy to rule out colorectal neoplasms If pediatric patients have constipation, consider Hirschsprung's Disease, this condition includes the absence of what type of cells in the body? - ✔✔Colonic ganglion cells What is the first Step for managing GERD? - ✔✔Lifestyle modifications and Antacids PRN for relief What is the second Step for managing GERD? - ✔✔Add H2 Receptor Blockers What is the name of dose of a H2 blocker that you would prescribe for GERD? (2 options from the notes) - ✔✔1. Ranitidine 150mg BID
- Famotidine 20mg BID What is the third Step for managing GERD? (Moderate to severe symptoms) - ✔✔Add a Proton Pump Inhibitor (PPI) What is the four Step for managing GERD? - ✔✔Endoscopy referral (if symptoms persist despite PPI) What are two primary causes for Peptic Ulcer Disease? - ✔✔1. H. Pylori Bacteria
- NSAIDS Why would someone with a GASTRIC ulcer present with symptoms of weight loss? - ✔✔The pain increases when eating A Duodenal Ulcer gets relieved by eating and the pain gets worse at night, True or False? - ✔✔True What are the 4 medications included in the First Line treatment of H. pylori Bacteria? - ✔✔CAMP Clarythromycin Amoxicillin Metronidazole Proton Pump Inhibitors How many days is QUAD there pay for Peptic Ulcer disease? - ✔✔14 days What is the dose of Clarithromycin for the treatment of H. Pylori? - ✔✔Clarithromycin 500mg BID What is the doses of Amoxicillin for the treatment of H. Pylori? - ✔✔Amoxicillin 1 gram BID
What is the doses of Metronidazole for the treatment of H. Pylori - ✔✔Metronidazole 500mg BID What is the Second Line Treatment of H. Pylori? - ✔✔Bismuth Subsalicylate 525mg QID Tetracycline 500mg BID Metronidazole 500mg BID PPI How does Sulcrafate work? - ✔✔Forms a protective barrier against acid and Pepsin. Allows the ulcer to heal. How can you help sulcrafate with the absorption of medications such as phenytoin, warfarin, digoxin? - ✔✔Take the medication two hours apart Which of the following medications help to Specifically prevent NSAID induced ulcers? A. Sulcrafate B. Misoprostol C. Calcium carbonate D. Sodium bicarbonate E. Aluminum hydroxide - ✔✔B. Misoprostol It's important to separate antacids from other meds by at least one hour in order to avoid altered absorption, True or False? - ✔✔True What are three tests to confirm H. Pylori Bacteria? - ✔✔1. Urea breath test (UBT)
- Stool antigen test
- Endoscopic Biopsy with histology (GOLD STANDARD) What is the quality of diarrhea for someone with Ulcerative Colitis? - ✔✔Bloody with mucus Patient with < 4 stools per day, with or without blood. And a normal ESR has what level of Ulcerative Colitis? A. Mild B. Moderate C. Severe D. Fulminant - ✔✔A. Mild Patient with 11 stools, continuous bleeding and colonic dilation on X Ray has what level of Ulcerative Colitis? A. Mild B. Moderate C. Severe
A. CT or MRE B. Endoscopic Ultrasound C. Upper Endoscopy D. Ileocolonoscopy - ✔✔D. Ileocolonoscopy Location: Small bowel ± colon Crohn's Disease or Ulcerative Colitis? - ✔✔Crohn's Disease Location: Colon Only Crohn's Disease or Ulcerative Colitis? - ✔✔Ulcerative Colitis Recital involvement: Common Crohn's Disease or Ulcerative Colitis? - ✔✔Ulcerative Colitis Pattern: Skip Lesions Crohn's Disease or Ulcerative Colitis? - ✔✔Crohn's Disease Granulomas: Yes (non caseating) Crohn's Disease or Ulcerative Colitis? - ✔✔Crohn's disease Perianal disease: Common (fistula, abscess, fissure) Crohn's Disease or Ulcerative Colitis? - ✔✔Crohn's Disease Bleeding: Frequent Crohn's Disease or Ulcerative Colitis? - ✔✔Ulcerative Colitis Abdominal Pain: Left Lower Quadrant Crohn's Disease or Ulcerative Colitis? - ✔✔Ulcerative Colitis Abdominal Pain: Right Lower Quadrant
Crohn's Disease or Ulcerative Colitis? - ✔✔Crohn's Disease Rectal bleeding (more common) Crohn's Disease or Ulcerative Colitis? - ✔✔Ulcerative Colitis What's First Line Treatment for Crohns disease (Mild to moderate disease)? - ✔✔Budesonide 9mg/day for 8 weeks Which of the following medications can be used for acute flares AND maintenance of Crohn's Disease? SATA A. Azathioprine B. Sulfasalazine C. Metronidazole D. Adalimumab E. Mesalamine F. Prednisone - ✔✔B. Sulfasalazine E. Mesalamine 5 - ASA are used for acute flares and maintenance When can antibiotics like Metronidazole and Ciprofloxacin be used to treatment Crohn's Disease? - ✔✔They are used for an acute glare or when 5-ASA are not tolerated What is the Rome Criteria for IBS? (4) - ✔✔1. Recurrent abdominal pain greater than 1 day per week on average in the previous 3 months
- Abdominal pain must included at least 2 of the following: A. Pain improved or worsens with deification B. Change in stool frequency C. Change in stool appearance Irritable Bowel Syndrome involves rebound tenderness and guarding, True or False? - ✔✔False How does the medication Psyllium help with IBS (all types)? - ✔✔Increased bulk of the stool How do Antispasmodics help with IBS? - ✔✔They help release the abdominal pain associated with IBS.
Diverticulosis or Diverticulitis? - ✔✔Diverticulitis What is the First Line treatment routine for Diverticulosis? (2 options) - ✔✔Rifaximin 400mg PO BID for 7 days every month OR Mesalamine 800mg PO BID continuous What is the Outpatient Antibiotic Treatment for Diverticulitis? - ✔✔Ciprofloxacin 750mg BID OR Levofloxacin 750mg QD PLUS Metronidazole 500mg TID (7-10 days) What is the Inpatient Antibiotic Treatment for Diverticulitis? - ✔✔Piperacillin/Tazobactum 3,375g IV QID Or Ampicillin/Subactam 3g IV q6h Or Ertapenem 1g IV QID HBsAg (Hepatitis B surface antigen) - ✔✔Active HBV Infection (Acute or Chronic) HBeAg (Hep B envelope antigen) - ✔✔Active Viral replication (high infectivity) indicated active replication Anti-HBc (Hep B core antibody, total) - ✔✔Past or ongoing infection (Persists for Life) IgM Anti-HBc (IgM Hep B core antibody) - ✔✔Acute Infection (< 6 months) Anti-HBs (hep B surface antibody) - ✔✔Recovery from infection or immunization to hepatitis B Anti-HBe (Hep B envelope antibody) - ✔✔Recovery from HBV infection HBeAg positive// Anti-HBc Positive//IgM anti HBc Positive// Anti-HBs Negative - ✔✔Active Hepatitis B HBeAg positive// HBsAg Positive//Anti-HBc Positive//IgM anti HBc Negative // Anti-HBs Negative - ✔✔Chronic Hep B, Active Viral replication HBeAg Negative // HBsAg Positive//Anti-HBc Positive//IgM anti HBc Negative // Anti-HBs Negative - ✔✔Chronic Hep B, without active viral replication
HBsAg Negative//Anti-HBc Positive//Anti-HBs Positive - ✔✔Recovered Hep B not due to immunization, due to prior infection HBsAg Negative//Anti-HBc Negative //Anti-HBs Positive - ✔✔Immune due to Immunization (+) Anti-HCV (-) HCV RNA - ✔✔Past Infection or resolved (+) Anti-HCV (+) HCV RNA - ✔✔Chronic Infection Which of the following are used to treatment Hepatitis A? SATA A. Entercavir B. Glecaprevir/Pibrentasvir C. Pegylated Interferon D. Sofosbuvir/Velpatasvir E. Tenofovir F. Supportive Care - ✔✔F. Supportive Care Which of the following are used to treatment Hepatitis B? SATA A. Entercavir B. Glecaprevir/Pibrentasvir C. Pegylated Interferon D. Sofosbuvir/Velpatasvir E. Tenofovir F. Supportive Care - ✔✔A. Entercavir C. Pegylated Interferon E. Tenofovir Which of the following are used to treatment Hepatitis C? SATA A. Entercavir B. Glecaprevir/Pibrentasvir C. Pegylated Interferon
Tenderness in the RLQ Rebound Tenderness in the RLQ Nausea and Vomiting Anorexia Fever (>100.4) Leukocytosis (>10,000 WBC) - ✔✔Tenderness in the RLQ Leukocytosis (>10,000 WBC) How many points in the MASS Criteria do you need to have to suggest Appendicitis and the need for Surgical evaluation? - ✔✔Greater than or equal to 7 What are 4 Physical Exam Findings that indicated Appendicitis? - ✔✔MORP M - McBurney's Point Tenderness O - Obturator Sign R - Rovsing's Sign P - Psoa's Sign McBurney's Point Tenderness - ✔✔Maximal RLQ Tenderness Rovsing's sign - ✔✔RLQ pain when palpating LLQ Psoa's Sign - ✔✔Pain with right Thigh extension Obturator Sign - ✔✔Pain with internal rotation of flexed right thigh Name the Gold Standard for diagnosing Appendicitis - ✔✔CT Scan Where is the pain located for Cholecystitis? - ✔✔RUQ Where did the pain typically radiate for Cholecystitis? - ✔✔Radiates to the right shoulder or sub scapular area Which of the following triggers the pain in Cholecystitis? A. High Fat Meal B. High Sugar Meal C. Trauma to the RUQ D. Trauma to the LUQ - ✔✔A. High Fat Meal Which of the following is considered the Gold Standard Imaging for Cholecystitis? A. HIDA Scan
B. Ultrasound C. MRCP (Magnetic Resonance Cholangiopancreatography) D. ERCP (Endoscopic Retrograde Cholangiopancreatography) - ✔✔B. Ultrasound What is the most common cause of bowel obstruction? - ✔✔adhesions high pitched tinkling bowel sounds are seen in Proximal or Distal Obstruction? - ✔✔Proximal (early obstruction) Name the common Vitamin Deficiencies cause by Celiac Disease? (9) - ✔✔Vitamin D Vitamin K Vitamin B Vitamin B Vitamin B9 (Folate) Iron Calcium Magnesium Zinc Olive shaped mass in the right upper quadrant is a classic finding of what condition? - ✔✔Pyloric Stenosis Infantile Atopic Dermatitis (if not complex) can resolve spontaneously, True or False? - ✔✔True Patient comes into the office. They have greasy scales in the axilla. The patient has a history of Type II diabetes Mellitus. Which of the following dermatologic conditions could this be? A. Eczema B. Seborrheic Dermatitis C. Atopic Dermatitis D. Contact Dermatitis E. Intertrigo - ✔✔B. Seborrheic Dermatitis Medication combination of Mupirocin (Bactroban) + Nystatin Cream would be ideal for which of the following patients? A. Eczema B. Seborrheic Dermatitis C. Atopic Dermatitis D. Contact Dermatitis
B. Moderate acne C. Several acne - ✔✔B. Moderate acne
5 pseudocysts 100 comedones Total inflammatory count > 50 Total lesion count > 125 A. Mild acne B. Moderate acne C. Several acne - ✔✔C. Severe acne What is the First Line treatment for Mild (Comedonal Acne) - ✔✔Topical Retinoid (Retin A - Tretinoin) What medication can you add to the skin care routine of someone with Mild acne if the Topical Retinoid alone is not working? - ✔✔Benzoyl Peroxide What antibiotics are used for Papulopustular Acne? (2) - ✔✔Clindamycin Erythromycin Topical antibiotics needs to be combined with this antibacterial in order to prevent bacterial resistance in Papulopustular Acne? - ✔✔Benzoyl Peroxide How does Terbinafine work to treat Tinea Capitis? - ✔✔Disrupts the biosynthesis damages Funchal cell membranes Martha comes I and has some scaling on her scalp, she has black dots where the hairs have broken off. You decide to prescribe Griseofulvin to cater to her condition. She told you that she has started a raw vegan diet to lose weight. Why might this be an issue? - ✔✔Griseofulvin requires a high fat diet for proper absorption Which of the following treatment option should not be used on Tinea Cruris and Tinea Corporis? A. Lotrimin B. Nizoral C. Nystatin - ✔✔C. Nystatin This medication is only effective against yeast, not dermatophytes Candice is planning her activities for a hot summer day. She would like to go to the local swimming pool for a tan. She notices that she has some light colored patches on her body that fail to tan in the sun after hours. What skin condition could this be? - ✔✔Tinea Versicolor
Candice plays a lot of sports and works up a sweat. What type of anti fungal medication would work better for her and why? A. Oral antifungal B. Topical antifungal - ✔✔A. Oral antifungal medication is better if you are able to work up a sweat. Better for absorption What topical medication is used for Tinea Versicolor? - ✔✔Selenium Sulfide (Selsun) 2.5% When is the Best time to apply Selenium Sulfide (Selsun) 2.5%? A. First thing in the morning. B. Right before a cardio workout. C. After a hot shower. D. Right before bed. - ✔✔D. Right before bed. Scabies is an infection caused by what? - ✔✔mites Names 4 parts of the body that scabies typically is located? - ✔✔Elbows Wrists Hands Feet Name the First Line medication for Scabies - ✔✔Elimite (Permethrin 5%) overnight Scabies When mites die underneath the skin it may cause more itching. Itching will get worse before it gets better and can last up to 6 weeks post treatment. What medication can be used for itch relief and symptom management? - ✔✔Hydroxyzine (Atarax) Which of the following medications for Pediculosis does not require Nit removal? A. Permethrin 5% B. Ivermectin lotion C. Lindane D. Nuvo method - ✔✔B. Ivermectin lotion A patient has Pityruasis Rosea. What is the Herald Patch? - ✔✔The first lesion to appear, often larger then subsequent lesions
