NSG 6420 Pharmacology FINAL EXAM Questions and Answers., Exams of Pharmacology

Download NSG 6420 Pharmacology FINAL EXAM Questions and Answers. and more Exams Pharmacology in PDF only on Docsity! NSG 6420 Pharmacology FINAL EXAM Questions and Answers. Most accurate test in diagnosing pancreatitis? - Correct answer LIPASE When to d/c an ACE I based on creatinine - Correct answer 2.0 Predisposing factors of hyperthyroidism - Correct answer Fam hx of hyperthy or other autoimmune, RA, vitiligo, pernicious anemia, trisomy 21, pregnancy/mothers with grave's, puberty, myasthenia gravis, addison, amiodarone, Iodine contrast dye, stress, sex steroids, DM I, SLE, smoking, neck radiation hypothyroidism prevalence - Correct answer More prevalent in women than men at a ratio of 5- 10:1 More common in older: >60 yrs increases to 6-10% of women and 2-3% of men with 13.7% with subclinical presentation DM diagnosis - Correct answer A1C: >/6.5% FPG >/126 2 hour PP glucose >/200 during OGTT Random: >/200 with sx DM 2 symptoms - Correct answer fatigue, recurrent infections, recurrent vaginal yeast infections, prolonged wound healing, visual changes, may have classic sx of type 1 (polys) When is Niacin used? - Correct answer In combo with other meds to tx triglycerides Common sign associated with parkinsons? - Correct answer pill rolling tremor First line tx for OA? - Correct answer Acetaminophen MOA of metformin? - Correct answer Pulls glucose into muscle cells to be utilized -enhances insulin sensitivity at tissues -Reduces glucose production by liver When is MRI indicated in low back pain? - Correct answer neuro defects Test for tenosynovitis? - Correct answer Finkelstein Tests for Carpal tunnel? - Correct answer Phalen's and Tinnel's Rotator cuff injury test - Correct answer Inability to maintain abduction Initial treatment for diagnosis of bursitis? - Correct answer Rest/avoidance of activity and NSAIDs OA risk factors? - Correct answer Older age, sex (women), obesity, joint injuries, genetics, bone deformities OGTT diagnoses what? - Correct answer gestational diabetes Lab indicative of hypothyroidism? - Correct answer TSH primary screening test: Increased TSH, dec free T4: primary Central: Dec TSH, serum T4 dec, notice impaired TSH response to TRH Tx levels above 10 or if symptomatic Normal TSH levels? - Correct answer 0.40-4.2 Hypothyroidism labs? - Correct answer Increased TSH Decreased T3 T4 S/sx of grave's - Correct answer Diffuse enlargement of both thyroid lobes, with uniform uptake of isotope and elevated radioactive iodine uptake -weight loss/inc appetite Fatigue/weakness, tremors, heat intolerance, nervousness/anxiety, heart palps, consipation/diarrhea, swelling, inc sweating, diplopia, fine hair, moist smooth skin, hyperactivity, nightmares RAI in hyperthyroid tx - Correct answer single dose to 2 doses of 75-200 mCi/g capsule orally to render hypothyroid **Tx of choice for Grave's dx H.pylori treatment - Correct answer Triple: clarith + amox + PPI clarith + flagyl + PPI levo + amox + PPI QUAD: Pepto + flagyl + tetracycline + PPI Hyperlipidemia treatment and LFTs-- which med doesn't monitor - Correct answer Bile Acid sequestran Anterior drawer test? - Correct answer tests integrity of ACL Red flags associated with a migraine? - Correct answer first or worst HA of life, change in frequency/severity, new progressive HA persisting for days, precipitation of HA with valsalva, presence of neuro sx, onset after 55, persistent one sided, stiff neck/fever Indications for migraine prophy? - Correct answer *Suffers from frequent high-impact migraine attacks (>/3 attacks per month) *Significant disability despite receiving acute tx *concomitant co-morbids or illness that precludes effective acute therapy *At risk of using acute meds and therefore developing chronic daily HA *One of rare migraine subtypes such as hemiplegic or basilar migraine, migraine with prolonged aura or migrainous infarction Asthma definition - Correct answer Primarily inflammation with superimposed bronchospasm What does the get up and go test evaluate for? - Correct answer balance/falls fall risk Most common s/sx of cholecystitis - Correct answer Upper abd pain right shoulder/scapula pain colicky or constant pain N/V/fever High frequency hearing loss d/t non-pathological/normal aging - Correct answer Prebycusis Interference of sound through external auditory canal or transmission of vibration from tympanic membrane through ossicular chain to the oval window - Correct answer Conductive hearing loss Hearing loss- involves inner ear, cochlea, or auditory nerve - Correct answer sensorineural Sensorineural hearing loss causes - Correct answer loud noises, ototoxic meds (antibiotics-vanco, gent, diuretics, salicylates) neuro disorders (MS, syphilis, meniere's) chalky white mark on TM - Correct answer scarring 3 types of ADHD - Correct answer 1. inattentive 2. Hyperactie-impulsive 3. combo What is cervical cancer usually associated with? - Correct answer HPV Short acting insulin? - Correct answer regular Osteoporosis diagnosis? - Correct answer BMD of -2.5 or below Trigeminal neuralgia s/sx - Correct answer stabbing unilateral facial pain triggered by chewing or similar activities or by touching affected areas on the face (affects right side 5x more than left) Bell's Palsy s/sx - Correct answer acute onset of unilateral upper and lower facial paralysis (over 48 hour period) posterior auricular pain decreased tearing taste disturbances Meniere's dx s/sx - Correct answer vertigo (minutes to hours) loss of hearing/tinnitus loss of balance headaches N/V/sweating What BPH meds work immediately? - Correct answer Alpha blockers What do 5 alpha reductase meds do to PSA? - Correct answer lower it Rust colored sputum? - Correct answer S. Pneumo PNA Tx of choice for HSV 1 on lips? - Correct answer oral acyclovir treating elderly with tricyclic - Correct answer cognitive changes and urinary retention Lab test confirms menopause? - Correct answer FSH increase, estrogen decreases Most common cause of bleeding in post menopause? - Correct answer atrophy of vaginal mucosa or endometrium Drugs to avoid with G6PD? - Correct answer NSAIDs, aspirin Thalassemia type of anemia - Correct answer Microcytic hypochromic Time interval for cervical screening in women less than 60? - Correct answer 21-65: every 3 years or age 30-65 every 5 years what does topical 5-Fu treat? - Correct answer Fluorouracil cream- treats actinic or solar keratoses Difference between cellulite and erysipelas? - Correct answer Erysipelas involves upper dermis and superficial lymphatics -has more distinctive anatomic features than cellulitis; lesions are raised above the level of surrounding skin with a clear line of demarcation bt involved and uninvolved tissue- "butterfly" involvement of face Cellulitis involves deeper dermis and subq fat Ischemic arterial ulcer characteristics? - Correct answer Cool to touch, pale shiny taut thin, no hair, often located distally on dorsum of foot or toes Base grayish, unhealthy appearing granulation tissue pain at night when supine