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NURS 5433 MIDTERM LATEST EXAM NURS 5433 MIDTERM LATEST EXAM
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END OF PAGE Which of the following are electrolyte abnormalities seen in Addision's? SATA A. Hyponatremia B. Hyperthermia C. Hypokalemia D. Hyperkalemia E. Hypocalcemia F. Hypercalcemia G. Hypochloremia H. Hyperchloremia - ANSWERS-A. Hyponatremia D. Hyperkalemia G. Hypochloremia What does a 24 hour urine cortisol detect? - ANSWERS-Cortisol overproduction What 24 hour urine cortisol lab level indicates Cushings Disease? - ANSWERS-> 100 mcg
END OF PAGE Classic triad for Pheochromocytoma includes: A. Headaches, diaphoresis, tachycardia B. Palpitations, nausea, vomiting C. Anxiety, tremor, insomnia D. Cold intolerance, fatigue, weight gain - ANSWERS-A. Headaches, diaphoresis, tachycardia What lab abnormality confirms hyperparathyroidism? A. High PTH, Low Calcium B. High Calcium, High Phosphorus C. High PTH, High Calcium, Low Phosphorus D. High PTH, High Calcium, High Phosphorus E. High Vitamin D - ANSWERS-C. High PTH, High Calcium, Low Phosphorus
END OF PAGE D. Vitamin D E. Corticosteroids F. ACTH injections G. Natpara (PTH analog) - ANSWERS-C, D, G Describe the symptoms of Blepharitis? - ANSWERS-•Crusty, irritated and redness on the eye lid margin
END OF PAGE A. Doxycycline 100mg PO BID B. Tetracycline 250mg QID C. Cold moist compress to reduce inflammation D. Lid scrub wit baby shampoo - ANSWERS-D. Lid scrub wit baby shampoo Which condition is most often associated with Posterior Blepharitis? A. Seborrhea B. Rosacea C. Astigmatism D. Conjunctivitis - ANSWERS-B. Rosacea A painful, red swelling at the eyelid margin is most bc consistent with: A. Hordeolum B. Chalazion C. Conjunctivitis
END OF PAGE C. Bacterial D. Herpetic - ANSWERS-C. Bacterial Which symptom is most characteristic of allergic conjunctivitis? A. Pre auricular lymphadenopathy B. Bilateral itching and watery discharge C. Thick yellow discharge D. Unilateral redness with crusting - ANSWERS-B. Bilateral itching and watery discharge A patient presents with watery eye discharge pre-auricular lymphadenopathy and a gritty sensation in the eye which type of conjunctivitis is most likely? A. Allergic. B. Viral. C. Bacterial. D. Fungal. - ANSWERS-B. Viral
END OF PAGE Herpetic viral conjunctivitis is distinguished from other types of conjunctivitis by which diagnostic finding? - ANSWERS-Dendritic lesions on fluorescein stain What diagnostic exam is done to check optic nerve function and anterior chamber inflammation? - ANSWERS-Dilated Pupil Exam Which two antibiotics are used for systemic chlamydia, and gonococcal conjunctivitis? - ANSWERS-1. Ceftriaxone
END OF PAGE A. Pingueculum B. Pterygium C. Cataract D. Conjunctival hemorrhage - ANSWERS-A. Pingueculum First line treatment for bacterial conjunctivitis includes A. Oral doxycycline B. Corticosteroid drops C. Erythromycin ointment D. Artificial tears - ANSWERS-C. Erythromycin ointment A fluorescien stain is used to diagnose: A. Corneal abrasion B. Blepharitis C. Cataracts D. Macular degeneration - ANSWERS-A. Corneal abrasion
END OF PAGE Emily has chronic dry eye. The doctor suggested using Cyclosporine ophthalmic emulsion for her eye but it did not work. Which of the following should the NP consider trying next? SATA A. Topical corticosteroids B. Systemic anti-inflammatory agents C. Surgery D. Autologous serum E. Systemic omega 3 fatty acids F. Impermanent punctal occlusion G. Refer to an ophthalmologist - ANSWERS-D. Autologous serum F. Impermanent punctal occlusion G. Refer to an ophthalmologist Cyclosporine ophthalmic emulsion is a level 2 treatment, she should move in to level 3 since level 2 did not work. Cataracts typically presents with:
END OF PAGE A. Antibiotic drops B. Topical steroids C. Crigler massage D. Referral for duct probing and catheter insertion to remove mucus - ANSWERS-C. Crigler massage Hyphema is a ophthalmic emergency, True or False? - ANSWERS-True What type of eye drops can be used to correct Strabismus? - ANSWERS-Atropine A patient comes in complaining of loss of peripheral vision. You test their vision and find that their visual acuity has decreased. What is the next thing you would do as far as diagnostics? - ANSWERS-Use Tonometer to measure IOP What is seen on the funduscopic exam of someone with glaucoma? - ANSWERS-Cupping of the optic disc Cup to disc ration > 0.
END OF PAGE What is the diagnostic tool used to diagnose Glaucoma? - ANSWERS- Tonometer Corneal inspection Optic nerve inspection Visual field testing Which intrapcular pressure (IOP) is concerning for glaucoma? A. 15 mmHg B. 20 mmHg C. 22 mmHg D. 25 mmHg - ANSWERS-D. 25 mmHg What's the leading cause of blindness in patients over the age of 60? - ANSWERS-Macular degeneration
END OF PAGE If a patient comes in with issues with their vision, and you perform a pinhole test, if the vision improves with the pinhole, this suggests degeneration, True or False? - ANSWERS-False, This is suggestive of a refractive error rather than degeneration A child comes into the office with a chief complaint of pain in the right ear. When completing an Otoscopic exam of the ear, what would you expect to see that would be suggestive of otitis media? - ANSWERS- Bulging and redness of the Tympanic membrane with or without purulent drainage Which the following patient to with Otitis media require immediate antibiotic therapy? A. A patient with moderate otalgia for 24 hours B. A patient that's 7 months of age C. A patient with a temperature of 100.0 °F D. A patient 12 months of age with Bilateral AOM - ANSWERS-D. A patient 12 months of age with Bilateral AOM
END OF PAGE What is the first line treatment for Otitis Media? - ANSWERS- Amoxicillin 80-90 mg/kg/day In two doses 90% of cases where there is Otitis Media with Effusion (OME) you can just OBSERVE, because it will resolve on its own within 3 months, True or False? - ANSWERS-True You look into a patient's ear after they have come in complaining of right ear pain. You are unable to visualize the tympanic membrane due to edema and a white cottage cheese like substance in the external canal of the ear. Which of the following medications is the best for treating this type of infection? A. Ciprofloxacin + Hydrocortisone Drops B. 1% Clotrimazole C. Gentamycin Drops D. Hydrocortisone + acetic acid Drops - ANSWERS-B. 1% Clotrimazole
END OF PAGE Doxycycline What findings indicates bacterial sinusitis? A. Symptoms lasting more than 10 days without improvement B. Water discharge for 5 days C. Clear nasal drainage D. Nighttime coughing - ANSWERS-A. Symptoms lasting more than 10 days without improvement Which is NOT recommended for sinusitis due to resistance? A. Amoxicillin. B. Azithromycin. C. Cefpodoxime. D. Levofloxacin. - ANSWERS-B. Azithromycin. The most common site for anterior epistaxis?
END OF PAGE A. Middle turbinate B. Kisselbach's plexus C. Inferior meatus D. Frontal Sinus - ANSWERS-B. Kisselbach's plexus An eight-year-old patient comes in with a mild fever and white patches on their tonsils. The patient does not report having a cough. What should be the next steps? - ANSWERS-Perform a rapid strep test Name all things that gain a point in the Centor Criteria? - ANSWERS- History of fever Present of tonsillar exudates Tender anterior cervical lymphadenopathy < 15 years old Name all things that lose a point in the Centor Criteria? - ANSWERS-> 45 years old Cough
