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MN 566 MIDTERM EXAM 2023 ANSWERED V5
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MN 566 MIDTERM EXAM 2023 ANSWERED V5
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1MN 566 Midterm Review
1. Polypharmacy is a major contributor to confusion in older adults
2. One of the indicator of diagnosing dementia is having a hard time finding words,
continual problem having a hard time finding words.
3. If a patient has a history of dementia, you might also see chronic kidney disease
(something you might notice)
4. Migraines can be trigger by wine(especially red wine)
5. What else trigger migraines: stress, smells, caffeine (it can help and trigger migraines),
bright lights, flashing lights
6. If you have vertigo, in the vestibular area, you may need something to decrease that
edema: Acetazolamide (Diamox) is a diuretic ***side note: Meclizine (antivert) do not
decrease edema***
7. An absent seizure can also be describe as someone having a blank stare
8. If you look at epidemiology and pick out a person based on age and sex on MS, you may
pick out a male in their 40’s or late 40’s, if it’s a female you may pick out a young female
(25 yr old female).
9. There is no specific test for MS. You can confirm the probability by MRI, and you can
see lesions
10. MS can cause relapse and remitting. This is where pt has episodes blindness one day and
the next day the blindness is better, double vision or numbness and tingling one day and
better the next day. They can have optic neuritis (side note: they would need heavy dose
of steroid)
11. A pt with MS has a new onset of tingling in their arms, a shot of Methylprednisolone
(solu-medrol) will help
12. One of the risk factor of Alzheimer’s disease is down syndrome
13. One of the first type of drug for Alzheimer’s disease is cholinesterase inhibitors (Aricept)
to treat the cognitive sx (memory loss, confusion, and problems with thinking and
reasoning) of Alzheimer’s disease.
14. If someone was hit in the head with a frying pan, where do you think the hematoma may
occur: Subdural
, 2
15. What if a person have a hematoma occurring in the temporal cranial wall from tears of
artery: temporal arteritis (they would need long-term steroids). What type of hematoma
would you be concern about? Epidural. You would want to get a head CT prior to
administering what drug? Blood thinner drug TPA
16. Cranial nerve 5, what is it associated with/what movement you are going to check/what
are you going to ask them to do? It’s the jaw area so chewing.
17. A link in delay for stroke treatment could be: FAST
18. A pt with a carotid bruit may also have a hx of peripheral vascular occlusive disease
19. A cluster headache might be more likely in a 45 yr old male who wakes up at night, he
wakes up with that cluster headache at night
20. Myasthenia Gravis (MG), thinking about epidemiology, and the risk that might be given
to you as an option for the characteristic and demographic of a pt: perhaps a 31 yr old
Hispanic women, is at risk for women with MG
21. A sleep wake cycle disturbance can certainly be a hallmark symptoms of delirium (people
with delirium, their days and nights are mixed up often)
22. Aseptic meningitis is more benign, is self-limiting type of meningitis, and is cause by a
virus, but sometimes medicine can cause aseptic meningitis.
23. Cefotaxime (good choice for strep pneumonia) is a cephalosporin, is associated with tx
strep pneumonia. Strep pneumonia and strep in general, you should think cephalosporin
treatment.
24. Viral encephalitis tx with IV acyclovir
25. With herpes, a person would have vesicular lesion on one side of the body
26. Epidemiology question: a 72 yr old female is more likely to be dx with Gillian-Barre
syndrome
27. If someone has bell’s palsy, most people will have full recovery in 3-6 months
28. Dance like movement, what disease is that? Huntington’s chorea
29. If someone has Parkinson plus disorder, they will have posture instability
30. Light sensitivity with migraine
31. A carotid endarterectomy, if someone has symptomatic, with a greater than 50% stenosis
that is symptomatic, then you would consider a carotid endarterectomy.
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