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NUR 654 Final Exam Complete Questions And Answers
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NUR 654 Final Exam Complete Questions And Answers
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NUR 654 Final Exam CompleteQuestions And Answers
A patient has rapid weight gain, amenorrhea without pregnancy, and mild hypertension.
Once confirmatory tests are performed, what is a possible treatment for this patient?
CORRECT ANSWERS Pituitary tumor resection
A patient has unexplained weight loss and the provider notes increased skin
pigmentation on light-exposed skin folds along with darkened palmar creases. Which
laboratory tests will the provider order vs NOT order CORRECT ANSWERS ORDER:
Serum ACTH, Serum electrolytes, TB skin testing
NOT: Serum cortisol
T or F: Patient wishes related to palliative care should be discussed at the initial visit
and updated at preventive visits CORRECT ANSWERS T
T or F: A patient on chemo has a high temperature and absolute neutropenic count
>500,000 needs immediate ER workup CORRECT ANSWERS T
Radiation therapy can be used for all of the following in cancer treatment EXCEPT
CORRECT ANSWERS Treatment of side effects of chemo
T or F: SIADH is an oncological emergency requiring urgent oncologic care CORRECT
ANSWERS T
What is an effective pharmacologic medication to treat non-cancer chronic pain?
CORRECT ANSWERS Ibuprofen
T or F: The most common sites for breast CA metastasis include lymph, lungs, liver,
bone, and brain CORRECT ANSWERS T
What is an FDA approved treatment for osteoporosis? CORRECT ANSWERS
Biphosphonate therapy
T or F: Bone density improvement is the primary goal of biphosphonate treatment?
CORRECT ANSWERS F (it is to slow the progression of disease)
An elevated serum alkaline phosphate (SAP) may include all of the following EXCEPT
CORRECT ANSWERS Hypothyroidism
T or F: Xray findings associated with Paget's disease can show enlargement of bone
and specific deformities (long bone bowing) CORRECT ANSWERS T
Symptoms of Cushing's Syndrome include CORRECT ANSWERS Amenorrhea
,T or F: Pituitary tumor resection may be first line treatment for Cushing's Syndrome if
indicated CORRECT ANSWERS T
Addison's Disease may cause which of the following lab abnormalities? CORRECT
ANSWERS Elevated ACTH (not hypokalemia, hypernatremia, or elevated cortisol)
T or F: A patient with suspected hirsituism should be referred to endocrinology for an
evaluation CORRECT ANSWERS T
A positive Trousseau's sign occurs with which serum abnormality? CORRECT
ANSWERS HYPOcalcemia
Which of the following can cause hypocalcemia? CORRECT ANSWERS Vit D
Deficiency, hypomagnesemia
T or F: Low serum albumin may lower serum calcium CORRECT ANSWERS T
Which can cause hyperkalemia in a patient with normal renal function? CORRECT
ANSWERS Adrenocorticol deficiency
T or F: Medical management of primary hyperparathyroidism involves close monitoring
of calcium, creatinine, and bone density CORRECT ANSWERS T
Criteria for parathyroidectomy in a case of primary hyperparathyroidism includes all
EXCEPT CORRECT ANSWERS under age 50
T or F: Primary hypoparathyroidism is characterized by inappropriate secretion of PTH
along with hypercalcemia CORRECT ANSWERS F
T or F: Patients with a history of migraines with aura is an absolute contraindication for
combined oral contraceptives CORRECT ANSWERS T
When an OCP is forgotten for 2 days or fewer... CORRECT ANSWERS 2 pills for 2
days, resume pills, use back up method for rest of cycle
T or F: 45 year old patient with secondary amenorrhea for 4 months and negative HcG
needs no further evaluation for underlying cause CORRECT ANSWERS F
T or F: Herbal OTC remedies for menopausal women with vasomotor symptoms have
not been proven effective and may be harmful CORRECT ANSWERS T
Neuropathic pain may be characterized by CORRECT ANSWERS poorly localized,
shooting or stabbing pain
, T or F: Naproxen is recommended for moderate pain or dysmenorrhea and should be
dosed: 500mg initially then 250mg q12 hours CORRECT ANSWERS T
The medical diagnosis associated with a transgender patient is CORRECT ANSWERS
gender dysphoria
T or F: Diminished testosterone may be a possible cause of decreased arousal, libido,
and orgasm in postmenopausal women CORRECT ANSWERS T
Causes of primary amenorrhea in a 17 year old may include all EXCEPT CORRECT
ANSWERS endometriosis
Lab work for a primary amenorrhea includes CORRECT ANSWERS thyroid panel,
pregnancy test, prolactin
T or F:A Bartholin Gland cyst is always infectious CORRECT ANSWERS F
Differential diagnosis to consider in a case of mastitis that is worsening despite a course
of cephalosporin antibiotics CORRECT ANSWERS inflammatory breast carcinoma
Diagnostic work-up for unilateral breast pain in a postmenopausal woman should
include CORRECT ANSWERS bilateral mammogram
T or F: Female patient found to have BRCA1 and BRCA2 mutation may be offered
prophylactic mastectomy and oophorectomy CORRECT ANSWERS T
Chronic pelvic pain in women may be related to all EXCEPT CORRECT ANSWERS
hepatitis (faulty posture, interstitial cystitis, physical abuse are causes)
Severe primary dysmenorrhea in a young adult may be treated with CORRECT
ANSWERS combination oral contraceptives
Most common cause of dyspareunia in the premenopausal patient CORRECT
ANSWERS endometriosis
Follow-up for abnormal pap involving a low grade intraepithelial lesion will include
CORRECT ANSWERS colposcopy with biopsy
T or F: Outpatient management of PID with fever will include administration of Rocephin
IM, Doxycycline and metronidazole for 14 days CORRECT ANSWERS T
Risk factors for PID include all EXCEPT CORRECT ANSWERS Tubal sterilization (it
includes age under 25, smoking, and vaginal douching)
T or F: BV presents with white non-inflammatory discharge, clue cells, and a positive
KOH whiff test CORRECT ANSWERS T
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