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ANP 650 Final Review Exam Questions and Answers
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ANP 650 Final Review Exam Questions and Answers
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ANP 650 Final Review Exam Questionsand Answers
Qualifying factors for acute rehab - Answers -- ability to tolerate 3 hours of therapy per
day
-do not need to be able to shower themselves
Which patient population do best in acute rehab? - Answers -- stroke
- total joint
- hip fractures
- head injuries
Tertiary prevention: - Answers -treating the complications of a disease
HMO: - Answers -A group plan offering prepaid medical care to its members.
Negotiated fees, paid by diagnosis
LTAC Medicare reimbursement criteria: - Answers -Patients who have been in the ICU
at least 3 days and will be on the vent at the LTAC for 96 hours
Hospice medicare reimbursement - Answers -Most people only qualify for home
hospice, but medicare will only cover intermittent care, comfort related medications
Respite care - Answers -a type of care provided for caregivers of homebound ill,
disabled, or elderly patients. 1 week per benefit period.
Red flag for spinal injury - Answers -- Incontinence
- Altered sensation to extremities
compartment syndrome - Answers -4 P's
- pain
- pallor
- pulselessness
- paresthesia
Example of pathological fracture - Answers -CA - tumor causing bone to break
Frailty fracture - Answers -osteoporosis
What chronic comorbidity is very common and often associated with bone
demineralization and frailty fractures? - Answers -CKD
, - hyperparathyroidism causes bone demineralization and frailty fracture
- Hypercalcemia = calcification of vascular system (coronaries, valves)
Should geriatric patients with fractured hip wait to see ortho? - Answers -NO, hip
fractures are urgent. Early stabilizations improves outcomes
Fibromyalgia - Answers -diffuse pain
Fibromyalgia comorbidities - Answers -psych / depression
Fibromyalgia treatment - Answers -antidepressants, NSAIDs, physical therapy, trigger
point injections (Opiates contraindicated)
How does spinal stenosis present? - Answers -Neurogenic claudication (legs hurt on
ambulation/ worsening pain when standing = compression)
Symptom management for osteoarthritis medication: - Answers -- Acetaminophen:
safest in elderly adults with HTN, GI bleed, or CKD
- NSAIDs: works better but higher risks
When do you consider joint replacement for osteoarthritis? - Answers -After failed
conservative management
Would you promote someone with severe COPD to have a hip replacement? - Answers
-No, they wouldn't have improved mobilization or quality of life
How do you tell the difference btw osteoarthritis and inflammatory arthritis: - Answers --
Bilateral significant inflammation in inflammatory arthritis
_ Inflammatory is worse in the morning, whereas worse in the night for osteoarthritis
Term for boney abnormalities associated with osteoarthritis: - Answers -Herberden:
most distal
Bouchard: pip joints
What medicine can cause musculoskeletal disease? - Answers -- Steroids:
demineralization of bone
- ABX: tendon rupture (quinolones)
- Statin: myopathy
Allopurinol v Colchicine - Answers -Allopurinol criteria: 2 gout flares per year
Colchicine: acute gout flare
Example of adjuvant therapy: - Answers -Tricyclic antidepressants (TCAs) for pain
management
Differential list for shoulder pain: - Answers -- Cardiac (MI)
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