Exam (elaborations)
NR 601 MIDTERM QUESTIONS AND ANSWERS 2024
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NR 601 MIDTERM QUESTIONS AND ANSWERS 2024
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NR 601 MIDTERMWhat is aortic regurgitation? - ANSWERS-Retrograde blood flow through an
incompetent aortic valve into left ventricle during ventricular diastole
What is aortic stenosis - ANSWERS-abnormal narrowing of the aortic valve
What is mitral stenosis - ANSWERS-Abnormal narrowing of the mitral valve orifice
What is mitral regurgitation - ANSWERS-Retrograde blood flow during systole
from the left ventricle into the left atrium through incompetent mitral valve
What is mitral valve prolapse? - ANSWERS-Mitral regurgitation associated with
bulging of one or both mitral valve leaflets into the left atrium during ventricular
systole
What happens in valvular regurgitation - ANSWERS-Portion of the ejected blood
leaks back into the upstream cardiac chamber
What happens in valvular stenosis - ANSWERS-Usually results in elevated
pressures in the chamber upstream from the stenosis
What is the purpose of functional assessment of the elderly - ANSWERS-Discovers
the ability to care for themselves on a daily basis
,How should HTN be managed - ANSWERS-Stage 2 and up should be given
consideration for pharm treatment. Others can wait for lifestyle modification.
What is first line meds for non-black HTNpopulation including those with DM -
ANSWERS-Thiazide, CCB, ACEi or ARM either alone or in combo
What is the med guideline for ASCVD for those </= 75 y/o - ANSWERS-High
intensity statin, atorvastatin-Lipitor 40-80, rosuvastatin/Crestor 20mg
What is the med guideline for ASCVD for those >75 y/o - ANSWERS-Moderate
statin (atorvastatin 10mg, rosuvastatin 5mg, simvastatin 20-40mg, pravastatin
40mg, lovastatin 40mg, fluvastatin 40mg)
What is the guideline for meds for LDL>=190 - ANSWERS-High intensity statin
(atorvastatin 40-80mg, rosuvastatin 20mg)
What is the bed guideline for ASCVD for 40-75 y/o with DM - ANSWERS-Their 10
year risk is >7.5% so high intensity statin
What is the med guideline for LDL 79-189 - ANSWERS-Their 10 year risk is ,7.5% so
moderate intensity statin
What is the ASCVD med guideline for 40-75 y/o without ASCVD or DM -
ANSWERS-Their 10 year risk is >7.5% so moderate to high intensity statin
, When is Zostavax recommended - ANSWERS-Anyone over 60, given as a single
dose
What is primary prevention - ANSWERS-Activities to prevent occurrence of
disease or adverse health condition, including mental health.
What is secondary prevention - ANSWERS-Activities aimed at detection of disease
or adverse health condition in asymptomatic patient who has risk factors but no
detectable disease
What is teritiary prevention - ANSWERS-Management of existing conditions to
prevent disability and minimize complications, striving for optimal function and
QOL
The symptoms of depression may encompass what 4 domains - ANSWERS-
Affect/mood, cognition, physiological, behavioral
What is transient insomnia - ANSWERS-Lasts a few night, related to emotional
issues, usually resolved without meds when elderly adapts to or removes change
What is short-term insomnia - ANSWERS-Lasts <1 month, related to acute
medical/psychological condition or to persistent situational stress
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