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SLCC Med Surg 2 Exam Questions and Answers
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  • SLCC
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rheumatoid arthritis - Answer-chronic systemic disease characterized by inflammation of joints, stiffness, pain and swelling cause of rheumatoid arthritis - Answer-Exact cause not known Genetic factor is present. Familial predisposition Some links to viral infections s/s of rheumatoid arth...

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  • October 15, 2024
  • 5
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers

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  • slcc med surg 2 exam questions and answers
  • rheumatoid arthritis answer chronic systemic dis

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SLCC Med Surg 2 Exam Questions and
Answers
rheumatoid arthritis - Answer-chronic systemic disease characterized by inflammation of
joints, stiffness, pain and swelling

cause of rheumatoid arthritis - Answer-Exact cause not known
Genetic factor is present.
Familial predisposition
Some links to viral infections

s/s of rheumatoid arthritis - Answer-fatigue, Malaise, Anorexia, Joint Pain, Warmth,
Swelling.
Bilateral and Symmetrical

Labs for RA - Answer-Positive RF, Positive Anti-CCP, Elevated ESR, Elevated CRP,
Anemia, Thrombocytosis and Low Albumin. Level of Albumin Correlates with Severity of
Disease.

Methotrexate - Answer-Antimetabolite
Immunosupression

Side effects of methotrexate - Answer-- Bone marrow suppression
- Hepatotoxicity
- Oral ulcers/stomatitis

Hydroxychloroquine - Answer-immunosuppression

good pasture syndrome - Answer-involves lungs and kidneys resulting in pulmonary
hemorrhage and glomerulonephritis

Cause of good pasture syndrome? - Answer-Epigenetics
environmental exposure that triggers

S/S of Goodpasture's syndrome - Answer-Hemoptysis, dyspnea, decrease renal
function, crackles/Rhonchi, HTN

labs for Goodpasture's - Answer-CBC, CMP, Anti-GBM antibody, Kidney Biopsy, UA

Treatment for Good pastures - Answer-Steroids, Plasmapheresis, Dialysis

Gout - Answer-hereditary metabolic disease that is a form of acute arthritis,
characterized by excessive uric acid in the blood and around the joints

, Risk Factors for gout - Answer-Increased BMI, Age, ETOH, HTN, Diuretic use

s/s of gout - Answer-Sudden onset of intense pain, usually in one joint.

Inflammation increases within hours then lasts for a few days to weeks.

Allopurinol - Answer-slows production of uric acid, used to treat gout (and cancer)

Good food for gout - Answer-Vitamin C (kiwi)
Coffe
Cherries

Bad for for gout - Answer-Red/organ Meat
Shellfish
Tuna
Asparagus
Beer
Spinach

HIV/AIDS - Answer-Virus targets CD4+cells

Acute HIV - Answer-HIV infects dendritic cells in mucosa, lymphatics = increase in Viral
load
Body will react so decrease in viral load

Chronic HIV - Answer-Slowly destroys CD4 cells
Slow increase in viral load

Clinical Manifestations of HIV - Answer-CD4 < 200 mm3

Lyme disease - Answer-Borrelia burgdorferi
Deer tick

s/s of lyme disease - Answer-rash, flu-like symptoms, stiff neck, fever, swollen lymph
nodes, headache, joint pain, bulls eye rash

Labs for lyme disease - Answer-IgM, IgG
labs detect antibodies

treatment of lyme disease - Answer-Doxycycline, amoxicillin, or cefuroxime
Teach about antibiotic use

lupus - Answer-a chronic autoimmune disease characterized by inflammation of various
parts of the body

S/S Lupus (SLE) - Answer-1. achy joints and muscles

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