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NR 601 MIDTERM QUESTIONS AND ANSWERS WITH SOLUTIONS 2024
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NR 601 MIDTERM QUESTIONS AND ANSWERS WITH SOLUTIONS 2024
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NR 601 MIDTERM QUESTIONS ANDANSWERS WITH SOLUTIONS 2024
The percentage of the FVC expired in one second is - ANSWER FEV1/FVC ratio
The aging process causes what normal physiological changes in the heart - ANSWER The heart valve
thickens and becomes rigid, secondary to fibrosis and sclerosis
A 55 yo Caucasian male follows up after referral to cardiologist. He thinks his med is causing a cough and
sometimes he has difficulty breathing. Which med was most likely prescribed? - ANSWER Lisinopril
MJ presents with h/o structural damage with current s/s of HF. Treatment will be based on his stage of
HF which is - ANSWER Stage C
65 yo Caucasian presents with mitral valve stenosis, physical exam is unremarkable. you know her stage
of HF is - ANSWER Stage B
The best way to diagnose structural heart disease/dysfunction noninvasively is - ANSWER
Echocardiogram
Chronic pain can have major impact on patients ability to function and have profound impact on overall
QOL. Ongoing pain may be linked to - ANSWER Depression, sleep disturbance, decreased socialization
The Beers criteria are appropriate for use in evaluating use of certain meds in patients - ANSWER >65 y/o
All of the following statements are true about lab values in older adults except - ANSWER Abnormal
findings are often due to physiological aging
According to the 2017 ACC HTN guidelines, the recommended BP goal for a 65y/o African American
woman with a h/o HTN and DM and no h/o CKD is - ANSWER <140/80
THe pathophysiology of HF is due to - ANSWER Inadequate cardiac output to meet the metabolic and O2
demands of the body
,The volume of air a patient to exhale for total duration of the test during maximal effort is - ANSWER FVC
According it the 2017 ACC HTN guidelines, normal BP is - ANSWER <120/80
Functional abilities are best assessed by - ANSWER Observed assessment of function
LB is a 77 yo with chronic poorly controlled HTN. You know that goals include prevention of target organ
damage. During your eval you will assess for evidence of - ANSWER Left ventricular hypertrophy
Aortic regurgitation requires medical treatment for early signs of HF with - ANSWER ACEi
The volume of air in the lungs at max inflation is - ANSWER TLC (total lung capacity)
Preferred amount of exercise for older adults is - ANSWER 30min/day of aerobic exercise 5 days a week
You know the following statements regarding th pain of acute coronary syndrome are true except -
ANSWER Present atypically more often in men than women
Elderly patient presents with new onset of feeling heart race, fatigue. EKG reveals Afib with rate >100.
Patient also has a new tremor in both hands. Which of the following would you suspect - ANSWER
Hyperthyroidism
Which patient is more likely to have osteoporosis - ANSWER 80 y/o. Underweight male who smokes and
has been on steroids for psoriasis
Post menopausal woman with osteoporosis is taking bisphosphonate daily po. What action info
statement would indicate she understood your instructions regarding this med? - ANSWER Take med
with full glass of water when up in the AM 30 min before other food and meds
60 y/o obese male has T2DM and lipid panel of TC= 250 HDL=32, LDL=165. You teach him about his
modifiable cardiac risk factors which include - ANSWER DM, obesity, hyperlipidemia
, OA of cervical and lumbar spine causes pain related to all of the following except - ANSWER Crystal
deposition
In differentiating OA from chronic gout, pseudo gout, or septic arthritis, the most valuable diagnostic
study would be - ANSWER Synovial fluid analysis
Patients with OA of the hip and knee often have a distinguishable gait described as - ANSWER Antalgic
Which of the following best describes pain associated with OA - ANSWER Begins upon arising and after
prolonged weight bearing and or use of the joint
Joint effusions typically occurs later in the course of OA, especially in the - ANSWER Knee
You ordered CBC for your patient you suspect has polymyalgia rheumatica. Which 2 clinical findings are
common in patients with PMR - ANSWER Normochromic, normocytic anemia and thrombocytosis
You suspect your patient has PMR and now are concerned that they may have Giant Cell Arteritis too.
Which of the following 2 symptoms are most indicative of GCA and PMR - ANSWER Scalp tenderness and
aching in shoulder and pelvic girdle
63 yo Caucasian patient with PMR will begin tx corticosteroids until the condition has resolved. You look
over her records and it has been 2 years since her last physical exam and any labs or diagnostic tests as
she relocated and had not yet ID'd a provider. In prioritizing your management plan your first orders
should include - ANSWER Duel energy X-ray scan and updating immunizations
Which of the following DD for patients presenting with PMR can be ruled out with a muscle biopsy -
ANSWER Polymyositis
In reviewing lab results for patients with suspected PMR, you realize there is no definitive test to
diagnose PMR, rather clinical response to treatment. Results you would expect to see include: - ANSWER
ESR >50
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