100% satisfaction guarantee Immediately available after payment Both online and in PDF No strings attached
logo-home
CMN 568 UNIT 3 REVIEW EXAM QUESTIONS WITH REVISED AND UPDATED ANSWERS $13.49   Add to cart

Exam (elaborations)

CMN 568 UNIT 3 REVIEW EXAM QUESTIONS WITH REVISED AND UPDATED ANSWERS

 13 views  0 purchase
  • Course
  • CMN 568 UNIT 3
  • Institution
  • CMN 568 UNIT 3

CMN 568 UNIT 3 REVIEW EXAM QUESTIONS WITH REVISED AND UPDATED ANSWERS What are the characteristics of sarcoidosis - Answer-granulomatous inflammation of the lung (90% of pts) Who has the highest prevalence of sarcoidosis. - Answer-American blacks (women more than men), northern European whites...

[Show more]

Preview 3 out of 16  pages

  • September 18, 2024
  • 16
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • cmn 568 unit 3
  • CMN 568 UNIT 3
  • CMN 568 UNIT 3
avatar-seller
Perfectscorer
CMN 568 UNIT 3 REVIEW EXAM
QUESTIONS WITH REVISED AND
UPDATED ANSWERS

What are the characteristics of sarcoidosis - Answer-granulomatous inflammation of the
lung (90% of pts)

Who has the highest prevalence of sarcoidosis. - Answer-American blacks (women
more than men), northern European whites

Pt. is presenting to clinic after CXR shows bilateral hilar and right paratracheal
adenopathy. What should the FNP suspect? - Answer-Sarcoidosis

Patient symptoms in sarcoidosis and why they may seek treatment - Answer--Insidious
onset- malaise, fever, dyspnea
-erythema nodosum, lupus pernio (skin), iritis, peripheral neuropathy, arthritis,
cardiomyopathy, parotid gland enlargement, hepatosplenomegaly and
lymphadenopathy

Lab findings for sarcoidosis - Answer-leukopenia, elevated ESR, hypercalcemia (5%) or
hypercalcemuria (20%)
angiotensin-converting enzymes (ACE) levels- elevated in 40-80% of pt w/active
disease.
PFTs-obstructive airflow
Skin test anergy- present in 70% of pts.
ECG- conduction disturbances and dysthymias

What can an FNP expect to see stage 1 of sarcoidosis on CXR - Answer-Stage 1-
bilateral hilar adenopathy alone

What can an FNP expect to see stage II of sarcoidosis on CXR - Answer-Stage 2- hilar
adenopathy and parenchymal involvement

What can a FNP expect to see stage III of sarcoidosis on CXR - Answer-parenchymal
involvement alone manifested by reticular infiltrates (may also see focal infiltrates,
acinar shadows, nodules, and cavitation)

What can a FNP expect to see stage IV of sarcoidosis on CXR - Answer-advanced
fibrotic changes in upper lobes principally

,How is sarcoidosis diagnosed? - Answer-biopsy- requires histologic demonstration of
noncaseating granulomas in biopsies from pt w/other typical associated manifestations
(necessary when alternative diagnosis like lymphoma, ALL pt. must complete
ophthalmologic eval)
BAL fluid

What is BAL fluid - Answer-characterized by increase in lymphocytes and a high
CD4/CD8 cell ratio (does not diagnose but useful in following the activity of sarcoidosis
in select pt.)

Prognosis of sarcoidosis? - Answer--long term follow up
-annual physical exam, PFTs, chemistry panel, ophthalmologic eval, CXR, ECG
-20% have irreversible lung damage

A patient with sarcoidosis has the following symptoms how should they be treated?
iritis, hypercalcemia, uveitis, arthritis, CNS involvement, cardiac involvement, hepatitis,
cutaneous lesions other than erythema nodosum and progressive pulmonary lesions -
Answer-Oral corticosteroids 0.5-1 mg/kg/day

What can pt who cannot tolerate corticosteroids take for sarcoidosis? - Answer-
methotrexate - immunosuppressive medications

Patient has a spread of extrapulmonary malignant tumor through vascular or lymphatic
channels or by direct extension, what should the FNP suspect? - Answer-Pulmonary
metastases.

How are pulmonary metastases seen on CXR - Answer-multiple nodules or masses

risk factors for pulmonary metastases - Answer--Carcinoma of kidney, breast, rectum,
colon, cervix, and malignant melanoma
-Head, neck cancer w/extensive or lower cervical nodule involvement (30% risk for
distant metastasis, w/1% in lung)
-Lymphangitic carcinomatosis
-Most mets to lungs are intraparenchmal.

Signs and symptoms of advanced cases of pulmonary metastases - Answer-dyspnea
and hypoxemia

Which lung cancer is the leading cause of cancer deaths in both women and men? -
Answer-bronchiogenic carcinoma

Risk factors for bronchiogenic carcinoma - Answer-smoking (85-90%)
environmental factors,
family history of lung cancer
diseases such as pulmonary fibrosis, copd, sarcoidosis.

, Signs and symptoms of bronchiogenic carcinoma - Answer-anorexia, wt. loss, asthenia
new cough, change in chronic cough
SOB, hemoptysis
Non-specific CP

How is brochiogenic carcinoma diagnosed? - Answer-cytologic or histologic findings of
lung ca in sputum, pleural fluid, or biopsy specimen

Patient has a distant history of exposure to asbestos (more than 20 yrs earlier), what
should the FNP suspect? - Answer-Mesothelioma

What are mesotheliomas? - Answer-primary tumors arising from surface lining of pleura
or peritoneum.

risk factors for mesotheliomas - Answer-10%-lifetime risk if worked in asbestos (latent
period 20-40 years)


What are the 3 characteristics of Asthma - Answer-Bronchoconstriction
Airway Inflammation
Reversible airflow limitation

Which inhaled anticholinergic is best used for asthma pt. w/an intolerance to beta
agonist or w/ bronchospasms due to beta blocker meds? - Answer-Ipratropium Bromide

What is the primary tx for pt. w/moderate to severe asthma exacerbations who do not
respond promptly and completely to SABA? - Answer-Systemic Corticosteroids

Which bacterial infections predispose exacerbations of asthma - Answer-M.
Pneumoniae and C. Pneumoniae

Is routine use of antimicrobials recommended for acute exacerbations of asthma -
Answer-No, only use when likelihood of acute bacterial respiratory tract infection

Name short acting beta agonist - Answer-albuterol, levalbuterol, bitolerol, pirbuterol,
terbutaline

What does a SABA do? - Answer-acts directly by relaxing bronchial smooth muscles.

What do long-term pharmacologic agents accomplish for asthma pt. - Answer-act
primarily to attenuate airway inflammation.

Why take long-term pharmacologic agents for asthma daily? - Answer-to achieve and
maintain control of persistent asthma independent of symptoms.

What does the NAEPP recommend as the cornerstone of daily treatment of persistent
asthma? - Answer-daily anti-inflammatory therapy with inhaled corticosteroids

The benefits of buying summaries with Stuvia:

Guaranteed quality through customer reviews

Guaranteed quality through customer reviews

Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.

Quick and easy check-out

Quick and easy check-out

You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.

Focus on what matters

Focus on what matters

Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!

Frequently asked questions

What do I get when I buy this document?

You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.

Satisfaction guarantee: how does it work?

Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.

Who am I buying these notes from?

Stuvia is a marketplace, so you are not buying this document from us, but from seller Perfectscorer. Stuvia facilitates payment to the seller.

Will I be stuck with a subscription?

No, you only buy these notes for $13.49. You're not tied to anything after your purchase.

Can Stuvia be trusted?

4.6 stars on Google & Trustpilot (+1000 reviews)

67096 documents were sold in the last 30 days

Founded in 2010, the go-to place to buy study notes for 14 years now

Start selling
$13.49
  • (0)
  Add to cart