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MS1 Exam 2 Questions With Correct Answers

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  • MEDS 530
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  • MEDS 530

©SIRJOEL EXAM SOLUTIONS 10/11/2024 1:41 PM MS1 Exam 2 Questions With Correct Answers Cellulitis s/s - answerInflammation of subcutaneous & dermal tissue due to protein destroying enzymes. -warm, tender, erythema, edema, diffuse border, chills, malaise, fever Cellulitis tx - answer-moist hea...

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  • October 18, 2024
  • 33
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • MEDS 530
  • MEDS 530
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sirjoel
©SIRJOEL EXAM SOLUTIONS
10/11/2024 1:41 PM



MS1 Exam 2 Questions With Correct
Answers




Cellulitis s/s - answer✔Inflammation of subcutaneous & dermal tissue due to protein destroying

enzymes.




-warm, tender, erythema, edema, diffuse border, chills, malaise, fever


Cellulitis tx - answer✔-moist heat


-immobilization

-elevation (reduce edema)

-Systemic Abx: cefs like keflex

*IV if on face, oral for elsewhere, never topical

-mark borders


Psoriasis complications - answer✔Lichenification--scratching further irritates patches--> release

more histamine-->skin thickens

, ©SIRJOEL EXAM SOLUTIONS
10/11/2024 1:41 PM


Psoriasis s/s - answer✔silvery, scaly, sharply demarcated patches.




*excessively rapid reproduction/turnover of epidermal cells


Herpes Zoster s/s - answer✔*reactivation of varicella zoster virus in nerve--reactivation along

dermatomes= linear distribution

*typically unilateral

"grouped vesicles with red base"

-Burning Pain

-Itching

-Neuralgia: tingling, pins & needles


Herpes Zoster tx - answer✔1. If severe or on face: Antiviral like Acylovir, famciclovir,

valacyclovir [all very strong & caustic to kidney & liver]

**must be given within 72 hours to prevent herpatic neuralgia**

2. wet compress & silver sulfadiazine on ruptured vesicles

3. Analgesia: Gabapentin or pregabalin to control never spasms

Narcotics not super helpful but given while nerve pain meds kick in


Zostavax - answer✔shingles vaccine for 50+ years old--not 100% effective at prevention

, ©SIRJOEL EXAM SOLUTIONS
10/11/2024 1:41 PM


Kwashiokor - answer✔Protein deficiency


s/s:

edema & muscle wasting

large abdomen d/t ascites

TEST FOR SERUM PROTEIN: 6.3-7.9

*ALBUMIN: 3.9-5.0

*GLOBULIN: 2.0-3.5

*PREALBUMIN


Low Albumin tx - answer✔High protein, high calorie diet


supplements

appetite stimulants


Diet Hx for Malnutrition - answer✔-Within 24 hours of admission


-Tools: mini nutritional assessment

-Diet Hx includes: chewing/swallowing abilities, changes in appetite or taste, who buys &

prepares food

**Diet Hx for @ least 1 week!!

, ©SIRJOEL EXAM SOLUTIONS
10/11/2024 1:41 PM


Enteral Feeding - answer✔aka Tube Feeding.




-nutritionally balanced food through tube inserted into:

stomach, duodenum, jejunum

*safer, more efficient & less expensive than parenteral




Good for patients with: oral aversion, can't swallow, mouth sores from chemo, anorexia,

orofacial fractures

**bolus for gastrostomy only--intestines can't handle bolus


Enteral Feeding: how to - answer✔-started when bowel sounds PRESENT


-HOB: 30-45 degrees; for 30-60 minutes after administration

-irrigate with water before & after

-Check residual upon placement, w/o feeding for >8hrs, before feeding, 200mL max or else don't

feed


Anorexia Nervosa - answer✔-psychological need to lose weight


-don't eat or abuse meds to make you BM

**Control Behavior**

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