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Nurs 623 Exam 2 Questions and Correct
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Brittle, coarse hair might be a sign of what thyroid disorder
→ hypothyroidism
A thyroid bruit, gynomastia, fine hair, warm, smoot, moist skin are all associated with what
thyroid disorder
→ hyperthyroidism
Hirsutism, Purple striae over the abdomen is seen with what condition and hyperpigmentation
are seen with what disease?
→ Cushings syndrome
ACE inhibitors are given to patients who have diabetes with persistent?
→ proteinuria
Addison crisis can be precipitated by?
→ abruptly stopping glucocorticoid medications
Signs and symptoms of DKA
→ Kussmaul respirations (very deep), hypergylcemia, glucosuria, polyuria, polydipsia,
anorexia and headache, keytonuria, decreased blood pH
Metformin works by
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→ improving the effectiveness of insulin in suppressing excess hepatic glucose production
and increasing insulin sensitivity in the peripheral tissues
The medication of choice for an initial acute attach of gout is?
→ indomethacin (indocin); naproxen can be an alternative
Colchicine is an effective medication to terminate and acute gout attack but must be
administered within what time frame ?
→ 48 hours
In a gout attack corticosteroids can provide dramatic systemic relief but are contraindicated in
septic conditions therefore they should not be administered before the analysis of what ?
→ synovial aspirate
What lab value findings would you see in a patient with Cushings syndrome?
→ increased cortisol, increased sodium, decreased K+, decreased glucose, normal BUN
What is a carpopedal spasm and what is it a sign of?
→ violent, painful contraction of the hands or feet; neuromuscular sign indicating
hypocalcemia
With gout what will your labs indicate?
→ ESR and WBC elevated, uric acid level >7.5, BUN normal, WBC >10,000
What is the follow up for an acute gout attach?
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→ reevaluate in 1-2 weeks and antihyperuricemia therapy needs to be followed every
4-6 weeks to adjust medications
What are some classic findings in an x-ray of an affected joint with gout
→ tophi, normal mineralization of bone, joint space preservation, asymmetric
polyarticular distribution, overhanging edge cortex and punched out erosion of bone
An autoimmune response that may reflect a defect in suppressor T-cell function ?
→ Graves disease
Propylthiouracil and methimazole (tapazole) treat hyperthyroidism by.......
→ inhibiting thyroid hormone synthesis
Podagra is gout of the
→ first metatarsophalangeal joint
A metabolic disease that produces an inflammatory arthritis?
→ gout
What are the two primary factors of gout?
→ *enzyme defects and decreased renal clearance
What are secondary risk factors for gout?
→ excessive daily intake of purine, starvation, obesity, alcohol, medications(thiazide
diuretics, ethambutol, nicotinic acid, pyrazinamide, low dose salicylates, cyclosporine),
pagets disease, chronic hemolytic anemis, psoriasis, cytoxic drugs, carcinoma and
sarcome, CRD, hypothyroidism, lead poisoning, DI DKA, hyperparathyroidism
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