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HCC III FINAL EXAM QUESTIONS WITH ANSWERS

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HCC III FINAL EXAM QUESTIONS WITH ANSWERS MS; Manifestations ️️- Vision loss is an early sign. - Muscle weakness - Balance & coordination issues. - Fatigue - Paresthesia - Unsteady gait - Tremor - Bladder and bowel dysfunction. - Sexual dysfunction - Depression - Anxiety MS Classifi...

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  • November 11, 2024
  • 44
  • 2024/2025
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HCC III FINAL EXAM QUESTIONS WITH ANSWERS

MS; Manifestations ✔️✔️- Vision loss is an early sign.
- Muscle weakness
- Balance & coordination issues.
- Fatigue
- Paresthesia
- Unsteady gait
- Tremor
- Bladder and bowel dysfunction.
- Sexual dysfunction
- Depression
- Anxiety


MS Classifications; Relapsing- Remitting ✔️✔️- Most common


- Body re-myelinates during remission.


MS Classifications; Primary ✔️✔️- Progressive
- Slow
- Continuous process


MS Classifications; Secondary- Progressive ✔️✔️Starts off as a relapsing- remitting and then
continues without remission.


MS Classifications; Progressive- relapsing ✔️✔️Rare


Periods between relapses characterized by continued progression rather than remission.


MS; Diagnostic Tests ✔️✔️- MRI

,- Lumbar puncture


- Evoked potential


- Blood test.


MS; Medications ✔️✔️Intrathecal pump
- Baclofen
- Spasticity


Rhizotomy
- a surgical procedure to sever nerve roots in the spinal cord.
- Treats specific problems.
- Destroys problematic nerve roots.


Beta Interferons
- Glatiramer Acetate
- Fingolimod
- Natalizumab
- Mitoxantrone
- Teriflunomide
- Dimethyl Fumarate
- Baclofen


Ulcerative Colitis; Manifestations ✔️✔️- Continuous lesions
- NO fistulas
- Diarrhea
- Blood and mucus


Mild to moderate;

,- 6 or fewer stools/ day
- Intermittent rectal bleeding and mucus.


Severe
- 6-10 bloody stools/day
- Anemia, hypovolemia, malnutrition
- Rectal inflammation


LLQ cramping relieved by defecation.


Fatigue, anorexia, weakness.


Crohn's; Manifestations ✔️✔️- Patches of lesions
- Has fistulas
- Persistent diarrhea; Liquid or semi-formed
- Not blood typically unless colon is involved.
- Abdominal pain and tenderness
- Relieved by defecation
- Systemic
- Fever
- Fatigue
- Malaise
- Weight loss
- Anemia
- Anorectal lesions


Care of Seizure Patients ✔️✔️*PLACE ON SEIZURE PRECAUTIONS*


1. Provide safety - nothing in mouth, don't restrain, apply seizure pads, document time of start,
apply helmet in children, help slowly to the ground

, 2. Maintain airway; turn on side, keep O2 greater than 95%, give IV meds slowly


3.Educate;
medical alert bracelet, avoid triggers, emotional support, have a plan in place


Stroke Characteristics: BEFAST ✔️✔️B: balance - difficulties with balance


E: eyes - loss of vision, unable to move eyes individually of head


F: face - weakness or numbness of face, drooping


A: arms - weakness or numbness of arms, unable to hold arm up without drifting


S: speech - difficulties with speech, slurring of words


T: time - time when the symptoms first began and call 911


Medications and Treatment of Stroke ✔️✔️TPA, Alteplase
- Ischemic strokes only; Do not give if:
- Under age 80
- Has DM
- Has previous stroke
- BP below 185/110
- More than 4.5 hours after first symptom onset


Heparin, Warfarin, Enoxaparin
- Ischemic strokes only;
- Prevent future clots from forming


Surgery
- Carotid endarterectomy

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