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NRNP 6550 Midterm set of 162 questions and answers- all correct
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NRNP 6550 Midterm set of 162 questions and answers- all correct
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NRNP 6550 Midterm set of 162 questions andaa aa aa aa aa aa aa aa
answers- all correct aa aa aa
1. Vaccinations and immunosuppression. 2 keypoints: - give inactive agents aa aa aa aa aa aa aa aa
instead of live agents
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- might not work as effectively
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2. live virus vaccine types: Virus:
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- measles
- mumps
- polio (oral) aa
- rubella
- varicella
- yellow fever aa
- herpes zoster aa
Bacteria:
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- typhoid
3. inactive vaccine virus: Virus: aa aa aa
- Hep A and B aa aa aa
- HPV
- influenza
- polio (subq) aa
- rabies
Bacteria
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:
- anthrax
- cholera
- diphteria
- Lyme
- meningococcus
- pertussis
- plague
- pneumococcus
- tetanus
4. Immunization recommendation influenza: all ages, all types (pregnant, dia- aa aa aa aa aa aa aa aa
betes, immunocompromised, etc)
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5. Immunization recommendation pregnancy and weakened immune sys- aa aa aa aa aa aa
tem: - 1 dose Tdap
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- no varicella, zoster, MMR
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6. HIV and vaccinations: Give inactive agents when CD4 count is greater than
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200 cells/ mm3
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aa aa
, NRNP 6550 Midterm set of 162 questions and aa aa aa aa aa aa aa aa
answers- all correct aa aa aa
7. health screening 18 - 45 years: - BMI aa aa aa aa aa aa aa
- BP (q2years) aa
- at age 20: fasting lipid profile: total cholesterol, LDL, HDL, triglycerides (cardiac
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testing if LDL greater than 200 or HDL lower than 40)
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- annual breast exam, females aa aa aa
- Pap-smear annually aa
8. health screening 45 and up: - blood glucose q3years aa aa aa aa aa aa aa aa
- 50 and up: colorectal screening (digital exam annually, sigmoidscopy q5years,
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colonoscopy q10yrs)
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- PSA with digital exam annually for males
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- mammography q1 -2 yrs aa aa aa
- women 65 and up: screen for osteoporosis aa aa aa aa aa aa
9. top 5 leading causes of death: 1. heart disease
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2. cancer
3. respiratory disease aa
4. stroke
5. accidents
10. Conjunctivitis; definition: -Pink eyey aa aa aa
- Inflammation of conjuctiva (outer layer of eye) aa aa aa aa aa aa
11. Conjunctivitis: causes: Chemical, bacterial, viral, allergic, herpetic. Aden- aa aa aa aa aa aa aa
ovirus is the most common cause, but bacteria (Haemophilus influenzae and
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Streptococcus pneumoniae) are also common causes in children.
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12. Conjunctivitis: findings: - redness aa aa aa
- itching
- discharge
- edema eyelid aa
- may find gonorrhea or chlamydia in eye discharge
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13. Conjunctivitis: management: - cooling aa aa aa
- rule out corneal abrasion
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- bacteria: antibiotic solution (gentamicin, neomycin) aa aa aa aa
- chlamydia: oral tetracycline or erythromycin aa aa aa aa
- gonorrhea: single dose ceftriaxone aa aa aa
- herpes: refer to opthalmologist aa aa aa
14. Corneal abrasion: definition, cause, findings, treatment: - disruption of aa aa aa aa aa aa aa aa
cornea (clear covering of eye)
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- foreign body/ trauma aa aa
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, NRNP 6550 Midterm set of 162 questions and aa aa aa aa aa aa aa aa
answers- all correct aa aa aa
- pain, redness, photophobia, decreased visual acuity
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- ab ointment: gentamicin, sulfacetamide, eye-patch, ophthalmologist
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15. diabetic retinopathy: definition, cause, findings, treatment: - ocular retinal
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disease due to DM
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- DM, exac by smoking and HTN (macular edema)
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- flashing lights in vision, blurred vision, black spots, loss of vision, sustained
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glucose greater than 130
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- Laser therapy for macular edema, smoking cessation, glucose control, BP control
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16. retinal detachment: definition, cause, findings, treatment: - separation of
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retina and choroid
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- trauma, intraocular mass, iris inflammation, cataract surgery, DM, sickle cell
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- painless vision changes, blurred vision, light flashes, "curtain" over visual field,
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bullous elevation without tears
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- ophthalmologist for cryotherapy, laser therapy, vitrectomy. If from trauma: eye aa aa aa aa aa aa aa aa aa
patch
aa
17. Central & Branch Retinal Artery Occlusion: definition, cause, findings,
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treatment: - abrupt blockage of retinal artery causing sudden vision loss> will
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become permanent without intervention
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- thrombosis/ embolism, arteritis (migraine, older age, afib, DM, HTN, coagu-
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lopathies)
aa
- sudden, painless vision loss, sluggish pupil, cherry-red spot at fovea
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- EMERGENCY. Put pressure on eyelid, heparin, immediate consult opthalmolo- aa aa aa aa aa aa aa aa
hgist.check coagulopathies, check labs for artherosclerotic disease, blood cultures
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(endocarditis?),
aa
18. Glaucoma: definition, cause, findings, treatment: - progressive visual loss, aa aa aa aa aa aa aa aa
first peripherally then centrally: chronic open angle or actute closed angle. Optic
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neuropathy.
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- open: too much intraocular fluid production without removal. Secondary from
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trauma, tumor, or cataracts. Causes: age, steroids, trauma, family history
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- Photophobia, visual blurring, unilateral headache. Increased intraocular pres- aa aa aa aa aa aa aa
sure.Acute closed: eye pain and visual disturbance with N/V.
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- Acute: Emergency. immediate medication and surgery. Chronic: consult opthal-
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mologist and monitor. Bimatropost, and beta-blockers. Laser-therapy
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19. Bell's Palsy: definition, cause, findings, treatment: - sudden self-limited
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unilateral facial paralysis
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- Idiopathic. Cranial nerve VII (7), sometimes viral cause (herpes), HTN, DM,
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Lyme's
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- Unilateral paralysis of face (can't close eye, upper and lower face involved),
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aa aa
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