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Exam 1
Misc.
Exam 2
Exam 3
Exam 4
100
Name at least 3 complications of hypertension.
What is myocardial infarction, strokes, peripheral vascular disease, renal failure and erectile dysfunction.
100
This is the permanent physiologic cessation of menses
What is menopause
100
Your patient has normal EEG, asterixis, disorientation, and confusion. Which stage of hepatic encephalopathy are they considered to be in?
What is stage 2: impending
100
This type of stroke happens when a buildup of plaque deposits and interrupts normal blood flow
What is thrombolic
100
Name 2 things to prevent dislocation after a THA
What is position leg in abduction, use abduction pillow -position onto side only by physician order -prevent hip flexion beyond 90 degrees -Keep HOB <60 -Avoid internal and external rotation -Pt should never cross legs
200
Name one medication in each of the following drug categories: Angiotensin II receptor blocker, Diuretic, Beta blocker, ACE inhibitor, Vasodilator, Calcium channel blocker
What is Lisinopril= ACE inhibitor (-pril, ex: lisinopril, captopril), Metoprolol= Beta blocker (-lol, ex: atenolol, propranolol), Amlodipine= Calcium channel blocker (-dipine, ex: amlodipine, nefidipine, felodipine, nisoldipine) (exception: diltiazem, veramil). WHAT ARE THE DIETARY CONCERNS: grapefruit juice!, Hydralazine= Vasodilator (ex: nitroprusside), Losartan= ARB (-sartan, ex: valsartan, candesartan, telmisartan), Hydrochlorothiazide= Diuretic (ex: Lasix)
200
Name at least one medication used to treat BPH (Bonus 100 if you can name the CAM/herbal supplement)
What is Proscar, Avodart (5-ARI), Flomax, Cardura, Hytrin (Alpha Blockers) CAM- Saw Palmetto
200
Progressive inflammatory destruction of the pancreas by obstruction of the pancreatic ducts and destruction of pancreatic secreting cell which are replaced by fibrous tissue.
What is chronic pancreatitis?
200
Name 5 potential postoperative complications following a craniotomy.
What is increased ICP, hematoma, subarachnoid hemorrhage, hypovolemia shock, hydrocephalus, atelectasis, hypoxia, pneumonia, neurogenic pulmonary edema, wound infection, meningitis, F&L imbalances, seizures, CSF leak, cerebral edema.
200
This is used for the purpose of minimizing muscle spasms, reducing, aligning, and immobilizing fractures, and reducing deformities.
What is traction
300
Name at least two symptoms of right sided heart failure (Bonus 50 points if you can name all three)
What is weight gain, peripheral edema, JVD
300
______ is considered the treatment of choice for women with estrogen receptor-positive tumors.
What is Tamoxifen
300
Name the 2/3 symptoms associated with Meniere's Disease?
What is tinnitus, one-sided sensorineural hearing loss, vertigo- intense with N/V
300
Name two differentiating characteristics between tension headaches and cluster headaches.
What is Tension HA: Tension-type headaches tend to be chronic and less severe and are probably the most common type of headache. WOMEN>MEN Band of pain Mild photo/sound sensitivity No N/V Fatigue Tx: OTC analgesics, rest, massage Cluster headaches are a severe form of vascular headache. MEN>WOMEN Sharp unbearable pain Short duration (15-90 min) over 1-3 month Nighttime Head banging Watery eyes/nose Tx: O2, antimigraine meds, steroids, AVOID “toxins”
300
____ and ____ are the drug classes used to treat RA. Give at least 1 medication used in each class
What is DMARDs (disease modifying antirheumatic drugs) like hydroxychloroquine, methotrexate, azathioprine, cyclosporine, sulfasalazine, infliximab, or etanercept Corticosteroids like prednisone, prednisolone, hydrocortisone
400
Symptoms of this include intermittent claudication, cool extremities, and wounds that do not heal.
What is peripheral arterial disease
400
______ is the period extending from the first signs of menopause—usually hot flashes, vaginal dryness, or irregular menses—to beyond the complete cessation of menses.
What is Perimenopause
400
This helps improve your condition with rehab/restorative care and there is an expectation that there will be improvement.
What is skilled nursing (RNs, LPNs, PT, OT, Speech)
400
Name at least 2 early signs and 1 late sign of IICP
What is Early: -irritability -Confusion -Restlessness -Drowsiness -HA (increasing in intensity and unrelieved) Late: -Vomiting -Comatose -Posturing -Changes in VS (Cushing's triad) -Abnormal pattern of respiration -Presence of pathologic reflexes -Facial palsy -Change in pupil size
400
Determine the lab direction (hypo or hyper) for sodium, potassium, glucose, BUN and cortisol as it relates to both Addison’s and Cushing’s disease.
What is Addison’s: HYPONATREMIA, HYPERKALEMIA, HYPOGLYCEMIA, INCREASED BUN, DECREASED CORTISOL Cushing’s: HYPERNATREMIA, HYPOKALEMIA, HYPERGLYCEMIA, NORMAL BUN, HIGH CORTISOL
500
Name the intervention for pulseless ventricular tachycardia.
What is treat the same as v-fib, call code, unsynchronized shock, epi, big dose of amiodarone and continue doing CPR
500
Name at least 3 behavior changes a male can implement decrease his risk of developing prostate cancer
What is Decreased red meats Increase omega 3s Take lycopene (tomatoes) Cruciferous veggies (broccoli, cauliflower, turnips, kale, radishes, brussel sprouts) Avoid exogenous hormones
500
Acute dyskinesias, dystonic reactions, tardive dyskinesia Parkinsonism, akinesia, akathisia and neuroleptic malignant syndrome
What is extrapyramidal symptoms.
500
Name at least two things involved in medical, surgical, or nursing management of Trigeminal Neuralgia (Tic Douloureux)
What is -antiseizure meds: carbamepazine (Tegretol), gabapentin (Neurontin), phenytoin, or antispasmodic meds (Baclofen) -Surgical tx: microvascular decompression of the trigeminal nerve, radio-frequency thermal coagulation, percutaneous balloon microcompression -Pt edu r/t pain mgmt -Measures to reduce and prevent pain: avoidance of triggers -Measures to maintain hygiene (washing face, oral care) -Strategies to ensure nutrition (soft foods, chew on unaffected side, avoiding hot and cold) -Recognize & provide interventions to address anxiety, depression, and insomnia
500
Name at least 3 management techniques for a patient in myxedema coma
What is Myxedema Coma (Hypothyroid Crisis) Respiratory: distress, low sats, low LOC Management: patent airway, O2 sats > 90% Shock: decreased BP and LOC Management: IV NS Hypothermia: low body temp (< 95 degrees) Management: blankets Hypoglycemia: BG < 60 Management: IV glucose