NSG6420 Final Exam Study Guide.docx

Study Guide for the mid-term exam – NSG6420 70 Questions Total—All multiple choice 1. Definition of endemic and pandemic 1. 2 questions - definition 2. Usefulness of clinical guidelines 1. Why do we use them 3. Practice guidelines-why designed 4. Bell’s palsy recovery 1. Progression of disease 2. How long does it last 5. Confusion 1. Causes 1. UTI, stoke, TBI, Alzheimer’s, Delirium, drugs 6. Alzheimer’s disease—drug at time of diagnosis 1. Medications for ALZ 1. Class of medications 7. Signs and symptoms of rosacea 1. 8. Contact dermatitis--questions to ask patient 1. Signs and Symptoms 9. Scabies transmission 1. S/S 2. How transmitted 3. Basic Facts on transmission 10. Conjunctivitis—diagnosis of different types 1. Bacterial 2. Allergic 3. Viral

11. Chronic open angle glaucoma 1. 12. Diabetes and diabetic retinopathy 1. Patients must be screened every year 2. Common complication of DM 13. Otitis externa vs media 1. OE 1. Swimmers ear, tragal pain 2. Pain produced by manipulation of external ear 2. OM Medications (First line) 1. Amoxicillin 2. Azithromycin 14. Treatment of acute otitis media with PCN allergy 15. Signs and symptoms of mono 1. Kissing Disease 2. Epstin Barr 3. Posterior Cervical Lymphadenopathy 4. Photosensitivity 5. Splenomegaly 1. Rest 2. No contact sports x6 weeks 16. Next steps when rapid strep negative 1. Criteria for dx strep 2. CENTOR Criteria 3. FLEE 1. Fever 2. Lack of something 3. Enlarged Tonsils

4. Erythema 4. Culture is a gold standard for dx strep 1. Swab is 60% correct 2. Strep A&B 17. Positive rapid strep and co-infection 1. Can have Strep and Mono at the same time 1. Strep Positive 1. Tx and not improving 2. Run a mono test 18. Meds not to take when driving 1. Muscle relaxers 2. Narcotics (opioids) 19. Captopril adverse effects 1. Cough 20. Anxiety-related dyspnea 1. Anxiety attack 2. SOB, palpitation, restlessness, CP, nervousness, 21. Smoking cessation education, including when to start Chantix 1. Chronic problem – Never stop asking – Even if pt aggressive 2. 22. TST reading 1. TB 2. Measure the induration 3. Positive test 23. OSA contributing factors 1. Obese 2. Large neck size…. What size? 17in? 3. Deviated Septum

4. HTN 5. Male 6. Age 7. Snore/Stop breathing 8. Tiredness 24. HDL cardioprotective level 1. LDL = Bad 2. HDL = Good >60 1. Cardioprotective 25. Endocarditis prophylaxis—when? 1. ABX 26. Common presenting complaint with CHF 1. Cough? 27. NTG—how to give 1. EKG 2. Nitro 28. Test for suspected pulmonary embolism 1. VQ (Ventilation perfusion scan) 29. Doses of statin to decrease LDL by up to 50% on average 1. Atorvastatin 1. What dose decrease LDL by 50% 30. JNC8 recommendation—when to add 2 nd drug or increase initial drug 1. 1 month follow up 31. Female patient with complaints abdominal pain—exam 1. Pregnancy (HCG Test) 2. Bladder (UA) 3. Bowels 4. Ovaries

5. Uterus 32. GERD 1. Heartburn 2. Cough 3. Globulous sensation 4. Omeprazole (PPI) 33. HPI first - 34. Lower UTI diagnosis 1. Throw off a UA 1. Medications 2. AZO 1. Send for C&S 2. Leuko and Nitrate in urine = UTI 35. Upper UTI diagnosis 1. CVA Tenderness, Fever 1. Pyelonephritis 36. Macrobid dose to treat lower UTI 1. Dosing for UTI 1. 100MG PO BID x 7 days 37. Contraindications for Detrol LA 1. Medications for Urinary incontinence 38. Causes of Hematuria 1. 3 questions 2. Causes 39. Proteinuria 40. Risk factors for bladder cancer 41. When to start prostate screening 1. Screening for BPH guidelines

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