NURS 590 EXAM 2 STUDY GUIDE + PRACTICE QUESTIONS

Try to differentiate COPD from Asthma Key indicators for considering COPD Modified MRC dyspnea scale COPD meds GOLD guidelines for COPD 2022 CAT assessment Initial pharmacological treatment: all should have a SABA ...

Try to differentiate COPD from Asthma Key indicators for considering COPD Modified MRC dyspnea scale COPD meds GOLD guidelines for COPD 2022 CAT assessment Initial pharmacological treatment: all should have a SABA for relief Commonly used maintenance medications in COPD- SABA and LABA COPD muscarinic antagonist- anticholinergics, LAMA Tiffany is a 25-year-old presenting to the clinic for complaints of a headache. The nurse practitioner diagnoses her with a tension headache. Which of the following symptoms are relative for tension headaches? Select all that apply George is a 32-year-old who presents to the clinic with a headache that is not relieved with any over the counter medications. He complains of unilateral pain on the right side of his head. He states he has had to lay in a dark room with no sound for 24 hours. The patient also states he has been very nauseated. Pain is 8/10 and is described as pulsating. What would be the best treatment for this patient at this time? Ellen is a 38-year-old presenting to the clinic with complaints of recent changes in her vision. She also complains of vertigo and stiffness in her left leg. She denies fever or cough. When considering these symptoms, what should be the top diagnosis on the nurse practitioner's differential diagnoses? Ralph (50-year-old male) with a history of well controlled HTN. Presents to the primary care office reporting tremors in his hands and wrists for the past several months. He reports that the tremor is embarrassing, especially when he is signing his name and writing documents at work. His writing has changed to large jerking writing. His wife reports notices the tremor when he is eating when he is holding his fork or cutting meat on his plate. His father had a similar tremor and Ralph is concerned. He denies any ETOH use. Current medications: lisinopril 10 mg daily. Please select the most likely top differential based upon these clinical symptoms. A 36-year-old patient presents to the office complaining of facial droop. Select the symptoms that would indicate the classic clinical presentation of Bell's Palsy. Mary is a 40-year-old patient that presents with recurrent episodes of right sided facial pain that last a few seconds that is worse with chewing, talking and smiling. Denies nausea, vomiting or dizziness. Select the possible differential diagnosis based upon this clinical presentation. Select all that apply. Which of the following would the nurse practitioner expect to see in a patient with an exacerbation of SLE? Select all that apply A 43-year-old female presents to the clinic with complaints of dry eyes for the last 2 months. She was seen by the nurse practitioner 5 weeks ago for follow up blood work related to hepatitis C. Which of the following should be considered as a diagnosis for this patient? Long Covid is described as ongoing symptoms of SARS/COV for more than 3 months. An individual who shares needles for substance use should not be offered prep. To remove a tick from a patient's forearm, heat a sterile needle and place it on the back of the tick Which sign or symptoms is not a normal part of aging? Physiologic changes associated w normal aging Geriatric depression scale Principle of prescribing for older adults Urinary retention and htn Drug induced delirium Start low and go slow Adherence When to consider deprescribing Protocols for deprescribing 1. Julie, a 72-year-old female, comes to see you because of complaints of memory loss, extreme drowsiness, and dizziness. Which of the following drugs would most likely lead to these side effects? A) Paromomycin b) Furosemide c) Phenytoin d) Doxazosin 2. Which of the following types of drugs should elderly patients take 1 hour before or 4 hours after other medications? A) Beta blockers b) Antacids c) Benzodiazepines d) Diuretics 3. Which of the following over-the-counter agents is best known for decreasing renal blood flow, further reducing elimination of many drugs? A) Cimetidine b) Naproxen c) Niacin d) Magnesium hydroxide MAKING THE DIAGNOSIS (4 OF THE FOLLOWING) for SLE SLE presentation Patients will complain of.... SLE exam findings SLE Diagnostics SLE management Sjogren's syndrome Sjogren’s syndrome patient presentation Sjogren’s physical exam findings Sjogren’s diagnostics Sjogren's syndrome plan of care HIV in primary care Pts at risk for HIV HIV diagnostics HIV routine assessment in Primary Care Vaccines for HIV pts HIV- antiretroviral therapy Initial ART regimen based on *get a consult* HIV - ART HIV opportunistic infections Prophylaxis against opportunistic infections Encephalitis Signs and symptoms Meningitis abnormal exam Encephalitis diagnostics Meningitis in elderly Bacterial meningitis Viral meningitis Other types of meningitis (rarer) Meningitis- peak demographics ** Key prevention of meningitis Meningitis important assessment Goals of asthma treatments Long term asthma Asthma exacerbation Chronic asthma assessment and monitoring Classifying asthma >=12 years of age- intermittent Classifying asthma >=12 years of age- mild Classifying asthma >=12 years of age- moderate Classifying asthma >=12 years of age -severe Assessing asthma control