NR 601 MIDTERM EXAM
NR 601 MIDTERM EXAM
1. 60yo obese male has T2DM and lipid panel of TC = 250, HDL = 32, LDL = 165. You teach him about his modifiable cardiac risk factors, which include:
a. DM, obesity, hyperlipidemia
2. Diabetic pt presents w/R foot pain but denies any recent known inju...
nr 601 midterm exam 1 60yo obese male has t2dm and lipid panel of tc 250
hdl 32
ldl 165 you teach him about his modifiable cardiac risk factors
which include a dm
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NR 601 MIDTERM EXAM
1. 60yo obese male has T2DM and lipid panel of TC = 250, HDL = 32, LDL =
165. You teach him about his modifiable cardiac risk factors, which
include:
a. DM, obesity, hyperlipidemia
2. Diabetic pt presents w/R foot pain but denies any recent known injury. He
states it has gotten progressively worse over past few months. On exam,
vibratory sense, as well as sensation tested w/monofilament, was
abnormal. Pt's foot is warm, edematous, misshapen. You suspect Charcot
foot. What intervention is indicated?
a. Referral to orthopedist
3. What is a s/s of insulin resistance that can present in African Americans?
a. Acanthosis Nigricans
4. During routine exam of 62yo female, you ID xanthelasma around both
eyes. What is the significance of this?
a. Abnormal lipid metabolism requiring medical management
5. Mr. White is 62yo, had CKD that has been relatively stable. He also has
h/o hyperlipidemia, OA, HTN. He is compliant w/meds, BP has been well
controlled on CCB. Last lipids showed: TC = 201, HDL = 40, TG = 180,
LDL = 98. He currently takes Crestor 20mg daily. Today his BP is 188/90
and urine dip shows significant proteinuria. He denies changes in dietary
habits or med regimen. What would be the best med change at this point?
a. Change CCB to ACEi
6. You are working as NP in Fast Track of ER. 76yo male presents w/LUQ
pain. There can be many conditions that present as LUQ pain, but which
of the following is least likely to cause pain here?
a. Acute pancreatitis
7. Which is cardinal feature of failure to thrive?
a. Poor nutritional status
8. Feeding gastrostomy tubes at end-of-life Alzheimer's pt's have been
associated with:
a. Aspiration pna
9. Which of the following nutritional indicators is not an indication of poor
nutritional status in elderly?
a. BMI 25
, 2
10. OA of cervical and lumbar spine causes pain related to all of the
following except:
a. Crystal deposition
11. In differentiating OA from chronic gout, pseudogout, or septic arthritis,
the most valuable diagnostic study would be:
a. Synovial fluid analysis
12. Pt's w/OA of hip and knee often have distinguishable gait described as:
a. Antalgic
13. Which of the following best describes pain associated w/OA?
a. Begins upon arising and after prolonged wt bearing and/or use of
the joint
14. Joint effusions typically occur later in the course of OA, especially in
the:
15. Knee
16. You ordered CBC for your pt you suspect has polymyalgia rheumatica
(PMR). Which 2 clinical findings are common in pt's w/PMR?
a. Normochromic, normocytic anemia and thrombocytosis
17. You suspect your pt has PMR and now are concerned that they may
have Giant Cell Arteritis (GCA) too. Which of the following 2 symptoms are
most indicative of GCA and PMR?
a. Scalp tenderness and aching in shoulder and pelvic girdle
18. 63yo Caucasian pt w/PMR will begin Tx w/corticosteroids until the
condition has resolved. You look over her records and it has been 2yrs
since her last physical exam and any labs or diagnostic tests as she
relocated and had not yet ID'd a provider. In prioritizing your
management plan, your first orders should include:
a. Duel-energy x-ray (DEXA) scan and updating immunizations
19. Which of the following DD for pt's presenting w/PMR can be ruled out
w/a muscle biopsy?
a. Polymyositis
20. In reviewing lab results for pt's w/suspected PMR, you realize there is
no definitive test to dx PMR, rather clinical response to Tx. Results you
would expect to see include:
a. Elevated erythrocyte sed rate (ESR) >50
21. Which of the following is the most appropriate lab test for monitoring
gout therapy over the long-term?
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