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NR 565 Midterm 2024 Questions And Answers Well Illustrated.
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NR 565 Midterm 2024 Questions And Answers Well Illustrated.
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NR 565 Midterm 2024 Questions AndAnswers Well Illustrated.
WhenpprescribingpMedications,pwepmustpunderstandpthatpthepliverpfunctionpdeclinespwithp
agepd/tpwhat?
A.pEnlargedpLiver
B.pDecreasedpbloodpflowptopliver
C.pIncreasedpactivitypofpthephepaticpenzymesp-
pcorrectpanswer.ppppB.pDecreasedpbloodpflowptopliver
Anp82pyopmalepvisitspthepclinicpcomplainingpthatphisppainpmedsp"takepforever"ptopworkpafte
rpheptakesphisppill.pWhatpareppossiblepreasonspyoupcanpexplainptophimpasptopwhypthispmayp
bephappening.
A.pPerhapspwepneedptopincreasepyourpdose
B.pSometimespaspyoupgetpolder,pabsorptionpmaypbepslowerpresultingpinpapdelayedprespon
se
C.pAspwepgetpolder,pthepgastricpacidpdecreasespandpmaypdelaypabsorptionp-
pcorrectpanswer.ppppB.pSometimespaspyoupgetpolder,pabsorptionpmaypbepslowerpresultingpin
papdelayedpresponse
C.pAspwepgetpolder,pthepgastricpacidpdecreasespandpmaypdelaypabsorption
RApCharacteristics
Onset
Affectedppopulation
Location
Jointpstiffnesspduration
SxSp-pcorrectpanswer.ppppweeks-months
women>men
commonphands,pfeet,p&pwrists
>60pminpinpAM
localp&psys.
OApCharacteristicsp
, Onset
Affectedppopulation
Location
Jointpstiffnesspduration
SxSp-pcorrectpanswer.ppppyears
menp&pWomenpequally
Handsp&pweightpbaringpjointsp
<30minpinpAM
typicallyplocal
WhatpmightpyoupexpectptopfindpinpthepsynovialpfluidpofpapptpwithpOAp-
pcorrectpanswer.ppppMildpleukocytes
WhatpmightpyoupexpectptopfindpinpthepsynovialpfluidpofpapptpwithpRAp-
pcorrectpanswer.ppppCloudypwithpleukocytes
GoalspofpTxpforpRAp-pcorrectpanswer.ppppSxspreliefp(pain,pstiffness,pinflammation,
maintainingpjointpfxnpandpROM
minimizepsystemicpinvolvement
delaypprogression
TypicalppharmpTxspforpRAp-
pcorrectpanswer.ppppNSAIDs,psystemicpsteroids,pantimalarials,pantimetabolites,pandpbiologi
cs
BaselinepassessmentpdatapbeforepstartingpDMARDp-
pcorrectpanswer.ppppLiver,pPG,pserumpcreatinine,pCBCpwithpdiff,psxspofpinfxnp(TBp&phepatits
),pHxp&pphysical,prenalpstatus,p&pmalignancies
SignificantpbaselinepdatapforpSulfasalazinep-
pcorrectpanswer.ppppCXR,ppulmonarypandpneuropstatus
SignificantpbaselinepdatapforpLeflunomidep-
pcorrectpanswer.ppppCXR,pBPp&ppulmonarypstatus
SignificantpbaselinepdatapforpMehtotrexatep-
pcorrectpanswer.ppppCXR,pPulmonarypandpGIpstatus
Significantpbaselinepdatapforphydroxychloroquinep-
pcorrectpanswer.ppppOphthalmologicp&pcardiacpexamp(ECGpifpindicated)
ConventionalpDMARDs-pexamplesp-
pcorrectpanswer.ppppMethotrexate,phydroxychloroquine,psulfsalazine
BiologicpDMARDS-pexamplesp-pcorrectpanswer.ppppadalimumab,petanercept,pgolimumab
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