NURS 623 Exam 2
NURS 623 Exam 2 Study Guide Questions and
Answers Graded A 2024-2025
Brittle, coarse hair might be a sign of what thyroid disorder -Correct Answer
✔hypothyroidism
A thyroid bruit, gynomastia, fine hair, warm, smoot, moist skin are all associated with
what thyroid disorder -Correct Answer ✔hyperthyroidism
Hirsutism, Purple striae over the abdomen is seen with what condition and
hyperpigmentation are seen with what disease? -Correct Answer ✔Cushings syndrome
ACE inhibitors are given to patients who have diabetes with persistent? -Correct Answer
✔proteinuria
Addison crisis can be precipitated by? -Correct Answer ✔abruptly stopping
glucocorticoid medications
Signs and symptoms of DKA -Correct Answer ✔Kussmaul respirations (very deep),
hypergylcemia, glucosuria, polyuria, polydipsia, anorexia and headache, keytonuria,
decreased blood pH
Metformin works by -Correct Answer ✔improving the effectiveness of insulin in
suppressing excess hepatic glucose production and increasing insulin sensitivity in the
peripheral tissues
The medication of choice for an initial acute attach of gout is? -Correct Answer
✔indomethacin (indocin); naproxen can be an alternative
Colchicine is an effective medication to terminate and acute gout attack but must be
administered within what time frame ? -Correct Answer ✔48 hours
In a gout attack corticosteroids can provide dramatic systemic relief but are
contraindicated in septic conditions therefore they should not be administered before
the analysis of what ? -Correct Answer ✔synovial aspirate
What lab value findings would you see in a patient with Cushings syndrome? -Correct
Answer ✔increased cortisol, increased sodium, decreased K+, decreased glucose,
normal BUN
What is a carpopedal spasm and what is it a sign of? -Correct Answer ✔violent, painful
contraction of the hands or feet; neuromuscular sign indicating hypocalcemia
NURS 623 Exam 2
, NURS 623 Exam 2
With gout what will your labs indicate? -Correct Answer ✔ESR and WBC elevated, uric
acid level >7.5, BUN normal, WBC >10,000
What is the follow up for an acute gout attach? -Correct Answer ✔reevaluate in 1-2
weeks and antihyperuricemia therapy needs to be followed every 4-6 weeks to adjust
medications
What are some classic findings in an x-ray of an affected joint with gout -Correct Answer
✔tophi, normal mineralization of bone, joint space preservation, asymmetric
polyarticular distribution, overhanging edge cortex and punched out erosion of bone
An autoimmune response that may reflect a defect in suppressor T-cell function ? -
Correct Answer ✔Graves disease
Propylthiouracil and methimazole (tapazole) treat hyperthyroidism by....... -Correct
Answer ✔inhibiting thyroid hormone synthesis
Podagra is gout of the -Correct Answer ✔first metatarsophalangeal joint
A metabolic disease that produces an inflammatory arthritis? -Correct Answer ✔gout
What are the two primary factors of gout? -Correct Answer ✔*enzyme defects and
decreased renal clearance
What are secondary risk factors for gout? -Correct Answer ✔excessive daily intake of
purine, starvation, obesity, alcohol, medications(thiazide diuretics, ethambutol, nicotinic
acid, pyrazinamide, low dose salicylates, cyclosporine), pagets disease, chronic
hemolytic anemis, psoriasis, cytoxic drugs, carcinoma and sarcome, CRD,
hypothyroidism, lead poisoning, DI DKA, hyperparathyroidism
What uric acid level would be indicative of gout? -Correct Answer ✔>7 in men and >6 in
women
Explain the pathophysiology of a gout flare? -Correct Answer ✔Urate deposits in the
joints and the crystallization of urate triggers the inflammatory response
What is the most common trigger of an acute gout attack? -Correct Answer ✔trauma or
surgery
What is the typical presentation of gout? -Correct Answer ✔excruciating pain that often
awakens the person at night, joint is usually warm or hot to touch, pain with palpation
and ROM maybe limited
NURS 623 Exam 2
