Exam (elaborations)
NR 602 FINAL EXAM QUESTIONS AND ANSWERS
- Course
- Institution
NR 602 FINAL EXAM QUESTIONS AND ANSWERS
[Show more]
Content preview
COMSAE ALL QUESTIONS AND ANSWERSCOCAINE intoxication - Answers-impaired judgement, pupil dilate, hallucination (coke
bugs) sudden cardiac death; paranoid ideations, angina
Tx: alpha blockers/ benzos
caution B block bc can cause unopposed alpha
Osteoporosis histo - Answers-trabecular and cortical bone lose mass and
interconnection despite normal bone mineralization
assoc w/ Colles fracture- distal radial fracture; fracture of femoral neck
Gilbert Syndrome - Answers-mild dec UDP glucuronosyltransferase conjugation and
impaired bilirubin uptake; asymptomatic or mild jaundice>> inc unconjugated bilirubin
w/o hemolysis; w/ fasting and stress
Crigler Najjar - Answers-ABSENT UDP glucuronsyltransferase; early in life; die few
years
find: jaundice, kernicterus (in brain) inc unconjugated bilirubin;
tx: plasmapheresis and phototherapy; type II respond phenobarbital
Dubin Johnson - Answers-Conjugated hyperbilirubinemia b/c defective liver excretion;
grossly black liver
Benign
Rotor syndrome - Answers-milder in presentation w/o black liver
impaired hepatic uptake and excretion
wilson Disease - Answers-copper transporting ATPase; ATP7B on Chromosome 13
s/s: before 40 yo, liver dz, neurodisease, psych dz, Kayser Fleischer ring, hemolytic
anemia, renal dz;
find: dec serum ceruloplasmin, inc urine copper
tx: chelation w/ penicillamine or Tridentine, oral zinc
Hemochromatosis - Answers-recessive, HFE, chromosome 6; abnormal iron sensing,
increase intestinal absorb
find: inc ferritin, inc iron, dec TIBC, inc transferrin saturation
identify w/ Prussian blue stain/ liver MRI
Hemochromatosis finds - Answers-after age 40
,>20 iron;
triad: cirrhosis, DM, skin pigmentation; dilated cardiomyopathy, hypogonadism,
arhtropathy; HCC is common cause death
Treatment Hemochromatosis - Answers-repeat phlebotomy, chelation deferasirox,
deferoxamine, oral deferiprone
Wolff Parkinson White Syndrome - Answers-MC ventricular pre excitation syndrome
abnml fast atria to ventricle (bundle of Kent); bypasses AV node>> ventricles begin
partially depolarization earlier (NOTED BY DELTA WAVE ON EKG) widened QRS and
shortened PR
Conduction pathway heart - Answers-SA node> atira> AV node> bundle HIS, R and L
bundle branches> purkinje fibers> ventricles
L branch anterior/posterior fascicles
Edema - Answers-inc capillary pressure
dec plasma proteins (dec oncotic capillary pressure)
inc capillary permeability
increase interstitial fluid colloid oncotic pressure
Celiac Disease - Answers-setting: 14 mo kid losing weight eating lots of foods;
histology: crypt abnormalities (hyperplasia); villous atrophy, lymphocytic infiltration
presents as malabsorbtion (diarrhea etc in kids)
in adults= short stature, anemia delayed puberty
Musculocutaneous nerve C5-C7 - Answers-upper trunk compression cause injury; loss
forearm flexion/supination; loss sensation over lateral forearm
Axillary nerve C5-C6 - Answers-flat deltoid; loss arm abduction, loss sensation over
deltoid and lateral arm
Radial C5-T1 - Answers-mid shaft fracture humerus, compression axilla
find: dec grip, loss extension (wrist drop); loss sensation posterior arm, dorsal hand
Median C5-T1 - Answers-supracondylar fracture humerus (proximal) CTS, wrist
laceration (distal)
ape hand pope's blessing
, loss wrist flexion, flex of lateral fingers, thumb opposition, lumbricals 2nd and 3rd digit;
loss sensation over thenar eminence and dorsal and palmar aspects of lateral 3 1/2
fingers w/ proximal
Ulnar C8-T1 - Answers-Fracture medial epicondyle humerus; fractured hook hamate
(distal lesion)
ulnar claw on extension; radial deception wrist upon flexion (proximal lesion)
loss wrist flex, flex of medial fingers, abduction and adduction fingers; medial 2
lumbricals;
loss sensation over 1 1/2 fingers including hypothenar eminence
Recurrent branch median nerve - Answers-superficial laceration palm
ape hand; loss thenar muscles
no loss sensation
Treatment glaucoma: alpha agonists; epinephrine, brimonidine - Answers-dec AH
synthesis> vasoconstriction; mydriasis alpha 1 (don't use in closed angle glaucoma)
blurry vision, ocular hyperemia, foreign body sensations ocular allergy, pruritis
Beta blockers: timolol, betaxolol, carteolol - Answers-dec AH synthesis; no pupil/vision
changes
Diuretics; acetazolamide - Answers-dec AH synthesis by inhibiting carbonic anhydrase;
no vision/pupil change
Cholinomimetics M3; direct pilocarpine carbachol; indirect physostigmine,
echothiophate - Answers-inc outflow of AH via contraction of ciliary muscle/open
trabecular mesh; pilocarpine in ER--very effective open meshwork into Canal schlemm,
lead to miosis--and cyclospasm
Prostaglandin- bimatoprost, iatanoprost PGF2 alpha - Answers-inc outflow AH; darken
iris (brown); eyelash growth
alpha agonists should be avoided in - Answers-closed angle glaucoma pts
M3 agonist= pilocarpine/carbachol (direct) - Answers-contract the sphincter muscles
allowing passage of fluid; pilocarpine emergencies
pervasive development disorder - Answers-what you think of when you consider autism
spectrum: can't be touched, comforted, can't understand speech
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller GEEKA. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $12.99. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
78252 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now