PRACTICE TEST PACK COMPLETE SOLUTIONS
VERIFIED INSIGHTS
◉ What is first line treatment for PAD?
Answer: walking and physical activity to improve circulation. second
line is an aspirin or anti-platelet
◉ What should we tell our patients with PAD NOT to do?
Answer: do not elevate the feet; keep them down
◉ How do we diagnose PAD?
Answer: an ABI < 7; doppler can also be used to diagnose as well but
is the second choice
◉ What are s/s of peripheral vascular disease?
Answer: think V meaning volume overload aka edema, may ache or
be uncomfortable but is not painful, bounding pulses, ruddy
discoloration
◉ If a patient is on Coumadin but then they may need to go on an
antibiotic for an infection and Bactrim is the drug of choice, what
should you do?
,Answer: Bactrim increases INR so we would want to decrease the
coumadin dose while the patient is on this
◉ If a patient is on Coumadin but then they may need to go on
Rifampin, what should you do?
Answer: Rifampin decreases INR so we'd want to increase the
coumadin dose
◉ If a patient on coumadin's INR is 3.1-4 ,what should you do?
Answer: decrease the weekly dose by 5-10%
◉ If a patient on coumadin's INR is 4.1-5.0, what should you do?
Answer: hold one dose then decrease the weekly dose by 10%
◉ If a patient's INR is greater than 5, what should you do?
Answer: consult cards, likely would hold two doses then decrease
the weekly dose
◉ An anorexic patient will have a BMI of what?
Answer: less than 18
◉ What is primary amenorrhea?
, Answer: when the patient has never gotten their period before
(there is an absence of menarche) but they have all of their
secondary sex characteristics
◉ Secondary amenorrhea is a lack of menses after _________ of not
having a period; but you have had one before
Answer: 3 months
◉ What do we need to do first when a patient comes in with
secondary amenorrhea?
Answer: rule out pregnancy
◉ Anorexia can put you at risk for what?
Answer: osteoporosis, amenorrhea, cardiac damage
◉ Amenorrhea is considered a risk factor for what?
Answer: osteoporosis
◉ What is the best indication of an anorexic patient doing better?
They tell you they are eating more, they have weight gain, or they get
their period back?
Answer: they get their period back