NURS 5461 QUIZ 1 QUESTIONS AND
ANSWERS ALREADY GRADEDA+
3 steps to Prevention Dx and Plan - correct answer -
Risk profile
Prevention Needs and Deficits
Prevention plan
5 A's of tobacco cessation - correct answer - 1. Ask
2. Advise
3. Assess
4. Assist
5. Arrange
5 R's to increase motivation to quit smoking: - correct
answer - Relevance
Risks
Rewards
Roadblocks
Repitition
75% of MIs occur with plaque rupture in vessels that are
__ occluded? - correct answer - <50% occluded!
,Unstable plaques
a-lipoprotein levels - correct answer - Levels > 30 =
independent risk factor for CHD
More atherogenic than LDL
Increased in renal disease, post-menopausal women &
Family Hx of CVD
May interfere with fibrinolysis (structurally similar to
plasminogen)
Lowering LDL may decrease associated risk
Levels reduced with Niacin / estrogen
Acanthosis nigricans - correct answer - thickening and
darkening of skin near axillary/ back of the neck region,
A/w Diabetes Type II and gastric carcinoma
ACE Inhibitors - correct answer - Blocks conversion of
angiotensin I to II
Lower peripheral vascular resistance and BP
No reflex stimulation of heart rate and contractility
Has been preferred in diabetes, MI, HF
Reduce morbidity and mortality in HF and MI
Retard progression of diabetic renal disease and
hypertensive nephrosclerosis
,Not in renovascular dz or pregnancy
Pick a "pril"
Action - correct answer - Action- Modify behavior,
experiences, or environment to overcome problem.
Praise any behavioral change.
Action of Biguanides (Metformin) - correct answer -
decreases gluconeogenesis & reduces insulin resistance,
Increase glucose uptake in muscle
Action of GLP-1 agonists - correct answer - *promotes
insulin secretion
*decreases glucagon
*decreases gastric emptying
"Glutide"
Action of SGLT2 inhibitors - correct answer - Increase
urinary excretion of glucose
"glifozin"
Action of Sulfonylureas - correct answer - stimulates
release of insulin from pancreatic islets
, "Three G's" - Glimepiride, Glipizide, Glyburide
Action of Thiazolidinediones - correct answer -
decreases insulin resistance
Increase glucose uptake in muscle and fat
Decrease HGP
"glitazone"
Action of thyroid hormones? - correct answer - Growth
and development
Regulates basal metabolic rate
Affects carbohydrate, protein, and fat metabolism
Regulates central nervous system and skeletal
development in utero
Controls cellular metabolism and oxygen consumption
Albumin - correct answer - Accurately reflects visceral
protein status in absence of acute changes in hydration
or stress
3.5-5g/dl
Alpha Adrenergic Antagonists - correct answer - Blocks
the alpha 1 adrenergic receptors—results in vasodilation
ANSWERS ALREADY GRADEDA+
3 steps to Prevention Dx and Plan - correct answer -
Risk profile
Prevention Needs and Deficits
Prevention plan
5 A's of tobacco cessation - correct answer - 1. Ask
2. Advise
3. Assess
4. Assist
5. Arrange
5 R's to increase motivation to quit smoking: - correct
answer - Relevance
Risks
Rewards
Roadblocks
Repitition
75% of MIs occur with plaque rupture in vessels that are
__ occluded? - correct answer - <50% occluded!
,Unstable plaques
a-lipoprotein levels - correct answer - Levels > 30 =
independent risk factor for CHD
More atherogenic than LDL
Increased in renal disease, post-menopausal women &
Family Hx of CVD
May interfere with fibrinolysis (structurally similar to
plasminogen)
Lowering LDL may decrease associated risk
Levels reduced with Niacin / estrogen
Acanthosis nigricans - correct answer - thickening and
darkening of skin near axillary/ back of the neck region,
A/w Diabetes Type II and gastric carcinoma
ACE Inhibitors - correct answer - Blocks conversion of
angiotensin I to II
Lower peripheral vascular resistance and BP
No reflex stimulation of heart rate and contractility
Has been preferred in diabetes, MI, HF
Reduce morbidity and mortality in HF and MI
Retard progression of diabetic renal disease and
hypertensive nephrosclerosis
,Not in renovascular dz or pregnancy
Pick a "pril"
Action - correct answer - Action- Modify behavior,
experiences, or environment to overcome problem.
Praise any behavioral change.
Action of Biguanides (Metformin) - correct answer -
decreases gluconeogenesis & reduces insulin resistance,
Increase glucose uptake in muscle
Action of GLP-1 agonists - correct answer - *promotes
insulin secretion
*decreases glucagon
*decreases gastric emptying
"Glutide"
Action of SGLT2 inhibitors - correct answer - Increase
urinary excretion of glucose
"glifozin"
Action of Sulfonylureas - correct answer - stimulates
release of insulin from pancreatic islets
, "Three G's" - Glimepiride, Glipizide, Glyburide
Action of Thiazolidinediones - correct answer -
decreases insulin resistance
Increase glucose uptake in muscle and fat
Decrease HGP
"glitazone"
Action of thyroid hormones? - correct answer - Growth
and development
Regulates basal metabolic rate
Affects carbohydrate, protein, and fat metabolism
Regulates central nervous system and skeletal
development in utero
Controls cellular metabolism and oxygen consumption
Albumin - correct answer - Accurately reflects visceral
protein status in absence of acute changes in hydration
or stress
3.5-5g/dl
Alpha Adrenergic Antagonists - correct answer - Blocks
the alpha 1 adrenergic receptors—results in vasodilation
