ADVANCED PRACTICE NURSING IN THE CARE
OF OLDER ADULTS FULL REVISION NOTES
WITH HEALTHY AGING AND GERIATRIC
ASSESSMENT CONCEPTS
◉ Pancreatitis lab finding.
Answer: Consistent finding is elevated serum lipase.
◉ Chlamydia treatment.
Answer: Treatment of choice is azithromycin 1g PO x1 or
doxycycline 100mg BID x7 days.
◉ Gout diagnosis test.
Answer: Confirmed by synovial fluid analysis with urate crystals.
◉ Opioid overdose medication.
Answer: Naloxone is used for opioid overdose.
◉ Pulmonary embolism imaging.
Answer: Best imaging is CT pulmonary angiography.
,◉ Epiglottitis vaccine.
Answer: Hib vaccine protects against epiglottitis.
◉ Mitral regurgitation cause.
Answer: Primary cause in the U.S. is mitral valve prolapse.
◉ Ectopic pregnancy triad.
Answer: Classic triad includes abdominal pain, vaginal bleeding,
amenorrhea.
◉ Metformin side effect.
Answer: Common side effect is gastrointestinal upset.
◉ Hypokalemia EKG finding.
Answer: Causes U waves on EKG.
◉ GERD gold standard test.
Answer: 24-hour pH monitoring is the gold standard test.
◉ Depression and neuropathic pain medication.
Answer: Duloxetine treats both conditions.
,◉ Systemic lupus erythematosus diagnosis test.
Answer: ANA (antinuclear antibody) test is used.
◉ Cardiovascular risk lipid value.
Answer: LDL cholesterol is the most important value.
◉ Asymptomatic bacteriuria management in pregnancy.
Answer: Initial management is to treat with appropriate antibiotics
(e.g., nitrofurantoin).
◉ Diabetic retinopathy hallmark finding.
Answer: Hallmark finding is microaneurysms and
neovascularization.
◉ Hyperlipidemia first-line drug.
Answer: Statins are the first-line drug.
◉ Seizure disorder contraindicated antidepressant.
Answer: Bupropion is contraindicated in patients with seizure
disorders.
◉ Influenza diagnosis test.
, Answer: Best test is nasopharyngeal swab with PCR.
◉ Night blindness vitamin deficiency.
Answer: Associated with vitamin A deficiency.
◉ DKA hallmark lab finding.
Answer: Hallmark finding is metabolic acidosis with anion gap.
◉ Migraine prophylaxis medication.
Answer: Propranolol or topiramate is used for prophylaxis.
◉ Meningitis sign in infants.
Answer: Bulging fontanelle suggests meningitis.
◉ Syphilis treatment.
Answer: Preferred treatment is penicillin G benzathine IM.
◉ Warfarin therapy monitoring test.
Answer: INR is used to monitor warfarin therapy.
◉ Hyperthyroidism common symptom.
OF OLDER ADULTS FULL REVISION NOTES
WITH HEALTHY AGING AND GERIATRIC
ASSESSMENT CONCEPTS
◉ Pancreatitis lab finding.
Answer: Consistent finding is elevated serum lipase.
◉ Chlamydia treatment.
Answer: Treatment of choice is azithromycin 1g PO x1 or
doxycycline 100mg BID x7 days.
◉ Gout diagnosis test.
Answer: Confirmed by synovial fluid analysis with urate crystals.
◉ Opioid overdose medication.
Answer: Naloxone is used for opioid overdose.
◉ Pulmonary embolism imaging.
Answer: Best imaging is CT pulmonary angiography.
,◉ Epiglottitis vaccine.
Answer: Hib vaccine protects against epiglottitis.
◉ Mitral regurgitation cause.
Answer: Primary cause in the U.S. is mitral valve prolapse.
◉ Ectopic pregnancy triad.
Answer: Classic triad includes abdominal pain, vaginal bleeding,
amenorrhea.
◉ Metformin side effect.
Answer: Common side effect is gastrointestinal upset.
◉ Hypokalemia EKG finding.
Answer: Causes U waves on EKG.
◉ GERD gold standard test.
Answer: 24-hour pH monitoring is the gold standard test.
◉ Depression and neuropathic pain medication.
Answer: Duloxetine treats both conditions.
,◉ Systemic lupus erythematosus diagnosis test.
Answer: ANA (antinuclear antibody) test is used.
◉ Cardiovascular risk lipid value.
Answer: LDL cholesterol is the most important value.
◉ Asymptomatic bacteriuria management in pregnancy.
Answer: Initial management is to treat with appropriate antibiotics
(e.g., nitrofurantoin).
◉ Diabetic retinopathy hallmark finding.
Answer: Hallmark finding is microaneurysms and
neovascularization.
◉ Hyperlipidemia first-line drug.
Answer: Statins are the first-line drug.
◉ Seizure disorder contraindicated antidepressant.
Answer: Bupropion is contraindicated in patients with seizure
disorders.
◉ Influenza diagnosis test.
, Answer: Best test is nasopharyngeal swab with PCR.
◉ Night blindness vitamin deficiency.
Answer: Associated with vitamin A deficiency.
◉ DKA hallmark lab finding.
Answer: Hallmark finding is metabolic acidosis with anion gap.
◉ Migraine prophylaxis medication.
Answer: Propranolol or topiramate is used for prophylaxis.
◉ Meningitis sign in infants.
Answer: Bulging fontanelle suggests meningitis.
◉ Syphilis treatment.
Answer: Preferred treatment is penicillin G benzathine IM.
◉ Warfarin therapy monitoring test.
Answer: INR is used to monitor warfarin therapy.
◉ Hyperthyroidism common symptom.
