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NR 511 Week 6: Quiz: Differential Diagnosis and Primary Care Practicum-2021/2022

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Ques 1 / 1 pts tion 1 An elderly client presents with atrial fibrillation. Which of the following lab tests is important in forming the diagnosis? C-reactive protein (CRP). Comprehensive metabolic panel (CMP). Thyroid-stimulating hormone (TSH). Correct! Complete blood count (CBC). Atrial fibrillation is a common presentation in elderly clients with hyperthyroidism. If the TSH is suppressed, a free thyroxine (FT4) and triiodothyronine (T3) should be drawn. Top  4/5/2021 Week 6: Quiz: Differential Diagnosis and Primary Care Practicum-Feehan Ques 1 / 1 pts tion 2 A 24-year-old female is preparing for radioactive iodine therapy to treat Graves disease. Which test must she undergo first? Basal metabolism rate. Lithium level. Serum calcium. Beta-human chorionic gonadotropin. Correct! Radioactive iodine therapy is the most commonly used treatment in the United States for Graves disease (hyperthyroidism); however, it is contraindicated during pregnancy. Therefore, for women, a pregnancy test (betahuman chorionic gonadotropin) needs to be performed before initiating therapy. Women of childbearing age should also be told to delay conception for a few months after radioactive iodine therapy. It is also contraindicated in women who are breastfeeding. Older adults or clients at risk of developing cardiac complications may be pretreated with antithyroid drugs (ATDs) before therapy to deplete the thyroid gland of stored hormone, thereby minimizing the risk of exacerbation of hyperthyroidism because of radioactive iodine (131I)– induced thyroiditis. Ques 1 / 1 pts tion 3 A 46-year-old male presents with a tender, red and swollen knee. The clinician orders a complete blood count (CBC) with differential, Top  4/5/2021 Week 6: Quiz: Differential Diagnosis and Primary Care Practicum-Feehan uric acid level and erythrocyte sedimentation rate (ESR). Which of the following results would make the clinician suspect a septic joint rather than gout? Decreased white blood cell (WBC) count and an elevated uric acid level. Elevated white blood cell (WBC) count and an elevated Erythrocyte Sedimentation Rate (ESR). Correct! Normal Erythrocyte Sedimentation Rate (ESR) and a decreased uric acid level. High uric acid level and a decreased Erythrocyte Sedimentation Rate (ESR). To diagnose gout, there should be hyperuricemia and a negative joint culture.

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4/5/2021 Week i6: iQuiz: iDifferential iDiagnosis iand iPrimary iCare iPracticum-
Feehan

Week 6: Quiz i i




Due Apr 11 at 11:59pm
i i i Points 15
i Questions 15 i i


Available Apr 5 at 12am - Apr 11 at 11:59pm 7 days
i i i i Time Limit 15 Minutes
i i i i i i i i i i




Attempt History i




Attempt Time Score
LATEST Attempt i1 15 iminutes 14 iout iof i15




Score ifor ithis iquiz: i14 iout iof i15
Submitted iApr i5 iat i11:08am
i


iThis iattempt itook i15 iminutes.




Question 1 i
pts
i i i




An ielderly iclient ipresents iwith iatrial ifibrillation. iWhich iof ithe ifollowing
lab itests iis iimportant iin iforming ithe idiagnosis?


C-reactive iprotein i(CRP).


Comprehensive imetabolic ipanel i(CMP).

Co
orrrec
ct! Thyroid-stimulating ihormone i(TSH).


Complete iblood icount i(CBC).




Atrial ifibrillation iis ia icommon ipresentation iin ielderly iclients
iwith ihyperthyroidism. iIf ithe iTSH iis isuppressed, ia ifree


thyroxine i(F To
Tp4) iand itriiodothyronine i(T3) ishould ibe idrawn.




1/12

, 4/5/2021 Week i6: iQuiz: iDifferential iDiagnosis iand iPrimary iCare iPracticum-
Feehan



Question 2 i
pts
i i i




A i24-year-old ifemale iis ipreparing ifor iradioactive iiodine itherapy ito
treat iGraves idisease. iWhich itest imust ishe iundergo ifirst?
i




Basal imetabolism irate.


Lithium ilevel.


Serum icalcium.

Co
orrrec
ct! Beta-human ichorionic igonadotropin.




Radioactive iiodine itherapy iis ithe imost icommonly iused
itreatment iin ithe iUnited iStates ifor iGraves idisease
i(hyperthyroidism); ihowever, iit iis icontraindicated iduring


ipregnancy. iTherefore, ifor iwomen, ia ipregnancy itest i(beta-


ihuman ichorionic igonadotropin) ineeds ito ibe iperformed ibefore


ii nitiating itherapy. iWomen iof ichildbearing iage ishould ialso ibe


i told ito idelay iconception ifor ia ifew imonths iafter iradioactive
iodine itherapy. iIt iis ialso icontraindicated iin iwomen iwho iare
ibreastfeeding. iOlder iadults ior iclients iat irisk iof ideveloping


icardiac icomplications imay ibe ipretreated iwith iantithyroid


idrugs i(ATDs) ibefore itherapy ito ideplete ithe ithyroid igland iof


istored ihormone, ithereby iminimizing ithe irisk iof iexacerbation
iof ihyperthyroidism ibecause iof iradioactive iiodine i(131I)–


induced ithyroiditis.




Top pts
Question 3 i
i i i




A i46-year-old imale ipresents iwith ia itender, ired iand iswollen iknee.
iThe iclinician iorders ia icomplete iblood icount i(CBC) iwith idifferential,


2/12

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