NR 506 STUDY TIPS FOR BOARDS
Cardiac
Know S3 what does it mean.
Know S4 it is a sign of what? They describe a patient. Sounds like Tennessee.
A murmur that is loud and heard with your scope plus thrill is 4. A loud
murmur that you don’t need a scope for is 6
They tell you a systolic murmur one that radiates to the neck and one the
radiates to the axilla- what are they called
How do you rule out AAA -US gold standard in 65 and older especially if they
smoke
You have a pt with HTN and osteoporosis what medication do you put them
on for HTN- thiazides
HTN drug for DM with neuropathy- ACE or ARB
You have a patient that on eye exam you notice copper and silver artioles AV
nicking what else do you assess them for – HTN
You have an elderly patient with ISH BP log what medication do you start?
CCB
PAD pt what is treatment- exercise
PAD what test- brachial index
Know chronic venous insuff- edema, thick skin discolored
Test you do for stable angina – stress test.
Know Systolic and Diastolic Murmur was asked about heart murmur with
high pitch holosystolic and the other one is mid systolic.
Question about Grade III/VI Murmur: (Loud murmur easily heard)
Know the difference between Peripheral Arterial Disease and Chronic
Venous Insufficiency.
Question about JVD causes?
, Know Bacterial endocarditis (There was a pt. with gradual onset of fever,
hemorrhages on nail beds, painful raised red nodules) Osler’s nodes
Questions about carotid bruit signs can signifies what- narrowing of the
carotid
GI
High triglycerides increase the risk of – pancreatitis
You have a pt with chronic Hep C what will be high the AST or ALT or Both
First line tx GERD H2 blocker
Hep serology you have to tell them what they have see Hollier notes
You have a positive psoas maneuver and it is positive. What does this mean?
Rovsing sign
Pt. with GERD and Barrett’s esophagus: Refer to Oncologist
Question about Hepatitis B active Immunology.
Question about pyloric stenosis (Hint is non bilious vomiting, olive like firm
mass palpated on right upper quadrant)
Common causes of GERD. Options are (Histamine blocker, BB, CCB, cant
remember the last one)
Increase in triglyceride can cause pancreatitis
First line treatment for Zollinger is PPI
Skin
What is honey crusted lesions how do you treat
Actinic keratosis precursor to SCC look up in Leik how it presents
Rosacea tx with metronidazole gel
How do you treat shingles – acyclovir
Older induration that has been there awhile what do you do? Bx it
Basal Cell Cancer: Question description and the fact that it doesn’t have any
tx :Waxy, pearly, telangiectasia, ulcer center lesion
Actinic Keratosis: Question about description (Scaly red to yellow located in
sun exposed area
Cardiac
Know S3 what does it mean.
Know S4 it is a sign of what? They describe a patient. Sounds like Tennessee.
A murmur that is loud and heard with your scope plus thrill is 4. A loud
murmur that you don’t need a scope for is 6
They tell you a systolic murmur one that radiates to the neck and one the
radiates to the axilla- what are they called
How do you rule out AAA -US gold standard in 65 and older especially if they
smoke
You have a pt with HTN and osteoporosis what medication do you put them
on for HTN- thiazides
HTN drug for DM with neuropathy- ACE or ARB
You have a patient that on eye exam you notice copper and silver artioles AV
nicking what else do you assess them for – HTN
You have an elderly patient with ISH BP log what medication do you start?
CCB
PAD pt what is treatment- exercise
PAD what test- brachial index
Know chronic venous insuff- edema, thick skin discolored
Test you do for stable angina – stress test.
Know Systolic and Diastolic Murmur was asked about heart murmur with
high pitch holosystolic and the other one is mid systolic.
Question about Grade III/VI Murmur: (Loud murmur easily heard)
Know the difference between Peripheral Arterial Disease and Chronic
Venous Insufficiency.
Question about JVD causes?
, Know Bacterial endocarditis (There was a pt. with gradual onset of fever,
hemorrhages on nail beds, painful raised red nodules) Osler’s nodes
Questions about carotid bruit signs can signifies what- narrowing of the
carotid
GI
High triglycerides increase the risk of – pancreatitis
You have a pt with chronic Hep C what will be high the AST or ALT or Both
First line tx GERD H2 blocker
Hep serology you have to tell them what they have see Hollier notes
You have a positive psoas maneuver and it is positive. What does this mean?
Rovsing sign
Pt. with GERD and Barrett’s esophagus: Refer to Oncologist
Question about Hepatitis B active Immunology.
Question about pyloric stenosis (Hint is non bilious vomiting, olive like firm
mass palpated on right upper quadrant)
Common causes of GERD. Options are (Histamine blocker, BB, CCB, cant
remember the last one)
Increase in triglyceride can cause pancreatitis
First line treatment for Zollinger is PPI
Skin
What is honey crusted lesions how do you treat
Actinic keratosis precursor to SCC look up in Leik how it presents
Rosacea tx with metronidazole gel
How do you treat shingles – acyclovir
Older induration that has been there awhile what do you do? Bx it
Basal Cell Cancer: Question description and the fact that it doesn’t have any
tx :Waxy, pearly, telangiectasia, ulcer center lesion
Actinic Keratosis: Question about description (Scaly red to yellow located in
sun exposed area
