NUR 654 Final Exam Study Guide | 100% Correct
Answers | Verified | Latest 2024 Version
A patient has rapid weight gain, amenorrhea without pregnancy, and mild hypertension. Once
confirmatory tests are performed, what is a possible treatment for this patient? - ✔✔Pituitary tumor
resection
A patient has unexplained weight loss and the provider notes increased skin pigmentation on light-
exposed skin folds along with darkened palmar creases. Which laboratory tests will the provider order vs
NOT order - ✔✔ORDER: Serum ACTH, Serum electrolytes, TB skin testing
NOT: Serum cortisol
T or F: Patient wishes related to palliative care should be discussed at the initial visit and updated at
preventive visits - ✔✔T
T or F: A patient on chemo has a high temperature and absolute neutropenic count >500,000 needs
immediate ER workup - ✔✔T
Radiation therapy can be used for all of the following in cancer treatment EXCEPT - ✔✔Treatment of side
effects of chemo
T or F: SIADH is an oncological emergency requiring urgent oncologic care - ✔✔T
What is an effective pharmacologic medication to treat non-cancer chronic pain? - ✔✔Ibuprofen
T or F: The most common sites for breast CA metastasis include lymph, lungs, liver, bone, and brain -
✔✔T
What is an FDA approved treatment for osteoporosis? - ✔✔Biphosphonate therapy
,T or F: Bone density improvement is the primary goal of biphosphonate treatment? - ✔✔F (it is to slow
the progression of disease)
An elevated serum alkaline phosphate (SAP) may include all of the following EXCEPT -
✔✔Hypothyroidism
T or F: Xray findings associated with Paget's disease can show enlargement of bone and specific
deformities (long bone bowing) - ✔✔T
Symptoms of Cushing's Syndrome include - ✔✔Amenorrhea
T or F: Pituitary tumor resection may be first line treatment for Cushing's Syndrome if indicated - ✔✔T
Addison's Disease may cause which of the following lab abnormalities? - ✔✔Elevated ACTH (not
hypokalemia, hypernatremia, or elevated cortisol)
T or F: A patient with suspected hirsituism should be referred to endocrinology for an evaluation - ✔✔T
A positive Trousseau's sign occurs with which serum abnormality? - ✔✔HYPOcalcemia
Which of the following can cause hypocalcemia? - ✔✔Vit D Deficiency, hypomagnesemia
T or F: Low serum albumin may lower serum calcium - ✔✔T
Which can cause hyperkalemia in a patient with normal renal function? - ✔✔Adrenocorticol deficiency
T or F: Medical management of primary hyperparathyroidism involves close monitoring of calcium,
creatinine, and bone density - ✔✔T
, Criteria for parathyroidectomy in a case of primary hyperparathyroidism includes all EXCEPT - ✔✔under
age 50
T or F: Primary hypoparathyroidism is characterized by inappropriate secretion of PTH along with
hypercalcemia - ✔✔F
T or F: Patients with a history of migraines with aura is an absolute contraindication for combined oral
contraceptives - ✔✔T
When an OCP is forgotten for 2 days or fewer... - ✔✔2 pills for 2 days, resume pills, use back up method
for rest of cycle
T or F: 45 year old patient with secondary amenorrhea for 4 months and negative HcG needs no further
evaluation for underlying cause - ✔✔F
T or F: Herbal OTC remedies for menopausal women with vasomotor symptoms have not been proven
effective and may be harmful - ✔✔T
Neuropathic pain may be characterized by - ✔✔poorly localized, shooting or stabbing pain
T or F: Naproxen is recommended for moderate pain or dysmenorrhea and should be dosed: 500mg
initially then 250mg q12 hours - ✔✔T
The medical diagnosis associated with a transgender patient is - ✔✔gender dysphoria
T or F: Diminished testosterone may be a possible cause of decreased arousal, libido, and orgasm in
postmenopausal women - ✔✔T
Causes of primary amenorrhea in a 17 year old may include all EXCEPT - ✔✔endometriosis
Lab work for a primary amenorrhea includes - ✔✔thyroid panel, pregnancy test, prolactin
Answers | Verified | Latest 2024 Version
A patient has rapid weight gain, amenorrhea without pregnancy, and mild hypertension. Once
confirmatory tests are performed, what is a possible treatment for this patient? - ✔✔Pituitary tumor
resection
A patient has unexplained weight loss and the provider notes increased skin pigmentation on light-
exposed skin folds along with darkened palmar creases. Which laboratory tests will the provider order vs
NOT order - ✔✔ORDER: Serum ACTH, Serum electrolytes, TB skin testing
NOT: Serum cortisol
T or F: Patient wishes related to palliative care should be discussed at the initial visit and updated at
preventive visits - ✔✔T
T or F: A patient on chemo has a high temperature and absolute neutropenic count >500,000 needs
immediate ER workup - ✔✔T
Radiation therapy can be used for all of the following in cancer treatment EXCEPT - ✔✔Treatment of side
effects of chemo
T or F: SIADH is an oncological emergency requiring urgent oncologic care - ✔✔T
What is an effective pharmacologic medication to treat non-cancer chronic pain? - ✔✔Ibuprofen
T or F: The most common sites for breast CA metastasis include lymph, lungs, liver, bone, and brain -
✔✔T
What is an FDA approved treatment for osteoporosis? - ✔✔Biphosphonate therapy
,T or F: Bone density improvement is the primary goal of biphosphonate treatment? - ✔✔F (it is to slow
the progression of disease)
An elevated serum alkaline phosphate (SAP) may include all of the following EXCEPT -
✔✔Hypothyroidism
T or F: Xray findings associated with Paget's disease can show enlargement of bone and specific
deformities (long bone bowing) - ✔✔T
Symptoms of Cushing's Syndrome include - ✔✔Amenorrhea
T or F: Pituitary tumor resection may be first line treatment for Cushing's Syndrome if indicated - ✔✔T
Addison's Disease may cause which of the following lab abnormalities? - ✔✔Elevated ACTH (not
hypokalemia, hypernatremia, or elevated cortisol)
T or F: A patient with suspected hirsituism should be referred to endocrinology for an evaluation - ✔✔T
A positive Trousseau's sign occurs with which serum abnormality? - ✔✔HYPOcalcemia
Which of the following can cause hypocalcemia? - ✔✔Vit D Deficiency, hypomagnesemia
T or F: Low serum albumin may lower serum calcium - ✔✔T
Which can cause hyperkalemia in a patient with normal renal function? - ✔✔Adrenocorticol deficiency
T or F: Medical management of primary hyperparathyroidism involves close monitoring of calcium,
creatinine, and bone density - ✔✔T
, Criteria for parathyroidectomy in a case of primary hyperparathyroidism includes all EXCEPT - ✔✔under
age 50
T or F: Primary hypoparathyroidism is characterized by inappropriate secretion of PTH along with
hypercalcemia - ✔✔F
T or F: Patients with a history of migraines with aura is an absolute contraindication for combined oral
contraceptives - ✔✔T
When an OCP is forgotten for 2 days or fewer... - ✔✔2 pills for 2 days, resume pills, use back up method
for rest of cycle
T or F: 45 year old patient with secondary amenorrhea for 4 months and negative HcG needs no further
evaluation for underlying cause - ✔✔F
T or F: Herbal OTC remedies for menopausal women with vasomotor symptoms have not been proven
effective and may be harmful - ✔✔T
Neuropathic pain may be characterized by - ✔✔poorly localized, shooting or stabbing pain
T or F: Naproxen is recommended for moderate pain or dysmenorrhea and should be dosed: 500mg
initially then 250mg q12 hours - ✔✔T
The medical diagnosis associated with a transgender patient is - ✔✔gender dysphoria
T or F: Diminished testosterone may be a possible cause of decreased arousal, libido, and orgasm in
postmenopausal women - ✔✔T
Causes of primary amenorrhea in a 17 year old may include all EXCEPT - ✔✔endometriosis
Lab work for a primary amenorrhea includes - ✔✔thyroid panel, pregnancy test, prolactin
