GNUR 567 Final Exam 2024 Edition. Real
Exam Questions and Correct, Verified
Answers. Graded A+
15 in 15 for hypoglycemia - ANS15 g of carbs in 15 mins
1 hard boiled egg and once slice of toast
1 tbsp PB and 3 graham crackers
1 oz turkey and bread
5 As of smoking cessation - ANSAsk
Advise
Assess
Assist
Arrange f/u
Acute LBP - ANSless than 6 weeks
recent injury, difficulty standing, pain radiates from buttock to posterior thigh, spasms,
sudden onset of recurring pain
Acute otitis media - ANSDiagnosis requires all 3: acute onset of symptoms, presence of
middle ear effusion and s/sx inflammation
tx: amox/augmentin 875 mg PO BID for both
Eustachian tube infections give PO and topical abx: ciprodex
Antihypertensive med management - ANSCKD or DM: ACEI or ARB
HF: ACEI or ARB, BB, diuretic, SGLT2 inhibitor?
Thiazide: use cautiously with gout or hx severe hyponatremia
ACEI/ARB: contraindicated for pregnancy or those who may become pregnant, check K
and creatinine levels within 1-2 weeks of initiation, repeat in 1 month if stable
CCB: more effective for AA
BB: not first line treatment, use in pregnancy
follow up with pts in 2-3 weeks for recheck BP and ADR assessment
Anxiety diagnosis - ANSScreening tools: GAD 7 PHQ9, must have had sx for 6 months
Meds: SSRIs, SNRIs
Buspar
, Benzos for short term
Asthma management - ANSRelievers: SABA, PO steroids in exacerbation, ICS
Controllers: ICS with LABA, leukotriene receptor agonists
examples: SABA: Albuterol/levalbuterol; ICS: budesonide, fluticasone LABA: formoterol,
salmeterol LTRA: montelukast
important to step up therapy if symptoms are not controlled
step down therapy when symptoms have been controlled for 3 months
B12 deficiency - ANSMacrocytic, hyperchromic with elevated RDW
Neuro s/s
Back pain red flags - ANSnumbness/tingling
incontinence
saddles paresthesia
check pulses
fever
IVDU
recent surgeries of back --> osteo
Biguanides - ANSMETFORMIN FIRST LINE RECOMMENDED
A1C decrease 1-2%
Suppressed excessive hepatic glucose production, increase glucose use, reduces
hepatic gluconeogenesis
ADRs: N/V/D abd pain,
BBW: fatal lactic acidosis- don't use with patients with liver impairment, CV compromise,
surgery in 24-48 hours, contrast dye
500 mg one daily for one week then BID
BMI classifications - ANS<18.5% underweight
18.5-24.9= healthy
25-29.9= overweight
30+ = obesity
Class 1 30-35
Class 2 35-40
Class 3 40+ (severe)
Carpal tunnel - ANShallmark sign: nighttime awakening with pain and numbness
flattened thenar eminence
EMG/ nerve conduction test gold standard for dx
Carpal Tunnel management - ANSprevent flexion and extension movement (splint)
Vit B6 for neuropathy
Exam Questions and Correct, Verified
Answers. Graded A+
15 in 15 for hypoglycemia - ANS15 g of carbs in 15 mins
1 hard boiled egg and once slice of toast
1 tbsp PB and 3 graham crackers
1 oz turkey and bread
5 As of smoking cessation - ANSAsk
Advise
Assess
Assist
Arrange f/u
Acute LBP - ANSless than 6 weeks
recent injury, difficulty standing, pain radiates from buttock to posterior thigh, spasms,
sudden onset of recurring pain
Acute otitis media - ANSDiagnosis requires all 3: acute onset of symptoms, presence of
middle ear effusion and s/sx inflammation
tx: amox/augmentin 875 mg PO BID for both
Eustachian tube infections give PO and topical abx: ciprodex
Antihypertensive med management - ANSCKD or DM: ACEI or ARB
HF: ACEI or ARB, BB, diuretic, SGLT2 inhibitor?
Thiazide: use cautiously with gout or hx severe hyponatremia
ACEI/ARB: contraindicated for pregnancy or those who may become pregnant, check K
and creatinine levels within 1-2 weeks of initiation, repeat in 1 month if stable
CCB: more effective for AA
BB: not first line treatment, use in pregnancy
follow up with pts in 2-3 weeks for recheck BP and ADR assessment
Anxiety diagnosis - ANSScreening tools: GAD 7 PHQ9, must have had sx for 6 months
Meds: SSRIs, SNRIs
Buspar
, Benzos for short term
Asthma management - ANSRelievers: SABA, PO steroids in exacerbation, ICS
Controllers: ICS with LABA, leukotriene receptor agonists
examples: SABA: Albuterol/levalbuterol; ICS: budesonide, fluticasone LABA: formoterol,
salmeterol LTRA: montelukast
important to step up therapy if symptoms are not controlled
step down therapy when symptoms have been controlled for 3 months
B12 deficiency - ANSMacrocytic, hyperchromic with elevated RDW
Neuro s/s
Back pain red flags - ANSnumbness/tingling
incontinence
saddles paresthesia
check pulses
fever
IVDU
recent surgeries of back --> osteo
Biguanides - ANSMETFORMIN FIRST LINE RECOMMENDED
A1C decrease 1-2%
Suppressed excessive hepatic glucose production, increase glucose use, reduces
hepatic gluconeogenesis
ADRs: N/V/D abd pain,
BBW: fatal lactic acidosis- don't use with patients with liver impairment, CV compromise,
surgery in 24-48 hours, contrast dye
500 mg one daily for one week then BID
BMI classifications - ANS<18.5% underweight
18.5-24.9= healthy
25-29.9= overweight
30+ = obesity
Class 1 30-35
Class 2 35-40
Class 3 40+ (severe)
Carpal tunnel - ANShallmark sign: nighttime awakening with pain and numbness
flattened thenar eminence
EMG/ nerve conduction test gold standard for dx
Carpal Tunnel management - ANSprevent flexion and extension movement (splint)
Vit B6 for neuropathy
