NUR 524 EXAM 2 NEWEST 2024 ACTUAL EXAM
COMPLETE 100 QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS) |ALREADY GRADED A+
Addison's disease, what hormone level am I looking at? - ANSWER: Cortisol
Suppression of cortisol
Autoimmune attack on adrenal cells
How do patients present with cortisol suppression? - ANSWER: tired/lethargic
Weakness
Poor appetite
Weight loss
Skin changes such as hyperpigmentation on extremities
What is going to happen to labs in addsions? - ANSWER: Free cortisol low
Potassium elevated
Sodium low
Cushings is an excess of what? - ANSWER: cortisol
What other comorbidities can cushing's cause? - ANSWER: Osteoporosis
DM II
Hypertension
Diabetes is a insulin secretion problem or insulin use problem - ANSWER: Insulin
secretion problem= type I
Insulin use problem= type II
What medication would you start on an obese patient who is sedentary and has a
poor diet. You need to control sugar and have them loose weight. - ANSWER: GLP 1
(ozempic, wygovy)
SE: gastroparesis, have to stop for week to have colonoscopy or any sedation
When should you screen for DM? - ANSWER: BMI
Overweight >25
Obese >30
Any person >45 years old should be screened for DM q3 years
Screening is A1C (gold standard)
Fasting plasma glucose >126
Random glucose >200
Long acting insulin types - ANSWER: Insulin glargine: Lantus
Insulin detemir: Levemir
Short acting insulin types - ANSWER: Insulin lispro: Humalog
Insulin aspart: Novalog
, For a person with DM II on insulin therapy, what do we want the A1C to be? -
ANSWER: Long acting insulin <7
Rapid acting insulin 7-7.5
Pheochromocytoma, What can this disease mimic? - ANSWER: hyperthyroidism
Pheochromocytoma, What hormone is released? - ANSWER: Catecholamines
secreted from a tumor
What is the difference between a nodule and a goiter? - ANSWER: Malignancy
associated with nodules specifically cold spot
Adrenal crisis with super low BP and cortisol is almost nothing; what med do you
give? - ANSWER: Hydrocortisone
Know difference between graves and hashimotos - ANSWER: Graves is hyper
Hashimotos is hypo
Graves disease signs and symptoms - ANSWER: Exophthalmos (bulging eyes)
Thyroid changes
Nervousness
Irritability
Weakness
Heart palpitations
Weight loss
Bilateral ocular discomfort
Heat intolerance
Tremor
Localized dermopathy
Hashimotos usually involves what? - ANSWER: Goiter
What objective findings would you find in metabolic syndrome? - ANSWER: Increase
in triglycerides >150
HDL<40
Waist circumference >40 inches
What lipoprotein do we want high? - ANSWER: HDL
Labs for hypothyroid - ANSWER: high TSH and low T3 T4
Labs for hyperthyroid - ANSWER: low TSH and high T3 T4
TSH of 0.9 what am I worried about? - ANSWER: Graves disease, check T3 and T4
COMPLETE 100 QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS) |ALREADY GRADED A+
Addison's disease, what hormone level am I looking at? - ANSWER: Cortisol
Suppression of cortisol
Autoimmune attack on adrenal cells
How do patients present with cortisol suppression? - ANSWER: tired/lethargic
Weakness
Poor appetite
Weight loss
Skin changes such as hyperpigmentation on extremities
What is going to happen to labs in addsions? - ANSWER: Free cortisol low
Potassium elevated
Sodium low
Cushings is an excess of what? - ANSWER: cortisol
What other comorbidities can cushing's cause? - ANSWER: Osteoporosis
DM II
Hypertension
Diabetes is a insulin secretion problem or insulin use problem - ANSWER: Insulin
secretion problem= type I
Insulin use problem= type II
What medication would you start on an obese patient who is sedentary and has a
poor diet. You need to control sugar and have them loose weight. - ANSWER: GLP 1
(ozempic, wygovy)
SE: gastroparesis, have to stop for week to have colonoscopy or any sedation
When should you screen for DM? - ANSWER: BMI
Overweight >25
Obese >30
Any person >45 years old should be screened for DM q3 years
Screening is A1C (gold standard)
Fasting plasma glucose >126
Random glucose >200
Long acting insulin types - ANSWER: Insulin glargine: Lantus
Insulin detemir: Levemir
Short acting insulin types - ANSWER: Insulin lispro: Humalog
Insulin aspart: Novalog
, For a person with DM II on insulin therapy, what do we want the A1C to be? -
ANSWER: Long acting insulin <7
Rapid acting insulin 7-7.5
Pheochromocytoma, What can this disease mimic? - ANSWER: hyperthyroidism
Pheochromocytoma, What hormone is released? - ANSWER: Catecholamines
secreted from a tumor
What is the difference between a nodule and a goiter? - ANSWER: Malignancy
associated with nodules specifically cold spot
Adrenal crisis with super low BP and cortisol is almost nothing; what med do you
give? - ANSWER: Hydrocortisone
Know difference between graves and hashimotos - ANSWER: Graves is hyper
Hashimotos is hypo
Graves disease signs and symptoms - ANSWER: Exophthalmos (bulging eyes)
Thyroid changes
Nervousness
Irritability
Weakness
Heart palpitations
Weight loss
Bilateral ocular discomfort
Heat intolerance
Tremor
Localized dermopathy
Hashimotos usually involves what? - ANSWER: Goiter
What objective findings would you find in metabolic syndrome? - ANSWER: Increase
in triglycerides >150
HDL<40
Waist circumference >40 inches
What lipoprotein do we want high? - ANSWER: HDL
Labs for hypothyroid - ANSWER: high TSH and low T3 T4
Labs for hyperthyroid - ANSWER: low TSH and high T3 T4
TSH of 0.9 what am I worried about? - ANSWER: Graves disease, check T3 and T4
