NR 601 MIDTERM EXAM WITH 170 QUESTIONS &
CORRECT ANSWERS LATEST 2024
You ordered CBC for your patient you suspect has polymyalgia rheumatica. Which
2 clinical findings are common in patients with PMR - ANSWER-Normochromic,
normocytic anemia and thrombocytosis
You suspect your patient has PMR and now are concerned that they may have
Giant Cell Arteritis too. Which of the following 2 symptoms are most indicative of
GCA and PMR - ANSWER-Scalp tenderness and aching in shoulder and pelvic
girdle
63 yo Caucasian patient with PMR will begin tx corticosteroids until the condition
has resolved. You look over her records and it has been 2 years since her last
physical exam and any labs or diagnostic tests as she relocated and had not yet ID'd
a provider. In prioritizing your management plan your first orders should include -
ANSWER-Duel energy X-ray scan and updating immunizations
Which of the following DD for patients presenting with PMR can be ruled out with
a muscle biopsy - ANSWER-Polymyositis
In reviewing lab results for patients with suspected PMR, you realize there is no
definitive test to diagnose PMR, rather clinical response to treatment. Results you
would expect to see include: - ANSWER-ESR >50
Which of the following is the most appropriate lab test for monitoring gout therapy
over the long-term - ANSWER-Serum urate level
,In providing health teaching related to dietary restrictions, you should advise a
patient with gout to avoid which of the following dietary items - ANSWER-Beer,
sausage, fried seafood
The best method of verifying gout diagnosis in a joint is which of the following -
ANSWER-Joint aspiration and polarized light microscopy
The most appropriate first line treatment for acute gout flare, assuming no kidney
disease or elevated bleeding risk - ANSWER-Indomethacin 50mg TID x2 days,
then 25mg TID x3 days
You order bilateral wrist XR on 69 yo man with c/o both wrists x6 weeks, not
related to any known trauma. You suspect early RA. The initial XR finding in
apatien with elderly onset RA would be - ANSWER-Soft tissue swelling
A 72 female has been diagnosed with gout. She also has chronic HF. The most
likely contributing factor to development of gout in this older female is -
ANSWER-Thiazide diuretics
Which of the following statements about OA is true - ANSWER-It affects
primarily weight bearing joints
In considering the specificity of lab data, the most reliable diagnostic test listed
below would be - ANSWER-Synovial fluid analysis to differentiate between
infectious versus inflammatory infusion
When examining the spine of an older adult you notice a curvature with a sharp
angle. This is referred to as - ANSWER-Gibbus
, The prevalence of depression in nursing home residents is __________________
greater than adults living in the community - ANSWER-3-4 times
The majority of depressed older adults remain untreated because of - ANSWER-
Misdiagnosis, social stigma, environmental barriers
Symptoms of depression distinct to the elderly include - ANSWER-Lack of
emotions
The justification for ordering CBC, TSH, serum B12 for a patient you may suspect
have clinical depression is - ANSWER-Because of overlapping symptoms with
anemia, thyroid dysfunction, and nutritional deficiencies
One major difference that us useful in the DD of dementia versus delirium is that -
ANSWER-Dementia develops slowly and delirium develops quickly
Which of the following is the most appropriate screening tool for delirium -
ANSWER-Confusion Assessment Method
The proposed mechanism by which diphenhydramine causes delirium is -
ANSWER-Anticholinergic effects
The elderly are at risk for delirium because of - ANSWER-Multisensory declines,
polypharmacy, multiple medical problems
A consistent finding in delirium regardless of cause i - ANSWER-Reduction in
regional cerebral perfusion
CORRECT ANSWERS LATEST 2024
You ordered CBC for your patient you suspect has polymyalgia rheumatica. Which
2 clinical findings are common in patients with PMR - ANSWER-Normochromic,
normocytic anemia and thrombocytosis
You suspect your patient has PMR and now are concerned that they may have
Giant Cell Arteritis too. Which of the following 2 symptoms are most indicative of
GCA and PMR - ANSWER-Scalp tenderness and aching in shoulder and pelvic
girdle
63 yo Caucasian patient with PMR will begin tx corticosteroids until the condition
has resolved. You look over her records and it has been 2 years since her last
physical exam and any labs or diagnostic tests as she relocated and had not yet ID'd
a provider. In prioritizing your management plan your first orders should include -
ANSWER-Duel energy X-ray scan and updating immunizations
Which of the following DD for patients presenting with PMR can be ruled out with
a muscle biopsy - ANSWER-Polymyositis
In reviewing lab results for patients with suspected PMR, you realize there is no
definitive test to diagnose PMR, rather clinical response to treatment. Results you
would expect to see include: - ANSWER-ESR >50
Which of the following is the most appropriate lab test for monitoring gout therapy
over the long-term - ANSWER-Serum urate level
,In providing health teaching related to dietary restrictions, you should advise a
patient with gout to avoid which of the following dietary items - ANSWER-Beer,
sausage, fried seafood
The best method of verifying gout diagnosis in a joint is which of the following -
ANSWER-Joint aspiration and polarized light microscopy
The most appropriate first line treatment for acute gout flare, assuming no kidney
disease or elevated bleeding risk - ANSWER-Indomethacin 50mg TID x2 days,
then 25mg TID x3 days
You order bilateral wrist XR on 69 yo man with c/o both wrists x6 weeks, not
related to any known trauma. You suspect early RA. The initial XR finding in
apatien with elderly onset RA would be - ANSWER-Soft tissue swelling
A 72 female has been diagnosed with gout. She also has chronic HF. The most
likely contributing factor to development of gout in this older female is -
ANSWER-Thiazide diuretics
Which of the following statements about OA is true - ANSWER-It affects
primarily weight bearing joints
In considering the specificity of lab data, the most reliable diagnostic test listed
below would be - ANSWER-Synovial fluid analysis to differentiate between
infectious versus inflammatory infusion
When examining the spine of an older adult you notice a curvature with a sharp
angle. This is referred to as - ANSWER-Gibbus
, The prevalence of depression in nursing home residents is __________________
greater than adults living in the community - ANSWER-3-4 times
The majority of depressed older adults remain untreated because of - ANSWER-
Misdiagnosis, social stigma, environmental barriers
Symptoms of depression distinct to the elderly include - ANSWER-Lack of
emotions
The justification for ordering CBC, TSH, serum B12 for a patient you may suspect
have clinical depression is - ANSWER-Because of overlapping symptoms with
anemia, thyroid dysfunction, and nutritional deficiencies
One major difference that us useful in the DD of dementia versus delirium is that -
ANSWER-Dementia develops slowly and delirium develops quickly
Which of the following is the most appropriate screening tool for delirium -
ANSWER-Confusion Assessment Method
The proposed mechanism by which diphenhydramine causes delirium is -
ANSWER-Anticholinergic effects
The elderly are at risk for delirium because of - ANSWER-Multisensory declines,
polypharmacy, multiple medical problems
A consistent finding in delirium regardless of cause i - ANSWER-Reduction in
regional cerebral perfusion
