NR603 NR 667 2025-2030 QUESTIONS AND WELL DEFINED ANSWERS
LATEST UPDATE GRADE A+
Study
How long after stopping clopidrogel before normal platelet function?
10 days
When should you avoid giving an ACE inhibitor? (8)
If the patient is: On potassium supplements, potassium sparing diuretics, pregnant,
breastfeeding, aortic stenosis, angioedema, hypotensive, hyperkalemic
Warfarin contraindications (4)
Large esophageal varices, thrombocytopenia, recent eye or brain surgery, within 72
hours of major surgery
Warfarin onset time?
24-72 hours
Indications to prescribe warfarin? (7)
A fib, prosthetic heart valve, pulmonary embolism, DVT, stroke, heart failure,
antiphospholipid syndrome
Which labs to monitor when patient is on digoxin? (4)
Digoxin level, electrolytes, creatinine, EKGs
Signs of digoxin overdose (3)
GI disturbance, hyperkalemia, bradyarrhythmia
Drugs that are on BEERS criteria (4)
Antipsychotics, rivaroxaban, tramadol, opioids
Contraindication of loop diuretic (allergy of what)
sulfa allergy
Thiazide diuretics adverse effects (4)
Elevate blood sugar, Elevate LDL, Elevate Uric acid, Hypokalemia
What med do you not give with thiazide diuretics?
Lithium
Rivaroxaban Antidote
Andexxa
Apibaxan antidote
Andexxa
Dagibatran antidote
Praxoband
Contraindications to ACE (3)
Renal artery stenosis, Pregnancy, Angioedema
What is the topical treatment of choice for acne vulgaris?
Benzoyl Peroxide
What respiratory organism causes otitis externa?
Pseudomonas aeruginosa
Influenza complication risk factors? (6)
Age > 65, pregnant, chronic illnesses, immunocompromised, morbidly obese, nursing
home resident
Meniere disease symptoms? (3)
,recurrent vertigo, hearing loss, fullness in ear
acoustic neuroma symptoms (4)
Impaired gait, hearing loss, tinnitus, facial numbness
abnormal head thrust test used for diagnosis of what?
vestibular neuritis
On CT Scan, epidural hematoma looks like?
Biconvex hematoma
Subdural hematoma symptoms are what (6)
Worsening headache, gait abnormalities seizures, somnolence, confusion, memory loss
On CT scan, subdural hematoma looks like?
Crescent shaped
What does ramsey hunt syndrome present as? (3)
Painful vesicular rash, paralysis of face, decreased hearing
When to prescribe facial topical metromidazole?
Papularpustular rosacea
Contraindications of ACE/ARB? (3)
Angioedema, pregnancy, renal artery stenosis
What to watch for in the patient when on Atypical antipsychotics? (3)
Weight gain, metabolic syndrome, type 2 diabetes
What does delayed subdural hematoma present as?
Focal neurologic deficits (hemiparesis, slurred speech, gait disturbances, aphasic)
Clinical Manifestations of cervical cancer? (5)
-usually asymptomatic
-vaginal bleeding postcoital or intermesntrual
-abnormal or increased vaginal discharge
-Inguinal lymphadenopathy
-Pelvic or low back pain
Life threatening cause of strabismus?
retinoblastoma
What is Lhermitte sign?
a shock like sensation radiating down the spine or limbs induced by neck movements;
and urinary frequency, urgency, or retention Sign of multiple scelrosis
Clinical features of a mono infection? (6)
Fever, tonsillitis or pharyngitis, posterior or diffuse cervical lymphadenopathy, significant
fatigue, with or without hepatosplenomegaly, rash after amoxicillin
Endometriosis symptoms (6)
Dysuria, dyschezia, nodules in rectovaginal cul-de-sac, retroverted immobile uterus,
adexnal mass, cervical motion tenderness
Indications of clindamycin (6)
Skin infection, bone infection, lower respiratory infection, intra-abdominal infection,
bacterial vaginosis, sepsis
Clindamycin works on what type of bacteria? (3)
strep, staph, atypical
Contraindications to sulfa drugs (4)
G6PD deficiency, less than 2 months old, pregnancy, purphyria
First line treatment for pseudomonas pneumonia with cystic fibrosis?
, Ciprofloxacin
Adverse effects of fluoroquinolones? (8)
photosensitivity, tendon rupture, QT prolongation, hypoglycemia, CNS effects,
peripheral neuropathy, double vision, hepatotoxicity
Black box warning for fluoroquinolones? (3)
Pregnancy, aortic dissection, tendon rupture
On fundoscopic exam, patient has yellowish deposits of lipids and calcium
scattered throughout. Most likely diagnosis?
Age-related macular degeneration
Presenting features of retinoblastoma (5)
Absent red reflex
Strabismus
Nystagmus
Vision impairment
Ocular inflammation
Treatment for enterobius verniculbrius (pinworm)
Pyrantel pamoate or albenazole
When to screen for chlamydia and gonorrhea?
Sexually active
If woman age < 25: Annually
If woman age > 25 and high risk: annually
Pheochromocytoma treatment?
Alpha blockers such as phenoxybenzamine
Definitive diagnosis of pheochromocytoma?
24 hour urine test for metanephrines
CT/MRI of adrenals
Pheochromocytoma symptoms? (6)
Headache, sweating, palpitations, anxiety, tremor, abdominal pain
Clinical features of marijuana intoxication? (4)
Increased appetite
Tachycardia
Tachypnea
Dry Mouth
What drug can cause hyperplasia gingivia?
Phenytoin/Dilantin
What is bulbar conjunctiva?
a protective thin mucous membrane covering the sclera (not cornea)
What is the palpebral conjunctiva?
lining of the inside of the eyelids
Painful skin fissure and maceration at corners of mouth due to excessive
moisture. What is this called and what are the causes (6)
Cheilosis
Secondary infection of candida or staph
Caused by over salivation, poorly fit dentures, vitamin B deficiency, autoimmune
disease, pacifier use, lip licking, cancer
Bluish, pale, boggy turbinates are seen in what?
LATEST UPDATE GRADE A+
Study
How long after stopping clopidrogel before normal platelet function?
10 days
When should you avoid giving an ACE inhibitor? (8)
If the patient is: On potassium supplements, potassium sparing diuretics, pregnant,
breastfeeding, aortic stenosis, angioedema, hypotensive, hyperkalemic
Warfarin contraindications (4)
Large esophageal varices, thrombocytopenia, recent eye or brain surgery, within 72
hours of major surgery
Warfarin onset time?
24-72 hours
Indications to prescribe warfarin? (7)
A fib, prosthetic heart valve, pulmonary embolism, DVT, stroke, heart failure,
antiphospholipid syndrome
Which labs to monitor when patient is on digoxin? (4)
Digoxin level, electrolytes, creatinine, EKGs
Signs of digoxin overdose (3)
GI disturbance, hyperkalemia, bradyarrhythmia
Drugs that are on BEERS criteria (4)
Antipsychotics, rivaroxaban, tramadol, opioids
Contraindication of loop diuretic (allergy of what)
sulfa allergy
Thiazide diuretics adverse effects (4)
Elevate blood sugar, Elevate LDL, Elevate Uric acid, Hypokalemia
What med do you not give with thiazide diuretics?
Lithium
Rivaroxaban Antidote
Andexxa
Apibaxan antidote
Andexxa
Dagibatran antidote
Praxoband
Contraindications to ACE (3)
Renal artery stenosis, Pregnancy, Angioedema
What is the topical treatment of choice for acne vulgaris?
Benzoyl Peroxide
What respiratory organism causes otitis externa?
Pseudomonas aeruginosa
Influenza complication risk factors? (6)
Age > 65, pregnant, chronic illnesses, immunocompromised, morbidly obese, nursing
home resident
Meniere disease symptoms? (3)
,recurrent vertigo, hearing loss, fullness in ear
acoustic neuroma symptoms (4)
Impaired gait, hearing loss, tinnitus, facial numbness
abnormal head thrust test used for diagnosis of what?
vestibular neuritis
On CT Scan, epidural hematoma looks like?
Biconvex hematoma
Subdural hematoma symptoms are what (6)
Worsening headache, gait abnormalities seizures, somnolence, confusion, memory loss
On CT scan, subdural hematoma looks like?
Crescent shaped
What does ramsey hunt syndrome present as? (3)
Painful vesicular rash, paralysis of face, decreased hearing
When to prescribe facial topical metromidazole?
Papularpustular rosacea
Contraindications of ACE/ARB? (3)
Angioedema, pregnancy, renal artery stenosis
What to watch for in the patient when on Atypical antipsychotics? (3)
Weight gain, metabolic syndrome, type 2 diabetes
What does delayed subdural hematoma present as?
Focal neurologic deficits (hemiparesis, slurred speech, gait disturbances, aphasic)
Clinical Manifestations of cervical cancer? (5)
-usually asymptomatic
-vaginal bleeding postcoital or intermesntrual
-abnormal or increased vaginal discharge
-Inguinal lymphadenopathy
-Pelvic or low back pain
Life threatening cause of strabismus?
retinoblastoma
What is Lhermitte sign?
a shock like sensation radiating down the spine or limbs induced by neck movements;
and urinary frequency, urgency, or retention Sign of multiple scelrosis
Clinical features of a mono infection? (6)
Fever, tonsillitis or pharyngitis, posterior or diffuse cervical lymphadenopathy, significant
fatigue, with or without hepatosplenomegaly, rash after amoxicillin
Endometriosis symptoms (6)
Dysuria, dyschezia, nodules in rectovaginal cul-de-sac, retroverted immobile uterus,
adexnal mass, cervical motion tenderness
Indications of clindamycin (6)
Skin infection, bone infection, lower respiratory infection, intra-abdominal infection,
bacterial vaginosis, sepsis
Clindamycin works on what type of bacteria? (3)
strep, staph, atypical
Contraindications to sulfa drugs (4)
G6PD deficiency, less than 2 months old, pregnancy, purphyria
First line treatment for pseudomonas pneumonia with cystic fibrosis?
, Ciprofloxacin
Adverse effects of fluoroquinolones? (8)
photosensitivity, tendon rupture, QT prolongation, hypoglycemia, CNS effects,
peripheral neuropathy, double vision, hepatotoxicity
Black box warning for fluoroquinolones? (3)
Pregnancy, aortic dissection, tendon rupture
On fundoscopic exam, patient has yellowish deposits of lipids and calcium
scattered throughout. Most likely diagnosis?
Age-related macular degeneration
Presenting features of retinoblastoma (5)
Absent red reflex
Strabismus
Nystagmus
Vision impairment
Ocular inflammation
Treatment for enterobius verniculbrius (pinworm)
Pyrantel pamoate or albenazole
When to screen for chlamydia and gonorrhea?
Sexually active
If woman age < 25: Annually
If woman age > 25 and high risk: annually
Pheochromocytoma treatment?
Alpha blockers such as phenoxybenzamine
Definitive diagnosis of pheochromocytoma?
24 hour urine test for metanephrines
CT/MRI of adrenals
Pheochromocytoma symptoms? (6)
Headache, sweating, palpitations, anxiety, tremor, abdominal pain
Clinical features of marijuana intoxication? (4)
Increased appetite
Tachycardia
Tachypnea
Dry Mouth
What drug can cause hyperplasia gingivia?
Phenytoin/Dilantin
What is bulbar conjunctiva?
a protective thin mucous membrane covering the sclera (not cornea)
What is the palpebral conjunctiva?
lining of the inside of the eyelids
Painful skin fissure and maceration at corners of mouth due to excessive
moisture. What is this called and what are the causes (6)
Cheilosis
Secondary infection of candida or staph
Caused by over salivation, poorly fit dentures, vitamin B deficiency, autoimmune
disease, pacifier use, lip licking, cancer
Bluish, pale, boggy turbinates are seen in what?
