VISE NR 661 EXAM QUESTIONS AND ANSWERS WITH COMPLETE SOLUTIONS VERIFIED

VISE NR 661 EXAM QUESTIONS AND ANSWERS WITH COMPLETE SOLUTIONS VERIFIED Practice questions for this set Terms in this set (115) Hypertension-Presentation Most are not symptomatic, Occipital Headaches, headache on awakening in am, blurry vision, Diagnostic studies for Hypertension EKG, fasting lipid profile, fasting blood glucose, CBC, CMP, and urinalysis. Diagnosis: 140/90 mm Hg start on B/P medication. Non-pharmacologic Management for Hypertension o Lifestyle modifications: diet and exercise 30 minutes aerobic exercise 5 days per week. o Limit alcohol o stop smoking o stress management Pharmacologic Management for Hypertension o hydrochlorothiazide (HCTZ) 25 mg/day o ALTERNATIVE Amlodipine besylate 5 mg /day. I o lisinopril 10mg/day complicated HTN Follow up for Hypertension Referral: o 2-4weeks o Cardiology if EKG is normal Hyperlipidemia Presentation Xanthomata (lipid deposits around the eyes) o Corneal Arcus prior to age 50 years Diagnostics for Hyperlipidemia o lipid profile o Glucose, o UA and creatinine (for detection of nephrotic syndrome which can induce dyslipidemia), o TSH (for detection of hypothyroidism) o CMP Diagnosis: Pt with LDL = 190mg/dL Non-pharmacologic Management for Hyperlipidemia o Lifestyle Modification; diet and exercise. ----------------------------------------- Pharmacologic Management for Hyperlipidemia • Atorvastatin 10mg once a day • Alternative Welchol 625 mg tab daily once a day. for LDL .190 Diabetes type 2 Presentation: • Polydipsia, Polyuria, Polyphagia, • agitation, • nervousness, • obesity, • fatigue • blurry vision Diagnostics for Diabetes type 2: EKG, CBC, CMP, LIPIDS Microalbuminuria, TSH, Diagnostic criteria for Diabetes type 2 A1C Diagnosis: Hgb A1C or equal to 6.5% or Fasting glucose126mg/dl and confirmed on a different day Non-pharmacologic Management for Diabetes Type 2 • Monitor Blood glucose at home and diary • Lifestyle modification: diet and Exercise • avoid alcohol • avoid smoking Pharmacologic Management for Diabetes Type 2 • Metformin 500mg twice a day. (first line) • Actos 15 mg daily • Levemir 10 units once a day Referral for Diabetes Type 2 • Ophthalmologist • Diabetic educator • Podiatry Back pain Presentation: back pain complaint. Maybe localized, referred, or radiating. Determine OLDCARTS, any pre-existing conditions, past surgeries or trauma which may be contributing. Diagnostics for Back Pain x-ray to r/o fracture/disc degeneration (with injury only). MRI and CT (the study of choice for evaluation of disc disease). CBC, CMP, Urinalysis, Non-pharmacologic Management for Back Pain • Restrict activities that aggravate symptoms and avoid heavy lifting. • Gradually resume activities as tolerated, • Apply heat for 20-30 min several times a day. • Manage weight. Pharmacologic Management for Back Pain • Naproxen 250-twice a day. • Flexeril 5 mg as needed 3 times a day (no driving). Follow up for Back Pain Referrals for Back Pain • Severe pain 24-48 hours • 7-10 days moderate pain **if no improvement in 4-6 weeks x-ray** ------------------------------- • Physical Therapy Anxiety Presentation: complaints of apprehension, restlessness, edginess, distractibility insomnia; Somatic complaints like fatigue, paresthesia, near syncope, dizziness, palpitation, tachycardia chest pain/tightness, dyspnea, hyperventilation, nausea vomiting diarrhea. Etc