3/29/25, 8:02 NRNP 6550 Midterm |
AM
NRNP 6550 MIDTERM EXAM QUESTIONS AND ANSWERS WITH COMPLETE
SOLUTIONS VERIFIED
Terms in this set (162)
Vaccinations and immunosuppression. 2 - give inactive agents instead of live agents
keypoints - might not work as effectively
Virus:
- measles
- mumps
- polio (oral)
- rubella
live virus vaccine types
- varicella
- yellow fever
- herpes
zoster
Bacteria:
- typhoid
Virus:
- Hep A and B
- HPV
- influenza
- polio (subq)
- rabies
Bacteria:
- anthrax
inactive vaccine virus
- cholera
- diphteria
- Lyme
- meningococcus
- pertussis
- plague
- pneumococcus
- tetanus
Immunization recommendation influenza all ages, all types (pregnant, diabetes, immunocompromised, etc)
Immunization recommendation pregnancy - 1 dose Tdap
and weakened immune system - no varicella, zoster, MMR
HIV and vaccinations Give inactive agents when CD4 count is greater than 200 cells/ mm3
- BMI
- BP (q2years)
- at age 20: fasting lipid profile: total cholesterol, LDL, HDL, triglycerides
health screening 18 - 45 years
(cardiac testing if LDL greater than 200 or HDL lower than 40)
- annual breast exam, females
- Pap-smear annually
- blood glucose q3years
- 50 and up: colorectal screening (digital exam annually, sigmoidscopy
q5years, colonoscopy q10yrs)
health screening 45 and up
- PSA with digital exam annually for males
- mammography q1 -2 yrs
- women 65 and up: screen for osteoporosis
1/
9
, 3/29/25, 8:02 NRNP 6550 Midterm |
AM
1. heart disease
2.cancer
top 5 leading causes of death 3.respiratory disease
4. stroke
5.accidents
-Pink eyey
Conjunctivitis; definition
- Inflammation of conjuctiva (outer layer of eye)
Chemical, bacterial, viral, allergic, herpetic. Adenovirus is the most common cause,
Conjunctivitis: causes but bacteria (Haemophilus influenzae and Streptococcus pneumoniae) are also
common causes in children.
- redness
- itching
Conjunctivitis: findings - discharge
- edema eyelid
- may find gonorrhea or chlamydia in eye discharge
- cooling
- rule out corneal abrasion
- bacteria: antibiotic solution (gentamicin, neomycin)
Conjunctivitis: management
- chlamydia: oral tetracycline or erythromycin
- gonorrhea: single dose ceftriaxone
- herpes: refer to opthalmologist
- disruption of cornea (clear covering of eye)
Corneal abrasion: definition, cause, - foreign body/ trauma
findings, treatment - pain, redness, photophobia, decreased visual acuity
- ab ointment: gentamicin, sulfacetamide, eye-patch, ophthalmologist
- ocular retinal disease due to DM
- DM, exac by smoking and HTN (macular edema)
diabetic retinopathy: definition, cause,
- flashing lights in vision, blurred vision, black spots, loss of vision, sustained
findings, treatment
glucose greater than 130
- Laser therapy for macular edema, smoking cessation, glucose control, BP control
- separation of retina and choroid
- trauma, intraocular mass, iris inflammation, cataract surgery, DM, sickle cell
retinal detachment: definition, cause, - painless vision changes, blurred vision, light flashes, "curtain" over visual field,
findings, treatment bullous elevation without tears
-- abrupt
ophthalmologist
blockagefor
of cryotherapy,
retinal arterylaser therapy,
causing vitrectomy.
sudden If from
vision loss> willtrauma: eye
become permanent without intervention
- thrombosis/ embolism, arteritis (migraine, older age, afib, DM, HTN,
Central & Branch Retinal Artery Occlusion: coagulopathies)
definition, cause, findings, treatment - sudden, painless vision loss, sluggish pupil, cherry-red spot at fovea
- EMERGENCY. Put pressure on eyelid, heparin, immediate consult opthalmolohgist.
check coagulopathies, check labs for artherosclerotic disease, blood cultures
(endocarditis?),
- progressive visual loss, first peripherally then centrally: chronic open angle
or actute closed angle. Optic neuropathy.
- open: too much intraocular fluid production without removal. Secondary from
Glaucoma: definition, cause, findings, trauma, tumor, or cataracts. Causes: age, steroids, trauma, family history
treatment - Photophobia, visual blurring, unilateral headache. Increased
intraocular pressure.Acute closed: eye pain and visual disturbance
with N/V.
- Acute: Emergency. immediate medication and surgery. Chronic: consult
opthalmologist and monitor. Bimatropost, and beta-blockers. Laser-therapy
2/
9
AM
NRNP 6550 MIDTERM EXAM QUESTIONS AND ANSWERS WITH COMPLETE
SOLUTIONS VERIFIED
Terms in this set (162)
Vaccinations and immunosuppression. 2 - give inactive agents instead of live agents
keypoints - might not work as effectively
Virus:
- measles
- mumps
- polio (oral)
- rubella
live virus vaccine types
- varicella
- yellow fever
- herpes
zoster
Bacteria:
- typhoid
Virus:
- Hep A and B
- HPV
- influenza
- polio (subq)
- rabies
Bacteria:
- anthrax
inactive vaccine virus
- cholera
- diphteria
- Lyme
- meningococcus
- pertussis
- plague
- pneumococcus
- tetanus
Immunization recommendation influenza all ages, all types (pregnant, diabetes, immunocompromised, etc)
Immunization recommendation pregnancy - 1 dose Tdap
and weakened immune system - no varicella, zoster, MMR
HIV and vaccinations Give inactive agents when CD4 count is greater than 200 cells/ mm3
- BMI
- BP (q2years)
- at age 20: fasting lipid profile: total cholesterol, LDL, HDL, triglycerides
health screening 18 - 45 years
(cardiac testing if LDL greater than 200 or HDL lower than 40)
- annual breast exam, females
- Pap-smear annually
- blood glucose q3years
- 50 and up: colorectal screening (digital exam annually, sigmoidscopy
q5years, colonoscopy q10yrs)
health screening 45 and up
- PSA with digital exam annually for males
- mammography q1 -2 yrs
- women 65 and up: screen for osteoporosis
1/
9
, 3/29/25, 8:02 NRNP 6550 Midterm |
AM
1. heart disease
2.cancer
top 5 leading causes of death 3.respiratory disease
4. stroke
5.accidents
-Pink eyey
Conjunctivitis; definition
- Inflammation of conjuctiva (outer layer of eye)
Chemical, bacterial, viral, allergic, herpetic. Adenovirus is the most common cause,
Conjunctivitis: causes but bacteria (Haemophilus influenzae and Streptococcus pneumoniae) are also
common causes in children.
- redness
- itching
Conjunctivitis: findings - discharge
- edema eyelid
- may find gonorrhea or chlamydia in eye discharge
- cooling
- rule out corneal abrasion
- bacteria: antibiotic solution (gentamicin, neomycin)
Conjunctivitis: management
- chlamydia: oral tetracycline or erythromycin
- gonorrhea: single dose ceftriaxone
- herpes: refer to opthalmologist
- disruption of cornea (clear covering of eye)
Corneal abrasion: definition, cause, - foreign body/ trauma
findings, treatment - pain, redness, photophobia, decreased visual acuity
- ab ointment: gentamicin, sulfacetamide, eye-patch, ophthalmologist
- ocular retinal disease due to DM
- DM, exac by smoking and HTN (macular edema)
diabetic retinopathy: definition, cause,
- flashing lights in vision, blurred vision, black spots, loss of vision, sustained
findings, treatment
glucose greater than 130
- Laser therapy for macular edema, smoking cessation, glucose control, BP control
- separation of retina and choroid
- trauma, intraocular mass, iris inflammation, cataract surgery, DM, sickle cell
retinal detachment: definition, cause, - painless vision changes, blurred vision, light flashes, "curtain" over visual field,
findings, treatment bullous elevation without tears
-- abrupt
ophthalmologist
blockagefor
of cryotherapy,
retinal arterylaser therapy,
causing vitrectomy.
sudden If from
vision loss> willtrauma: eye
become permanent without intervention
- thrombosis/ embolism, arteritis (migraine, older age, afib, DM, HTN,
Central & Branch Retinal Artery Occlusion: coagulopathies)
definition, cause, findings, treatment - sudden, painless vision loss, sluggish pupil, cherry-red spot at fovea
- EMERGENCY. Put pressure on eyelid, heparin, immediate consult opthalmolohgist.
check coagulopathies, check labs for artherosclerotic disease, blood cultures
(endocarditis?),
- progressive visual loss, first peripherally then centrally: chronic open angle
or actute closed angle. Optic neuropathy.
- open: too much intraocular fluid production without removal. Secondary from
Glaucoma: definition, cause, findings, trauma, tumor, or cataracts. Causes: age, steroids, trauma, family history
treatment - Photophobia, visual blurring, unilateral headache. Increased
intraocular pressure.Acute closed: eye pain and visual disturbance
with N/V.
- Acute: Emergency. immediate medication and surgery. Chronic: consult
opthalmologist and monitor. Bimatropost, and beta-blockers. Laser-therapy
2/
9
