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NURS 6501 ADVANCED PATHOPHYSIOLOGY MIDTERM 4 LATEST VERSIONS EACH VERSION WITH 100 QS AND ANS 400 MIDTERM QUESTIONS AND CORRECT ANSWERS / NURS 6501 MIDTERM EXAM WALDEN UNIVERSITY| AGRADE

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NURS 6501 ADVANCED PATHOPHYSIOLOGY MIDTERM 4 LATEST VERSIONS EACH VERSION WITH 100 QS AND ANS 400 MIDTERM QUESTIONS AND CORRECT ANSWERS / NURS 6501 MIDTERM EXAM WALDEN UNIVERSITY| AGRADE - what does it screen for, what are the questions, scoring - ANSWER-- Screens for MDD - It is the first two questions of the PHQ9 - In the last two week, have you been feeling these (not at all, several days, more than half the day, nearly everyday): - Little interest or pleasure in doing things? - Feeling down, depressed, or hopeless? Scoring: A single yes or score 3 (out of 0-6) = possible clinical depression ⇒ due the PHQ9 If the pt screens (+) ⇒ continue to eval with the PHQ9 .about PHQ9 - what its used for, questions, scoring - ANSWER-Used for screening, diagnosing, and treating - It asks about functioning impairments which is needed for the DSM-based diagnosis Includes asking about suicide or hurting self Scoring: 0-27 available 0-4: Minimal/none Monitor; may not require treatment 5-9: Mild Use clinical judgment; follow-up in one month 10-14: Moderate Use clinical judgment; may need meds if functionally impaired 15-19: Moderately Severe Warrants active treatment with psychotherapy, meds, or combo 20-27: Severe Warrants active treatment with psychotherapy, meds, or combo .American Society of Anesthesiologists Anesthesia Classification System 1-4 - ANSWER-ASA Class 1: healthy, normal patient ASA Class 2: patient with mild systemic disease ASA Class 3: patient with severe systemic disease ASA Class 4: patient with severe systemic disease that is a threat to life .anaphylaxis ss - ANSWER-Occurs within 5-30 minutes of exposure to: Generalized itching with or without hives Swollen lips, throat, body part Difficulty breathing, cough Chest tightness Abdominal cramping NVD Feeling of impending doom .are most DM PO agents taken the day of surgery? - ANSWER-yes .Bell's Palsy - definition, etiology, SS, PE, treatment - ANSWER-DEFINITION - Acute, unilateral weakness or paralysis of the facial nerve with an onset of , 72h and unknown cause ETIOLOGY - genetics, vascular, nerve compression, infectious, and metabolic ▲ - HSV, VZV ⇒ cause latent infections in nerves ⇒ reactivation of these can cause Bell's SS - may have pain behind the ipsilateral ear preceding the paralysis by 1-2 days - may have altered taste and ↑ sensitivity to sound * Timing is ESSENTIAL * - presents within 38-72h - slower, progressive, or relapsing is a different entity PE - must do a complete CNS exam to r/o stroke, tumor - must find that CN7 is the primary peripheral source of the facial weakness - will cause a unilateral, full-face paralysis with an ipsilateral source indicating a peripheral nerve problem - lack of eyelid closure and absence of wrinkling forehead - look for vesicles → Ramsay Hunt Syndrome

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NURS 6501 ADVANCED PATHOPHYSIOLOGY MIDTERM 4 LATEST VERSIONS EACH
VERSION WITH 100 QS AND ANS 400 MIDTERM QUESTIONS AND CORRECT
ANSWERS / NURS 6501 MIDTERM EXAM WALDEN UNIVERSITY| AGRADE


- what does it screen for, what are the questions, scoring - ANSWER-- Screens
for MDD
- It is the first two questions of the PHQ9


- In the last two week, have you been feeling these (not at all, several days,
more than half the day, nearly everyday):
- Little interest or pleasure in doing things?
- Feeling down, depressed, or hopeless?


Scoring:
A single yes or score >3 (out of 0-6) = possible clinical depression ⇒ due the
PHQ9


If the pt screens (+) ⇒ continue to eval with the PHQ9


.about PHQ9
- what its used for, questions, scoring - ANSWER-Used for screening, diagnosing,
and treating
- It asks about functioning impairments which is needed for the DSM-based
diagnosis

,Includes asking about suicide or hurting self


Scoring:
0-27 available
0-4: Minimal/none
Monitor; may not require treatment
5-9: Mild
Use clinical judgment; follow-up in one month
10-14: Moderate
Use clinical judgment; may need meds if functionally impaired
15-19: Moderately Severe
Warrants active treatment with psychotherapy, meds, or combo
20-27: Severe
Warrants active treatment with psychotherapy, meds, or combo


.American Society of Anesthesiologists Anesthesia Classification System 1-4 -
ANSWER-ASA Class 1: healthy, normal patient
ASA Class 2: patient with mild systemic disease
ASA Class 3: patient with severe systemic disease
ASA Class 4: patient with severe systemic disease that is a threat to life


.anaphylaxis ss - ANSWER-Occurs within 5-30 minutes of exposure to:
Generalized itching with or without hives
Swollen lips, throat, body part
Difficulty breathing, cough

, Chest tightness
Abdominal cramping
NVD
Feeling of impending doom


.are most DM PO agents taken the day of surgery? - ANSWER-yes


.Bell's Palsy
- definition, etiology, SS, PE, treatment - ANSWER-DEFINITION
- Acute, unilateral weakness or paralysis of the facial nerve with an onset of ,
72h and unknown cause


ETIOLOGY
- genetics, vascular, nerve compression, infectious, and metabolic ▲
- HSV, VZV ⇒ cause latent infections in nerves ⇒ reactivation of these can cause
Bell's


SS
- may have pain behind the ipsilateral ear preceding the paralysis by 1-2 days
- may have altered taste and ↑ sensitivity to sound
* Timing is ESSENTIAL *
- presents within 38-72h
- slower, progressive, or relapsing is a different entity


PE

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