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NR507 FINAL FLASHCARD EXAM WITH CORRECT QUESTIONS AND ANSWERS 2025

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NR507 FINAL FLASHCARD EXAM WITH CORRECT QUESTIONS AND ANSWERS 2025

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NR507 FINAL FLASHCARD EXAM WITH
CORRECT QUESTIONS AND ANSWERS
2025

- Generalized tonic-clonic seizures: - CORRECT-ANSWERS-wide-spread and

uncontrolled neuron activity in the entire cerebral cortex

- -occur in 10% of patients who have epilepsy

- -excessive neuronal discharge in the motor nerves through the brain.

- Generalized tonic seizures: - CORRECT-ANSWERSthis seizure is characterized by

unconsciousness and muscle rigidity.

- Post-ictal phase - CORRECT-ANSWERS(lasts one to two hours): characterized by

confusion, unresponsiveness and muscle flaccidity.

- -Following the post-ictal state, there will be a return to normal state of consciousness

- Clonic phase - CORRECT-ANSWERS(lasts one minute): continuous discharge of

neurons gets interrupted.

- -characterized by small durations of relaxation, occur because of inhibitory mechanisms

of the brain to try to control the wide-spread neuronal activity

- -patient will exhibit spasms and jerking, perceived as violent shaking of muscles.

- Generalized clonic seizures: - CORRECT-ANSWERSthis seizure is characterized by

muscle spasms.

- Generalized absence seizure: - CORRECT-ANSWERS-common in children

- -caused by a genetic abnormality

- -characterized by sudden and brief loss of consciousness without muscle tone

,- -last for only a few seconds

- -no associated post-ictal confusion.

- Wide variety of options available, is based on needs of the patient - CORRECT-

ANSWERSAnticonvulsants

- Removes the cause of the seizure - CORRECT-ANSWERSSurgery

- Ketogenic diet - CORRECT-ANSWERSProduces energy other than glucose to be used

by the brain

- Nerve stimulation - CORRECT-ANSWERSControls the seizure by influencing

neurotransmitter release

- An individual having a focal seizure without dyscognitive features will _______ -

CORRECT-ANSWERShave no impairment of consciousness

- Febrile seizures most often ___________ medication as they ___________. -

CORRECT-ANSWERSdo not need, resolve on their own.

- Tonic-clonic phase results in: - CORRECT-ANSWERS1. The muscles of the body

become contracted. without any relaxation.

- 2. Loss of consciousness.

- 3. Ictal cry. This is a typical sound produced by the tonic contractions of the laryngeal

muscles and muscles of expiration.

- 4. Respiratory impairment that results in cyanosis.

- 5. Tonic contraction of the jaw muscles that can cause tongue biting.

- 6. Increased sympathetic activity. This will cause increased heart rate and blood pressure

- Tonic-clonic phase lasts __________ - CORRECT-ANSWERS10-20 seconds

,- Tonic-clonic phase is due to __________________ - CORRECT-ANSWERSthe

excessive discharge of neurons in the motor nerves

- Underlying cause of BPH - CORRECT-ANSWERS5delta-reductace activity increases

with age

- -increases dihydrotestosterone levels

- -normal prostate cells respond to the increase in dihydrotestosterone levels by living

longer and multiplying

- acute kidney injury/acute renal failure - CORRECT-ANSWERSsudden loss of kidney

function

- Reversible

- S/S:

- -oliguria (<30mL/hr)

- -increased BUN & creatinine

- -fluid & electrolyte abnormalities

- Prerenal - CORRECT-ANSWERSMost common type of Acute Renal Failure

- Sudden & severe drop in BP (shock) or interruption of blood flow to the kidneys from

severe injury or illness

- -causes: hypotension, decreased CO, decreased blood volume

- Intrarenal (intrinsic) - CORRECT-ANSWERSDirect damage to the kidneys by

inflammation, toxins, drugs, infection, or decreased blood supply.

- -Causes: acute tubular necrosis (ATN), acute glomerulonephritis, and other

glomerulopathies

, - Postrenal - CORRECT-ANSWERSSudden obstruction of urine flow due to enlarged

prostate, kidney stones, bladder tumors, or injury.

- Prerenal labs - CORRECT-ANSWERS-increased creatinine

- -increased BUN

- -increased BUN/creatinine ratio 20:1

- -concentrated urine (high osmolarity)

- Intrinsic renal failure labs - CORRECT-ANSWERS-increased creatining

- -increased BUN

- -BUN/creatinine ratio <15:1

- -dilute urine

- Best way to differentiate between prerenal and intrinsic renal failure - CORRECT-

ANSWERSBUN/creatinine ratio

- Most common damage to the kidneys in intrinsic (intrinsic) renal disease is ___________

- CORRECT-ANSWERStubular (85%)

- others are:

- glomerular (5%)

- interstitial (8%)

- vascular (<2%)

- Chronic Kidney Disease (CKD) - CORRECT-ANSWERSProgressive loss of renal

function that can develop as a complication of unresolved AKI or systemic diseases,

including HTN, DM (most significant risk factor), SLE or intrinsic kidney disease.

- Risk factor for development of UTI - CORRECT-ANSWERSPregnancy

- Help prevent a UTI - CORRECT-ANSWERSIncrease water consumption

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