Care of Adult Final Exam ACTUAL
QUESTIONS AND CORRECT ANSWERS
Ulcerative Colitis - Correct answers✔✔chronic inflammation of the LARGE INTESTINE with
ulcerations in mucosa and submucosa
starts in rectum and goes up to cecum
Symptoms of UC - Correct answers✔✔-Ulcers: bleeding, edematous, abscesses
-Reduced absorption
-frequent diarrhea
-stool with mucus, blood, pus
-colicky abdominal cramps
-distention
-fluid/electrolyte balance
-wt loss
-weakness/cachexia
-low grade fever
Who is at risk for UC - Correct answers✔✔-young adults, Jewish descent
-stressed out peeps
Treatments for UC - Correct answers✔✔-antibiotics: flagyl/cipro
-steroids to decrease inflammation
-bedrest
,-sitz bath
-Lomotil to decrease GI motility
-emotional support
-protect booty
-daily weights
-high protein high calorie diet or TPN
Surgical treatment for UC - Correct answers✔✔Ileostomy
Post op treatment for ileostomy - Correct answers✔✔-care of skin/stoma
-observe for peritonitis
-maintain high protein high cal diet
-stoma education
*no enemas for pre op*
Crohn's disease - Correct answers✔✔chronic inflammation of mostly the SMALL INTESTINE
but can affect entire GI tract. Affects ALL LAYERS OF THE BOWEL
*can perforate bowel wall and cause fistula*
Symptoms of Crohns disease - Correct answers✔✔-Skip lesions: mix of healthy and unhealthy
tissue (deep ulcers between layers of edematous tissue)
-Cobble stone appearance
-Scar tissue that causes malabsorption
,-bowel perforation/fistulas
-strichers/adhesions
-cramps
-lymphadenitis
-string sign
-low grade fever
*no bloody diarrhea/pus*
Who is at risk for Crohns disease? - Correct answers✔✔-15-35 year olds
-jews/european descent
-genetic
Treatments for Crohns - Correct answers✔✔-diet low in residue, roughage, fat
-cooked fruits/vegetables
-antimicrobials
-high calorie/protein diet
-colon resection
Symptoms of parkinsons - Correct answers✔✔-motor dysfunction
-rigidity
-bradykinesia (slow movement)
-tremor
-postural instability
-akinesia (no movement)
, Possible cause of parkinsons - Correct answers✔✔Pesticide/herbicides (TOXINS)
Population with high prevalence of Parkinson's - Correct answers✔✔Amish
Patho of parkinsons - Correct answers✔✔Loss of dopamine and large amount of acetylcholine
Levodopa/Carbidopa (Sinemet) - Correct answers✔✔treats parkinsons
Dopamine receptor agonists - Correct answers✔✔treat Parkinson's; Mirapex, requip
Why do parkinsons patients take drug holidays every 4 months? - Correct answers✔✔Keeps
patient from having delirium and keeps drug effective
How should you teach Parkinson's pts to walk? - Correct answers✔✔Short deliberate wide steps
Surgical management of Parkinson's - Correct answers✔✔Stereotactic pallidotomy
Thrombotic ischemic stroke - Correct answers✔✔-Slow onset of symptoms associated with
atherosclerosis
Embolic ischemic stroke - Correct answers✔✔Clot breaks off and travels usually from prostethic
heart valce/afib and has sudden onset of symptoms
Risk factors for stroke - Correct answers✔✔-afib
QUESTIONS AND CORRECT ANSWERS
Ulcerative Colitis - Correct answers✔✔chronic inflammation of the LARGE INTESTINE with
ulcerations in mucosa and submucosa
starts in rectum and goes up to cecum
Symptoms of UC - Correct answers✔✔-Ulcers: bleeding, edematous, abscesses
-Reduced absorption
-frequent diarrhea
-stool with mucus, blood, pus
-colicky abdominal cramps
-distention
-fluid/electrolyte balance
-wt loss
-weakness/cachexia
-low grade fever
Who is at risk for UC - Correct answers✔✔-young adults, Jewish descent
-stressed out peeps
Treatments for UC - Correct answers✔✔-antibiotics: flagyl/cipro
-steroids to decrease inflammation
-bedrest
,-sitz bath
-Lomotil to decrease GI motility
-emotional support
-protect booty
-daily weights
-high protein high calorie diet or TPN
Surgical treatment for UC - Correct answers✔✔Ileostomy
Post op treatment for ileostomy - Correct answers✔✔-care of skin/stoma
-observe for peritonitis
-maintain high protein high cal diet
-stoma education
*no enemas for pre op*
Crohn's disease - Correct answers✔✔chronic inflammation of mostly the SMALL INTESTINE
but can affect entire GI tract. Affects ALL LAYERS OF THE BOWEL
*can perforate bowel wall and cause fistula*
Symptoms of Crohns disease - Correct answers✔✔-Skip lesions: mix of healthy and unhealthy
tissue (deep ulcers between layers of edematous tissue)
-Cobble stone appearance
-Scar tissue that causes malabsorption
,-bowel perforation/fistulas
-strichers/adhesions
-cramps
-lymphadenitis
-string sign
-low grade fever
*no bloody diarrhea/pus*
Who is at risk for Crohns disease? - Correct answers✔✔-15-35 year olds
-jews/european descent
-genetic
Treatments for Crohns - Correct answers✔✔-diet low in residue, roughage, fat
-cooked fruits/vegetables
-antimicrobials
-high calorie/protein diet
-colon resection
Symptoms of parkinsons - Correct answers✔✔-motor dysfunction
-rigidity
-bradykinesia (slow movement)
-tremor
-postural instability
-akinesia (no movement)
, Possible cause of parkinsons - Correct answers✔✔Pesticide/herbicides (TOXINS)
Population with high prevalence of Parkinson's - Correct answers✔✔Amish
Patho of parkinsons - Correct answers✔✔Loss of dopamine and large amount of acetylcholine
Levodopa/Carbidopa (Sinemet) - Correct answers✔✔treats parkinsons
Dopamine receptor agonists - Correct answers✔✔treat Parkinson's; Mirapex, requip
Why do parkinsons patients take drug holidays every 4 months? - Correct answers✔✔Keeps
patient from having delirium and keeps drug effective
How should you teach Parkinson's pts to walk? - Correct answers✔✔Short deliberate wide steps
Surgical management of Parkinson's - Correct answers✔✔Stereotactic pallidotomy
Thrombotic ischemic stroke - Correct answers✔✔-Slow onset of symptoms associated with
atherosclerosis
Embolic ischemic stroke - Correct answers✔✔Clot breaks off and travels usually from prostethic
heart valce/afib and has sudden onset of symptoms
Risk factors for stroke - Correct answers✔✔-afib
