Galen 265 Exam 4 part 1 Questions
with Accurate Answers
Discoid Lupus - ANSWERSAffects skin, isn't lethal
Discoid lupus presents with ... - ANSWERSMacular Rash or Discoid Rash
Discoid rash - ANSWERSred raised patches with scaling skin
Malar Rash - ANSWERSRed flat or raised over cheeks (butterfly rash)
Discoid Lupus Diagnostics - ANSWERSSkin Biopsy
SLE - ANSWERSChronic, progressive, Inflammation of connective tissue, and affects
multiple body systems
SLE in kidneys - ANSWERSLeading cause of death, presents with high creatinine, low
hematocrit, proteinuria
SLE is most common in ... - ANSWERSwomen 20yr- 40yr
SLE manifestations - ANSWERSRash, Photosensitivity, oral ulcers, polyarthritis,
pericarditis, plural effusion, FEVER, fatigue, weakness, anorexia,weight loss,
proteinuria, seizures,peripheral neuropathy, psychosis, Raynauds, alopecia
SLE diagnostics - ANSWERSANA test, C Reactive Protein test( is normal w/ SLE flare
up), CBC( shows pancytopenia)
SLE meds - ANSWERSTopical steroids, NSAIDs (caution with kidneys),
Hydroxychloroquine, Glucocorticiods,
Immunosuppressants: Methotrexate, Azathioprine, Belimumab
Glucocorticiods - ANSWERSGive before breakfast, take C+ supp, monitor skin integrity.
Hydroxychloroquine - ANSWERSFrequent eye exams.
eye exam before starting med and q 6 months
Belimumab - ANSWERSDO NOT receive live vaccines for 30 days before tx
SLE teaching - ANSWERSMONITOR TEMP!!( first sign of worsening), limit sun
exposure, wide brim hat, long sleeves, sunscreen SPF 30+ , clean w/ mild soap, pat
dry, mosturize, avoid alot of powder cosmetics, avoid large crowds, pregnancy can
cause exacerbation. No harsh hair tx.
, scleroderma - ANSWERSuncommon, chronic, autoimmune inflammatory disease.
Scleroderma causes... - ANSWERSfibrosis in tissue and then hardening of tissue.
Diffuse cutaneous scleroderma - ANSWERS= major organ problems
Limited cutaneous scleroderma - ANSWERS= esophagus problems
Diffuse cutaneous scleroderma manifestations - ANSWERS1st sx= edema in hands an
w/ or w/o bilateral carpel tunnel
thickened skin on trunk, face, proximal and distal extremities. GERD, Dysphagia,
Myocardial fibrosis, malignant hypertension, lung fibrosis and PAH.
Complications are rapid
Limited cutaneous scleroderma manifestations - ANSWERSCalcinosis, Raynauds,
Esophageal dysmotility, Sclerodactyly, Telangienctasia
Skin thickens on distal extremities and neck and face
Scleroderma Meds - ANSWERSCCBs for Raynuads
Steroids and Immunosupressants for inflammation
ACE in hibitors for high BP
Bosentan for tx of Pulmonary Artery Hypertension (monitor for lever toxicity)
Scleroderma: Management - ANSWERSHOB 60 degreees during meals and at least 1
hr after
Maintain skin integrity ( especially when on steroids or vasospam drugs)
Small frequent meals w/ semisoft foods. thicken liquids
Avoid pepper, cafine, spices( because of increase gastric secretions)
Promote bowel elimination because pt can have both diarrhea and constipation
scleroderma teaching - ANSWERSwear gloves and socks in cold, no ETOH, no
smoking, no cafine, eliminate high stress, disease gets worse
Fibromyalgia - ANSWERSchronic pain syndrome, NOT an autoimmune inflammatory
disease
Fibromyalgia pain can be described as - ANSWERSa tender stiffness, a burning and
nawing pain that comes and goes
fibromyalgia worsens w/... - ANSWERSincreased stress, activity, and weather
conditions
fifbromyagia is most common in... - ANSWERSwomen 30-50 ( commin in 40 yrs)
Fibromyalgia manifestations - ANSWERSmorning stiffness
with Accurate Answers
Discoid Lupus - ANSWERSAffects skin, isn't lethal
Discoid lupus presents with ... - ANSWERSMacular Rash or Discoid Rash
Discoid rash - ANSWERSred raised patches with scaling skin
Malar Rash - ANSWERSRed flat or raised over cheeks (butterfly rash)
Discoid Lupus Diagnostics - ANSWERSSkin Biopsy
SLE - ANSWERSChronic, progressive, Inflammation of connective tissue, and affects
multiple body systems
SLE in kidneys - ANSWERSLeading cause of death, presents with high creatinine, low
hematocrit, proteinuria
SLE is most common in ... - ANSWERSwomen 20yr- 40yr
SLE manifestations - ANSWERSRash, Photosensitivity, oral ulcers, polyarthritis,
pericarditis, plural effusion, FEVER, fatigue, weakness, anorexia,weight loss,
proteinuria, seizures,peripheral neuropathy, psychosis, Raynauds, alopecia
SLE diagnostics - ANSWERSANA test, C Reactive Protein test( is normal w/ SLE flare
up), CBC( shows pancytopenia)
SLE meds - ANSWERSTopical steroids, NSAIDs (caution with kidneys),
Hydroxychloroquine, Glucocorticiods,
Immunosuppressants: Methotrexate, Azathioprine, Belimumab
Glucocorticiods - ANSWERSGive before breakfast, take C+ supp, monitor skin integrity.
Hydroxychloroquine - ANSWERSFrequent eye exams.
eye exam before starting med and q 6 months
Belimumab - ANSWERSDO NOT receive live vaccines for 30 days before tx
SLE teaching - ANSWERSMONITOR TEMP!!( first sign of worsening), limit sun
exposure, wide brim hat, long sleeves, sunscreen SPF 30+ , clean w/ mild soap, pat
dry, mosturize, avoid alot of powder cosmetics, avoid large crowds, pregnancy can
cause exacerbation. No harsh hair tx.
, scleroderma - ANSWERSuncommon, chronic, autoimmune inflammatory disease.
Scleroderma causes... - ANSWERSfibrosis in tissue and then hardening of tissue.
Diffuse cutaneous scleroderma - ANSWERS= major organ problems
Limited cutaneous scleroderma - ANSWERS= esophagus problems
Diffuse cutaneous scleroderma manifestations - ANSWERS1st sx= edema in hands an
w/ or w/o bilateral carpel tunnel
thickened skin on trunk, face, proximal and distal extremities. GERD, Dysphagia,
Myocardial fibrosis, malignant hypertension, lung fibrosis and PAH.
Complications are rapid
Limited cutaneous scleroderma manifestations - ANSWERSCalcinosis, Raynauds,
Esophageal dysmotility, Sclerodactyly, Telangienctasia
Skin thickens on distal extremities and neck and face
Scleroderma Meds - ANSWERSCCBs for Raynuads
Steroids and Immunosupressants for inflammation
ACE in hibitors for high BP
Bosentan for tx of Pulmonary Artery Hypertension (monitor for lever toxicity)
Scleroderma: Management - ANSWERSHOB 60 degreees during meals and at least 1
hr after
Maintain skin integrity ( especially when on steroids or vasospam drugs)
Small frequent meals w/ semisoft foods. thicken liquids
Avoid pepper, cafine, spices( because of increase gastric secretions)
Promote bowel elimination because pt can have both diarrhea and constipation
scleroderma teaching - ANSWERSwear gloves and socks in cold, no ETOH, no
smoking, no cafine, eliminate high stress, disease gets worse
Fibromyalgia - ANSWERSchronic pain syndrome, NOT an autoimmune inflammatory
disease
Fibromyalgia pain can be described as - ANSWERSa tender stiffness, a burning and
nawing pain that comes and goes
fibromyalgia worsens w/... - ANSWERSincreased stress, activity, and weather
conditions
fifbromyagia is most common in... - ANSWERSwomen 30-50 ( commin in 40 yrs)
Fibromyalgia manifestations - ANSWERSmorning stiffness
