NSG 555 Quiz 4 Nurse Practitioners In Primary Care Newest
Proctored /NSG 555 Exam 1 Preparation /NSG 555
Practice Exam With Complete Questions And Correct
Answers |Already Graded A+||Brand New Versions!!
Profound stiffness and pain in the
Polymyalgia rheumatica shoulders, hip, low back Fatigue
history -trouble combing their hair, putting on a coat, or rising from a
chair
Polymyalgia rheumatica is NOT Muscle weakness (inflammation or nerve infarction)
No muscle weakness
Decreased active ROM in
Polymyalgia rheumatica PE
shoulders/hips Low grade
fever
Weight loss
ESR >30
CRP >0.5
Polymyalgia rheumatica initial
Negative autoantibodies
diagnostics
US/MRI shows bursitis tenosynovitis
RA
Late-onset
Polymalgia rheumatica spondyloarthritis
differential dx
Myopathies
Hypothyroidi
sm
Malignancy or
infx
Low dose prednisone
Polymyalgia rheumatica
management anti-IL-6Ra antibody, Sarilumab for refractory
Polymyalgia rheumatica drug corticosteroids
classifications of all Sarilumab is a biologic DMARD, monoclonal antibody (anti-IL-
6Ra antibody)
medications
Low dose
Prednisolone management of 10-20mg/day orally
polymyalgia rheumatica Should see dramatic improvement within 72 hours
, May be able to taper after 2-4 weeks but will require small dose
for a year
High dose
Prednisolone management of 40-60mg/day orally
giant cell arteritis 1mg/kg/daily or max
80mg/day Continue 1
month then taper
High dose
prednisone
AND
Giant cell arteritis tx
IL-6 receptor Tocilizumab
subcu weekly AND
Low-dose ASA for ischemia prevention
-For all pts with new or relapsing GCA
Inflammation of medium and large arteries
-granulomatous vasculitis
Giant cell arteritis
-giant cells disrupt elastic lamina
-leads to vessel wall thickening and ischemia
Age over 50 years
Markedly elevated
ESR and CRP HA
Jaw
Giant cell arteritis clinical
presentation claudicatio
n Visual
sx
Systemic sx (fever,
fatigue, wt loss) Limb
claudication, possible
aneurysm Polymyalgia
rheumatica in 40-60%
immediately initiate oral prednisone and STAT temporal
When giant cell arteritis is
suspected artery biopsy or temporal artery ultrasound
Tender/thickened temporal
GCA PE
artery Possible bruits,
reduced pulses
, 11/18/25, 4:27 PM NSG 555 Quiz 4
IV pulse methylprednisolone (1g daily for 3 days) should
When pt with giant cell
be started but will likely not be successful
arteritis seeks help for
Also STAT temporal artery bx
vision loss
Giant cell arteritis gold is temporal artery biopsy
standard for diagnosis
HA
Scalp
Giant cell arteritis classic sx
tenderness
Visual sx
Jaw claudication (highest positive predictive value)
Without treatment for giant blindness may occur
cell arteritis
Giant cell arteritis can involve all medium-sized and large vessels
Clinical
Giant cell arteritis requires all Laboratory
of the following Pathologic (temporal
artery bx) Imaging
Temporal artery
ultrasound AND
Large-vessel
Giant cell arteritis imaging imaging CT
MRI
or
PET
Polymyalgia rheumatica IL-6 mediated inflammation of synovium and periarticular tissue
pathophys
Age over 50 years
Polymyalgia rheumatica Markedly elevated ESR and CRP
clinical presentation Pain and stiffness in shoulders and hips lasting for
several weeks without other explanation
Polymyalgia rheumatica giant cell arteritis but not always
commonly occurs with
/ 2/24
Proctored /NSG 555 Exam 1 Preparation /NSG 555
Practice Exam With Complete Questions And Correct
Answers |Already Graded A+||Brand New Versions!!
Profound stiffness and pain in the
Polymyalgia rheumatica shoulders, hip, low back Fatigue
history -trouble combing their hair, putting on a coat, or rising from a
chair
Polymyalgia rheumatica is NOT Muscle weakness (inflammation or nerve infarction)
No muscle weakness
Decreased active ROM in
Polymyalgia rheumatica PE
shoulders/hips Low grade
fever
Weight loss
ESR >30
CRP >0.5
Polymyalgia rheumatica initial
Negative autoantibodies
diagnostics
US/MRI shows bursitis tenosynovitis
RA
Late-onset
Polymalgia rheumatica spondyloarthritis
differential dx
Myopathies
Hypothyroidi
sm
Malignancy or
infx
Low dose prednisone
Polymyalgia rheumatica
management anti-IL-6Ra antibody, Sarilumab for refractory
Polymyalgia rheumatica drug corticosteroids
classifications of all Sarilumab is a biologic DMARD, monoclonal antibody (anti-IL-
6Ra antibody)
medications
Low dose
Prednisolone management of 10-20mg/day orally
polymyalgia rheumatica Should see dramatic improvement within 72 hours
, May be able to taper after 2-4 weeks but will require small dose
for a year
High dose
Prednisolone management of 40-60mg/day orally
giant cell arteritis 1mg/kg/daily or max
80mg/day Continue 1
month then taper
High dose
prednisone
AND
Giant cell arteritis tx
IL-6 receptor Tocilizumab
subcu weekly AND
Low-dose ASA for ischemia prevention
-For all pts with new or relapsing GCA
Inflammation of medium and large arteries
-granulomatous vasculitis
Giant cell arteritis
-giant cells disrupt elastic lamina
-leads to vessel wall thickening and ischemia
Age over 50 years
Markedly elevated
ESR and CRP HA
Jaw
Giant cell arteritis clinical
presentation claudicatio
n Visual
sx
Systemic sx (fever,
fatigue, wt loss) Limb
claudication, possible
aneurysm Polymyalgia
rheumatica in 40-60%
immediately initiate oral prednisone and STAT temporal
When giant cell arteritis is
suspected artery biopsy or temporal artery ultrasound
Tender/thickened temporal
GCA PE
artery Possible bruits,
reduced pulses
, 11/18/25, 4:27 PM NSG 555 Quiz 4
IV pulse methylprednisolone (1g daily for 3 days) should
When pt with giant cell
be started but will likely not be successful
arteritis seeks help for
Also STAT temporal artery bx
vision loss
Giant cell arteritis gold is temporal artery biopsy
standard for diagnosis
HA
Scalp
Giant cell arteritis classic sx
tenderness
Visual sx
Jaw claudication (highest positive predictive value)
Without treatment for giant blindness may occur
cell arteritis
Giant cell arteritis can involve all medium-sized and large vessels
Clinical
Giant cell arteritis requires all Laboratory
of the following Pathologic (temporal
artery bx) Imaging
Temporal artery
ultrasound AND
Large-vessel
Giant cell arteritis imaging imaging CT
MRI
or
PET
Polymyalgia rheumatica IL-6 mediated inflammation of synovium and periarticular tissue
pathophys
Age over 50 years
Polymyalgia rheumatica Markedly elevated ESR and CRP
clinical presentation Pain and stiffness in shoulders and hips lasting for
several weeks without other explanation
Polymyalgia rheumatica giant cell arteritis but not always
commonly occurs with
/ 2/24
