Maryville College

How many dopamine pathways in the brain? Answer 5 but only 4 associated with schizophrenia Nigrostriatal Dopamine Pathway controls Answer motor function and movement (part of EP NS) Nigrostriatal Dopamine Pathway dopamine excess Answer Hyperkinetic movements such as tics/dyskinesias mesolimbic dopamine pathway controls Answer Pleasure, reward, euphoria of drug abuse and reinforcing behavior Mesolimbic dopamine pathway excess Answer delusions and hallucinations - positive symptoms of ...

What are the 5 WHO prescribing guidelines? Answer 1. define the pt's problem 2. Specify therapeutic objectives 3. choose which drug or treatment is needed 4. Write the Rx and start tx 5. Educate and counsel the pt 6. monitor effect of treatment WHO rx guideline 1 Answer Define the pt's problem . This forms the basis for choosing and rx-ing the correct treatment. Consultation should include: complaints, symptoms, diagnosis and relevant characteristics like co-morbidities, co-medicatio...

if rapid strep test is negative what is the first thing you should do? Answer send out culture when examining lab from a person with mono what would the NP expect to find? Answer Lymphocytosis EBV is transmitted through which route? Answer oral pharyngeal secretions (saliva) Sx of mono usually present how many days after initially infected? Answer 30-50 days if a pt is being treated for strep and tells you he or she has allergy to PCN what class of med to avoid Answer beta-lactam ...

Claudication is the classic presenting symptom associated with which of the following? Answer arterial insufficiency Risk factors for chronic arterial insufficiency?- Answer tobacco use You are using the CURB 65 clinical tool, for determining which patient dx with CAP should be hospitalized or treated at home. Mabel's score is 2- what should we do? Answer Short inpatient stay; if she is relatively healthy, she could be closely supervised outpatient S/S of COPD correlate with which of t...

Apoptosis Answer A physiological, naturally occurring, programmed cell death, dismantles neutrophils Self destruction Deletes cells during embryonic development Nuclear and cytoplasmic shrinkage of cell. Necrosis Answer Tissue or cell death that is irriversible Hypoxia Answer What is the #1 major cause of cell injury leading to necrosis. Lack of oxygen. Hypertrophy Answer Increase in cell size Example of Physiologic hypertrophy Answer Myocardial cells increase in size due to endur...

Adverse effects of chronic long-term use of PPI? Answer osteoporosis What is the most common cause of PUD? Answer H. pylori followed by NSAIDS and ASA How to initially treat PUD and H. pylori? Answer Triple Therapy; PPI BID, Amoxil 1 gm BID (metronidazole if allergic), Clarithromycin 500 mg QD 7-14 days If initial treatment fails what is the next line of therapy for H. pylori? Answer Quadruple therapy; PPI BID 8-12 weeks, metronidazole, tetracycline, bismuth subsalicylate x 14 days H...

Maryville Adult 1 Exam 3 questions with correct answers

Differentiate between low dose and high-dose colchicine Answer Low dose colchicine is 1.2mg followed by 0.6mg one hour later or 1.8 milligrams total and high dose colchicine is 1.2mg followed by 0.6mg every four to six hours; or 4.8mg total. The difference between the two is low dose is as effective as high dose with a lower side effect profile. What lab value should be monitored with gout? Answer Check renal function test, BUN, Creatnine What patient education should you provide when pres...

Intermittent Asmtha Answer >80% FEV and PEFR before bronchodilator < 12% and 20% change, respectively, after bronchodilator use Intermittent symptoms (wheeze, cough, dyspnea) < 2 times/week Brief exacerbations (from a few hours to a few days) Nighttime asthma symptoms < 2 times/month Mild Persistent Asthma Answer >80% FEV1 and PEFR before bronchodilator use >12% and 20% change, respectively, after bronchodilator use Intermittent symptoms (wheeze, cough, dyspnea) >2...

One breast slightly smaller than the other Answer Which assessment finding is normal when examining the breast of a nonpregnant adult woman? a. Scaling, crusty patch on the nipple b. One breast slightly smaller than the other c. Visible veins giving a bluish cast to the skin d. A retraction of one nipple that occurred 1 week ago Normal finding that resolves in time Answer An adolescent male has observable enlargement of one breast and is very concerned. What is the significance of this fi...