Maryville College

What are the Stages of Lyme Disease? Answer Early localized Early disseminated Late Lyme Early Localized Lyme Disease Answer -occurs days to months after exposure -Symptoms nonspecific: malaise, fever, cervical stiffness, myalgias, arthralgias -Can have a " bulls eye rash aka "erythema migrans"which is > 5cm Early diseminated Lyme Disease Answer -occurs days to 10 months after infection -Systemic manifestations ie: meningitis, cranial nerve palsies (esp. VII) and radiculoneuriti...

Mode of transmission for parasitic skin infections Answer Close direct skin contact. Clinical presentation for Scabies Answer Intense itching, worse at night. Burrows noted between webs of fingers. Commonly prescribed medications for Scabies Answer Permethrin Cream 5% (Elimite) is the first-line treatment. Safe in 2 months and older. Apply to all areas from neck down and leave on for 8-12 hours. Repeat application in 1 week. May repeat a third time in another week. Follow up in 1 week. An...

What are the typical demographics of a patient with MS (what type of person does this disease normally effect) Answer Young, caucasion female of eastern European desent At the onset of alzheimers, what category of medications should be initiated Answer Cholinesterase inhibitors What factors contribute to a patient being high risk for falls Answer History of falls, medications, vision impairment, heat rate/rhythm abnormalities, footwear issues, home environment, gait/mobility issues, poor r...

What is important to note when a patient has traumatic injury Answer If taking Blood Thinners Define delirium Answer Underlying acute cause, abrupt onset, hours to days, reversible, hallucinations, incoherent speech, confusion Define Dementia Answer Various causes, gradual change with mental status, months to years, progressive to irreversible (speech, memory, mood, judgment) An older adult with delirium would present with what type of behaviors? Answer Agitation and restlessness At ...

Which of the serum laboratory findings are present in the client with Cushing's syndrome? Answer Increased cortisol, HYPERnatremia, and HYPOkalemia Alice, age 48, has a benign thyroid nodule. The most common treatment involves: Answer Watchful waiting with an annual follow-up ACE inhibitors are given to clients with diabetes who have Answer persistent proteinuria A newly diagnosed client with diabetes who has an HbA1c of 7.5 is started on therapeutic lifestyle changes (TLC) and medical...

What is the most common psychiatric disorder in the U.S? Answer Anxiety What are the DSM-5 symptom criteria for a diagnosis of general anxiety disorder? Answer excessive anxiety and worry of variety of things for at least 6 months What are the DSM-5 symptom criteria for a major depressive disorder? Answer Five or more symptoms including at least one depressed mood or loss of interest present in the same two weeks and present nearly every day differential diagnoses that would mimic the s...

Nurse practitioner prescriptive authority is regulated by: 1. The National Council of State Boards of Nursing 2. The U.S. Drug Enforcement Administration 3. The State Board of Nursing for each state 4. The State Board of Pharmacy Answer 3. The State Board of Nursing for each state The benefits to the patient of having an Advanced Practice Registered Nurse (APRN) prescriber include: 1. Nurses know more about Pharmacology than other prescribers because they take it both in their basic ...

Charlie is a 65-year-old male who has been diagnosed with hypertension and benign prostatic hyperplasia. Doxazosin has been chosen to treat his hypertension because it: a. Increases peripheral vasoconstriction b. Decreases detrusor muscle contractility c. Lowers supine blood pressure more than standing pressure d. Relaxes smooth muscle in the bladder neck Answer d. Relaxes smooth muscle in the bladder neck To reduce potential adverse effects, patients taking a peripherally acting alpha1 ...

What is tiotropium? Answer (Spiriva) Tiotropium bromide (INN) is a long-standing, 24 hour, anticholinergic bronchodilator used in the management of chronic obstructive pulmonary disease, (COPD). What is tiotropium used for maintenance treatment of? Answer COPD, which includes chronic bronchitis and emphysema. Tiotropium Answer is not used in the treatment for acute exacerbations of COPD and bronchitis Tiotropium Answer is a muscarinic receptor antagonist, often referred to as an antimus...

early part of drug development Answer preclinical stage phase one clinical trials Answer establish biological effects as well as safe dosages and pharmacokinetics in a small number of healthy patients phase two clinical trials Answer new drug used to treat disease in a small number of patients and establish the potential of the drug to improve outcomes phase three clinical trials Answer compare the new medication to standard therapy two types of drug responses Answer quantal and grad...