NR 667 VISE (Actual) Exam Questions and 100% Verified Correct ANSWERwers Latest Updated Graded A+
a 4 mos. old is suspected of having developmental dysplasia of the hip. what test would best assess for this? - ANSWER Galeazzi and Klisic: limited abduction and apparent thigh length discrepency is a better indicator of DDH than is instability after 3 months of age, Barlow and Ortolani maneuvers are tests used to test hip instability in newborns until approx. 3 months old. Trendelenburg pelvic test is to test for walking age children to test for hip weakness and is characterized by unilateral hip dyspleasia.
which mitral disorder results from redundancy of the mitral valve leaflet? - ANSWER mitral valve prolapse. Most common . adult murmur. Valves annulus becomes enlarged in conjunction with elongated chordae tendonae (this is degeneration of the mitral tissue.
serum ferritin - ANSWER demonstrates the amount of iron in storage. helpful in evaluating pts being treated for iron deficiency anemia.
a patient with aortic stenosis has been asymptomatic for decades and begins c/o some dizziness c activity w/o chest pain or sob. - ANSWER refer to cardiology; be alert for s/s that precede syncope. dizziness precedes syncompe, and the patient is now presenting with symptoms of aortic stenosis.
A patient taking candesartan should avoid - ANSWER K+ supplements. Candesartan can produce hyperkalemia because the MOA spares K+.
A patient taking long actin basal insulin has elevated blood glucose. What blood sugars are important to evaluae and base insulin changes on - ANSWER AM fasting. . basal insulin mimics steady stream of insulin produced by the pancrease throughout day.Should be based off of fastin AM glucose check. The other blood sugars reflect blood sugar in reflection to meals.
hyperthyroidism may affect bp by increase SBP and DBP. It is also a common cause of
secondary HTN> other Endocrine disorders that do the same are: - ANSWER
Pheochromocytoma, Cushings syndrome, neuroblastoma. all of these are causes of secondary HTN.
An immune response to Strep A infection of the hear are - ANSWER rheumatic fever.Can also affect CNS and joints. most common age group affected is 5-15 yo. Residual affects not felt until decades later.
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At what age should hearing screening be performed on older adults according to Assessing Care in Vulnerable Elders - ANSWER 75 yo. completed at initial evaluation, if fails needs referral to audiology. Correlation with compliance with heawring aids.
An adult has UR sx and cough x 14 days. what should be considered? - ANSWER Pertussis should be considered any time there is an acute cough for greater than 5 days. incubation period is about 7-10 days.
Classic paroxysmal sign is a cough that starts in the seond week of illness. The duration of the cough is about 3 months even after treated with abx.
HIGHLY INFECTIOUS AND A REPORTABLE DISEASE.
What are current tx guidelines for treaing Pneumonia - ANSWER Amoxcillin, 1g tid
Doxy and azithro are conditional first line tx for patient
fluoroquinolones are commonly used in patients with comorbidities and recent abx exposure OR recent contact with the healthcare system.
WHat side effect does Lisinopril cause in 5-20 % of the population - ANSWER cough.ACE inhibitors as a whole class can induce a cough. This is because ACE is thought to metabolize bradykinin in the lungs, Bradykinin is thought to be responsisble for the cough because it induces the production of arachidonic acid and nitric oxide; both substances promote cough.
what is a unique presentation of strep pna - ANSWER rust colored sputum is unique to strep pna
also known and pneumococcal pna
scant or watery sputum is associated with an atypical pathogen like mycoplasma and Chlamydophilia pna.
thick, discolored sputum may be associated with bacterial pna.
The relationship b/w colon polyps anc ca. - ANSWER polyps have a slow progression to colon ca.
A 3 day old infant has a bilirubin level of 16mg/dl. what should be done? - ANSWER Initiate phototherapy. This level is considered high intermediate; because it is expected the bilirubin level will rise in the next few days, phototherapy is most appropriate.
Leukemia may have varied clinical presentation. What presentation would be unusual to have in a leukemia patient? - ANSWER sickle shaped cells; Leukemia is characterized
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