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NUR 524 EXAM 2 NEWEST 2024 ACTUAL EXAM
COMPLETE 100 QUESTIONS AND CORRECT
DETAILED ANSWERS ( VERIFIED ANSWERS )
|ALREADY GRADED A+
Addison's disease, what hormone level am I looking at? - ANSWER- Cortisol Suppression of cortisol Autoimmune attack on adrenal cells
How do patients present with cortisol suppression? - ANSWER- tired/lethargic Weakness Poor appetite Weight loss Skin changes such as hyperpigmentation on extremities
What is going to happen to labs in addsions? - ANSWER- Free cortisol low Potassium elevated Sodium low 1 / 4
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Cushings is an excess of what? - ANSWER- cortisol
What other comorbidities can cushing's cause? - ANSWER- Osteoporosis DM II Hypertension
Diabetes is a insulin secretion problem or insulin use problem - ANSWER- Insulin secretion problem= type I Insulin use problem= type II
What medication would you start on an obese patient who is sedentary and has a poor diet. You need to control sugar and have them loose weight. - ANSWER- GLP 1 (ozempic, wygovy)
SE: gastroparesis, have to stop for week to have colonoscopy or
any sedation
When should you screen for DM? - ANSWER- BMI Overweight >25 Obese >30 Any person >45 years old should be screened for DM q3 years 2 / 4
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Screening is A1C (gold standard) Fasting plasma glucose >126 Random glucose >200
Long acting insulin types - ANSWER- Insulin glargine: Lantus
Insulin detemir: Levemir
Short acting insulin types - ANSWER- Insulin lispro: Humalog
Insulin aspart: Novalog
For a person with DM II on insulin therapy, what do we want the A1C to be? - ANSWER- Long acting insulin <7 Rapid acting insulin 7-7.5
Pheochromocytoma, What can this disease mimic? - ANSWER- hyperthyroidism
Pheochromocytoma, What hormone is released? - ANSWER- Catecholamines secreted from a tumor
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What is the difference between a nodule and a goiter? - ANSWER- Malignancy associated with nodules specifically cold spot
Adrenal crisis with super low BP and cortisol is almost nothing; what med do you give? - ANSWER- Hydrocortisone
Know difference between graves and hashimotos - ANSWER- Graves is hyper Hashimotos is hypo
Graves disease signs and symptoms - ANSWER- Exophthalmos (bulging eyes) Thyroid changes Nervousness Irritability Weakness Heart palpitations Weight loss Bilateral ocular discomfort Heat intolerance Tremor
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