NR 601 MIDTERM EXAM
1. 60yo obese male has T2DM and lipid panel of TC = 250, HDL =
... [Show More] 32, LDL = 165. You teach him about his modifiable cardiac risk factors, which include:
a. DM, obesity, hyperlipidemia
2. Diabetic pt presents w/R foot pain but denies any recent known injury. He states it has gotten progressively worse over past few months. On exam, vibratory sense, as well as sensation tested w/monofilament, was abnormal. Pt's foot is warm, edematous, misshapen. You suspect Charcot foot. What intervention is indicated?
a. Referral to orthopedist
3. What is a s/s of insulin resistance that can present in African Americans?
a. Acanthosis Nigricans
4. During routine exam of 62yo female, you ID xanthelasma around both eyes. What is the significance of this?
a. Abnormal lipid metabolism requiring medical management
5. Mr. White is 62yo, had CKD that has been relatively stable. He also has h/o hyperlipidemia, OA, HTN. He is compliant w/meds, BP has been well controlled on CCB. Last lipids showed: TC = 201, HDL = 40, TG = 180, LDL = 98. He currently takes Crestor 20mg daily. Today his BP is 188/90 and urine dip shows significant proteinuria. He denies changes in dietary habits or med regimen. What would be the best med change at this point?
a. Change CCB to ACEi
6. You are working as NP in Fast Track of ER. 76yo male presents w/LUQ pain. There can be many conditions that present as LUQ pain, but which of the following is least likely to cause pain here?
a. Acute pancreatitis
7. Which is cardinal feature of failure to thrive?
a. Poor nutritional status
8. Feeding gastrostomy tubes at end-of-life Alzheimer's pt's have been associated with:
a. Aspiration pna
9. Which of the following nutritional indicators is not an indication of poor nutritional status in elderly?
a. BMI 25
10. OA of cervical and lumbar spine causes pain related to all of the following except [Show Less]