Walden University ADVANCED PRACTICE CARE OF ADULTS, NURS 6531 Final Exam Study Guide.
This study guide exposes you to Terms, definitions, presenting sympt
... [Show More] oms, differential diagnoses and review questions of the said terms.
For example:
Fibromyalgia
Definition: chronic, widespread noninflammatory musculoskeletal pain syndrome with multisystem manifestations. Although the specific pathophysiology has not been elucidated, it is generally thought to be a disorder of altered central pain regulation.
Presenting Symptoms: patient presents `with array of complaints of widespread, nonspecific pain
3 Differential Diagnoses: RA, SLE, Sarcoidosis and other inflammatory connective tissue disorders, Diffuse/Advance OA, Polymyalgia rheumatica
Pattern Recognition: Universal symptoms include chronic widespread pain for greater than or equal to 3 months: bilateral limbs and in the axial skeleton; Fatigue and sleep disturbances; Often present: Mood disorders, including depression, anxiety and panic symptoms. Cognitive impairment, Headaches, Other regional pain syndromes like IBS, chronic pelvic pain, Paresthesia, Exercise intolerance, Sexual dysfunction, Ocular dryness, Multiple chemical sensitivity, Impaired social/occupational function. Symptoms can wax/wane on day to day basis, varying in quality, intensity and location
Treatment options:
Non-pharmacologic: Regular exercise, sleep and hygiene; Cognitive behavioral therapy; Aerobic exercise; Weight loss; Stop alcohol, smoking and substance abuse
Pharmacologic: Amitriptyline 10-50 mg PO AT BEDTIME; Duloxetine initially 30mg/day for 1 week then increase to 60 mg; Milnacipran; Pregabalin; cyclobenzaprine
Review questions:
1. Which of the following statements is most consistent with fibromyalgia?
A. It is predominantly diagnosed in African Americans.
B. It affects less than 1% of the general population. **
C. It is four to seven times more common in women than in men.
D. It is most often initially diagnosed in adults younger than 20 years old and older than 55 years old.
2. Fibromyalgia is more common in patients with:
A. type 2 diabetes.
B. rheumatoid arthritis and systemic lupus erythematosus. **
C. migraine headaches.
D. chronic obstructive pulmonary disorder (COPD).
3. Which of the following is inconsistent with the clinical presentation of fibromyalgia?
A. widespread body aches
B. joint swelling
C. fatigue **
D. cognitive changes [Show Less]