{"id":111418,"date":"2023-08-04T01:42:25","date_gmt":"2023-08-04T01:42:25","guid":{"rendered":"https:\/\/learnexams.com\/blog\/?p=111418"},"modified":"2023-08-04T01:42:28","modified_gmt":"2023-08-04T01:42:28","slug":"nr601-final-exam","status":"publish","type":"post","link":"https:\/\/www.learnexams.com\/blog\/2023\/08\/04\/nr601-final-exam\/","title":{"rendered":"NR601 Final Exam"},"content":{"rendered":"\n<p>Lifestyle approaches to postmenopausal symptom management include:<br>a. Avoiding sugar, caffeine, chocolate, ETOH<br>b. Sleeping more than 8hrs per night<br>c. Decreasing levels of physical activity<br>d. More than 1000 IU\/day of Vit E<br>A 59yo female c\/o pain when she urinates. She has been seen three times for<br>this in the last 3mo. Each time, DX&#8217;d with UTI, given ABX. She carefully<br>followed instructions, but has no relief of symptoms. Last UA: WBC: 2-3RBC:<br>0-2Epithelial cells: few Nitrites: neg Leuk: neg Which should be done next?<br>a. Perform pelvic exam<br>b. Reassure the pt. That she has asymptomatic bacteriuria and does not<br>need ABX<br>c. Obtain clean catch urine for UA and C&amp;S<br>d. Order pelvic ultrasound<br>Which pt should be screened for DM?<br>a. 47yo Caucasian male w\/HTN<br>b. 45yo female on disability from back injury, unable to exercise<br>c. Hispanic man, BMI 26<br>d. Overweight middle-aged African American woman w\/fam h\/o T2DM<br>e. All of the above<br>The most common cause of disability in elderly is due to:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Arthritis<br>1 \/ 3<br>What is a sign of insulin resistance that can present in African American pts?<br>a. Seborrheic Nigricans<br>b. Psoriasis Nigricans<br>c. Bulimic Nigricans<br>d. Acanthosis Nigricans<br>Pt presents with sudden, compelling desire to pass urine that is difficult to<br>prevent. This type of incontinence is cause by:<br>a. Impaired mobility<br>b. Detrusor overactivity<br>c. Urethral hypermobility<br>d. Weakness of the pelvic floor muscle<br>A 55yo woman w\/BMI of 28, has 20yr h\/o primary HTN, has been on HCTZ<br>25mg for years w\/excellent response. During this follow up visit, she reports<br>that for the last 6mo she has felt thirsty all of the time even though she drinks<br>at least 10 glasses of water\/day. Previous fasting BGL was 136. No further<br>testing was done at that time. You check random BGL now, is 210. What is the<br>next appropriate step?<br>a. Order 3hr OGTT<br>b. Order another random BGL in 2wks<br>c. Order A1C<br>d. Prescribe metformin XR 500mg PO<br>A 66yo dx with acute prostatitis, afebrile w\/out severe pain, deemed<br>appropriate to be managed output. An appropriate initial treatment option for<br>mild case is:<br>a. Septra x6wks<br>b. Cipro x10-14 days<br>c. Bactrim x14 days<br>d. Levaquin x3wks<br>Statement not shown to be true about pharmacodynamic changes w\/aging is:<\/li>\n\n\n\n<li>Decreased sensitivity to PO anticoagulants<br>2 \/ 3<br>A 76yo man seen for c\/o UI. You should explore which of these causes of UI in<br>men?<br>a. UTI<br>b. Sildenafil<br>c. Urethral polyps<br>d. All of the above<br>A Male pt. With BMI of 30 presents with c\/o fatigue, increased hunger, weight<br>gain despite exercise. You suspect prediabetes. Initial testing to confirm can<br>include:<br>a. Fasting plasma BGL<br>b. A1C<br>c. OGTT<br>d. All of the above<br>Mr. X returns to office for follow-up of first line TX of UI. He reports continued<br>UI despite compliance w\/first line measures. PE and lab findings today are<br>normal. You initiate 2nd line TX and prescribe:<br>a. Mirabegron<br>b. Solifenacin<br>c. Oxybutynin<br>d. Doxazosin<br>All of the following statements are true about drug absorption in the elderly<br>except:<br>a. Drugs distributed in water have lower concentration<br>b. Drugs distributed in fat have less intense, more prolonged effect<br>c. Drugs highly protein bound have greater potential to cause an adverse<br>drug reaction<br>d. The fastest way to deliver a drug to the action site is by inhalation<br>Men have faster and more efficient biotransformation of drugs and this is<br>thought to be due to:<\/li>\n\n\n\n<li>Testosterone<\/li>\n<\/ul>\n","protected":false},"excerpt":{"rendered":"<p>Lifestyle approaches to postmenopausal symptom management include:a. Avoiding sugar, caffeine, chocolate, ETOHb. Sleeping more than 8hrs per nightc. Decreasing levels of physical activityd. More than 1000 IU\/day of Vit EA 59yo female c\/o pain when she urinates. She has been seen three times forthis in the last 3mo. Each time, DX&#8217;d with UTI, given ABX. [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"categories":[],"tags":[],"class_list":["post-111418","post","type-post","status-publish","format-standard","hentry"],"_links":{"self":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/111418","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/comments?post=111418"}],"version-history":[{"count":0,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/111418\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/media?parent=111418"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/categories?post=111418"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/tags?post=111418"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}