Med Surg 2NURS 320 MIDTERM Exam

Med Surg 2/NURS 320 MIDTERM Exam Questions and Answers What is the underlying cause of Gouty arthritis? - Correct

Answers ✅Hyperuricemia: too much uric acid in the blood.

Also, a possible side-effect of Chemotherapy (along with Tumor Lysis Syndrome**) Gouty Attacks are caused by? - Correct Answers ✅Gout is a Systemic disease caused by a disruption of purine metabolism which increases Uric Acid production. A build-up of monosodium urate crystals that deposited in the joints, causing them to become red, hot, tender, and swollen.Monosodium Urate crystals mainly affect what body structures? - Correct Answers ✅Joints and Kidney tubules The repeat of Gout Attacks can result in ? - Correct Answers ✅The destruction of joints leading to Arthritis.How are monosodium crystals formed? - Correct Answers ✅1. increased consumption of purines

• decreased clearance of Uric Acid
• Rx factors
• Medications 1 / 4

Med Surg 2/NURS 320 MIDTERM Exam Questions and Answers What are the Risk factors of Gout? - Correct Answers ✅1.

DM

• Obesity
• Chemotherapy + radiation
• Genetic predisposition
• Chronic Kidney disease
• ETOH Consumption.
• Purines (Protein red meat/organ meats).

What are things you can teach your patient with gout that can reduce the gouty attacks? - Correct Answers ✅Stay hydrated, eat a balanced diet, exercise often, avoid alcohol and high protein diets.What area does gout affect first, or what is the most common area affected by Gout? - Correct Answers ✅1st metatarsal joint of the big toe (podagra) What areas are affected in a patient with gout? - Correct Answers ✅Big toe Ankles Knees Elbows Wrist 2 / 4

Med Surg 2/NURS 320 MIDTERM Exam Questions and Answers What treatment can be used to manage gout? - Correct Answers ✅1. NSAIDs ( ibuprofen or naproxen)

• Corticosterioid
• Colchicine (Acute)
• Allpurinol (Chronic)

What medication is used for acute gout? - Correct Answers ✅Colchicine What medication is used for Chronic Gout? - Correct Answers ✅Allopurinol What is Tophi? - Correct Answers ✅Permanent urate crystals (sodium urate deposits) that form along the bone and under the skin due to Chronic Gout.This condition is a Chronic autoimmune disorder that attacks its own joint, causing inflammation of the joints, specifically the membrane lining the joint "synovium" - Correct Answers ✅Rheumatoid Arthritis RA tends to affect what areas of the body the most? - Correct Answers ✅fingers and wrist 3 / 4

Med Surg 2/NURS 320 MIDTERM Exam Questions and Answers What areas can Rheumatoid Arthritis affect? - Correct Answers ✅All possible joint are able to be affected What can you expect to see in a Patient who presents with RA manifestations? - Correct Answers ✅Soft, Tender, Warm, Stiff, Swollen joints What are the differences of RA compared to other arthritis? -

Correct Answers ✅in RA:

• Pain and stiffness worsen in the mornings or after periods

of inactivity ( >30min)

• Symmetrical Joint Involvement. RA often affects joints on

both sides of the body simultaneously. For example, if the left wrist is affected, the right wrist is likely to be affected as well.

• Systemic Effects. RA can have systemic effects on the body

beyond joint inflammation. It can affect various organs and systems, leading to symptoms such as fatigue, fever, weight loss, and skin and eye issues.

• RA is an autoimmune disease.

What medications can you expect to be prescribed to a Patient diagnosed with RA - Correct Answers ✅1. NSAIDs

• Steroids (Give Vitamin D & C and and do Weight bearing

exercise to prevent Osteoporosis).

• DMARDs = Give Folic acid + leucovorine
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