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NSG 555/ NSG555 Exam 4– (NEW 2026/ 2027 Update) Nurse Practitioners in Primary Care II Guide | Questions and Answers | Wilkes

HEAL100 Health Care — exam and revision material · Other

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Health Care exam material, 16 pages. Originally published on StudyMerit.

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16
Academic year
2025/2026
Language
English

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NSG 554- exam 4 Leave the first rating Students also studied Add to calendar Flashcard sets Study guides Nurs 200 Week 8 Ch 19 Teacher 12 terms bwoychildpatiz Preview Womens health N582 Teacher 35 terms Raheem819 Preview Exam 3 Nur 6001 Teacher 89 terms laban_munyao Gynecomastia causes -Aging -Neonatal period, puberty (tall/overweight teenagers) -Obesity Hypothyroidism -85% women -May be due to failure or resection of the thyroid gland itself or deficiency of pituitary TSH Goiter -May be present with thyroiditis, iodine deficiency, genetic thyroid enzyme defects, drug goitrogens (lithium, iodine, propylthiouracil or methimazole, sulfonamides, amiodarone, interferon-alpha, interferon-beta, interluekin-2, food goitrogens in iodine-deficient areas * often absent in autoimmune thyroiditis Hypothyroidism labs Serum TSH - high in primary and low in secondary hypothyroidism Elevated in Hashimoto thyoiditis 1 1 Terms in this set (77) Hide definitions

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Hyperthyroidism labs Serum TSH= suppressed except in TSH-secreting pituitary tumor or pituitary hyperplasia (rare) T3 uptake and scan= elevated, increased uptake Subclinical hypothyroidism Normal T4 with increased TSH may or may not have symptoms Hypothyroid Treatment -Synthetic levothyroxine -Average does 1.6mcg/kg/day -Repeat TSH in 4-6 week after initiation -TSH levels should be between 0.4-2 Hyperthyroidism (Thyrotoxicosis) -Clinical manifestations of elevated T4 or T3 -Most common form is Graves Disease Grave's Disease -Most common cause of thyrotoxicosis -Autoimmune disorder affecting the thyroid gland -Increase in the synthesis & release of thyroid hormones -More common in women -Onset age 20-40 -Dietary iodine supplementation, chemotherapy can trigger -Increased r/f systemic autoimmune dx including Sjogren, celiac, pernicious anemia, Addison's, alopecia aerate, vitiligo, DM1, hypoparathyriodism, myasthenia gravis, cardiomyopathy Hyperthyroid examination findings -Diffusely enlarged thyroid -Frequent asymmetric and often with bruit -Subacute: moderately enlarged/tender, dysphagia, jaw/ear pain -toxic multi nodular goiter: palpable nodules - Silent thyroiditis : small nontender goiter PALM-COEIN -Polyp, adenomyosis, leiomyoma, malignancy and hyperplasia -Coagulopathy, ovulatory dysfunction, endometrial, iatrogenic, Not yet classified

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Abnormal premenstrual bleeding: Laboratory studies -CBC, pregnancy test, thyroid tests. -Vaginal and urine samples for PCR or culture to r/o chlamydia Vaginitis -inflammation and infection of the vagina -caused by a variety of pathogens, allergic reactions to contraceptives or other products, vaginal atrophy, friction during coitus -normal pH is 4.5 or less Vaginitis: Clinical findings -vaginal irritation, pain, unusual or malodorous discharge -Hx including LMP, recent sexual activity, use of contraceptives, tampons, douches, recent changes in meds or use of abx, presence of burning, pain, pruritus, profuse discharge Vaginitis: PE -inspection of vulva -speculum exam of vagina, cervix -vaginal/cervical/urine sample for detection of chlamydia -discharge inspected under microscope in a drop of 0.9% saline solution to look for trichomonads or clue cells and in a drop of 10% potassium hydroxide to look for candida -pH should be tested: if >4.5 infections d/t trichomonads or bacterial vaginosis -bimanual exam to look for evidence of pelvic infection ** cervical motion tenderness Vulvovaginal candidiasis -R/F include pregnancy, DM, use of broad spectrum abx or corticosteroids -Heat, moisture, occlusive clothing increase risk

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