Nrnp 6550 Final 188 Correctly Answered Questions Latest Update

Less versus more proliferative lymphoma (good vs bad) {Ans: Less: Cleaved (not round) Small Mature Follicles More: non-cleaved large immature diffuse}Management acute complicated bacterial pyelonephritis {Ans: - Admit - Aminoglycosides: gentamicin/ tobramycin (not for monotherapy), based on renal function (trough less than 2 and peak level 5-10mg/L) and do not give for CKD - Ampicillin - Cefazolin - Cefotaxime and Ceftriaxon based on obesity and pulm disease}small cell lung cancer: staging, findings and treatment {Ans: Limited stage: one lung and same side lymph nodes Extensive stage: both lungs, bilateral lymph nodes and organs Central location No cavitation Early metastases (to brain) can cause paraneoplastic syndrome (cushing syndrome and siadh/ hyponatremia) Chemotherapy for extensive stage Surgery for limited-stage then chemo}Management of AML {Ans: chemo, radiation, stem cell transplants, targeted immune therapy supportive care: Supportive treatment: transfuse RBC/ platelets hydration AB for infection Acetazolamide for alkalinization of urine Allopurinol to prevent hyperuricemia with dialysis if remains uremic Chemo stages: 1. Remission induction. combination therapy 2. Consolidative and maintenance therapy Bone marrow transplantation for first relapse or second remission}Colon ca treatment {Ans: Surgical resection (potentially with liver) Before surgery: CEA, liver function test, colonoscopy, xr chest Chemo Radiation;