Exam 3: Nsg554/ Nsg 554 (Latest 2023/ 2024) - Nurse Practitioners In Primary Care I Exam Review| Complete Guide With Verified Answers| 100% Correct

Hepatitis B: Incubation period {Ans: -6 weeks to 6 months -Average 12-14 weeks}Rheumatoid arthritis: lab tests {Ans: -Anti-CCP antibodies= most specific -rheumatoid factor (IgM)= can occur in other autoimmune disease -ESR and CRP usually elevated based on disease activity}IBS with diarrhea {Ans: -Loose/watery stools -Frequent stools (more than 3 per day) -Urgency -Fecal incontinence}Hepatitis A: Signs and Symptoms with jaundice {Ans: -Prodromal symptoms worsen followed by progressive clinical improvement -stools may be acholic -hepatomegaly -splenomegaly -soft, enlarged lump nodes- esp. cervical & epitrochlear}RA: tx DMARDs Synthetic (Methotrexate) {Ans: Methotrexate: usually initial med, well tolerated, effects in 2-6 weeks -7.5-10 mg PO weekly -increase if not response X 1 month -SE: gastric irritation/stomatitis -Rare: cytopenia, hepatoxicity (decrease ETOH) -Monitor LFTs every 12 weeks with a CBC -SE can be reduced with daily folate or weekly leucovorin calcium -teratogenic}Lower GI bleed {Ans: Bright red blood in stool or drips after BM}RA: tx DMARDs Synthetic (Leflunomide) {Ans: Leflunomide: Pyrimidine synthesis inhibitor, single daily dose of 20 mg -SE: diarrhea, rash, reversible alopecia, hepatotoxicity -teratogenic, 1/2 life 2 weeks}Acute cholecystitis {Ans: Usually occurs when a stone become impacted in the cystic duct and inflammation develops behind