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NSG210 Exam 3: Lecture Slides vs Textbook Differences

Running list of places where the Exam 3 lecture slides and the 15th-edition textbook (Hinkle & Cheever) give different numbers or content. When they differ, study the slide value for the exam unless the instructor says otherwise, but know the textbook value too.

Week 08 - Peripheral Vascular Diseases (Hinkle Ch. 26, 37)

Lecture notes: nsg210-week-08-peripheral-vascular-diseases-lecture. Outlines: nsg210-hinkle-ch26-vascular-disorders, nsg210-hinkle-ch37-musculoskeletal-trauma.

Item Lecture slides Textbook
ABI normal 1.0 = no insufficiency 1.00-1.40 normal; 0.91-0.99 borderline; over 1.40 noncompressible
ABI claudication 0.95-0.50 0.50-0.90 (under 0.90 = PAD)
ABI rest pain Under 0.50 Under 0.50
ABI severe ischemia / tissue loss Under 0.25 Under 0.40
ABI ankle cuff placement On the calf Above the malleolus (10-cm cuff)
Claudication occlusion 50-70%, one joint level below the lesion About 50% diameter / 75% cross-sectional area
MRA contrast No contrast agent needed IV contrast used; same post-contrast care as CT
Heparin therapeutic aPTT 1.5 times control 1.5-2 times control
Intermittent pneumatic compression pressure 35-55 mm Hg 30-70 mm Hg
Buerger disease On slides 35-36 (inflammation of small/medium arteries and veins; tobacco) Not in Ch. 26 - lecture-only content
PE ECG Listed as a diagnostic test (slide 63); no waveform described Sinus tachycardia plus nonspecific ST-T wave abnormalities. Does not diagnose PE; MDCTA is the criterion standard. Classic right-heart strain pattern (S in I, Q and inverted T in III) is not in the chapter
Course outline chapter numbers Ch. 27 (PAD/DVT/PE), Ch. 38 (amputation) 15e: Ch. 26 (vascular), Ch. 37 (amputation); Ch. 27 is hypertension

Week 08 - Inflammatory Rheumatic Diseases (Hinkle Ch. 34, 36)

Lecture notes: nsg210-week-08-rheumatic-diseases-lecture. Outlines: nsg210-hinkle-ch34-inflammatory-rheumatic-disorders, nsg210-hinkle-ch36-musculoskeletal-disorders.

Item Lecture slides Textbook
Hyperuricemia threshold Uric acid over 7 mg/dL Serum urate over 6.8 mg/dL
SLE diagnosis ACR classification: 4 of 11 criteria No criteria list in chapter body; cites 2019 EULAR/ACR criteria; ANA positive in over 95%, anti-dsDNA and anti-Sm specific
RA diagnosis RF 80%, anti-CCP 95% specific, high ESR, low RBC and C4, cloudy synovial fluid ACR/EULAR point score of 6 or more; symptoms over 6 weeks; same lab facts
Gold compounds Listed DMARD (weekly IM for 6 months) Not discussed
Penicillamine, cyclosporine Listed DMARDs with toxicities Not emphasized
Course outline chapter numbers Ch. 35 (RA, SLE, gout), Ch. 37 (OA, arthroplasty) 15e: Ch. 34 (RA, SLE, gout), Ch. 36 (OA, arthroplasty)

Week 10 - OB Lecture 4: Postpartum, Newborn, Women’s Health (Durham Ch. 12-19)

Lecture notes: nsg210-week-10-postpartum-newborn-lecture; class notes: nsg210-week-10-class-notes. Textbook here is Durham & Chapman, 4th ed.

Item Lecture slides Textbook
Erythromycin eye ointment timing Within 24 hours Within 1 hour of birth
Vitamin K (phytonadione) timing Within 6 hours IM within 1 hour of birth
EPDS score bands 0-6 none, 7-13 mild, 14-19 moderate, 19-30 severe; also “10 or higher minor, 13 or higher major” (bands overlap) Names the EPDS as the validated screen; no score bands in the chapters checked
Uterine fibroids (slide 85) Definition repeats the endometriosis text (“tissue similar to the lining of the uterus grows outside of the uterus”) Leiomyomas: benign smooth muscle tumors of the uterus (the slides also say this correctly on the infertility slide)
Homans sign Positive Homans sign may indicate thrombophlebitis Durham also lists it among classic DVT signs; it is widely considered unreliable, so do not rely on it alone
Return of menses while breastfeeding Lecture: 6-8 weeks (same as non-breastfeeding). Slide 2: usually 4-5 months or later. Slide 21: ovulation at about 6 weeks Depends on how long and how much she breastfeeds; mean return of ovulation 17 weeks (non-lactating: menses 7-9 weeks, ovulation about 10 weeks)
Cardiovascular return to normal Lecture: 2-6 weeks. Slide 3: cardiac output by 2 weeks, HR by 6 weeks, BP by 16 weeks Not checked against Durham
HPV vaccine catch-up (slide 81) Females through 26, males through 21 Current CDC: catch-up through 26 for everyone (the male limit of 21 is outdated)
Breast milk jaundice onset (slide 48) Appears 2-5 days after birth Most sources: after the first week (about days 5-7), peaking days 10-14
Duodenal atresia vomiting (slide 62) First 24-38 hours Usually stated as the first 24-36 hours (likely a slide typo)
Newborn temperature and RR (slide 37) Temperature 96.8-99.5 F; RR 40-60 Common normal ranges: axillary 97.7-99.5 F (36.5-37.5 C); RR 30-60