Practice test 1 Flashcards
Which med is considered an estrogen for the control of AUB?
Ethinyl Estradiol
Who is more likely to have MVP?
Females
14 to 30 years
What are adverse reactions associated with glucocorticoid nasal sprays
epistaxis
nasopharyngitis
nasal septal perforation
in older adults, what’s a goal post prandial glucose value?
<180 mg/dL
Patients who take steroids for Crohn’s should notify the NP if pain develops where?
hip or knee pain
because long term steroid use may lead to avascular necrosis that may require surgery
When will you expect a bilirubin level to peak in a full-term newborn diagnosed with hyperbilirubinemia
3 to 4 days
in premies its 5 to 7.
hyperbilirubinemia is diagnosed when levels are >5mg/dL
A child that can stack a max of 5 blocks is ___ years old
2 years
What are common developmental tasks for a 2 year old?
stacking 5 blocks
following 2 step commands
using 2 work phrases
kicking a ball
saying 20 words
walking up and down the stairs one step at a time
What are the goals of affordable care organizations? ACOs
ensure pts get right care at right time
avoiding duplication of services
prevent medical errors
5 year old boy presents with multiple scaly patches of annular shaped alopecia. The 1st line tx for this condition is
This is tinea capitis
TX:
1st line: griseofulvin
Terbinafine (Lamisil)
Fluconazole (Diflucan)
What med is initially recommended to control pain associated with osteoarthritis in multiple joints?
NSAIDs
Aliskiren (Tekturna)
MOA
Indication
Direct Renin inhibitor
inhibits conversion of angiotensinogen to angiotensin I thus preventing the vasoconstricting effects of angiotensin II
Tx: essential (primary) hypertension
The most common cause of infertility in men is
variocele
causes primary and secondary infertility in men.
vascular abnormality of the testicular venous drainage system
When is a test of cure needed for a gonococcal infection?
pharyngeal gonorrhea
treated with NOT 1st line medication should return within 2 weeks
When is test of cure for gonococcal infection recommended for pregnant women?
within 7 to 14 days after treatment
3 months after treatment or in last month of pregnancy
When should risk assessment for the development of colon cancer begin?
20 years old
This initial recommended tx for uncomplicated acute bronchitis in adults is:
antitussives
Cough and cold preparations should not be used in children younger than ______ years
6 years
Use of methylphenidate (Ritalin) ADHD in children can result in
tics
Tourette syndrome
Growth suppression
Lower seizure threshold for patients with a history of seizure
A 65 y/o women asks if she should continue to get screenings for cervical cancer….When can screenings be discontinued?
if they are not at high risk
- # of pregnancies
- Types of births
- gestational age
What are common findings with idiopathic thrombocytopenia purpura (ITP)
2 to 4 years old
petechiae
nosebleeds
bleeding gums
usually URI 4 weeks prior to ITP onset
signs of hypokalemia
muscle cramps
weakness
fatigue
palpitations
psychological symptoms
Guillain-Barre syndrome symptoms
complication
Begins in the legs and progresses upwards to arms/trunk/face
respiratory complications d/t paralysis of intercostal muscles
Vagus nerve paralysis = loss of protective mechanisms
How long does the tx for chronic prostatitis last?
what do you prescribe?
treatment is up to 3 months
Fluoroquinolones and Bactrim
