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FNP-2 > PRACTICE TEST 2 - PART A > Flashcards

PRACTICE TEST 2 - PART A Flashcards

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1
Q

75 YO FEMALE C/O HEART KEEPS SKIPPING BEATS AND GOES VERY FAST. PT ALSO REPORTS DIZZINESS AND SOB, ESPECIALLY WITH ACTIVITY. PUSLE 120 AND IRREGULAR. NP ORDERS A 12-LEAD EKG AND CONSIDERS ECHOCARDIOGRAM. NP WILL LIKELY PRESCRIBE WHAT MEDICATION?

A

WARAFIN

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2
Q

WARFARIN IS AKA

A

COUMADIN

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3
Q

75 YO FEMALE C/O HEART KEEPS SKIPPING BEATS AND GOES VERY FAST. PT ALSO REPORTS DIZZINESS AND SOB, ESPECIALLY WITH ACTIVITY. PUSLE 120 AND IRREGULAR. NP ORDERS A 12-LEAD EKG AND CONSIDERS ECHOCARDIOGRAM. NP WILL LIKELY PRESCRIBE WHAT DOSAGE?

A

2.5 MG DAILY CUMADIN

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4
Q

YOUNG ADULT MALE VISITS CLINIC AFTER FALLING ON BUTTOCKS. C/O FEELING ELECTRICAL IMPULSES TRAVELING DOWN BOTH LEGS AND INABILITY TO URINATE. NP NOTES DECREASED LOWER EXTREMITY STRENGTH/REFLEXES. LIKELY DX?

A

CAUDA EQUINA SYNDROME. THIS IS ACUTE ONSET SADDLE ANESTHESIA THAT AFFECTS NERVE ROOTS FROM L1 TO L5 AND S1 TO S5. SYMPTOMS MAY INCLUDE BLADDER INCONTINENCE OR RETENTION, FECAL INCONTINENCE, WEAKNESS AND BILATERAL LEG NUMBNESS.

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5
Q

35 YO PT IS BEING WORKED UP FOR MICROSCOPIC HEMATURIA. WHICH IS NOT A DX OF MICROCOPIC HEMATURIA: KIDNEY STONES, BLADDER CANCER, ACUTE PYELONEPHRITIS, RENTAL ARTERY STENOSIS

A

RENAL ARTERY STENOSIS.

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6
Q

35 YO PT IS BEING WORKED UP FOR MICROSCOPIC HEMATURIA. WHICH IS NOT A DX OF MICROCOPIC HEMATURIA: KIDNEY STONES, BLADDER CANCER, ACUTE PYELONEPHRITIS, RENAL ARTERY STENOSIS

A

RENAL ARTERY STENOSIS.

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7
Q

WHAT IS RENAL ARTERY STENOSIS?

A

NARROWING OF THE KIDNEY ARTERIES.

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8
Q

RENAL ARTERY STENOSIS COMMONLY NOTED IN PT OF WHAT AGE?

A

OLDER THAN 50

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9
Q

RENAL ARTERY STENOSIS ASSOCIATED WITH WHAT 2 CONDITIONS?

A

HTN, ATHEROSCLEROSIS

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10
Q

22 YO FEMALE WITH SIGNS OF BROKEN ARM STATING SHE FELL AT HOME. NP OBSERVES NUMEROUS BRUISES IN VARIOUS STAGES OF HEALING. PTS BOYFRIEND RESPONDS AGGRESSIVELY TO ALL QUESTIONS POSED TO PT. WHAT IS APPROPRIATE INTERVENTION?

A

INFORM BOYFRIEND REMAINDER OF EXAM MUST BE PRIVATE, SHOW HIM TO WAITING AREA AND TELL HIM HE WILL BE RETRIEVED WHEN EXAM COMPLETED.

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11
Q

13 YO MALE PRESENTS WITH BACK PAIN AND N/V FOR PAST 24 HOURS. PT REPORTS FEELING A DULL PAIN AND MUSCLE SPASM IN BACK AFTER A DIRECT HIT TO THE SIDE DURING FOOTBALL. VITAL SIGNS ARE 140/84, 99.1F, P 98, RR 26. WHAT IS DX?

A

BRUISED KIDNEY. DIRECT HIT TO SIDE OF BODY INDICATES POTENTIAL BRUISED KIDNEY.

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12
Q

1ST LINE MEDICATION FOR TINEA UNGUIUM

A

ORAL TERBINAFINE.

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13
Q

ORAL TERBINAFINE IS AKA

A

LAMISIL.

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14
Q

WHAT IS TINEA UNGUIUM

A

FUNGAL INFECTION OF THE NAILS, USUALLY THE GREAT TOE. THE TOENAIL BECOMES YELLOW AND THICKENED. MAY SEPARATE FROM THE NAIL BED.

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15
Q

ELDERLY PT BURNED WHEN POT OF BOILING WATER FELL OFF THE STOVE. ACCORDING TO LUND-BROWDER CHART, PT HAS REDDENED SKIN AND SEVERAL BULLAE ON 4% OF ABD AREA. PT IS ALLERGIC TO SULFA. WHAT IS MOST APPROPRIATE INTERVENTION?

A

TREAT WITH BACITRAIN ZINC. PT HAS 2ND DEG BURN BECAUSE PT IS OLDER THAN 50 AND TOTAL BODY SURFACE BURNED WAS < 5%.

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16
Q

ELDERLY PT BURNED WHEN POT OF BOILING WATER FELL OFF THE STOVE. ACCORDING TO LUND-BROWDER CHART, PT HAS REDDENED SKIN AND SEVERAL BULLAE ON 4% OF THE ABD AREA. WHAT DEGREE BURN IS THIS?

A

PT HAS 2ND DEG BURN BECAUSE PT IS OLDER THAN 50 AND TOTAL BODY SURFACE BURNED WAS < 5%.

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17
Q

ELDERLY PT BURNED WHEN POT OF BOILING WATER FELL OFF THE STOVE. ACCORDING TO LUND-BROWDER CHART, PT HAS REDDENED SKIN AND SEVERAL BULLAE ON 4% OF ABD AREA. PT IS ALLERGIC TO SULFA. WHAT IS THE MOST APPROPRIATE INTERVENTION?

A

TREAT WITH BACITRAIN ZINC.

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18
Q

ASIAN MOTHER WITH NEWBORN PRESENTS TO CLINIC. NP NOTES BLACK COLORED PATCHES ON NEWBORNS LUMBOSACRAL AREA. HOW WILL THE NP DOCUMENT THESE FINDINGS?

A

MONGOLIAN SPOTS.

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19
Q

MONGOLIAN SPOTS MOST COMMON TYPE OF SKIN LESION IN NEONATES OF WHAT RACE?

A

ASIAN

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20
Q

WHICH ANTIPSYCHOTIC MED IS MOST LIKELY TO PRODUCE EXTRAPYRAMIDAL EFFECTS

A

HALOPERIDOL (HALDOL). FIRST GENERATION ANTIPSYCHOTIC DRUGS (HALOPERIDOL/HALDOL) ARE POTENT ANTAGONISTS OF D2, D3 AND D4 RECEPTORS. MAY PRODUCE EXTRAPYRAMIDAL SIDE EFFECTS BECAUSE OF THE BLOCKING OF THE D2 RECEPTORS.

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21
Q

TODDLER WITH CONGENITAL HEART DZ SEEN FOR A 1 WEEK HISTORY OF FACIAL AND LOWER EXTREMITY EDEMA ACCOMPANIED BY SOB. CHILD APPETITE POOR. CXR REVEALS CHILD HAS CHF. WHICH HEART SOUNDS ARE FOUND IN PATIENTS WITH CHF?

A

S1, S2 AND S3

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22
Q

14 YO MALE PT ACUTE PAIN IN LEFT TESTICLE RADIATING TO THE LOWER ABD LASTING FOR 2 HOURS. BEST INTERVENTION?

A

COLOR DOPPLER ULTRASONOGRAPHY

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23
Q

TESTICULAR TORSION IS A MEDICAL EMERGENCY. T/F

A

TRUE

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24
Q

ALL BLOOD FOR THE TESTICLE COMES THROUGH THE SPERMATIC CORD. T/F

A

TRUE

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25
Q

IF A PT HAS TESTICULAR TORSION, BLOOD SUPPLY MUST BE RESTORED TO TESTICLE WITHIN 6 HOURS. WHAT HAPPENS IF IT IS NOT RESTORED?

A

THE TESTICLE WILL SHRINK (ATROPHY)

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26
Q

67 YO FEMALE PT C/O DYSPNEA, MINIMAL COUGH, 10LB WEIGHT LOSS OVER PAST 3 MONTHS. NP NOTES DECREASED POSTERIOR BREATH SOUNDS, THE USE OF ACCESSORY MUSCLES TO BREATHE, TEMP 98.8, RR 24. NP SUSPECTS?

A

EMPHYSEMA.

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27
Q

WHAT 3 SYMPTOMS DOES EMPHYSEMA PRESENT?

A

SOB, MINIMAL COUGH, DECREASED HEART/LUNG SOUNDS

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28
Q

WHAT 3 SYMPTOMS DOES CHRONIC BRONCHITIS PRESENT?

A

PRODUCTIVE COUGH, WHEEZING, COURSE CRACKLES.

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29
Q

MIDDLE AGE MALE PT WITH HX OF CLUSTER HA ARRIVES FOR TX. WHAT 2 INTERVENTIONS ARE INCLUDED IN ACUTE TX PLAN?

A

FINTRANASAL 4% LIDOCAINE AND 100 OXYGEN VIA MASK.

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30
Q

CLUSTER HA ARE MOST PREVALENT IN MIDDLE AGED MEN BETWEEN WHAT AGES?

A

30-40

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31
Q

PT WITH MIGRAINE HA CAN BE TREATED WITH ICE PACK TO FOREHEAD AND DARK ROOM THEREAPY. T/F.

A

TRUE

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32
Q

WHAT DRUG IS HELPFUL FOR MUSCLE TENSION HA?

A

ACETAMINOPHEN OR NSAIDs

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33
Q

MIDDLE AGE FEMALE PRESENTS WITH COMPLAINTS OF WEIGHT GAIN, CONSTIPATION, AND ALOPECIA OF THE EYEBROWS. SERUM CHOLESTEROL IS 247 MG/DL AND THYROID PEROXIDASE TPO IS 161 IU/ML. WHAT IS LIKELY DX?

A

HASHIMOTO THYROIDITIS.

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34
Q

HASHIMOTO THYROIDITIS IS AN AUTOIMMUNE DISORDER. T/F

A

TRUE

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35
Q

WHAT IS GOLD STANDARD FOR DX HASHIMOTO THYROIDITIS?

A

THYROID PEROXIDASE (TPO) LEVELS

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36
Q

THROID CANCER PRESENTS WITH HOARSENESS AND PROBLEMS SWALLOWING (DYSPHAGIA, DYSPNEA, COUGH) T/F.

A

TRUE

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37
Q

OVERWEIGHT MALE TEENAGER PRESENTS WITH C/O FATIGE / LETHARGY. HE HAS BEEN FALLING ASLEEP IN SCHOOL. UPON EXAM, HE IS FOUND TO BE HYPERTENSIVE WITH AVG BLOOD PRESSURE OF 164/92. NP SUSPECTS SECONDARY HTN. WHAT 3 CONX CAN CAUSE SECONDARY HTN?

A

RENAL DISORDER (POLYCYSTIC KIDNEY, CHRONIC KIDNEY DZ), ENDOCRINE DISORDER (HYPERTHROIDISM, HYPERALDOSTERONISM, PHEOCHOMOCYTOMA), AND RESPIRATORY (SLEEP APNEA).

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38
Q

DO MUSCULOSKELETAL DISORDERS CAUSE HTN?

A

NO

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39
Q

ADULT PT STEPPED ON NAIL WHICH PUNCTURED SNEAKER. SHE NOW HAS A SWOLLEN DIFFUSE PINKISH-RED WARM FOOT. WHAT GRAM NEGATIVE PATHOGEN IS MOST LIKELY THE CAUSE OF THIS INFECTION?

A

PSEUDOMONAS AERUGINOSA. PUNCTURE WOUNDS OF THE FOOT MAY BECOME INFECTED WITH P. AERUGINOSA (GRAM NEGATIVE) BY THE FOAM MATERIAL FROM SNEAKERS, ULTIMATELY CAUSING CELLULITIS.

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40
Q

P. MULTOCIDA IS A GRAM-NEGATIVE PATHOGEN THAT IS PRESENT IN DOG/CAT BITES. T/F

A

TRUE

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41
Q

PT WITH PICKS DZ FELL OUT OF BED AND HIT HEAD ON TABLE. PT NOT ON ANTICOAGULANT THERAPY AND IS ALERT AND ORIENTED. PT VITALS: BP 188/90, P 43, RR 7. WHAT IS DX?

A

INCREASED INTRACRANIAL PRESSURE. PT VITALS REVEAL INCREASED ICP. WITH INCREASED ICP, SYSTOLIC BP INCREASES, AND RESPIRATIONS DECREASE.

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42
Q

INCREASED INTRACRANIAL PRESSURE (ICP) IS KNOWN AS __________ TRIAD.

A

CUSHINGS TRIAD

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43
Q

A CVA OR STROKE IS CAUSED BY AN EMBOLUS/TROMBUS OR A HEMORRHAGE. T/F

A

TRUE

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44
Q

PIOGLITAZONE (ACTOS) IS CONTRAINDICATED IN PTS WITH WHAT CONDITION?

A

CLASS III OR CLASS IV HEART DISEASE. PIOGLITAZONE (ACTOS) IS CONTRAINDICATED BECAUSE IT CAUSES WATER RETENTION.

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45
Q

82 YR OLD PT IN CLINIC FOR ANNUAL EXAM. PT REQUESTS COLONOSCOPY TO SCREEN FOR COLON CANCER. WHAT IS AN APPROPRIATE THERAPEUTIC RESPONSE OF NP?

A

TELL ME WHAT YOU KNOW ABOUT COLONOSCOPY AND WHY YOU FEEL IT IS IMPORTANT. SCREENINGS SHOULD BE BASED ON EVIDENCE-BASED GUIDELINES BUT THE NP MUST ALSO INVOLVE THE PT IN THE DECISION MAKING PROCESS TO ENSURE THEIR AUTONOMY IS MAINTAINED.

46
Q

MIDDLE-AGED MALE HAS RIGHT EYELID PAIN X 24 HOURS. DENIES VISION CHANGE OR DISCHARGE FROM THE EYE. UPON EXAMINATION, NP NOTES A PAINFUL SWOLLEN RED ABSCESS ON THE UPPER RIGHT EYELID. WHAT SHOULD NP DO NEXT?

A

INITIATE HOT COMPRESSES TID.

47
Q

MIDDLE-AGED MALE HAS RIGHT EYELID PAIN X 24 HOURS. DENIES VISION CHANGE OR DISCHARGE FROM THE EYE. UPON EXAMINATION, NP NOTES A PAINFUL SWOLLEN RED ABSCESS ON THE UPPER RIGHT EYELID. WHAT IS DX?

A

PT HAS A HORDEOLUM OR STYE.

48
Q

INITIAL TX FOR PT WITH MILD ALLERGIC CONJUNCTIVITIS?

A

TOPICAL ANTIHISTAMINES/MAST CELL STABILIZERS

49
Q

WHAT CAUSES MILD ALLERGIC CONJUNCTIVITIS

A

MILD ALLERGIC CONJUNCTIVITIS OCCURS BECAUSE OF MAST CELL RESPONSE TO AN ALLERGEN.

50
Q

NSAIDS ARE THE FIRST LINE OF TX FOR MILD ALLERGIC CONJUNCTIVITIS. T/F

A

FALSE. TOPICAL ANTIHISTAMINES/MAST CELL STABILIZERS ARE THE INITIAL TREATMENT FOR SIGNS OF MILD ALLERGIC CONJUNCTIVITISF.

51
Q

FIRST LINE TX FOR PT WITH CHRONIC OBSTRUCTIVE PULMONARY DISEASE (COPD) - CATEGORY B AND C?

A

LONG-ACTING MUSCARINIC AGONIST (LAMA).

52
Q

FIRST LINE TX FOR PT WITH CHRONIC OBSTRUCTIVE PULMONARY DISEASE (COPD) - CATEGORY A?

A

SABA IS RECOMMENDED

53
Q

RESULTS OF A PAP TEST ON 21 YO WOMAN STATE “ATYPICAL SQUAMOUS EPITHELIAL CELLS PRESENT. NO ENDOCERVICAL CELLS PRESENT.” WHAT IS NP’S NEXT STEP?

A

REPEAT TEST ASAP. THE SPECIMEN IS UNSATISFACTORY. A SPECIMEN IS SATISFACTORY ONLY WHEN BOTH SQUAMOUS EPITHELIAL CELLS AND ENDOCERVICAL CELLS ARE PRESENT.

54
Q

NP ASSESSING CEREBELLAR SYSTEM OF OLDER ADULT WITH ATAXIA. DURING EXAM, PT HAS POSITIVE ROMBERG’S TEST. WHAT DOES THIS INDICATE?

A

PT UNABLE TO STAND WITH EYES CLOSED AND ARMS BY SIDE WITHOUT SWAYING OR FALLING.

55
Q

WHAT 3 SENSES ARE NEEDED TO MAINTAIN BALANCE WHILE STANDING?

A

PROPRIOCEPTION, VESTIBULAR FUNCTION, VISION

56
Q

CHILD WITH ECZEMA WAS TREATED WITH OTC 1% HYDROCORTISONE OINTMENT. RASH DOES NOT SEEM TO BE IMPROVING. WHAT LEVEL STEROID SHOULD THE NP PRESCRIBE NEXT?

A

GROUP 6. PT IS CURRENTLY USING POTENCY GROUP 7 (OTC TOPICAL HYDROCORTISONE)

57
Q

GROUP 7 POTENCY OF OTC TOPICL HYDROCORTISONE IS WHAT PERCENTAGE CONCENTRATION?

A

0.5 - 1.0%

58
Q

INFANT WITH FAUN TAIL NEVUS AT THE LUMBOSACRAL AREA. WHAT PROCEDURE SHOULD BE ORDERED FIRST?

A

ULTRASOUND TO ASSESS FOR NEURAL TUBE DEFECTS (SPINA BIFIDA)

59
Q

DURING THE BREAST EXAM OF 30 YO NULLIPAROUS WOMAN, NP PALPATES SEVERAL RUBBERY MOBILE AREAS OF BREAST TISSUE. SLIGHTLY TENDER TO PALPATION. BOTH BREASTS HAVE SYMMETRIC FINDINGS. NO SKIN CHANGES OR NIPPLE DISCHARGE. PT IS EXPECTING A MENSTRUAL PERIOD IN 5 DAYS. NP WILL:

A

ADVISE PT TO RETURN 1 WEEK AFTER HER PERIOD SO BREASTS CAN BE RECHECKED. SYMPTOMS OF FIBROCYSTIC BREAST DZ INCLUDE CYCLIC TENDERNESS WITH PROMINENT BREAST TISSUE THAT IS PRESENT IN BOTH BREASTS. SYMPTOMS ARE WORSE ABOUT 1 WEEK BEFORE MENSES. SYMPTOMS RESOLVE AFTER MENSES STARTS.

60
Q

35 YO SMOKER EVALUATED FOR BIRTH CONTROL CHOICES. PT HAS HX OF PELVIC INFLAMMATORY DISEASE (PID) AND EMNBOLIC EPISODE AFTER THE LAST PREGNANCY. NP WILL RECOMMEND:

A

CONDOMS AND VAGINAL SPONGE.

61
Q

NAME 3 CONTRAINDICATIONS OF HORMONAL CONTRACEPTION (BIRTH CONTROL PILLS)

A

MIGRAINE HA, SMOKING, OBESITY IN WOMEN OLDER THAN 35

62
Q

WHAT DOES A POTASSIUM HYDROXIDE (KOH) PREP HELP THE NP DX?

A

FUNGAL INFECTIONS. KOH PREP TEST IS PERFORMED TO EVALUATE FOR TINEA OR CANDIDA (YEAST) INFECTION OF SKIN.

63
Q

10 YO PT PRESENTS WITH EXTERNAL PAIN, SWELLING, AND DECREASED HEARING IN THE LEFT EAR. CHILD ON THE SWIM TEAM AND PRACTICES DAILY. UPON EXAM, THE CHILD FLINCHES WHEN THE AFFECTED EAR IS TOUCHED. NO OTHER ABNORMAL FINDINGS. DX?

A

OTITIS EXTERNA (SWIMMERS EAR)

64
Q

AUSCULTATION OF NORMAL BREATH SOUNDS OF THE CHEST WILL REVEAL WHAT?

A

VESICULAR BREATH SOUNDS IN THE LOWER LOBE.

65
Q

WHERE ARE BRONCHIAL BREATH SOUNDS BEST HEARD?

A

SECOND AND THIRD INTERCOSTAL SPACES.

66
Q

WHERE ARE TRACHEAL BREATH SOUNDS BEST HEARD?

A

OVER THE TRACHEA.

67
Q

MOST COMMON SIGN OF ALLERGIC RHINITIS?

A

TRANSVERSE NASAL CREASE.

68
Q

WHAT CAUSES TRANSVERSE NASAL CREASE?

A

FREQUENT RUBBING AND WIPING AWAY OF NASAL DISCHARGE.

69
Q

ALLERGIC RHINITIS GENERALLY PRODUCES CLEAR NASAL DISCHARGE. T/F

A

TRUE (UNLESS THERE IS ALSO SINUSITIS)

70
Q

TX FOR PARTNER OF 22 YO PT WHO HAS A POSITIVE NUCLEIC ACID AMPLIFICATION TEST?

A

AZITHROMYCIN 1G PO -ONE TIME DOSE.

71
Q

WHAT DOES A POSITIVE NUCLEIC ACID AMPLIFICATION TEST INDICATE?

A

CHLAMYDIA TRACHOMATIS

72
Q

PT RECEIVING THYROID REPLACEMENT THERAPY CONTRACTS THE FLU AND FORGETS TO TAKE HER THYROID REPLACEMENT MEDICINE. PT IS AT RISK FOR WHAT LIFE-THREATENING COMPLICATION?

A

MYXEDEMA COMA.

73
Q

WHAT MAY DEVELOP WITH THE ABRUPT CESSATION OF THYROID REPLACEMENT THERAPY?

A

MYXEDEMA COMA

74
Q

WHAT PROCEDURE WILL NP DO TO PERFORM SCREENINGS FOR SCOLIOSIS?

A

ASK PT TO STAND FIRMLY ON BOTH FEET AND BEND FORWARD AT HPS WHILE ARMS HANG FREE. NP EXAMINES ADOLESCENT FROM BEHIND, CHECKING FOR ASYMMETRY OF SHOULDERS, SCAPULAE AND HIPS.

75
Q

10 YO FEMALE PT CONCERNED ABOUT DX OF ACTINIC KERATOSIS. WHAT IS EXPLANATION OF THIS CONDX?

A

IT IS A PRECANCEROUS LESION AND NEEDS TO BE FOLLOWED UP WITH HER DERMATOLOGIST.

76
Q

HOW DOES ACTINIC KERATOSES PRESENT?

A

SMALL, RAISED SKIN LESIONS, THAT RESULT FROM EXTENDED SUN EXPLOSURE. CAN DEVELOP INTO SKIN CANCER.

77
Q

4 YO PT PRESENTS WITH HIGH FEVER AND ENLARGED LYMPH NODES IN NECK AREA. NP NOTES DRY, CRACKED LIPS AND STRAWBERRY TONGUE. WHAT IS LIKELY DX?

A

KAWASAKI DZ.

78
Q

KAWASAKI DZ OCCURS IN CHILDREN UNDER WHAT AGE?

A

UNDER 5 YRS OF AGE.

79
Q

DURING THE RECTAL EXAM OF 55 YO MALE, A FIXED NODULE IS DETECTED ON THE PROSTATE GLAND. PT HAS A PSA OF 4.1. WHAT SHOULD NP ORDER?

A

TRANSRECTAL ULTRASOUND GUIDED NEEDLE BIOPSY.

80
Q

PSA OF > OR = TO 4 INDICATES FOR BIOPSY IN MEN OVER WHAT AGE?

A

50 YRS OLD

81
Q

LAB RESULTS OF FEMALE PT WHO STATES SHE HAS HAD ONE MENSTUAL PERIOD OVER THE LAST YEAR AND IS EXPERIENCING PROBLEMS SLEEPING. PT LAB RESULTS INCLUDE ESTRADIOL LEVEL OF 200 PG/ML, FOLLICLE STIMULATING HORMONE (FSH) OF 35, AND ANTI MULLERIAN HORMONE (AMH) LEVEL OF .2. WHAT DO THESE FINDINGS INDICATE?

A

LAB RESULTS INDICATE PT IS PERIMENOPAUSAL. THE ESTRADIOL LEVEL REFLECTS A PERIMENOPAUSAL STATE.

82
Q

MENOPAUSE IS DX AFTER THE MENSTRUAL PERIOD HAS BEEN ABSENT FOR HOW MANY MONTHS?

A

12 MONTHS

83
Q

PARENT OF 5 YR OLD STATES CHILD HAS HAD A RASH FOR THE PAST WEEK AND CANNOT STOP SCRATCHING IT. PHYSICAL ASSESSMENT REVEALS 1MM PAPULES AND PUSTULES, GRAYISH WHICH BURROWS ON CHILD’S PALMS AND SOLES OF FEET, AND EXCORIATED SKIN WITH HONEY COLORED CRUSTING ON THE FACE AND NECK. THE NP WILL PRESCRIBE WHAT MED?

A

TOPICAL PERMETHRIN (ELIMITE). ASSESSMENT FINDINGS ARE CONSISTENT WITH SCABIES. THIS REQUIRES APPLICATION OF A SCABICIDE SUCH AS TOPICAL PERMETHRIN.

84
Q

WHAT MED IS USED TO TREAT CANDIDAL INFECTIONS?

A

TOPICAL NYSTATIIN

85
Q

PT DIAGNOSED WITH IBS tells NP THAT OVER PAST FEW MONTHS SHE HAS EXPERIENCED FREQUENT BOUTS OF CONSTIPATION. WHAT PRESCRIPTION SHOULD BE ADDED TO TX PLAN?

A

LUBIPROSTONE (AMITIZA). LUBIPROSTONE IS A CHLORIDE CHANNEL ACTIVATOR APPROVED FOR THE TX OF IBS WITH CONSTIPATION IN ADULTS.

86
Q

22 YO MALE PT PRESENTS WITH KNEE PAIN. NP PERFORMS MCMURRAYS TEST. A POSITIVE SIGN INDICATES WHAT CONDX?

A

MENISCAL TEAR.

87
Q

WHAT TEST IS USED FOR ANTERIOR CRUCIATE LIGAMENT TEAR?

A

THE LACHMANS TEST OR ANTERIOR DRAWER TEST.

88
Q

68 YO FEMALE RECENTLY DIAGNOSED WITH POLYMALGIA RHEUMATICA (PMR). NP IS DISCUSSING TX OPTIONS. WHAT IS FIRST LINE TREATMENT FOR PMR?

A

ORAL PREDNISONE.

89
Q

WHAT TYPE OF STEROID IS ORAL PREDNISONE?

A

ORAL CORTICOSTERIOD

90
Q

WHAT LAB TEST IS A SENSITIVE TEST FOR RENAL FUNCTION?

A

ESTIMATED GLOMERULAR FILTRATION RATE (EFGR). GFR CAN BE ESTIMATED FROM SERUM CREATININE.

91
Q

WHAT TEST IS USED TO MEASURE AND MONITOR KIDNEY FUNCTION AND EVALUATE CHRONIC KIDNEY DISEASE?

A

(GLOMERULAR FILTRATION RATE (GFR) TEST

92
Q

4 YR OLD UNABLE TO ATTEND PRESCHOOL DUE TO LACK OF MOTOR SKILLS. WHAT 3 TACTICS CAN BE USED TO DETERMINE APPROPRIATE GROWTH AND DEVELOPMENT OF PT?

A

TRACE SIMPLE OBJECTS (CIRCLE), RUN, CLIMB STEPS, THROW A BALL.

93
Q

4 YR OLD UNABLE TO ATTEND PRESCHOOL DUE TO LACK OF MOTOR SKILLS. WHAT TACTICS CANNOT BE USED TO DETERMINE APPROPRIATE GROWTH AND DEVELOPMENT OF PT?

A

CATCH A BALL

94
Q

82 YO MALE PENILE GLAND AND FORESKIN ARE INFLAMED. REDDENED, MOIST MACULAR LESION IS PRESENT ON THE PREPUCE. PT IS BEING TREATED FOR A UTI WITH AMOXICILLIN. NEXT STEP?

A

OBTAIN SWAB OF THE LESION FOR POTASSIUM HYDROXIDE (KOH) PREP. NOTE: PT HAS SYMPTOMS ASSOCIATED WITH BALANOPOSTHTIIS. FUNGAL INFECTIONS ARE COMMON WHEN ANTIBIOTICS ARE USED.

95
Q

PT PRESENTS WITH PAINFUL URINATION, LOWER ABD PAIN, INCOMPLETE BLADDER ELIMINATION, AND CLOUDY URINE. NP WILL …

A

ORDER URINE CULTURE AND SENSITIVITY FOR ESCHERICHIA COLI.

96
Q

THE MAJORITY (75-90%) OF UTIs ARE CAUSED BY WHAT BACTERIA?

A

E. COLI.

97
Q

WHAT IS THE CAUSE OF MANY DIGESTION-RELATED INFECTIONS?

A

C. DIFFICILE

98
Q

WHAT MED IS USED TO TREAT PT WITH A POSITIVE FINKELSTEIN TEST?

A

IBUPROFEN.

99
Q

FINKELSTEIN TEST USED TO DX WHAT CONDITION?

A

QUERVAINS TENOSYNOVITIS.

100
Q

FINKELSTEIN TEST USED TO DX WHAT CONDITION?

A

QUERVAINS TENOSYNOVITIS

101
Q

WHAT CAUSES QUERVAINS TENOSYNOVITIS?

A

REPETITIVE MOVEMENT OF WRIST AND THUMB

102
Q

45 YO PT REPORTS STEPPING ON A NAIL. LAST TETANUS VACCINE WAS 7 YEARS AGO. WHAT VACCINES ARE RECOMMENDED?

A

TETANUS, DIPHTHERIA, ACELLULAR, PERTUSSIS (TDAP)

103
Q

WHAT IS RECOMMENDED TX FOR ERYTHEMA MIGRANS OR EARLY LYME DZ?

A

DOXYCYCLINE 100MG PO BID X 21 DAYS.

104
Q

ERYTHEMA MIGRANS IS THE RASH CHARACTERISTIC OF LYME DZ. THE RASH USUALLY APPEARS ___ DAYS AFTER A TICK BITE.

A

7 TO 10 DAYS

105
Q

INFANT BORN WITH MICROCEPHALY, NARROW EYES, A FLAT NASAL BRIDGE, A THIN UPPER LIP, AND UNDER-DEVELOPED EARS. WHAT IS DX?

A

FETAL ALCOHOL SYNDROME.

106
Q

WHAT TEST SHOULD BE ORDERED FOR PT WITH SYMPTOMS OF CHRONIC PROSTATITIS?

A

MEARES STAMEY 2 GLASS TEST. THIS TEST IS USED TO ASSESS FOR INFLAMMATION AND THE PRESENCE OF BACTERIA IN THE LOWER URINARY TRACT.

107
Q

FEMALE PT WITH C/O FATIGUE, COLD INTOLERANCE, AND UNEXPLAINED WEIGHT GAIN. DX?

A

HYPOTHYROIDISM.

108
Q

WHAT IS A POSITIVE KERNIGS SIGN?

A

PT WITH POSITIVE KERNIGS SIGN WILL RESIST LEG STRAIGHTENING WHEN HIP IS FLEXED BECAUSE OF PAINFUL HAMSTRINGS FROM LUMBAR NERVE ROOT INFLAMATION.

109
Q

ELDERLY MALE WITH C/O SEVERE PAIN ON LEFT BACK AND A CONCENTRATED SWATH OF VESICLES. DX?

A

HERPES ZOSTER (SHINGLES). SHINGLES CAUSE SEVERE DEEP PAIN ALONG A PRERIPHERAL NERVE ON THE TRUNK OF THE BODY AND RED, NODULAR SKIN LESIONS.

110
Q

HERPES ZOSTER IS AKA?

A

SHINGLES

FNP-2 (6 decks)

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