Test questions

Question 1

What is the correct action to correct pulmonary shunting?

Answer 1

Pulmonary shunting=atelectasis, answer is to increase the PEEP

Question 2

Things to remember regarding tx:

Answer 2

Tx medical problems before psych issues

Save the patient first, then make calls

Don’t prescribe before you work up the pt

Perform within scope for the type of practice/ provider choice

Call the right person when you need to!

Always lead, don’t follow

Personal observation is always stronger than a number!!!!

Question 3

What is the initial test in aortic stenosis with bruit?

Answer 3

Echo

Question 4

What vitamin do you give for alcoholics?

Answer 4

Vitamin B1=thiamine,

for folic acid deficiency anemia in alcoholics

Question 5

What labs will always be given together when asking a question about pancreatitis?

Answer 5

Amylase/ipase

Question 6

What is strongest predictor of functional impairment?

Answer 6

Cognitive impairment

Question 7

What blood protein may increase toxicity (Dilantin) d/t protein binding being decreased?

Answer 7

Low albumin

Question 8

What is the first thing to try for hyponatremia?

Answer 8

Start by restricting free water

Question 9

What drug class for arthritis/pain causes hyperkalemia?

Answer 9

NSAIDS

Question 10

What is the tx for a Human bite?

Answer 10

PO ATB with Augmentin/ amox-clavulante

Question 11

How long does it take for Pressure ulcer healing begins in a clean ulcer?

Answer 11

2 days

Question 12

If a patient with AFib is >65 OR has risk factors, what is the preferred anticoagulant?

Answer 12

Coumadin

Question 13

If a pt is having a Renal angiogram- what drug class should be held?

Answer 13

do not give an ACE inhibitor

Question 14

How is pulmonary HTN diagnosed?

Answer 14

Pulm HTN is diagnosed by echo, confirmed by cardiac cath!

Question 15

Breast CA is what % of all female deaths?

What is the cure rate?

Answer 15

Breast CA is 5% of all female deaths, cure rate 95%

Question 16

What percentage of strokes are hemorrhagic?

Answer 16

Head bleeds are 15-20%

Question 17

What parameter should be monitored on the ABG in a head injury pt?

Answer 17

For head injuries: watch the CO2 @ on the ABG!!!

Question 18

In a rigid acute abd, what is the primary dx?

Answer 18

Always, peritonitis!!!!!!

Question 19

What is the common metabolic disturbance in a new PE?

Answer 19

New onset PE, hyperventilation

= respiratory alkalosis!!

Question 20

If pt has low serum sodium and high serum osomo and hyperglycemia, what condition is most likely?

Answer 20

Hyperglycemia++++low serum sodium and high serum osomo

HHNK)

Question 21

What is the drug of choice for DT’s in a patient able to take PO?

Answer 21

Librium PO **** not Ativan

Question 22

What two phsycial exam findings are common in PID?

Answer 22

Adnexal tenderness and cervical wall motion tenderness

Question 23

What GI drug prevents nosocomial PNA?

Answer 23

Carafate prevents nosciomial PNA

Question 24

What enviornment is desired for a post aneurysm clipping?

Answer 24

Quiet room

Question 25

What is the drug of choice for a pt in AF with preserved LVEF?

Answer 25

BB

Question 26

What blood test is used to follow effectiveness of synthroid?

Answer 26

TSH

Question 27

What is the best way to approach ATB therapy with unkown cultures?

Answer 27

Broad to narrow coverage! Narrow to hit target!

Question 28

What is the most common but least treated disorder?

Answer 28

Depression

Question 29

What is an initial undesired side effect of synthroid?

Answer 29

Alopecia

Question 30

What drug is used to prevent tumor lysis syndrome in Non-Hodgkins?

Answer 30

Allopurinol

Question 31

What drug is used to r/o adrenal insufficiency in Addisons dz?

Answer 31

Cosyntropin

Question 32

What is an uncommon cause of pancreatitis?

Answer 32

Cholelithiasis causes pancreatitis

Question 33

What are the drug therapies for tx of kidney stones?

Answer 33

dilaudid or morphine ,tordol and reglan

Question 34

What does lyme disease tick bite look like?

Answer 34

erythema migrans- erythema with circle

Question 35

What is term for basic inflammation of pulmonary tissue?

Answer 35

Pneumonitits

Question 36

Is sarcopenia a normal change in aging?

Answer 36

Yes, decreased muscle strength and mass

Question 37

Which is bigger in the eyes, veins or arteries?

Answer 37

Veins bigger than arteries in the eyes

Question 38

What are the five causes of true night sweats?

Answer 38

True night sweats: TB Menopause AIDS Lymphoma Endocarditis

Question 40

Strep pneumoniae top problems?

Answer 40

Strep pneumoniae top problems OM Bronchitis CAP Sinusitis

Question 41

4 conditions that cause major geriatric changes in behavior?

Answer 41

- UTI - Drugs - PNA - TIA

Question 42

What is the term for pupillary constriction?

Answer 42

Miosis

Question 43

What drug can be can be used and prevent narcotic intoxication?

Answer 43

Stadol (butorphenal)

Question 44

What drug can be used to tx staph and anaerobes?

Answer 44

Amoxicillin clavulante

Question 45

What electrolyte abnormality might be seen 3 days post burn?

Answer 45

Hypokalemia

Question 46

If urine output drops in a burn patient, what action needs to be taken?

Answer 46

check fluid resuscitation

Question 47

What conditions is sumitriptan used to tx?

Answer 47

Migraines and cluster HA's

Question 48

Why would a pt who does not have neuropathy (or is not depressed) be on gabapentin???

Answer 48

SSRI migraine prophylaxis!!!!

Question 49

If the pt has neuromalignant syndrome, what is the needed action?

Answer 49

Neuromaglignant syndrome caused by thorazine or SSRI, need to flush out the toxin

Question 50

What electrolyte abnormalitiy is an absolute contraindication for the use of Succs?

Answer 50

Hyperkalemia

Question 51

What is the celcius for a fever of 101.6?

Answer 51

38.6

Question 52

What factor increases robustness of the study?

Answer 52

Sample size

Question 53

What is the highest level of evidence by study type?

Answer 53

1) Review of literature “meta-analysis” 2nd- quantitative study - Randomized Control Trial - Quasi-experimental 3rd qualitative 4th-editorial, personal experience

Question 54

What are the four roles of the NP?

Question 55

What level of physical exam would be appropriate for a patient without an H&P?

Answer 55

\*\*\*\* comprehensive

Question 56

What strategy best ensures that a pt follows-up?

Answer 56

Scheduling appts FOR the patient

Question 57

# Define Hyjob: Define Berkha:

Answer 57

Hyjob- hair is covered, face is open, berkha- only see the eyes – get a woman, not a man, who hopefully speaks the language and explain why is needed and have woman do the exam

Question 58

Additional practice notes:

Answer 58

Note high acuity is specialty practice!!!! If you have an Advanced Directive in place, you work FOR the PATIENT, respect their wishes Communication: Listen more than talk!!!!, short answer is best, Tell me ….., no why!, focus on feelings, no euphemisms Use the short, piercing truth

Question 59

Name a good strategy for exhibiting independent prace?

Answer 59

Bill for independent practice

Question 60

What are you treating on the lipid panel?

Answer 60

LDL

Question 61

What does a t-test determine?

Answer 61

Compares the difference between 2 means