UTA FNP 3 STUDY GUIDE EXAM QUESTIONS AND
SOLUTIONS GRADED A+
✔✔How is mastitis classified? - ✔✔- milk stasis
- non-infectious or infectious inflammation and abscess
- differentiated based on leukocyte count and bacteria culture
✔✔What are the symptoms of mastitis? - ✔✔- fever
- pain
- erythema
✔✔Describe mastoiditis - ✔✔complication of acute otitis media with protrusion of the
auricle, confirmed by CT scan with opacification of mastoid cells; can cause meningitis if
left untreated
✔✔Describe symptoms of meningitis - ✔✔- headache and neck stiffness
- fever
- confusion
- altered consciousness
- vomiting
- photophobia
- phonophobia
- specific type of meningitis will present with a rash
✔✔How does meningitis present in children? - ✔✔- irritability and drowsiness
✔✔Describe mononucleosis - ✔✔- Triad: LAD, fever, pharyngitis
- positive monospot, atypical lymphocytosis
- may see HSM, palatial petechiae and white or purple exudate
✔ Describe the pharmacological treatment for gonorrhea - ✔✔Ceftriaxone 500 mg IM as
a single dose, for persons weighing < 150 kg
For persons weighing > 150 kg, ceftriaxone 1gm IM as a single dose
✔✔Describe the pharmacological treatment for chlamydia - ✔✔Doxycycline 100 mg PO
BID for 7 days
During pregnancy, azithromycin 1 gm as a single dose to treat chlamydia
Alternative regimens:
Gentamicin 240 mg IM as a single dose + azithromycin 2 gm PO as a single dose
Cefixime 800 mg orally as a single dose + doxycycline 100 mg PO BID for 7 days (if
chlamydia CANNOT be excluded)
✔✔When assessing a patient, what is done first? - ✔✔- Observe
- Inspect
- Listen
, - Palpate, respectively
✔✔Describe assessment findings for appendicitis - ✔✔Abdominal pain, usually severe;
localized to the right lower quadrant (RLQ)
Most common symptoms: anorexia, abdominal pain, nausea and vomiting (typically
present in this order)
Constipation and diarrhea occur after the pain
✔✔Describe acute abdominal pain - ✔✔- severe, persistent pain
- sudden onset
- nausea, vomiting
- abdominal distention
- fever, signs of shock
✔✔What is obturator sign? - ✔✔- The patient lies on the back with hip and knee flexed
at 90 degrees while the knee is stabilized and the ankle rotated away from the body
✔✔How is sepsis handled in the primary care setting? - ✔✔refer patient to the ED
✔✔Describe treatment for an abscess - ✔✔I&D
✔✔Describe assessment findings for cellulitis - ✔✔Erythema
Warmth
Edema
Pain
Fever
Lymphadenopathy
Fissuring, scaling or maceration in toe webs may be source of colonization (treat with
antifungal agents such as econazole, naftifine)
History of recurrent abscesses
✔✔How is a puncture wound from an animal bite treated? - ✔✔- typically not sutured
closed
- treat with Augmentin
✔✔Describe assessment findings for bacterial vaginosis - ✔✔Most women with BV are
asymptomatic
Fishy or musty vaginal odor, more prominent after sexual intercourse and menses
Thin, homogenous discharge
No redness or edema
Normal bimanual exam
✔✔Describe the diagnostic study for bacterial vaginosis - ✔✔Amsel's criteria specify
that diagnosis of BV requires three or more of the following clinical signs and symptoms:
- Homogenous, thin, gray-white discharge coating the vaginal wall
SOLUTIONS GRADED A+
✔✔How is mastitis classified? - ✔✔- milk stasis
- non-infectious or infectious inflammation and abscess
- differentiated based on leukocyte count and bacteria culture
✔✔What are the symptoms of mastitis? - ✔✔- fever
- pain
- erythema
✔✔Describe mastoiditis - ✔✔complication of acute otitis media with protrusion of the
auricle, confirmed by CT scan with opacification of mastoid cells; can cause meningitis if
left untreated
✔✔Describe symptoms of meningitis - ✔✔- headache and neck stiffness
- fever
- confusion
- altered consciousness
- vomiting
- photophobia
- phonophobia
- specific type of meningitis will present with a rash
✔✔How does meningitis present in children? - ✔✔- irritability and drowsiness
✔✔Describe mononucleosis - ✔✔- Triad: LAD, fever, pharyngitis
- positive monospot, atypical lymphocytosis
- may see HSM, palatial petechiae and white or purple exudate
✔ Describe the pharmacological treatment for gonorrhea - ✔✔Ceftriaxone 500 mg IM as
a single dose, for persons weighing < 150 kg
For persons weighing > 150 kg, ceftriaxone 1gm IM as a single dose
✔✔Describe the pharmacological treatment for chlamydia - ✔✔Doxycycline 100 mg PO
BID for 7 days
During pregnancy, azithromycin 1 gm as a single dose to treat chlamydia
Alternative regimens:
Gentamicin 240 mg IM as a single dose + azithromycin 2 gm PO as a single dose
Cefixime 800 mg orally as a single dose + doxycycline 100 mg PO BID for 7 days (if
chlamydia CANNOT be excluded)
✔✔When assessing a patient, what is done first? - ✔✔- Observe
- Inspect
- Listen
, - Palpate, respectively
✔✔Describe assessment findings for appendicitis - ✔✔Abdominal pain, usually severe;
localized to the right lower quadrant (RLQ)
Most common symptoms: anorexia, abdominal pain, nausea and vomiting (typically
present in this order)
Constipation and diarrhea occur after the pain
✔✔Describe acute abdominal pain - ✔✔- severe, persistent pain
- sudden onset
- nausea, vomiting
- abdominal distention
- fever, signs of shock
✔✔What is obturator sign? - ✔✔- The patient lies on the back with hip and knee flexed
at 90 degrees while the knee is stabilized and the ankle rotated away from the body
✔✔How is sepsis handled in the primary care setting? - ✔✔refer patient to the ED
✔✔Describe treatment for an abscess - ✔✔I&D
✔✔Describe assessment findings for cellulitis - ✔✔Erythema
Warmth
Edema
Pain
Fever
Lymphadenopathy
Fissuring, scaling or maceration in toe webs may be source of colonization (treat with
antifungal agents such as econazole, naftifine)
History of recurrent abscesses
✔✔How is a puncture wound from an animal bite treated? - ✔✔- typically not sutured
closed
- treat with Augmentin
✔✔Describe assessment findings for bacterial vaginosis - ✔✔Most women with BV are
asymptomatic
Fishy or musty vaginal odor, more prominent after sexual intercourse and menses
Thin, homogenous discharge
No redness or edema
Normal bimanual exam
✔✔Describe the diagnostic study for bacterial vaginosis - ✔✔Amsel's criteria specify
that diagnosis of BV requires three or more of the following clinical signs and symptoms:
- Homogenous, thin, gray-white discharge coating the vaginal wall
