AANP FNP Questions And Answers Top Score 2024

AANP FNP Questions And Answers Top Score 2024. ADA nscreening nfor nDM nin nChildren n- n n n ncorrect nanswer.-symptomatic nchildren n(polyuria, npolydipsia, npolyphagia, nblurred nvision) nregardless nof nrisk nfactors n -asymptomatic nchildren nafter npuberty nor n10 nyears nof nage nor nolder nif noverweight nor nobese n(85th npercentile). nPlus n1 nof nthe nfollowing: *T2DM nin n1st nor n2nd ndegree nrelative *high nrisk nracial/ethnic ngroup n *signs nof ninsulin nresistance n(HTN, ndyslipidemia, nacanthosis nnigricans, nPCOS, nSGA) *maternal nhx nof nDM nor nGDM nduring nthe nchild's ngestation Statistics n- n n n ncorrect nanswer.- nleading ncauses nof ndeath: nHeart ndisease, ncancer, nlung ndisease - nleading ncause nof ncancer ndeath: nlung n - nleading ncause nof ndeath nin nadolescents: naccidents - nmost ncommon ncancer: nskin. n - nin nmales: nprostate. nin nfemales: nbreast suicide: nmales nmore nsuccessful, nwomen nmore nattempts. nhighest nrate nis nolder nwhite nmales. Osgood-Schlatter: n- n n n ncorrect npain nin nyoung nadults, noveruse. nRepetitive nstress npain, ntenderness, nswelling nat nthe ntendon's ninsertion nsite. nThe ntibial ntuberosity. nRule nout navulsion nfracture nif nthere nis nan nacute nonset nand norder na nlateral nxray. nRICE. nUsually nstops nwhen nthe ngrowth nstops. If npatient nhas nright nsided nweakness, netc. nthe nCVA noccurred nwhere n- n n n ncorrect nside initial nevaluation nof nsymptoms nof nacute nprostatitis n- n n n ncorrect nanswer.Urinalysis nand nurine nculture A n65-year-old nwoman npresents nfor na nfollow-up nexamination nafter na nnew npatient nvisit. nShe nhas nnot nseen na nhealthcare nprovider nfor nseveral nyears. nShe nis na nsmoker nand nher nhypertension nis nnow nadequately ncontrolled nwith nmedication. nHer nmother ndied nat nage n40 nfrom na nheart nattack. nThe nfasting nlipid nprofile nshows ncholesterol n= n240 nmg/dL, nHDL n= n30, nand nLDL n= n200. nIn naddition nto nstarting nTherapeutic nLifestyle nChanges, nthe nnurse npractitioner nshould nstart nthe npatient non: 1. nbile nacid nsequestrant. 2. na nstatin ndrug. 3. na ncholesterol nabsorption ninhibitor. 4. nlow-dose naspirin. n- n n n ncorrect nanswer.A nstatin ndrug Ortolani's nClick n- n n n ncorrect nanswer.a nclick nis nheard nor nfelt nas ndislocation nis nreduced n(developmental ndysplasia nof nhip) n(good nuntil none nyear) Which nof nthe nfollowing nlaboratory ntests nshould na nnurse npractitioner norder nwhen nthe nsuspected ndiagnosis nis ntemporal narteritis? n- n n n ncorrect nanswer.Erythrocyte nsedimentation nrate n(ESR) What nare nnarrow ntherapeutic nindex ndrugs? n- n n n ncorrect nanswer.1. nWarfarin nsodium n(Coumadin): nmonitor nINR 2. nDigoxin n(lanoxin): nmonitor ndigoxin nlevel, nEKG, nelectrolytes(potassium, nmagnesium, ncalcium) 3. nTheophylline: nmonitor nblood nlevels 4. nCarbamazepime n(Tegretol) nand nPhenytoin n(Dilantin): nMonitor nblood nlevels 5. nLevothyroxine: nMonitor nTSH 6. nLithium: nMonitor nblood nlevels, nTSH n(risk nof nhypothyroidism) Otitis nExterna ntx n- n n n ncorrect nanswer.Fluoroquinolone n& nPolymyxin nB ncortisporin ndrops An nelderly nmale npatient ncomplains nof na nnew-onset, nleft-sided ntemporal nheadache naccompanied nby nscalp ntenderness nand nindurated ntemporal nartery. nThe nNP nsuspects ntemporal narteritis. nWhat nscreening ntest nwould nyou norder nto nassist nwith ndiagnosis? n- n n n ncorrect entation nrate n(expect nto nbe nvery nelevated) Basal nCell nCarcinoma n- n n n ncorrect nanswer.Pearly ndomed nnodule nwith noverlaying ntelangiectatic nvessels. nCould nbe nplaque, npapule, npossible ncentral nulceration nand ncrusting. nDx: nBiopsy nTx: Normal, nhealthy nwoman nof nreproductive nage n- n n n ncorrect , nclear, nflocculent(physiologic nleukorrhea), nno ncomplaints, npH n3.8-4.2 n(toward nacidic), nno nodor, nmicroscopic nshows nlactobacilli n(gram+bacteria) Multiple ninfections nfrom nbacteria nand nfungus? n- n n n ncorrect nanswer.Screen nfor nHIV Screening nTests n- n n n ncorrect nanswer.- nsensitivity: ndetect nthose nWITH nthe ndisease. nhigher nthe nsensitivity nis nhigher nthe nfalse npositives - nSpecificty: ndetect nthose nwho nDONT nhave nthe ndisease. erythromycin nfor nchlamydia neye ninfection nin ninfants n- n n n ncorrect nanswer.... to nassess npts nability nto nthink nabstractly na nnurse npract ncould nask nthe npatient n- n n n ncorrect nmeaning nof na ncommon nproverb The nmost ncommonly nprescribed nmedication nfor nmild nsystemic nlupus nerythematosus n(SLE) nis: 1. n azathioprine n(AZA). 2. n belimumab n(Benlysta). 3. n ibuprofen n(Advil). 4. n cyclophosphamide n(Cytoxan). n- n n n ncorrect ofen n(advil) A n17-year-old nfemale nis nsuspected nof nhaving npolycystic novary nsyndrome. nIn naddition nto ntestosterone, nthe nmost nappropriate ndiagnostic ntests nto norder nwould nbe: n- n n n ncorrect cle-stimulating nhormone n(FSH), nluteinizing nhormone n(LH), nprolactin, nand nthyroid-stimulating nhormone n(TSH). Barlow's nManeuver n- n n n ncorrect nanswer.Feeling nof na nslip nas nthe nfemoral nhead nslips naway nfrom nthe nacetabulum n(toward nthe nbutt) n(good nuntil n6 nmo) Candida nvulvovaginitis n- n n n ncorrect ogy: ncandida nalbican n(80-90%) white, ncurdy, n"cottage-cheese" nlike, nsometimes nincreased, nitching/burning ndischarge, npH n4.5, nodor nis nusually nabsent, nmicroscopic nshows nmycelia, nbudding nyeast, npseudohyphae nw/KOH nprep. nTreatment: noral ndiflucan nor nvaginal nmiconazole nor nterconazole PSEUDOHYPHAE, nCLOTRIMAZOLE nCREAM Proton nInhibitors n- n n n ncorrect nanswer.Increased nrisk nof nfractures(postmenopausal nwomen), Pneumonia, nClostridium ndifficile ninfection, nhypomagnesemia, nB12 nand niron nmalabsorption, natrophic ngastritis, nand nkidney ndisease Bacterial nConjunctivitis ntx n- n n n ncorrect nanswer.Eye ndrops nor nointment: nPolytrim, ntrimethoprim, npolymyxin, nmacrolide A npatient nwith nan nelevated nWBC n(11k) naccompanied nby nneutrophilia n(70%) nand nthe npresence nof nbands nis nwhat nkind nof nshift nand nprognosis? n- n n n ncorrect nanswer.-Shift nto nthe nleft -Serious nbacterial ninfection Actinic nKeratosis n- n n n ncorrect nanswer.Rough nflat, ndry ncrusty, nerythematous npapules nor nplaques. nScaly npatch nof nred nbrown nskin ncaused nby nyears nof nSUN nexposure. nPrecursor nto nsquamous ncell ncarcinoma. nDx. nBiopsy. nTx: ntopical n5 nfluroracil n5-FU, ncryotherapy. A npatient nwith nmacular ndegeneration nhas ndeficit nvision nin? n- n n n ncorrect nanswer.Central nvision Dacyrocystitis n- n n n ncorrect nanswer.Typical nsymptoms nof nacute ntear nduct ninfection ninclude: Pain, nredness nand nswelling nof nthe nlower neyelid nat nthe ninner ncorner nof nthe neye Excessive ntearing Pus nor ndischarge nfrom nthe neye Fever Tx: lacrimal nsac nmassage- nrub ndown ntowards nmouth. oral nclindamycin n(topical ntobramycin nor nmoxifloxacin nif nmild-purulent ndrainage, nno nredness) Pre-DM nin nchildren nvalues n- n n n ncorrect nanswer.A1C: n5.7% nto n6.4% Fasting: n100-125 2 nhour nGTT: n140-199 Primary nPrevention n- n n n ncorrect nanswer.- nindividual nactions: neating nnutritious ndiet, nexercise, nseatbelts, ngun nsafety. nIMMUNIZATIONS squamous nepithelial ncells nwith nstippling nappearance, nno nlactobacilli nand nmany nWBCs nis n- n n n ncorrect nmount nthat nshows nBV trigeminal nneuralgia nmanifests n- n n n ncorrect ric nshock nfacial npain The nmost ncommon nsign nof ncervical ncancer nis: 1. n postcoital nbleeding. 2. n strong nodor nfrom nvaginal ndischarge. 3. n itching nin nthe nvaginal narea. 4. n molluscum ncontagiosum. n- n n n ncorrect oital nbleeding To nassess na npatient's nability nto nthink nabstractly, na nnurse npractitioner ncould nask nthe npatient: n- n n n ncorrect nmeaning nof na ncommon nproverb. Auspitz nsign n- n n n ncorrect ets nof nblood nwhen nscales nremoved n= npsoriasis Bacterial nvaginosis n- n n n ncorrect ogy: nunclear, nlikely npolymicrobial, nassociated nwith nG. nvaginalis, nM. nhominid, nothers. thin, nhomogeneous, nwhite, ngray, nadherent, noften nincreased, ndischarge nis nfoul nodor(fishy), nitching nis noccasionally npresent, npH n5-7(alkaline- nno nactive nbacilli nin nvagina), n"fishy" nsmell, nmicroscopic n n20 nclue ncells/HPF, nfew nor nno nWBCs. nTreatment: nmetronidazole ntopical, noral nFlagyl, nclindamycin nvaginal ncream, noral ntinidazole n(Tindamax) CLUE nCELLS, nMETRONIDAZOLE nGEL nOR nORAL, nCLINDAMYCIN nCREAM Omeprazole n(Prilosec) n- n n n ncorrect acts nwith nwith nWarfarin n(Coumadin), n diazepam n(Valium), n Carbamazepine n(Tegretol), n Pheytoin n(Dilantin), n ketocanazole n(Nizoral) Viral nConjunctivitis ntx n- n n n ncorrect nanswer.Antihistamine, ndecongestant ndrops n(Trigluridine nin nherpes nconjunctivitis) What nis nthe ncommon npresentation nof na nnavicular nfracture? n- n n n ncorrect nanswer.Tenderness nat nthe n"N nspot," nwhich nis ndefined nas nthe nproximal ndorsal nportion nof nthe nnavicular n(see nthe nimage nbelow). nThis nis nthe nmost nimportant nphysical nfinding. Melanoma n- n n n ncorrect nanswer.ABCDE: nasymmetry, nborder nirregularity, ncolor nvariation, ndiameter ngreater nthan n.6 nmm, nelevation nabove nskin nlevel. Type n2 nDM nin nchildren nvalues n- n n n ncorrect nanswer.A1C: n6.5% Fasting: n126 2 nhour nGTT: n200 Random: n200 Central nclearing nlesion nafter ncamping ntrip nflu nlike nsymptoms nwith nmuscle naches nfor nseveral ndays nis? nand ntreated nby? n- n n n ncorrect nanswer.Lyme ndisease; ndoxycycline Wilms ntumor n- n n n ncorrect nanswer.(Nephroblastoma)- nNot npainful. nAsymptomatic nabd nmass ndoes nNOT ncross nthe nmidline. n2-3 ny. no.d. ndo nnot npalpate. nDo nABD nUS. nPUNT. nThink nNephro ndoesn't ncross. nStays nwhere nkidney nis. the nheadache nof nan nintracranial ntumor n- n n n ncorrect nneurological nsigns nand npain nworse nin nsupine nposition socioeconomic nstatus n- n n n ncorrect nimportant nduring nemployment nphysical nwith n21 nyo nwith nbruising non nbreasts The nnurse npractitioner nprescribes namitriptyline n(Elavil) nfor na npatient nwith nneuropathic npain nsecondary nto ndiabetes nmellitus. nOn nfollow-up, nthe npatient ncomplains nof nurine nretention nand ndry nmouth. nThe npractitioner nwould: 1. n discontinue namitriptyline nand nbegin nibuprofen n(Motrin). 2. n refer nto nphysical ntherapy. 3. n start nmethocarbamol n(Robaxin). 4. n discontinue namitriptyline nand nbegin ngabapentin n(Neurontin). n- n n n ncorrect ntinue namitriptyline nand nbegin ngabapentin n(neurontin) To nassess nspinal nfunction nat nthe nS1 nlevel, nwhich ndeep ntendon nreflex nshould nbe ntested? n- n n n ncorrect nanswer.Achilles Herald npatch n+ nchristmas ntree n- n n n ncorrect iasis nrosea Secondary nPrevention n- n n n ncorrect nanswer.- nscreening ntests n(pap, nmammogram, nCBC). Strep nPharyngitis ntx n- n n n ncorrect nanswer.PCN, namoxicillin, nmacrolide, ncephalosporin Vitamin nK nAgonist nWarfarin n(Coumadin) n- n n n ncorrect nanswer.Interactw nwith n"G" nhers: Garlic Ginger Gingko Ginseng Other nherbs/supplemts: Feverfew green ntea fish noil **Discontinue n7 ndays nbefore nsurgery What nis nthe ngold nstandard ntest nfor nsickle ncell nanemia, nglucose-6-phosphage ndehydrogenase n(G6PD) nanemia, nand nalpha nor nbeta nthalassemia?? n- n n n ncorrect nanswer.Hemoglobin nelectrophoresis Postherpetic nneuralgia n- n n n ncorrect nanswer.Tx: nProphylaxsis nTCA-Elavil Atrophic nvaginitis n(genitourinary nsyndrome nof nmenopause nGSM) n- n n n ncorrect ogy: nestrogen ndeficiency n(after nmenopause). nD/C nscant, nwhite-clear ndryness nas nwell nsometimes nurinary nincontinence, nitching/burning, ndischarge nbut noften nw/o nsymptoms, npH n5 n(little nto nno nlactic nbacilli), nodor nis nabsent, nmicroscopic nfew nor nabsent nlactobacilli. Treatment: ntopical nand/or nvaginal nestrogen nif nsymptomatic nand/or nrecurrent nUTI. n(Oral nestrogen nas nsolo nintervention nlikely ninadequate) Diverticulitis: nTreatment ns/s: n- n n n ncorrect nanswer.Antibiotics nand nclear nliquids nand nincreased nfiber n(some nsay nno nnuts nor nseeds). n(7 nto n10 ndays nABT) Ciprofloxacin n(500 nmg nPO ntwice ndaily) nplus nmetronidazole n(500 nmg nPO nthree ntimes ndaily). nAmoxicillin-clavulanate n(875/125 nmg ntwice ndaily) nis nan nacceptable nalternative. The ncriteria nfor npatients nwith nacute nuncomplicated ndiverticulitis nto nbe ntreated nin nthe noutpatient nsetting ninclude: ●Reliability nto nreturn nfor nmedical nreevaluation nif ncondition nworsens ●Compliance nwith noutpatient ntreatment nplan ●Abdominal npain nis nnot nsevere ●No nhigher nthan na nlow-grade nfever ●Can ntolerate noral nintake ●No nor nminimal ncomorbid nillnesses ●Available nsupport nsystem Approximately nsix nweeks nfollowing nthe nresolution nof nsymptoms nof nacute ndiverticulitis, npatients nwho nhave nnot nhad na nrecent ncolonoscopy nshould nundergo none nto nexclude nother npossible ndiagnoses n(such nas ncolonic nneoplasia) nand nto nevaluate nthe nextent nof nthe ndiverticulosis. Recomendations nfor nsurgery: nPatients nin nwhom nelective nsurgery nhas nbeen nrecommended nfollowing na nsingle nattack nof ndiverticulitis ninclude nyounger npatients n(variously ndefined nin nthe nliterature nas nless nthan n40 nor n50 nyears nof nage) nand nthose nwho nare nimmunosuppressed. Neuroblastoma- n- n n n ncorrect ul nabd nmass nfixed nfirst nirregular, ncrosses nmidline. nMost ncommon nside nis nadrenal nglands. nWeight nloss nfever. nHORNERS nsyndrome. nRACOON neyes, nbone npain, nHYPERTENSION. n1-4 nyear nolds. nDx nultrasound nPUNT nto nnephro. nNEURO nthink nbrain nin nmiddle ncrosses nmidline. n**Urine ncatecholamines nand nanemia ADHD n- n n n ncorrect activity, nimpulsive nand/or ninattention. DSM-5 nCriteria: *sx npresent nbefore n12 nyears nof nage *sx nfor nat nleast n6 nmonths n *sx nin n2 ndifferent nsettings n Medications nconsidered n1st nline nif nover n6 nyears nof nage TZD Pioglitazone n(Actos) n- n n n ncorrect nanswer.Black nBox nwarning: ncause nor nexacerbate ncongestive nheart nfailure nin nsome npatients; ndo nnot. nuse nif nNew nYork nhealth nassociation nClass nIII nor nIV nHeart nfailure STOP nif ncauses ndyspnea, nweight ngain, ncough n(heart nfailure) in norder nto nimprove nlongevity nof npatient nwith nCOPD, ntx nof nchoice nis n- n n n ncorrect n current nsocial nrelationships, history nof npresent nor npast ntraumas mental nhealth nstatus n- n n n ncorrect nimportant non nthe npe nof n21 nyo, nfor nemployment nwith nbruising non nbreasts A n17-year-old nmale nwith nrheumatoid narthritis nis nbeing ntreated nwith nan nNSAID nand nomeprazole n(Prilosec). nThe npatient ncomplains nof nheadache, nabdominal npain, nand ngas. nThese nsymptoms nare nmost nlikely: 1. n associated nwith nthe nomeprazole. 2. n related nto nthe nunderlying ncondition. 3. n the nresult nof nthe nNSAID. 4. n caused nby nviral ngastroenteritis. n- n n n ncorrect iated nwith nthe nomeprazole Koplick nSpots n- n n n ncorrect nwith nred nring ninside ncheek nfrom nrubeola nor nmumps Tertiary nPrevention n- n n n ncorrect nanswer.- nAA, nsupport ngroups, neducation nfor nthose nwith nthe ndisease, nrehab, nexercise nprograms nfor nobese Which nof nthe nfollowing nsigns/symptoms nare noften nassociated nwith nheadaches ndue nto nan nintracranial ntumor? n- n n n ncorrect nanswer.Pain nworse nin nsupine nposition; nfocal nneurological nsigns Acute nrhinosinusitis ntx n- n n n ncorrect nanswer.Wait n10 ndays nthen nAmoxicillin nor nAugmentin n(If nallergy, nuse nfluouroquinolones/tetracyclines) MRSA n- n n n ncorrect nanswer.Tx: Autism n- n n n ncorrect nanswer.Impairment nin nsocial ncommunication nand nsocial ninteraction. nRestricted, nrepetitive npatterns nof nbehavior, ninterests nand nactivities. Red nflags: ndelayed nlanguage/communication nmilestones, nregression nin nsocial nand nlanguage nskills, nsibling nwith nautism screen nat n9, n18, n24 nand n30 nmonths nor nwhen nconcerns nare nraised nby nparents Genital nHerpes n- n n n ncorrect tive norganism: nhuman nherpes nvirus n2 clinical nfindings: npainful, nulcerated nlesions, nmarked nlymphadenopathy nwith ninitial nlesions. nWomen=thin nvaginal ndischarge nif nlesion nat nvagina nor nintoitus with nrecurrence nsymptoms nvary- nasymptomatic ntransmission ncommon treatment: noral nacyclovir n(Zovirax), nfamciclovir n(Famvir), nvalacyclovir(Valtrex), ndose nand nlength nof ntreatment ndepends non nthe nmedication nchoice nand nthe nclinical npresentation. Diverticulosis: nTreatment ns/s: n- n n n ncorrect nanswer.Diverticu-lO-sis nhas nnO ninflamation: nBoth ndiverticulitis nand n*osis nare nsimilar nto numbilical nhernia nin nthat na nvein nrunning nthrough nthe nmuscle nof nthe nbowel nmuscle nweakens nthe narea nand npressure ncauses na nhernia n"out npouching". RETINOBLASTOMA n- n n n ncorrect coria: nHallmark nsign nwhite nspots nin neye. nCancer. nRed nlight nreflex nnegative What nare nfirst nand nsecond nline nantibiotics nfor nacute notitis nmedia? n- n n n ncorrect nanswer.1. nAmoxicillin 2. nAmoxicillin-Clavulanate n(Augmentin) Screening nTests: n- n n n ncorrect nanswer.- nBreast nCancer: n50yrs nq2years nuntil n75yo. n(40-49 nis nindividualized) - nCervical nCancer: n21yrs nq3yrs nuntil n65y. nno nscreening nafter nhysterectomy - nColorectal nCancer: n50yrs nuntil n75. nFOBT nx3 nyearly. nFlex nsig nq5yrs nOR ncolonoscopy nq n10yrs - nLipids: nmen n35y nand nwomen n45y. nunless nincreased nrisk nfor nheart ndisease - nProstate: ndon't nscreen - nSkin nCancer ncounseling: n10-24yo nwith nfair nskin which nof nthe nfollowing ncriteria ndifferentiates na nTIA nfrom na nCVA n- n n n ncorrect ce nof nresidual nsymptoms n- nTIA nsx noccur nrapidly nand nthen nresolve, nCVA nsx nare nresidual n- nTIA nis ntemporary nblock nand nusually nno nresidual nsx CD4 ncount nand nviral nload n- n n n ncorrect nwidely naccepted nindicators nof nHIV ninfection The nmedication nof nchoice nfor nthe ninitial ntreatment nof njuvenile nrheumatoid narthritis nis: 1. n acetaminophen. 2. n prednisone. 3. n aspirin. 4. n ibuprofen. n- n n n ncorrect ofen Which nof nthe nfollowing nlaboratory ntests nare nmost nwidely naccepted nas nindicators nof nthe nprogression nof nHIV ninfection? n- n n n ncorrect nanswer.CD4 ncount nand nviral nload slapped ncheek nand nlacy nexanthem n- n n n ncorrect nanswer.Erythema nInfectiosum nor nFifths ndisease Intertrigo ntx n- n n n ncorrect nanswer.Nystatin Atypical nantipsychotics: Risperidone n(Risperdal) Olanzapine n(Zyprexa) Quetiapine n(Seroquel) n- n n n ncorrect nanswer.High nrisk nfor nweight ngain metabolic nsyndrome Type n2 nDM ** nhigh nmortality nin nelderly npatients Monitor: nweight nand nblood nsugar TSH, nL nlipids, nweight nbody nmass nindex If na npatient nis nallergic nto npenicillin nand nhas na ngram+ ninfection nwhat nare nthe nalternative nantibiotic nchoices? n- n n n ncorrect nanswer.1. nmacrolides n(azithromycin, nclarithromycin) 2. nclindamycin 3. nquinolones nwith ngram+ nactivity n(levofloxacin nor nmoxifloxacin) Xerosis n- n n n ncorrect nanswer.Dry nskin. nUse npetroleum nbased nproduct. Nongonococcal nurethritis nand ncervicitis n- n n n ncorrect tive norganism: nchlamydia ntrachoma's, nureaplasma nurealyticum, nmycoplasma ngenitalium n(obligate nintracellular npathogen) clinical nfindings: nFriable ncervix=bleeds neasily, nmay nhave nno nsymptoms, nirritative nvoiding nsymptoms, noccasional nmucopurulent ndischarge, nmicroscopic nshows nlarge nnumber nof nWBCs. nTreatment: nazithromycin n1 ng nPO n1 ntime ndose ABUNDANT nWBCs Bacterial nvaginosis: ns/s nand ntreatment n- n n n ncorrect nanswer.Clue ncells nsuch nas: nstipling nof nsquamous nepithelial ncells nwith nindistinct nborders, nno nlactobacillus nrods, nmany nwhite nblood ncells Nonpregnant nwomen Drugs n— nMetronidazole nor nclindamycin nadministered neither norally nor nintravaginally nresults nin na nhigh nrate nof nclinical ncure n(70 nto n80 npercent nat nfour nweeks nof nfollow-up) n(table n4) n[88-91]. nOral nmedication nis nmore nconvenient, nbut nassociated nwith na nhigher nrate nof nsystemic nside neffects nthan nvaginal nadministration. n Side neffects nof nmetronidazole n(oral nor nvaginal) ninclude na nmetallic ntaste, nnausea n(in n10 npercent nof npatients), ntransient nneutropenia n(7.5 npercent), na ndisulfiram-like neffect nwith nalcohol, nprolongation nof nInternational nNormalized nRatio nin npatients ntaking nvitamin nK nantagonists n(eg, nwarfarin), nand nperipheral nneuropathy. Erythema ninfectiosum n- n n n ncorrect nanswer.(5th ndisease)- n"slapped ncheeks" n5-14 ny.o. nLACY, nspreads nto nupper narms nlgs ntrunks ndorsum nof nhands nand nfeet. nRash ncan nlast nup nto n40 ndays. nFever, nrash, nrunny nnose, nheadache. nEXAM nhumanparovirus19, nno nlabs nfor nit. Most ncommon nbacterial npathogen ncausing npneumonia n- n n n ncorrect npneumoniae, nbut nmost npathogens n6 nmonths nto n5 nyears nare nviral Biphosphonates: Alendronate n(Fosamax) Risedronate n(Actonel) n- n n n ncorrect nanswer.Erosive nesophagitis, nabdominal npain, Stop nimmediately nif nsymptoms: esophagitis n(chest npain, ndifficulty nswallowing, nburning n(mid nback) n njaw npain n(osteonecrosis) Contraindicated: nActive nGI ndisease n(GERD, nPUD), nCKD, nesophageal nstricture/varices prednisone n- n n n ncorrect ement nof npolymalgia nrheumatica A n12-year-old nwith nsickle ncell nanemia nhas nrecently nexperienced na nsickle ncell ncrisis nand npresents nfor na nfollow-up nexamination nafter na nrecent nhospitalization. nIt nis nmost nimportant nto ncontinue nmonitoring ngrowth, ndevelopment, nand: 1. n white nblood ncell nlevels. 2. n fecal noccult nblood ntest. 3. n hemoglobin nlevels. 4. n