AANP-FNP exam
Hegar's sign - CORRECT ANSWER-Softening of lower uterine segment
Chadwick's sign - CORRECT ANSWER-Bluish color of cervix and vagina at 6-8
weeks
Goodell's sign - CORRECT ANSWER-Softening of cervix at 4+ weeks
Lipids in chronic inactivity - CORRECT ANSWER-Low HDL
Lipids in under- or untreated hypothyroidism - CORRECT ANSWER-Elevated
total cholesterol, TG, and LDL
Lipids in chronic renal insufficiency - CORRECT ANSWER-Elevated total
cholesterol and TG
Lipids in alcohol abuse - CORRECT ANSWER-Elevated TG, HDL, and LDL
Vaccines with live attenuated viruses - CORRECT ANSWER-MMR, varicella,
flu-mist(intranasal), Zostavax
Drugs of choice for abdominal infection - CORRECT ANSWER-Beta lactams +
metronidazole (most common); fluoroquinolones
Drugs of choice for urinary tract infection - CORRECT
ANSWER-Fluoroquinolones (except moxi), TMP-SMX, fluconazole, b-lactams,
nitrofurantoin, fosfomycin if pt has many allergies
Drugs of choice for pulmonary infections - CORRECT ANSWER-Macrolides, resp
fluoroquinolones, b-lactams, doxycycline (MRSA, atypical coverage)
Drugs of choice for skin and soft tissue infections - CORRECT ANSWER-MRSA:
TMP-SMZ, doxycycline, clindamycin; b-lactams
, Drugs of choice for MRSA - CORRECT ANSWER-Vancomycin, daptomycin ,
linezolid, TMP-SMZ, doxycycline, ceftaroline
Macrolide drugs - CORRECT ANSWER-Erythromycin, clarithromycin,
azithromycin
Macrolide AEs - CORRECT ANSWER-GI, QT prolongation
Tetracycline uses - CORRECT ANSWER-MRSA, rocky mtn spotted fever,
atypicals (mycoplasma pneumonia, chlamydia), spirochetes (Lyme), h.pylori
Tetracycline AEs - CORRECT ANSWER-GI, teeth, hepatic dysfunction,
photosensitivity
Fluoroquinolone drugs - CORRECT ANSWER-Ciprofloxacin, levofloxacin,
moxifloxacin
Fluoroquinolone uses - CORRECT ANSWER-UTI (cipro or levo), atypicals
(mycoplasma, legionella)
Fluoroquinolones and dairy or vitamins - CORRECT ANSWER-Take 2 hrs before
or 4 hours after (decrease concentrations)
Metronidazole (Flagyl) uses - CORRECT ANSWER-C. Diff, vaginitis
Metronidazole AEs - CORRECT ANSWER-GI, peripheral neuropathy, disulfiram
reaction
Nitrofurantoin uses - CORRECT ANSWER-UTI -not pyelonephritis due to no
systemic absorption
Nitrofurantoin AEs, contraindications - CORRECT ANSWER-Pulmonary fibrosis,
contraindicated in CrCl <60 (excludes many elderly)
Aminoglycoside drugs - CORRECT ANSWER-Gentamycin, tobramycin
Hegar's sign - CORRECT ANSWER-Softening of lower uterine segment
Chadwick's sign - CORRECT ANSWER-Bluish color of cervix and vagina at 6-8
weeks
Goodell's sign - CORRECT ANSWER-Softening of cervix at 4+ weeks
Lipids in chronic inactivity - CORRECT ANSWER-Low HDL
Lipids in under- or untreated hypothyroidism - CORRECT ANSWER-Elevated
total cholesterol, TG, and LDL
Lipids in chronic renal insufficiency - CORRECT ANSWER-Elevated total
cholesterol and TG
Lipids in alcohol abuse - CORRECT ANSWER-Elevated TG, HDL, and LDL
Vaccines with live attenuated viruses - CORRECT ANSWER-MMR, varicella,
flu-mist(intranasal), Zostavax
Drugs of choice for abdominal infection - CORRECT ANSWER-Beta lactams +
metronidazole (most common); fluoroquinolones
Drugs of choice for urinary tract infection - CORRECT
ANSWER-Fluoroquinolones (except moxi), TMP-SMX, fluconazole, b-lactams,
nitrofurantoin, fosfomycin if pt has many allergies
Drugs of choice for pulmonary infections - CORRECT ANSWER-Macrolides, resp
fluoroquinolones, b-lactams, doxycycline (MRSA, atypical coverage)
Drugs of choice for skin and soft tissue infections - CORRECT ANSWER-MRSA:
TMP-SMZ, doxycycline, clindamycin; b-lactams
, Drugs of choice for MRSA - CORRECT ANSWER-Vancomycin, daptomycin ,
linezolid, TMP-SMZ, doxycycline, ceftaroline
Macrolide drugs - CORRECT ANSWER-Erythromycin, clarithromycin,
azithromycin
Macrolide AEs - CORRECT ANSWER-GI, QT prolongation
Tetracycline uses - CORRECT ANSWER-MRSA, rocky mtn spotted fever,
atypicals (mycoplasma pneumonia, chlamydia), spirochetes (Lyme), h.pylori
Tetracycline AEs - CORRECT ANSWER-GI, teeth, hepatic dysfunction,
photosensitivity
Fluoroquinolone drugs - CORRECT ANSWER-Ciprofloxacin, levofloxacin,
moxifloxacin
Fluoroquinolone uses - CORRECT ANSWER-UTI (cipro or levo), atypicals
(mycoplasma, legionella)
Fluoroquinolones and dairy or vitamins - CORRECT ANSWER-Take 2 hrs before
or 4 hours after (decrease concentrations)
Metronidazole (Flagyl) uses - CORRECT ANSWER-C. Diff, vaginitis
Metronidazole AEs - CORRECT ANSWER-GI, peripheral neuropathy, disulfiram
reaction
Nitrofurantoin uses - CORRECT ANSWER-UTI -not pyelonephritis due to no
systemic absorption
Nitrofurantoin AEs, contraindications - CORRECT ANSWER-Pulmonary fibrosis,
contraindicated in CrCl <60 (excludes many elderly)
Aminoglycoside drugs - CORRECT ANSWER-Gentamycin, tobramycin