LEIK FNP Family Primary Care EXAM LATEST % WITH
ANSWERS GCU
Primary prevention - ANSWER: prevent disease/injury/condition
Secondary prevention - ANSWER: detect disease/condition as early as possible
tertiary prevention - ANSWER: limiting further harm and disability
18yoF, strong vaginal odor
large amount grayish white discharge coating walls, milk-like consistency
Microscopy reveals mature squamous epithelial cells with numerous bacteria noted
on the cell borders.
Vag pH 6.0 - ANSWER: bacterial vaginosis (only vag condition with alkaline pH)
Vag discharge white, thick curd-like consistency, redness and itching in vulvovagina
d/t inflammation
Microscopy shows large number WBCs, pseudohyphae, and spores (spaghetti and
meatballs) - ANSWER: cadidiasis
Vag d/c copious, bubbly, and green in color. Lots of inflammation resulting in itching
and redness. Considered an STD. - ANSWER: trichomoniasis
Outpatient antibiotic treatment for CAP in healthy patients with no comorbidities -
ANSWER: macrolides (azithromycin, clarithromycin, erythromycin)
This htn med causes dry cough and angioedema - ANSWER: ACE inhibitor "-prils"
This htn med causes swollen ankles and headache - ANSWER: CCBs- "-ipines",
Diltiazem, & Verapamil
This htn med causes hyperuricemia and hyperglycemia - ANSWER: thiazide diuretics-
HCTZ
This htn med causes fatigue and depression- avoid if possible in those with
depression - ANSWER: beta-blockers- "-olols"
Ovarian cancer initial workup - ANSWER: intravag u/s and CA 125 tumor marker
Barrett's esophagus - ANSWER: -precancerous lesion of esophageal cancer
-managed by gastroenterology
-endoscopy q6mo-1y with gastroenterology
-treated with high-dose PPIs for lifetime
1st line treatment of mild, uncomplicated GERD - ANSWER: lifestyle changes- avoid
eating 3-4h before bed, dietary changes, lose weight
, Tanner stage 2 - ANSWER: -breast bud and areola starts to develop
-testes with scrotum starts to enlarge (scrotal skin starts to get darker/more ruggae)
Tanner stage 3 - ANSWER: -breast continues to grow with nipples/areola (one
mound/no separation)
-penis grows longer in length and testes/scrotum continues to become larger
Tanner stage 4 - ANSWER: -nipples and areola become elevated from the breast (a
secondary mound)
-penis becomes wider and continues to grow in length (testes are larger with darker
scrotal skin and more ruggae)
Foods with high potassium content - ANSWER: potatoes, apricots, brussel sprouts
Foods with high tyramine content - ANSWER: aged cheese, red wine, chocolate
can cause dangerous food-drug interactions with MAOI inhibitors
Excoriated pruritic rash located in finger webs and penis
disturb sleep at night, family members with same symptoms
work in higher risk area such as nursing home - ANSWER: scabies
Rash with sandpaper-like texture, accompanied by sore throat, strawberry tongue,
skin desquamination (Peeling) of palms and soles. Non pruritic - ANSWER: scarlatina
Initially appears as papules that develop into bullae that rupture easily, becoming
superficial, bright red "weeping" rashes with honey-colored exudate that becomes
crusted as it dries. Rash very pruritic and located on areas that are easily
traumatized, such as face, arms, legs. Insect bites, acne lesions, and varicella can also
result in this secondarily - ANSWER: impetigo
Rashes shaped like red raised wavy lines (seripinginous or snakelike) that are alone
or few. Red and very pruritic, become excoriated from scratching. Appears
maculopapular
Common in areas exposed directly to contaminated soil and sand, such as soles of
the feet, extremities, or buttocks - ANSWER: cutaneous larva migrans (hookworm)
treat with ivermectin once a day x1-2 days or albendazole x3 days
1st line antibiotic for AOM and sinusitis in children and adults - ANSWER: amoxicillin
treatment failure after amox or hx of antibiotics in the last 3 months - ANSWER:
Augmentin or cefdinir (omnicef) bid
allergic to pcn - ANSWER: azithromycin (z pack) or clarithromycin (Biaxin) bid
ANSWERS GCU
Primary prevention - ANSWER: prevent disease/injury/condition
Secondary prevention - ANSWER: detect disease/condition as early as possible
tertiary prevention - ANSWER: limiting further harm and disability
18yoF, strong vaginal odor
large amount grayish white discharge coating walls, milk-like consistency
Microscopy reveals mature squamous epithelial cells with numerous bacteria noted
on the cell borders.
Vag pH 6.0 - ANSWER: bacterial vaginosis (only vag condition with alkaline pH)
Vag discharge white, thick curd-like consistency, redness and itching in vulvovagina
d/t inflammation
Microscopy shows large number WBCs, pseudohyphae, and spores (spaghetti and
meatballs) - ANSWER: cadidiasis
Vag d/c copious, bubbly, and green in color. Lots of inflammation resulting in itching
and redness. Considered an STD. - ANSWER: trichomoniasis
Outpatient antibiotic treatment for CAP in healthy patients with no comorbidities -
ANSWER: macrolides (azithromycin, clarithromycin, erythromycin)
This htn med causes dry cough and angioedema - ANSWER: ACE inhibitor "-prils"
This htn med causes swollen ankles and headache - ANSWER: CCBs- "-ipines",
Diltiazem, & Verapamil
This htn med causes hyperuricemia and hyperglycemia - ANSWER: thiazide diuretics-
HCTZ
This htn med causes fatigue and depression- avoid if possible in those with
depression - ANSWER: beta-blockers- "-olols"
Ovarian cancer initial workup - ANSWER: intravag u/s and CA 125 tumor marker
Barrett's esophagus - ANSWER: -precancerous lesion of esophageal cancer
-managed by gastroenterology
-endoscopy q6mo-1y with gastroenterology
-treated with high-dose PPIs for lifetime
1st line treatment of mild, uncomplicated GERD - ANSWER: lifestyle changes- avoid
eating 3-4h before bed, dietary changes, lose weight
, Tanner stage 2 - ANSWER: -breast bud and areola starts to develop
-testes with scrotum starts to enlarge (scrotal skin starts to get darker/more ruggae)
Tanner stage 3 - ANSWER: -breast continues to grow with nipples/areola (one
mound/no separation)
-penis grows longer in length and testes/scrotum continues to become larger
Tanner stage 4 - ANSWER: -nipples and areola become elevated from the breast (a
secondary mound)
-penis becomes wider and continues to grow in length (testes are larger with darker
scrotal skin and more ruggae)
Foods with high potassium content - ANSWER: potatoes, apricots, brussel sprouts
Foods with high tyramine content - ANSWER: aged cheese, red wine, chocolate
can cause dangerous food-drug interactions with MAOI inhibitors
Excoriated pruritic rash located in finger webs and penis
disturb sleep at night, family members with same symptoms
work in higher risk area such as nursing home - ANSWER: scabies
Rash with sandpaper-like texture, accompanied by sore throat, strawberry tongue,
skin desquamination (Peeling) of palms and soles. Non pruritic - ANSWER: scarlatina
Initially appears as papules that develop into bullae that rupture easily, becoming
superficial, bright red "weeping" rashes with honey-colored exudate that becomes
crusted as it dries. Rash very pruritic and located on areas that are easily
traumatized, such as face, arms, legs. Insect bites, acne lesions, and varicella can also
result in this secondarily - ANSWER: impetigo
Rashes shaped like red raised wavy lines (seripinginous or snakelike) that are alone
or few. Red and very pruritic, become excoriated from scratching. Appears
maculopapular
Common in areas exposed directly to contaminated soil and sand, such as soles of
the feet, extremities, or buttocks - ANSWER: cutaneous larva migrans (hookworm)
treat with ivermectin once a day x1-2 days or albendazole x3 days
1st line antibiotic for AOM and sinusitis in children and adults - ANSWER: amoxicillin
treatment failure after amox or hx of antibiotics in the last 3 months - ANSWER:
Augmentin or cefdinir (omnicef) bid
allergic to pcn - ANSWER: azithromycin (z pack) or clarithromycin (Biaxin) bid
