3/23/25, 7:44 FNP Exam # 1 Review Flashcards |
AM
FNP EXAM # 1 REVIEW EXAM QUESTIONS AND ANSWERS WITH
COMPLETE SOLUTIONS VERIFIED
Terms in this set (60)
A three year child presents with Idiopathic thrombocytopenia purpura (ITP)
hematuria, petechiae, and a platelet
count of 50000 (normal=150,000 - this child's platetet coun is below normal. the term used to describe this is
450,000) the rest of his CBC is normal. thrombocytopenia.
He had an upper respiratory infection ITP most common in between 2-4 years.
about 2 weeks ago. on exam today, he is
found to have petechiae
and bruises. the most likely diagnosis is:
are common in ITP (idiopathic thrombocytopenia purpura)
nosebleeds and bleeding gums, especially
underlying cause is unknown, a common historical finding is an upper respiratory
with bruising of teeth
infection within the previous 4 weeks of the onset of ITP.
the internal inguinal ring is the most for development of an indirect inguinal hernia
common site
Direct inguinal hernia occur through Hesseelbach's triangle
Is recommended by many learned authorities,
HIV testing during pregnancy: CDC, ACOC recomends an "opt-out" approach to HIV screening in pregnant
patients.
Drugs that target the renin-angiotensin- Diabetic nephropathy
aldosteron system are particularly ACEI and ARB target the renin-angiotensin-aldosterone system. these drugs prevent
beneficial in patients with and treat Diabetic nephropathy as well as decrease BP.
Infant (1=I)
Babies up to one year of age called newborns = upto 1 month
toddlers = 2-3years old
subacute bacterial epididymitis (25 yo doxycycline 100 mg BID for 10 - 14 days or longer
male) should be treated initially with (likely organism = Chlamydia)
a patient who is at high risk for skin cancer examine his skin monthly for changes
should
which of the following symptoms is typical Pyrosis (heartburn)
of GERD? typical symptoms for GERD is Pyrosis (heartburn). other symptoms are atypical.
chest patient who present with atypical symptoms of GERD, especially if older than 50
pain years, should be considered for endoscopy.
cough
sore throat
Pyrosis
A side effect of Dtap that should be Temperature of 103F.
reported is:
a 70 year-old African American male Multiple myeloma
complains of pain in his back and trunk. Multiple myeloma is a neoplastic proliferation in the bone marrow which results in
Cardiovascular disease is rule out. He has sketetal destruction. it is more common in older adult (avg. 66yo)
a normocytic normochromic anemia
with
hypercalcemia. A likely diagnosis is:
1/
5
, 3/23/25, 7:44 FNP Exam # 1 Review Flashcards |
AM
pain in the long bones, especially those of the trunk and back.
common clinical findings of Multiple
accompanying findings are anemia usually normocytic/normochromic,
myeloma are
hypercalcemia, and renal insufficiency.
a negative cremasteric reflex on the affected site.
A patient with testicular torsion will have
testicular swelling and pain.
Contraindication on giving MMR is Encephalopathy within 7 days after immunization
initial WBC elevation
An elderly adult with an appendicitis is
Very young children and elderly are not likely to have initial WBC elevation.
unlikely to exhibit
Consequenlty appendicitis can be easily missed in these populations.
which medication listed below Naproxen
could potentially exacerbate CHF Naproxen is an NSAIDs. NSAIDs cause sodium retention and thus, water retention.
in a susceptible individual?
Naproxen
HCTZ
Lovastatin
Loratadine
The pneumococcal immunization in infants shifted the pathogenesis to fewer cases of S. Pneumoniae
has
The heptavalent pneumococcal conjugatee it has reduce the incidence of ear infections caused by S.pneumo and has reduce the
vaccine (PCV7), prevnar, potects children incidence of ear infection and tube placement by 10-20%.
from the seven most common strains of
Sreptococcus pneumoniae (S.pneumo)
Hepatitis A: ( -) IgM ( -) IgG what does this He has no immunity to hepatitis A. as evidence by the negative IgG. It is not currently
mean infected as evidence by the negative IgM.
Scrotal pain
A male patient has epididymitis. his most
It develops acutely and will be accompaied by fever, chills and very ill appearing
likely compalint will be
patient.
A patient with diarrhea has a stool A viral infection
specimen positive for WBCs. What does WBCs found in stool specimens, it is indicative of infection or inflamation.
this indicate?
A microscopic examination of the sample Fungal
taken from a skin lesion indicates hypae. Hyphae are typical in tinea pedis, tinea cruris, and tinea corporis.
what type of infection might this indicate?
An NP examines a screaming 2 year-old. a Pink tympanic membrane
common findings is: this is probably due to flushing and hyperemia of the face that occurs with crying.
The most common factor for developing Heterosexual activity
hepatitis B is:
A 50 year old male patient reports that he Inguinal hernia
has a sensation of scrotal heaviness. (Scrotal heaviness --worse at the end of day-- no pain)
He reports that the sensation is worse
at the end of the day. He denies pain.
What is the likely etiology of these
symptoms?
Severe scrotal pain the hernia may have become strangulated. this require immediate referral.
2/
5
AM
FNP EXAM # 1 REVIEW EXAM QUESTIONS AND ANSWERS WITH
COMPLETE SOLUTIONS VERIFIED
Terms in this set (60)
A three year child presents with Idiopathic thrombocytopenia purpura (ITP)
hematuria, petechiae, and a platelet
count of 50000 (normal=150,000 - this child's platetet coun is below normal. the term used to describe this is
450,000) the rest of his CBC is normal. thrombocytopenia.
He had an upper respiratory infection ITP most common in between 2-4 years.
about 2 weeks ago. on exam today, he is
found to have petechiae
and bruises. the most likely diagnosis is:
are common in ITP (idiopathic thrombocytopenia purpura)
nosebleeds and bleeding gums, especially
underlying cause is unknown, a common historical finding is an upper respiratory
with bruising of teeth
infection within the previous 4 weeks of the onset of ITP.
the internal inguinal ring is the most for development of an indirect inguinal hernia
common site
Direct inguinal hernia occur through Hesseelbach's triangle
Is recommended by many learned authorities,
HIV testing during pregnancy: CDC, ACOC recomends an "opt-out" approach to HIV screening in pregnant
patients.
Drugs that target the renin-angiotensin- Diabetic nephropathy
aldosteron system are particularly ACEI and ARB target the renin-angiotensin-aldosterone system. these drugs prevent
beneficial in patients with and treat Diabetic nephropathy as well as decrease BP.
Infant (1=I)
Babies up to one year of age called newborns = upto 1 month
toddlers = 2-3years old
subacute bacterial epididymitis (25 yo doxycycline 100 mg BID for 10 - 14 days or longer
male) should be treated initially with (likely organism = Chlamydia)
a patient who is at high risk for skin cancer examine his skin monthly for changes
should
which of the following symptoms is typical Pyrosis (heartburn)
of GERD? typical symptoms for GERD is Pyrosis (heartburn). other symptoms are atypical.
chest patient who present with atypical symptoms of GERD, especially if older than 50
pain years, should be considered for endoscopy.
cough
sore throat
Pyrosis
A side effect of Dtap that should be Temperature of 103F.
reported is:
a 70 year-old African American male Multiple myeloma
complains of pain in his back and trunk. Multiple myeloma is a neoplastic proliferation in the bone marrow which results in
Cardiovascular disease is rule out. He has sketetal destruction. it is more common in older adult (avg. 66yo)
a normocytic normochromic anemia
with
hypercalcemia. A likely diagnosis is:
1/
5
, 3/23/25, 7:44 FNP Exam # 1 Review Flashcards |
AM
pain in the long bones, especially those of the trunk and back.
common clinical findings of Multiple
accompanying findings are anemia usually normocytic/normochromic,
myeloma are
hypercalcemia, and renal insufficiency.
a negative cremasteric reflex on the affected site.
A patient with testicular torsion will have
testicular swelling and pain.
Contraindication on giving MMR is Encephalopathy within 7 days after immunization
initial WBC elevation
An elderly adult with an appendicitis is
Very young children and elderly are not likely to have initial WBC elevation.
unlikely to exhibit
Consequenlty appendicitis can be easily missed in these populations.
which medication listed below Naproxen
could potentially exacerbate CHF Naproxen is an NSAIDs. NSAIDs cause sodium retention and thus, water retention.
in a susceptible individual?
Naproxen
HCTZ
Lovastatin
Loratadine
The pneumococcal immunization in infants shifted the pathogenesis to fewer cases of S. Pneumoniae
has
The heptavalent pneumococcal conjugatee it has reduce the incidence of ear infections caused by S.pneumo and has reduce the
vaccine (PCV7), prevnar, potects children incidence of ear infection and tube placement by 10-20%.
from the seven most common strains of
Sreptococcus pneumoniae (S.pneumo)
Hepatitis A: ( -) IgM ( -) IgG what does this He has no immunity to hepatitis A. as evidence by the negative IgG. It is not currently
mean infected as evidence by the negative IgM.
Scrotal pain
A male patient has epididymitis. his most
It develops acutely and will be accompaied by fever, chills and very ill appearing
likely compalint will be
patient.
A patient with diarrhea has a stool A viral infection
specimen positive for WBCs. What does WBCs found in stool specimens, it is indicative of infection or inflamation.
this indicate?
A microscopic examination of the sample Fungal
taken from a skin lesion indicates hypae. Hyphae are typical in tinea pedis, tinea cruris, and tinea corporis.
what type of infection might this indicate?
An NP examines a screaming 2 year-old. a Pink tympanic membrane
common findings is: this is probably due to flushing and hyperemia of the face that occurs with crying.
The most common factor for developing Heterosexual activity
hepatitis B is:
A 50 year old male patient reports that he Inguinal hernia
has a sensation of scrotal heaviness. (Scrotal heaviness --worse at the end of day-- no pain)
He reports that the sensation is worse
at the end of the day. He denies pain.
What is the likely etiology of these
symptoms?
Severe scrotal pain the hernia may have become strangulated. this require immediate referral.
2/
5
