FNP 1 Final Study Guide Complete
Questions and Solutions,.
What are S/S of iron deficiency anemia? - AnswerMicrocytic/hypochromic anemia,
presents with fatigue, SOB, PICA, soft spoon nails, cheilosis, sore tongue, and in
children learning difficulties. PALLOR is late sign. May also be asymptomatic. Know
labs are Low MCV, MCHC and HGB
What are treatments for iron deficiency anemia? - AnswerFix the site of bleeding, give
iron supplementation, recheck in about 3 months
Risk factors for the development of iron deficiency anemia? - AnswerThose with
dietary restrictions or malabsorption issues, GI bleed, in children high amounts of cows
milk, premature infants, exclusively breast feeding past 4-6 month
What are contraindications to hormonal contraception or HRT? - AnswerClotting
disorders, history of DVT or PE, migraine with aura or focal neurological deficit,
uncontrolled HTN, smoking, active breast or uterine cancer, undiagnosed vaginal
bleeding, or liver disease
What are the assessment findings in testicular torsion? How is it diagnosed? -
AnswerPain in the testicle or abdomen, N/V, one testicle higher or at strange angle,
swelling of scrotum.
Diagnosed with physical exam, cremasteric reflex, and scrotal ultrasound
What are common problems seen in Klinefelters? - AnswerSterile males, feminine
characteristics, learning disabilities
What are common problems seen in Down's Syndrome? - AnswerCongenital heart
disease, hirschprungs, duodenal atresia, imperforate anus, expressive language
difficulty, delayed development
What are common problems seen in Turner's Syndrome? - AnswerShort statured,
broad chested, often sterile or will need help to conceive,
What is included in a functional geriatric assessment? - AnswerNeed to assess basic
self cares (ADLs) can use Katz index. Also need to assess instrumental ADLs which
indicate their ability for independent community living... can use Lawton-Brody scale for
this
How do you determine to use Progestin only vs combination HRT? - AnswerProgestin
only is useful in breastfeeding mothers. Can use estrogen only if local application.
, Unopposed systemic estrogen therapy not recommended due to risk of osteoporosis
and worsening CV disease
Absolute contraindications for systemic HRT? - AnswerPregnancy, VTE, Breast or
liver cancer, high triglycerides
Why is progesterone given in HRT? - AnswerTo prevent endometrial thickening which
could potentially lead to endometrial cancers
What is the dosage of Vit D needed to prevent osteoporosis? - AnswerIt is thought we
need about 800IU daily along with 1200-1500 mg calcium
What are the numbers on the DEXA scan and their corresponding diagnoses? -
AnswerT-Score -2.5 or below is osteoporosis
T-Score -1 to -2.4 is osteopenia
S/S of sickle cell crisis? Treatment? - Answerjoint or abd pain, microvascular
necrosis, MI, bone pain, swelling in the face.
Treated with O2, hydration, analgesia and education to prevent further attacks
What is the presentation of cradle cap in an infant? Treatment? - AnswerThis is
infantile seborrheic dermatitis and presents as oily, greasy, yellowish scales on the
scalp. Parents can use olive or mineral oil or dawn dishwashing soap. May also try
mizoram shampoo. Need to remove flakes with soft brush of some sort
What are the most common skin lesions in the elderly and how do they present? -
Answerseborrheic keratosis-flaking skin lesions, will pull them off and they often
return... use moisturizer
Actinic keratoses- dry, gritty lesions that could be early sign of skin cancer
What are the most important pieces of a post-partum assessment? -
AnswerDepression
S/S of ectopic pregnancy? - AnswerSevere pain in the pelvic area usually between
week 5-10 of the pregnancy. Treatment can be made with methotrexate to stop the
fetus growth or it will need to be removed surgically
What vaccines are contraindicated in pregnancy? - AnswerMMR and Varicella
Which vaccines need to be given in pregnancy? - AnswerFlu and Tdap
Questions and Solutions,.
What are S/S of iron deficiency anemia? - AnswerMicrocytic/hypochromic anemia,
presents with fatigue, SOB, PICA, soft spoon nails, cheilosis, sore tongue, and in
children learning difficulties. PALLOR is late sign. May also be asymptomatic. Know
labs are Low MCV, MCHC and HGB
What are treatments for iron deficiency anemia? - AnswerFix the site of bleeding, give
iron supplementation, recheck in about 3 months
Risk factors for the development of iron deficiency anemia? - AnswerThose with
dietary restrictions or malabsorption issues, GI bleed, in children high amounts of cows
milk, premature infants, exclusively breast feeding past 4-6 month
What are contraindications to hormonal contraception or HRT? - AnswerClotting
disorders, history of DVT or PE, migraine with aura or focal neurological deficit,
uncontrolled HTN, smoking, active breast or uterine cancer, undiagnosed vaginal
bleeding, or liver disease
What are the assessment findings in testicular torsion? How is it diagnosed? -
AnswerPain in the testicle or abdomen, N/V, one testicle higher or at strange angle,
swelling of scrotum.
Diagnosed with physical exam, cremasteric reflex, and scrotal ultrasound
What are common problems seen in Klinefelters? - AnswerSterile males, feminine
characteristics, learning disabilities
What are common problems seen in Down's Syndrome? - AnswerCongenital heart
disease, hirschprungs, duodenal atresia, imperforate anus, expressive language
difficulty, delayed development
What are common problems seen in Turner's Syndrome? - AnswerShort statured,
broad chested, often sterile or will need help to conceive,
What is included in a functional geriatric assessment? - AnswerNeed to assess basic
self cares (ADLs) can use Katz index. Also need to assess instrumental ADLs which
indicate their ability for independent community living... can use Lawton-Brody scale for
this
How do you determine to use Progestin only vs combination HRT? - AnswerProgestin
only is useful in breastfeeding mothers. Can use estrogen only if local application.
, Unopposed systemic estrogen therapy not recommended due to risk of osteoporosis
and worsening CV disease
Absolute contraindications for systemic HRT? - AnswerPregnancy, VTE, Breast or
liver cancer, high triglycerides
Why is progesterone given in HRT? - AnswerTo prevent endometrial thickening which
could potentially lead to endometrial cancers
What is the dosage of Vit D needed to prevent osteoporosis? - AnswerIt is thought we
need about 800IU daily along with 1200-1500 mg calcium
What are the numbers on the DEXA scan and their corresponding diagnoses? -
AnswerT-Score -2.5 or below is osteoporosis
T-Score -1 to -2.4 is osteopenia
S/S of sickle cell crisis? Treatment? - Answerjoint or abd pain, microvascular
necrosis, MI, bone pain, swelling in the face.
Treated with O2, hydration, analgesia and education to prevent further attacks
What is the presentation of cradle cap in an infant? Treatment? - AnswerThis is
infantile seborrheic dermatitis and presents as oily, greasy, yellowish scales on the
scalp. Parents can use olive or mineral oil or dawn dishwashing soap. May also try
mizoram shampoo. Need to remove flakes with soft brush of some sort
What are the most common skin lesions in the elderly and how do they present? -
Answerseborrheic keratosis-flaking skin lesions, will pull them off and they often
return... use moisturizer
Actinic keratoses- dry, gritty lesions that could be early sign of skin cancer
What are the most important pieces of a post-partum assessment? -
AnswerDepression
S/S of ectopic pregnancy? - AnswerSevere pain in the pelvic area usually between
week 5-10 of the pregnancy. Treatment can be made with methotrexate to stop the
fetus growth or it will need to be removed surgically
What vaccines are contraindicated in pregnancy? - AnswerMMR and Varicella
Which vaccines need to be given in pregnancy? - AnswerFlu and Tdap
