FNP BOARD REVIEW QUESTIONS WITH ALL CORRECT
& VERIFIED ANSWERS (UPDATED TO PASS)
D) Length of time she has been
1. A 24-year old, otherwise healthy college student
coughing
presents with c/o cough x 6 weeks. She has tried
several OTC cough meds with no improvement. Why? This information helps you
What is the most important information to con- build your ddx
sider when building your differential diagnoses? Acute cough < 3 weeks: bron-
A) Her age chitis, sinusitis, PND, exacerba-
B) Family hx tion of COPD/asthma, pneumo-
C) Ineffectiveness of OTC cough medicines nia, pulmonary embolism
D) Length of time she has been coughing
Chronic cough (>8 weeks) GERD
and Asthma are most common
causes, also consider infection
(e.g. pertussis, atypical pneu-
monia), ACE inhibitors, chronic
bronchitis, bronchiectasis, lung
ca)
C) Macrolide antiobitic (e.g.
2. According to the CDC, what drug class is consid-
Azithromycin, clarithromycin
ered first-line treatment for pertussis?
A) Sulfonamide Sulfonamides are second-line
B) Tetracycline
C) Macrolide
D) Beta-lactam
1. Sulfonamide -
3. Match the antibiotics with the correct drug class:
D.Trimethoprim-Sulfamethoxa-
1. Sulfonamide zole (Bactrim)
2. Tetracycline 2. Tetracycline - A. Doxycycline
3. Macrolide 3. Macrolide - B & F, Azithromycin
4. Beta-lactam and Clarithromycin
, FNP BOARD REVIEW QUESTIONS WITH ALL CORRECT
& VERIFIED ANSWERS (UPDATED TO PASS)
A. Doxycyline 4. Beta-lactam - C & E, PCN and
B. Azithromycin cephalosporins
C. Penicillins
D. Trimethoprim-Sulfamethoxazole
E. Cephalosporin
F. Clarithromycin
4. What are the three most common bugs in com- Streptococcus pneumoniae
munity-acquired pneumonia? Mycoplasma pneuomiae (atypi-
cal pathogen)
Chlamydophila pneumoniae
(atypical pathogen)
5. What is the treatment for CAP caused by Strep Respiratory quinolone (e.g. Lev-
pneumo? ofloxacin, moxifloxacin, gemi-
floxacin) OR high-dose amoxi-
cillin OR amoxicillin with clavu-
lanate
6. What antibiotics are avoided in CAP caused by Macrolides
Strep pneumo due to high rates of resistance?
7. What is the treatment for CAP caused by My- Macrolide OR doxycycline
coplasma pneumoniae?
8. What antibiotics are avoided in CAP caused by Beta-lactams (inettective)
atypical pathogens?
9. A 38-year old mother of two teenagers recently B) No, it's not indicated
recovered from Mycoplasma pneumonia a cou-
ple of weeks ago. She asks if she should get An otherwise healthy adult with-
the "pneumonia shot." She takes levothyroxine 88 out immunocompromise or mul-
mcg daily for hypothyroidism, but is otherwise tiple comorbid conditions is not
, FNP BOARD REVIEW QUESTIONS WITH ALL CORRECT
& VERIFIED ANSWERS (UPDATED TO PASS)
healthy. How do you respond? a "vulnerable population"
A) No, it's too soon after your infection
The pneumonia vaccine does not
B) No, it's not indicated
prevent mycoplasma pneumonia
C) Yes, you can get it in about a month
D) Yes you can get it today
10. According to GOLD, what is required to establish Spirometry (FEV1/FVC ratio <
the diagnosis of COPD? 70%)
11. A 70-year old house painter reports a 4-week B) Angina
history of exertional dyspnea, chest tightness, C) COPD
and cough for the past 3 months. He has never F) Tuberculosis
smoked. What diagnoses are included in your dif- G) Heart failure
ferential? Select 4.
A) Asthma
B) Angina
C) COPD
D) GERD
E) Pneumonia
F) Tuberculosis
G) Heart Failure
12. How do inhaled anticholinergics work to treat B) They block the action of acetyl-
shortness of breath in COPD? choline and prevent bronchcon-
A) They cause bronchodilation in the lungs striction
B) They block the action of acetylcholine and pre-
vent bronchoconstriction
13. Name a short-acting inhaled anticholinergic: Ipratropium (Atrovent)
14. Name a long-acting inhaled anticholinergic: Tiotropium (Spiriva)
, FNP BOARD REVIEW QUESTIONS WITH ALL CORRECT
& VERIFIED ANSWERS (UPDATED TO PASS)
& VERIFIED ANSWERS (UPDATED TO PASS)
D) Length of time she has been
1. A 24-year old, otherwise healthy college student
coughing
presents with c/o cough x 6 weeks. She has tried
several OTC cough meds with no improvement. Why? This information helps you
What is the most important information to con- build your ddx
sider when building your differential diagnoses? Acute cough < 3 weeks: bron-
A) Her age chitis, sinusitis, PND, exacerba-
B) Family hx tion of COPD/asthma, pneumo-
C) Ineffectiveness of OTC cough medicines nia, pulmonary embolism
D) Length of time she has been coughing
Chronic cough (>8 weeks) GERD
and Asthma are most common
causes, also consider infection
(e.g. pertussis, atypical pneu-
monia), ACE inhibitors, chronic
bronchitis, bronchiectasis, lung
ca)
C) Macrolide antiobitic (e.g.
2. According to the CDC, what drug class is consid-
Azithromycin, clarithromycin
ered first-line treatment for pertussis?
A) Sulfonamide Sulfonamides are second-line
B) Tetracycline
C) Macrolide
D) Beta-lactam
1. Sulfonamide -
3. Match the antibiotics with the correct drug class:
D.Trimethoprim-Sulfamethoxa-
1. Sulfonamide zole (Bactrim)
2. Tetracycline 2. Tetracycline - A. Doxycycline
3. Macrolide 3. Macrolide - B & F, Azithromycin
4. Beta-lactam and Clarithromycin
, FNP BOARD REVIEW QUESTIONS WITH ALL CORRECT
& VERIFIED ANSWERS (UPDATED TO PASS)
A. Doxycyline 4. Beta-lactam - C & E, PCN and
B. Azithromycin cephalosporins
C. Penicillins
D. Trimethoprim-Sulfamethoxazole
E. Cephalosporin
F. Clarithromycin
4. What are the three most common bugs in com- Streptococcus pneumoniae
munity-acquired pneumonia? Mycoplasma pneuomiae (atypi-
cal pathogen)
Chlamydophila pneumoniae
(atypical pathogen)
5. What is the treatment for CAP caused by Strep Respiratory quinolone (e.g. Lev-
pneumo? ofloxacin, moxifloxacin, gemi-
floxacin) OR high-dose amoxi-
cillin OR amoxicillin with clavu-
lanate
6. What antibiotics are avoided in CAP caused by Macrolides
Strep pneumo due to high rates of resistance?
7. What is the treatment for CAP caused by My- Macrolide OR doxycycline
coplasma pneumoniae?
8. What antibiotics are avoided in CAP caused by Beta-lactams (inettective)
atypical pathogens?
9. A 38-year old mother of two teenagers recently B) No, it's not indicated
recovered from Mycoplasma pneumonia a cou-
ple of weeks ago. She asks if she should get An otherwise healthy adult with-
the "pneumonia shot." She takes levothyroxine 88 out immunocompromise or mul-
mcg daily for hypothyroidism, but is otherwise tiple comorbid conditions is not
, FNP BOARD REVIEW QUESTIONS WITH ALL CORRECT
& VERIFIED ANSWERS (UPDATED TO PASS)
healthy. How do you respond? a "vulnerable population"
A) No, it's too soon after your infection
The pneumonia vaccine does not
B) No, it's not indicated
prevent mycoplasma pneumonia
C) Yes, you can get it in about a month
D) Yes you can get it today
10. According to GOLD, what is required to establish Spirometry (FEV1/FVC ratio <
the diagnosis of COPD? 70%)
11. A 70-year old house painter reports a 4-week B) Angina
history of exertional dyspnea, chest tightness, C) COPD
and cough for the past 3 months. He has never F) Tuberculosis
smoked. What diagnoses are included in your dif- G) Heart failure
ferential? Select 4.
A) Asthma
B) Angina
C) COPD
D) GERD
E) Pneumonia
F) Tuberculosis
G) Heart Failure
12. How do inhaled anticholinergics work to treat B) They block the action of acetyl-
shortness of breath in COPD? choline and prevent bronchcon-
A) They cause bronchodilation in the lungs striction
B) They block the action of acetylcholine and pre-
vent bronchoconstriction
13. Name a short-acting inhaled anticholinergic: Ipratropium (Atrovent)
14. Name a long-acting inhaled anticholinergic: Tiotropium (Spiriva)
, FNP BOARD REVIEW QUESTIONS WITH ALL CORRECT
& VERIFIED ANSWERS (UPDATED TO PASS)
