FNP PREP TEST QUESTIONS AND
CORRECT ANSWERS ALREADY GRADED
A+ GUARANTEED SUCCESS
A patient is found to have koilonychia. What laboratory test would be prudent to
perform?
Koilonychia is the term that describes spoon shaped nails. Spoon shaped nails may
be present in patients with long-standing iron deficiency anemia. A CBC should be
performed to assess for anemia. The most common symptoms of iron deficiency
anemia are weakness, headache, irritability, fatigue, and exercise intolerance.
wood's lamp
used to determine presence of hyphae - A Wood's lamp emits ultraviolet light when
turned on. If an area fluoresces under Wood's lamp illumination, a fungal (and
sometimes bacterial) infection should be suspected.
The incubation period for scabies is about
3-4 weeks after primary infection; Patients with subsequent infections with scabies
will develop symptoms in 1-3 days.
#1 goal with sinusitis is
to promote drainage - do NOT use antihistamines
IDSA says oral decongestants (sudafed, phenylephrine) not helpful in ABRS
may benefit it it's AVRS with euastachian tube dysfunction
1st line med for ABRS in adults
augmentin (500 TID or 875 BI)
augmentin 875/125 has less side effects - why
, A 60 year-old patient is noted to have rounding of the distal phalanx of the fingers.
What might have caused this?
Hepatic cirrhosis - Rounding of the distal phalanx describes clubbing. Clubbing of
fingers is most often associated with chronic hypoxia as seen in cigarette smokers
and patients with COPD or lung cancer. Other causes are cirrhosis, cystic fibrosis,
pulmonary fibrosis and cyanotic heart disease.
A patient is diagnosed with tinea pedis. A microscopic examination of the sample
taken from the infected area would likely demonstrate:
hyphae - Under microscopic exam, hyphae are long, thin and branching, and indicate
dermatophytic infections. Hyphae are typical in tinea pedis, tinea cruris, and tinea
corporis. Yeasts are usually seen in candidal infections. Cocci and rods are specific
to bacterial infections
Borellia - Lym
dosed BID so 250 of clavulanate vs. 375 with the 500/175 TID dosing - clavulanate
is a potassium salt and causes diarrhea
if penicillin allergy, what is first line for treating ABRS in adults
doxycline - if can't use doxy, can use respiratory quinolone
do NOT use what med class for ABRS
macrolides - high resistance rate; do not use bactrim or 2nd or 3rd gen ceph
first line for ABRS tx in peds
amoxicillin - do not use sulfa drugs or azithromycin; can use cefdinir, cefuroxime,
cefpodoxine
how long to tx ABRS
5-7 days - evidence says equal efficacy, better compliance, fewer complications
most common pathogens for pharyngitis / tonsillitis
viral agents (influenza, rhinovirus, and more)
tonsillar exudate, fever and absent cough
high likelihood of GAStrep
Centor Score
CORRECT ANSWERS ALREADY GRADED
A+ GUARANTEED SUCCESS
A patient is found to have koilonychia. What laboratory test would be prudent to
perform?
Koilonychia is the term that describes spoon shaped nails. Spoon shaped nails may
be present in patients with long-standing iron deficiency anemia. A CBC should be
performed to assess for anemia. The most common symptoms of iron deficiency
anemia are weakness, headache, irritability, fatigue, and exercise intolerance.
wood's lamp
used to determine presence of hyphae - A Wood's lamp emits ultraviolet light when
turned on. If an area fluoresces under Wood's lamp illumination, a fungal (and
sometimes bacterial) infection should be suspected.
The incubation period for scabies is about
3-4 weeks after primary infection; Patients with subsequent infections with scabies
will develop symptoms in 1-3 days.
#1 goal with sinusitis is
to promote drainage - do NOT use antihistamines
IDSA says oral decongestants (sudafed, phenylephrine) not helpful in ABRS
may benefit it it's AVRS with euastachian tube dysfunction
1st line med for ABRS in adults
augmentin (500 TID or 875 BI)
augmentin 875/125 has less side effects - why
, A 60 year-old patient is noted to have rounding of the distal phalanx of the fingers.
What might have caused this?
Hepatic cirrhosis - Rounding of the distal phalanx describes clubbing. Clubbing of
fingers is most often associated with chronic hypoxia as seen in cigarette smokers
and patients with COPD or lung cancer. Other causes are cirrhosis, cystic fibrosis,
pulmonary fibrosis and cyanotic heart disease.
A patient is diagnosed with tinea pedis. A microscopic examination of the sample
taken from the infected area would likely demonstrate:
hyphae - Under microscopic exam, hyphae are long, thin and branching, and indicate
dermatophytic infections. Hyphae are typical in tinea pedis, tinea cruris, and tinea
corporis. Yeasts are usually seen in candidal infections. Cocci and rods are specific
to bacterial infections
Borellia - Lym
dosed BID so 250 of clavulanate vs. 375 with the 500/175 TID dosing - clavulanate
is a potassium salt and causes diarrhea
if penicillin allergy, what is first line for treating ABRS in adults
doxycline - if can't use doxy, can use respiratory quinolone
do NOT use what med class for ABRS
macrolides - high resistance rate; do not use bactrim or 2nd or 3rd gen ceph
first line for ABRS tx in peds
amoxicillin - do not use sulfa drugs or azithromycin; can use cefdinir, cefuroxime,
cefpodoxine
how long to tx ABRS
5-7 days - evidence says equal efficacy, better compliance, fewer complications
most common pathogens for pharyngitis / tonsillitis
viral agents (influenza, rhinovirus, and more)
tonsillar exudate, fever and absent cough
high likelihood of GAStrep
Centor Score
