FNP Certification Study Exam Questions
& Answers
AOM diagnosis - ANSWERSRequires middle ear effusion (MEE) AND a sign of acute inflammation
(erythema, bulging TM or ear pain)
Most common cause of atypical pneumonia in adults - ANSWERSMycoplasma pneumoniae
Accounts for 15% of pneumonia
Best test for pinworms - ANSWERSScotch tape test
Not usually found in stool specimens
Treat with/without testing if symptomatic
Silvery scales that are not pruritic - ANSWERSSuggestive of psoriasis
How often to screen for depression in older adults? - ANSWERSEvery visit.
What is American Cancer Society's recommendation for prostate screening in a 70 year-old
male? - ANSWERSScreen until 10 year life expectancy
audible diastolic murmur best heard in the mitral listening point. There is no audible click. His
status has been monitored for the past 2 years. This murmur is probably - ANSWERSMitral
Stenosis (this produces a diastolic murmur)
How long does it take to seroconvert after a needle stick? - ANSWERS3 months (most)
some up to 6 months
,rarely up to 12 months
Medications used to treat ADD & ADHD are Schedule - ANSWERSII
high abuse risk
can cause severe physical and psychological dependence
Patient in first trimester has gonorrhea. Plan? - ANSWERSTreat for gonorrhea AND chlamydia
now.
Found concurrently so often that chlamydia is always treated when gonorrhea is found.
X-rays for low back pain x 2 weeks? - ANSWERSX-rays are of little benefit in patients with back
pain unless the underlying etiology is infection, fracture, malignancy, disc space narrowing,
degenerative changes, or spondylolisthesis. They do not detect herniated discs and are
generally of little benefit. If they are obtained, it is usually done after back pain of 4 weeks
duration.
Hallmark finding with B12 and folate deficiency? - ANSWERSMacrocytosis
Which antibiotics increase likelihood of photosensitivity? - ANSWERSFluoroquinolones
Other common medications that increase photosensitivity are hydrochlorothiazide, diltiazem,
selective serotonin reuptake inhibitors, antihistamines, ibuprofen, and naproxen.
Findings that indicate likely alcohol abuse. - ANSWERSFindings that should trigger an examiner
to suspect alcohol abuse in a patient are tremors, hypertension, rhinophyma, peripheral
neuropathy, telangiectasias, and hepatosplenomegaly
Risk factors for AAA - ANSWERSHypertension
Cigarette smoking
USPSTF & AHA recommend one-time screening for males age 65-75 who have ever smoked
,Pregnant heart sounds include - ANSWERSVenous hum murmur and S3
Nearly all pregnant women have a venous hum murmur. A higher basal heart rate, louder heart
sounds and a systolic ejection murmur. An S3 is commonly present probably related to
increased fluid. An S4 is rarely heard. Mitral stenosis and aortic regurgitation are diastolic
murmurs and these are abnormal in pregnant patients.
Description of hives caused by allergy - ANSWERSThe usual skin manifestation associated with
an allergic reaction is hives. It is urticarial and of rapid onset. Hives are intensely pruritic, well
circumscribed, raised, and erythematous.
Most common side effect of Lithium therapy - ANSWERSNephrogenic diabetes insipidus
Patients are cautioned to report frequent urination
Lithium accumulates in the collecting tubule cells and causes damage. This leads to changes in
antidiuretic hormone (ADH) production, sodium levels, and hypercalcemia. Other changes can
occur in the renal system such as mild renal insufficiency. Patients on lithium therapy should be
monitored closely for side effects and to ensure that lithium levels are maintained within
therapeutic range because lithium has a narrow therapeutic index.
Risk factors for osteoporosis - ANSWERSAge
Glucocorticoid intake
Excessive alcohol intake
Low body weight, cigarette smoking, rheumatoid arthritis, previous fracture, and parental
history of hip fracture
When to begin screening for diabetic nephropathy in patient with Type I DM - ANSWERS5 years
after diagnosis
Characteristics of aortic regurgitation - ANSWERSLong asymptomatic period followed by
exercise intolerance, then dyspnea at rest
, How long can you wait after exposure to get immunization and still prevent tetanus? -
ANSWERS72 hours
Labs to order after starting pioglitazone? - ANSWERSLiver function tests after 2-3 months
Most common cause of pneumonia in very young children - ANSWERSViral respiratory infection
Foods high in purines - ANSWERSProtein
Kernig's sign - ANSWERSPatient lying supine, flex hip to 90 degrees
Kernig's sign = inability to straighten leg (pain)
Brudzinski's sign - ANSWERSSevere neck stiffness causes a patient's hips and knees to flex when
the neck is flexed
Which antibiotic should be used with caution for an elder with cardiac conduction issues? -
ANSWERSCiprofloxacin
First sign of male sexual maturation? - ANSWERSIncreased testicle size
Knee "locking" and "giving out" - ANSWERSMeniscal tear
The "get up and go" test for the elderly is used to evaluate: - ANSWERSRisk for falls
Which antihypertensive has secondary effect of improving osteoporosis? - ANSWERSThiazide
diuretic
& Answers
AOM diagnosis - ANSWERSRequires middle ear effusion (MEE) AND a sign of acute inflammation
(erythema, bulging TM or ear pain)
Most common cause of atypical pneumonia in adults - ANSWERSMycoplasma pneumoniae
Accounts for 15% of pneumonia
Best test for pinworms - ANSWERSScotch tape test
Not usually found in stool specimens
Treat with/without testing if symptomatic
Silvery scales that are not pruritic - ANSWERSSuggestive of psoriasis
How often to screen for depression in older adults? - ANSWERSEvery visit.
What is American Cancer Society's recommendation for prostate screening in a 70 year-old
male? - ANSWERSScreen until 10 year life expectancy
audible diastolic murmur best heard in the mitral listening point. There is no audible click. His
status has been monitored for the past 2 years. This murmur is probably - ANSWERSMitral
Stenosis (this produces a diastolic murmur)
How long does it take to seroconvert after a needle stick? - ANSWERS3 months (most)
some up to 6 months
,rarely up to 12 months
Medications used to treat ADD & ADHD are Schedule - ANSWERSII
high abuse risk
can cause severe physical and psychological dependence
Patient in first trimester has gonorrhea. Plan? - ANSWERSTreat for gonorrhea AND chlamydia
now.
Found concurrently so often that chlamydia is always treated when gonorrhea is found.
X-rays for low back pain x 2 weeks? - ANSWERSX-rays are of little benefit in patients with back
pain unless the underlying etiology is infection, fracture, malignancy, disc space narrowing,
degenerative changes, or spondylolisthesis. They do not detect herniated discs and are
generally of little benefit. If they are obtained, it is usually done after back pain of 4 weeks
duration.
Hallmark finding with B12 and folate deficiency? - ANSWERSMacrocytosis
Which antibiotics increase likelihood of photosensitivity? - ANSWERSFluoroquinolones
Other common medications that increase photosensitivity are hydrochlorothiazide, diltiazem,
selective serotonin reuptake inhibitors, antihistamines, ibuprofen, and naproxen.
Findings that indicate likely alcohol abuse. - ANSWERSFindings that should trigger an examiner
to suspect alcohol abuse in a patient are tremors, hypertension, rhinophyma, peripheral
neuropathy, telangiectasias, and hepatosplenomegaly
Risk factors for AAA - ANSWERSHypertension
Cigarette smoking
USPSTF & AHA recommend one-time screening for males age 65-75 who have ever smoked
,Pregnant heart sounds include - ANSWERSVenous hum murmur and S3
Nearly all pregnant women have a venous hum murmur. A higher basal heart rate, louder heart
sounds and a systolic ejection murmur. An S3 is commonly present probably related to
increased fluid. An S4 is rarely heard. Mitral stenosis and aortic regurgitation are diastolic
murmurs and these are abnormal in pregnant patients.
Description of hives caused by allergy - ANSWERSThe usual skin manifestation associated with
an allergic reaction is hives. It is urticarial and of rapid onset. Hives are intensely pruritic, well
circumscribed, raised, and erythematous.
Most common side effect of Lithium therapy - ANSWERSNephrogenic diabetes insipidus
Patients are cautioned to report frequent urination
Lithium accumulates in the collecting tubule cells and causes damage. This leads to changes in
antidiuretic hormone (ADH) production, sodium levels, and hypercalcemia. Other changes can
occur in the renal system such as mild renal insufficiency. Patients on lithium therapy should be
monitored closely for side effects and to ensure that lithium levels are maintained within
therapeutic range because lithium has a narrow therapeutic index.
Risk factors for osteoporosis - ANSWERSAge
Glucocorticoid intake
Excessive alcohol intake
Low body weight, cigarette smoking, rheumatoid arthritis, previous fracture, and parental
history of hip fracture
When to begin screening for diabetic nephropathy in patient with Type I DM - ANSWERS5 years
after diagnosis
Characteristics of aortic regurgitation - ANSWERSLong asymptomatic period followed by
exercise intolerance, then dyspnea at rest
, How long can you wait after exposure to get immunization and still prevent tetanus? -
ANSWERS72 hours
Labs to order after starting pioglitazone? - ANSWERSLiver function tests after 2-3 months
Most common cause of pneumonia in very young children - ANSWERSViral respiratory infection
Foods high in purines - ANSWERSProtein
Kernig's sign - ANSWERSPatient lying supine, flex hip to 90 degrees
Kernig's sign = inability to straighten leg (pain)
Brudzinski's sign - ANSWERSSevere neck stiffness causes a patient's hips and knees to flex when
the neck is flexed
Which antibiotic should be used with caution for an elder with cardiac conduction issues? -
ANSWERSCiprofloxacin
First sign of male sexual maturation? - ANSWERSIncreased testicle size
Knee "locking" and "giving out" - ANSWERSMeniscal tear
The "get up and go" test for the elderly is used to evaluate: - ANSWERSRisk for falls
Which antihypertensive has secondary effect of improving osteoporosis? - ANSWERSThiazide
diuretic
