FAMILY NURSE PRACTITIONER
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AANP Practice Questions PSI FNP Practice Head and Neck Irat
75 terms 165 terms 27 terms
houli523 Preview laurie_mcmahon Preview joshua_harrison43
Defined as the ability of a test to detect a person who has the
Sensitivity:
disease.
Defined as the ability of a test to detect a person who is healthy
Specificity:
or to detect the person without the disease.
Trauma to Kiesselbachs plexus: Will result in an anterior nosebleed
The diagnostic or gold standard Hemoglobin electrophoresis
test for sickle cell anemia, G6PD
anemia, and alpha or beta
thalassemia:
Initial action might be to interview and gather subjective data or
questions asking for "action":
the history
Erythromycin "allergy" vs Adverse reaction-symptoms of nausea or GI upset
adverse reaction: allergy -hives, angioedema
Pt will most likely be a teen presenting w classic triad of sore
Acute mononucleosis:
throat, prolonged fatigue, and enlarged cervical nodes.
Alpha thalassemia: More common among Southeast Asians such as filipinos
Malar rash(butterfly rash)Pts need to avoid or to minimize
Lupus
sunlight exposure(photosensitivity)
1st line tx for PMR includes long-term steroids. Long term
Tx polymyalgic steroids are commonly used to control symptoms(pain, stiffness
rheumatica(PMR) on shoulders, and hip girdle). PMR pts have higher risk for
temporal arteritis.
Gold standard exam for Biopsy of the temporal artery. refer pt to opthalmologist for mgt
temporal arteritis:
Finkelstein's test: Positive in De Quervains tenosynovitis
Anterior Drawer maneuver and Positive if anterior cruciate ligament (ACL) of knee damaged. The
Lachman maneuver: knee may also be unstable
McMurray's sign: Positive in meniscus injuries of the knee
Damaged Joints: Order X-ray first, but MRI is the Gold Standard
, Neovascularization, hard exudates, cotton wool spots, and
Diabetic retinopathy:
micoaneurysms
Hypertensive retinopathy: AV nicking, silver and or copper wire arterioles
absent(0),
hypoactive (1)
Checking deep tendon reflexes: normal(2)
hyperactive(3)
clonus(4)
Clonus is typically seen in patients with stroke, multiple sclerosis,
spinal cord damage and hepatic encephalopathy. Clonus has
also appeared after ingesting potent serotonergic drugs, where
ingestion strongly predicts imminent serotonin toxicity (serotonin
syndrome). Clonus is a series of involuntary, rhythmic, muscular
contractions and relaxations. Clonus is a sign of certain
Clonus:
neurological conditions, particularly associated with upper
motor neuron lesions involving descending motor pathways, and
in many cases is, accompanied by spasticity (another form of
hyperexcitability).Unlike small, spontaneous twitches known as
fasciculations (usually caused by lower motor neuron pathology),
clonus causes large motions that are usually initiated by a reflex.
A rare but serious adverse effect Angioedema
of ACE inhibitors is:
A common side effect of ACE Dry cough(10%)
inhibitors is a
1st line drug to tx htn in DM & ACE inhibitors or ARBS
pts w mild renal dz bc of their
renal protective properties:
Penicillin: Amoxicillin(broad-spectrum PCN) Penicillin VK
Macrolide: Erythromycin, azithromycin(Z-Pack), or clarithromycin(Biaxin)
1st generation(Keflex), 2nd generation(Cefaclor, Ceftin, Cefzil)3rd
Cephalosporins:
generation(Rocephin, Suprax, Omnicef)
Quinolones w gram positive Levofloxacin(Levaquin), moxifloxacin(Avelox),
coverage: gatifloxacin(Tequin)
Quinolones: Ciprofloxacin(Cipro), ofloxacin(Floxin)
Trimethoprim/sulfamethazole(Bactrim, Septra),
Sulfa:
nitrofurantoin(Macrobid),
Tetracyclines: Tetracycline, doxycycline, minocycline(Minocin)
NSAID: Ibuprofen, naproxen(aleve, Anaprox)
Cox-2 inhibitors: Celecoxib (celebrex)
Antitussives: Dextromorphan(Robitussin), benzonate(Tessalon Perles)
Drugs allowed for pregnant or Category B
lactating women:
Pregnancy in pain: Tylenol instead of Ibuprofen
Avoid nitrofurantoin & sulfa Increase the risk of hyperbilirubinemia
drugs during 3rd trimester:
Save
Students also studied
Flashcard sets Study guides
AANP Practice Questions PSI FNP Practice Head and Neck Irat
75 terms 165 terms 27 terms
houli523 Preview laurie_mcmahon Preview joshua_harrison43
Defined as the ability of a test to detect a person who has the
Sensitivity:
disease.
Defined as the ability of a test to detect a person who is healthy
Specificity:
or to detect the person without the disease.
Trauma to Kiesselbachs plexus: Will result in an anterior nosebleed
The diagnostic or gold standard Hemoglobin electrophoresis
test for sickle cell anemia, G6PD
anemia, and alpha or beta
thalassemia:
Initial action might be to interview and gather subjective data or
questions asking for "action":
the history
Erythromycin "allergy" vs Adverse reaction-symptoms of nausea or GI upset
adverse reaction: allergy -hives, angioedema
Pt will most likely be a teen presenting w classic triad of sore
Acute mononucleosis:
throat, prolonged fatigue, and enlarged cervical nodes.
Alpha thalassemia: More common among Southeast Asians such as filipinos
Malar rash(butterfly rash)Pts need to avoid or to minimize
Lupus
sunlight exposure(photosensitivity)
1st line tx for PMR includes long-term steroids. Long term
Tx polymyalgic steroids are commonly used to control symptoms(pain, stiffness
rheumatica(PMR) on shoulders, and hip girdle). PMR pts have higher risk for
temporal arteritis.
Gold standard exam for Biopsy of the temporal artery. refer pt to opthalmologist for mgt
temporal arteritis:
Finkelstein's test: Positive in De Quervains tenosynovitis
Anterior Drawer maneuver and Positive if anterior cruciate ligament (ACL) of knee damaged. The
Lachman maneuver: knee may also be unstable
McMurray's sign: Positive in meniscus injuries of the knee
Damaged Joints: Order X-ray first, but MRI is the Gold Standard
, Neovascularization, hard exudates, cotton wool spots, and
Diabetic retinopathy:
micoaneurysms
Hypertensive retinopathy: AV nicking, silver and or copper wire arterioles
absent(0),
hypoactive (1)
Checking deep tendon reflexes: normal(2)
hyperactive(3)
clonus(4)
Clonus is typically seen in patients with stroke, multiple sclerosis,
spinal cord damage and hepatic encephalopathy. Clonus has
also appeared after ingesting potent serotonergic drugs, where
ingestion strongly predicts imminent serotonin toxicity (serotonin
syndrome). Clonus is a series of involuntary, rhythmic, muscular
contractions and relaxations. Clonus is a sign of certain
Clonus:
neurological conditions, particularly associated with upper
motor neuron lesions involving descending motor pathways, and
in many cases is, accompanied by spasticity (another form of
hyperexcitability).Unlike small, spontaneous twitches known as
fasciculations (usually caused by lower motor neuron pathology),
clonus causes large motions that are usually initiated by a reflex.
A rare but serious adverse effect Angioedema
of ACE inhibitors is:
A common side effect of ACE Dry cough(10%)
inhibitors is a
1st line drug to tx htn in DM & ACE inhibitors or ARBS
pts w mild renal dz bc of their
renal protective properties:
Penicillin: Amoxicillin(broad-spectrum PCN) Penicillin VK
Macrolide: Erythromycin, azithromycin(Z-Pack), or clarithromycin(Biaxin)
1st generation(Keflex), 2nd generation(Cefaclor, Ceftin, Cefzil)3rd
Cephalosporins:
generation(Rocephin, Suprax, Omnicef)
Quinolones w gram positive Levofloxacin(Levaquin), moxifloxacin(Avelox),
coverage: gatifloxacin(Tequin)
Quinolones: Ciprofloxacin(Cipro), ofloxacin(Floxin)
Trimethoprim/sulfamethazole(Bactrim, Septra),
Sulfa:
nitrofurantoin(Macrobid),
Tetracyclines: Tetracycline, doxycycline, minocycline(Minocin)
NSAID: Ibuprofen, naproxen(aleve, Anaprox)
Cox-2 inhibitors: Celecoxib (celebrex)
Antitussives: Dextromorphan(Robitussin), benzonate(Tessalon Perles)
Drugs allowed for pregnant or Category B
lactating women:
Pregnancy in pain: Tylenol instead of Ibuprofen
Avoid nitrofurantoin & sulfa Increase the risk of hyperbilirubinemia
drugs during 3rd trimester:
