FNP BOARDS FITZGERALD EXAM WITH
VERIFIED QUESTIONS AND ANSWERS||
ALREADY GRADED A+ || GUARANTEED PASS ||
LATEST UPDATE 2025
__________ is a rash that often begins as an oval spot on the face, chest,
abdomen or back. This is called a herald patch and may be up to 4 inches (10
centimeters) across. Then you may get smaller spots that sweep out from the
middle of the body in a shape that looks like drooping pine-tree branches -
ANSWER-Pityriasis rosea
_____________ can also be drained by trephination (straighten one end of a
large paper clip or 18-gauge needle and heat it with a flame, then gently drill
down the nail until blood seeps out) - ANSWER-subungual hematoma
Antibiotic prophylaxis is required for animal and human bite wounds. First-line
therapy is _________________. - ANSWER-amoxicillin-clavulanic acid
(Augmentin orally twice a day × 10 days).
What causes lyme disease? - ANSWER-Ixodes (deer) tick bite; spirochete
called Borrelia burgdorferi
*** Majority of cases are in the mid-Atlantic and New England states
(Connecticut, Massachusetts, NY, NJ, Pennsylvania)
_______ (platelet count 100,000) is a common manifestation of all tick-borne
diseases which remains poorly understood. Thrombocytopenia usually happens
when your immune system mistakenly attacks and destroys platelets, which are
cell fragments that help blood clot. Lyme disease and co-infections can cause
,low platelet count and low white blood cell count, preventing repair and
restoration. When this happens, chronic inflammation occurs, and Lyme disease
symptoms can worsen. Platelet activation is essential for natural healing. -
ANSWER-Immune Thrombocytopenia
***look for easy bruising, petechia, purpura, epistaxis, and gingival bleeding
**** Initial ttmt of ITP is glucocorticoids (prednisone) based on plt response
What is the treatment for Lyme disease (erythema migrans) in pediatric and
adult patients? - ANSWER-oral antibiotic therapy 10-14 days
children <8 years of age - oral amoxicillin
children >8 years of age - oral doxycycline
Adults - oral doxycycline
What are the symptoms of Lyme disease? - ANSWER-Typical symptoms
include fever, headache, fatigue, and a characteristic skin rash called erythema
migrans. If left untreated, infection can spread to joints, the heart, and the
nervous system. Lyme disease is diagnosed based on symptoms, physical
findings (e.g., rash), and the possibility of exposure to infected ticks.
A GFR of 60 or less is a sign of _________ - ANSWER-Kidney damage, refer
to nephrology
What diuretic is contraindicated in pt with gout? - ANSWER-Thiazide diuretics
(HCTZ, clorthalidone, indapamide)
They are associated with elevated serum uric acid (SUA) levels. They increase
direct urate reabsorption in the proximal renal tubules [3]. Elevated SUA is an
independent risk factor for gout [2]. These agents increase the levels of SUA
and thus may contribute to the risk of gout.
What is the Digoxin therapeutic range? - ANSWER-0.5-2.0ng/mL
,S/S of digoxin overdose include: N/V, hyperkalemia, bradydysthrymias,
tachydysrhythmias, confusion, visual changes (yellowisg-green tinged color
vision)
What anti-hypertensive drug class is contraindicated in pt with chronic lung
diseases? (asthma, COPD, emphysema, chronic bronchitis) - ANSWER-Beta-
blockers
- Propanolol (Inderal)
- Atenolol (Tenormin)
- Metoprolol (Lopressor)
- Pindolol (Visken)
What is the reversal agent for Coumarins? - ANSWER-- Phytonadione (Vitamin
K)
What is the drug that is a direct thrombin inhibitor? - ANSWER-Pradaxa
(Dabigatran)
What is the antidote to Pradaxa? - ANSWER-idarucizumab (Praxbind)
When caring for wounds, Tetanus vaccine required if last dose was >___ years
ago. Use Tdap vaccine (tetanus, diphtheria, and acellular pertussis, if never had
Tdap) in patients older than >7 years of age. - ANSWER-5
_________________ is contraindicated if patient has sulfa allergies. Do not
apply it to the face (it will stain). If facial burns, use triple antibiotic or
mupirocin (Bactroban) ointment - ANSWER-Silver sulfadiazine
Do not suture wounds that have been open >___ hours (high bacterial load). -
ANSWER-24
, What is the normal range for vaginal pH? - ANSWER-3.8-5
A __________ is a common, noncancerous growth of the conjunctiva. This is
the clear, thin tissue that covers the white part of the eye (sclera). The growth
occurs in the part of the conjunctiva that is exposed when the eye is open. -
ANSWER-pingueculum
ACEI/ARB use poses a ________ risk, especially with reduced GFR,
overdiuresis and/or under hydration. - ANSWER-hyperkalemia
Assessment of the optic disc is a component of the evaluation of which cranial
nerve? - ANSWER-Cranial Nerve II
The cardiac exam features in _________ include the presence of a holosystolic
murmur with a blowing quality that is typically Gr II-III/VI with a predictable
pattern of radiation to the left axilla - ANSWER-Mitral regurgitation
What is the most common heart chamber hypertrophy? - ANSWER-Left
ventricular hypertrophy
What is the second most common heart chamber hypertrophy? - ANSWER-Left
atrial hypertrophy
What is the most common stenotic heart valve? - ANSWER-Aortic stenosis
What type of prevention focuses on preventing the health problem? Examples:
immunizations, counseling about safety, injury, and disease prevention -
ANSWER-Primary prevention
What type of prevention focuses on detecting disease in early, asymptomatic, or
preclinical state to minimize impact?
VERIFIED QUESTIONS AND ANSWERS||
ALREADY GRADED A+ || GUARANTEED PASS ||
LATEST UPDATE 2025
__________ is a rash that often begins as an oval spot on the face, chest,
abdomen or back. This is called a herald patch and may be up to 4 inches (10
centimeters) across. Then you may get smaller spots that sweep out from the
middle of the body in a shape that looks like drooping pine-tree branches -
ANSWER-Pityriasis rosea
_____________ can also be drained by trephination (straighten one end of a
large paper clip or 18-gauge needle and heat it with a flame, then gently drill
down the nail until blood seeps out) - ANSWER-subungual hematoma
Antibiotic prophylaxis is required for animal and human bite wounds. First-line
therapy is _________________. - ANSWER-amoxicillin-clavulanic acid
(Augmentin orally twice a day × 10 days).
What causes lyme disease? - ANSWER-Ixodes (deer) tick bite; spirochete
called Borrelia burgdorferi
*** Majority of cases are in the mid-Atlantic and New England states
(Connecticut, Massachusetts, NY, NJ, Pennsylvania)
_______ (platelet count 100,000) is a common manifestation of all tick-borne
diseases which remains poorly understood. Thrombocytopenia usually happens
when your immune system mistakenly attacks and destroys platelets, which are
cell fragments that help blood clot. Lyme disease and co-infections can cause
,low platelet count and low white blood cell count, preventing repair and
restoration. When this happens, chronic inflammation occurs, and Lyme disease
symptoms can worsen. Platelet activation is essential for natural healing. -
ANSWER-Immune Thrombocytopenia
***look for easy bruising, petechia, purpura, epistaxis, and gingival bleeding
**** Initial ttmt of ITP is glucocorticoids (prednisone) based on plt response
What is the treatment for Lyme disease (erythema migrans) in pediatric and
adult patients? - ANSWER-oral antibiotic therapy 10-14 days
children <8 years of age - oral amoxicillin
children >8 years of age - oral doxycycline
Adults - oral doxycycline
What are the symptoms of Lyme disease? - ANSWER-Typical symptoms
include fever, headache, fatigue, and a characteristic skin rash called erythema
migrans. If left untreated, infection can spread to joints, the heart, and the
nervous system. Lyme disease is diagnosed based on symptoms, physical
findings (e.g., rash), and the possibility of exposure to infected ticks.
A GFR of 60 or less is a sign of _________ - ANSWER-Kidney damage, refer
to nephrology
What diuretic is contraindicated in pt with gout? - ANSWER-Thiazide diuretics
(HCTZ, clorthalidone, indapamide)
They are associated with elevated serum uric acid (SUA) levels. They increase
direct urate reabsorption in the proximal renal tubules [3]. Elevated SUA is an
independent risk factor for gout [2]. These agents increase the levels of SUA
and thus may contribute to the risk of gout.
What is the Digoxin therapeutic range? - ANSWER-0.5-2.0ng/mL
,S/S of digoxin overdose include: N/V, hyperkalemia, bradydysthrymias,
tachydysrhythmias, confusion, visual changes (yellowisg-green tinged color
vision)
What anti-hypertensive drug class is contraindicated in pt with chronic lung
diseases? (asthma, COPD, emphysema, chronic bronchitis) - ANSWER-Beta-
blockers
- Propanolol (Inderal)
- Atenolol (Tenormin)
- Metoprolol (Lopressor)
- Pindolol (Visken)
What is the reversal agent for Coumarins? - ANSWER-- Phytonadione (Vitamin
K)
What is the drug that is a direct thrombin inhibitor? - ANSWER-Pradaxa
(Dabigatran)
What is the antidote to Pradaxa? - ANSWER-idarucizumab (Praxbind)
When caring for wounds, Tetanus vaccine required if last dose was >___ years
ago. Use Tdap vaccine (tetanus, diphtheria, and acellular pertussis, if never had
Tdap) in patients older than >7 years of age. - ANSWER-5
_________________ is contraindicated if patient has sulfa allergies. Do not
apply it to the face (it will stain). If facial burns, use triple antibiotic or
mupirocin (Bactroban) ointment - ANSWER-Silver sulfadiazine
Do not suture wounds that have been open >___ hours (high bacterial load). -
ANSWER-24
, What is the normal range for vaginal pH? - ANSWER-3.8-5
A __________ is a common, noncancerous growth of the conjunctiva. This is
the clear, thin tissue that covers the white part of the eye (sclera). The growth
occurs in the part of the conjunctiva that is exposed when the eye is open. -
ANSWER-pingueculum
ACEI/ARB use poses a ________ risk, especially with reduced GFR,
overdiuresis and/or under hydration. - ANSWER-hyperkalemia
Assessment of the optic disc is a component of the evaluation of which cranial
nerve? - ANSWER-Cranial Nerve II
The cardiac exam features in _________ include the presence of a holosystolic
murmur with a blowing quality that is typically Gr II-III/VI with a predictable
pattern of radiation to the left axilla - ANSWER-Mitral regurgitation
What is the most common heart chamber hypertrophy? - ANSWER-Left
ventricular hypertrophy
What is the second most common heart chamber hypertrophy? - ANSWER-Left
atrial hypertrophy
What is the most common stenotic heart valve? - ANSWER-Aortic stenosis
What type of prevention focuses on preventing the health problem? Examples:
immunizations, counseling about safety, injury, and disease prevention -
ANSWER-Primary prevention
What type of prevention focuses on detecting disease in early, asymptomatic, or
preclinical state to minimize impact?
