Exam tips for Clinical question AANP| FNP NR 506

Exam tips for Clinical question AANP revised • 3 month old infant with down syndrome, due to milk intolerance, mom started on goats milk; now has pale conjunctiva but otherwise healthy. Low HCT. What additional test would you order? Iron, TIBC • 3 months of synthroid, TSH increased, T4 normal, what do you do? Increase Medication • 3 ways to assess cognitive function in patient with signs/symptoms of memory loss…. Mini mental exam • 4 month old with strabismus, mom is worried…… tell her it is normal. • 4 month old wont keep anything down, what is the main thing you look at? Growth chart • 6 month old closed anterior fontanel. XRAY • Abnormal cells on PAP, what do you do next? Refer for Colposcopy • CAGE ACRONYM • Causes of tachycardia • Cranial nerves responsible for extraocular eye movements… 3,4,6 • Definition of metabolic syndrome- cluster of conditions that increase risk of heart disease, stroke, diabetes. • Definitive diagnosis of acute bacterial prostatitis: urinalysis and culture! • Diagnose Trich: wet prep • Elederly presents with atrophic vaginitis, small uterus, palpable 4x5 ovary, what do you do next? Pelvic US • Elder presents with atrophic vaginitis-add estrogen cream • Epistaxis is most common in the area of the nose known as kiesselbachs triangle, where is this located? Anterior septum • Fingernail hematoma treatment… drill hole, drain blood • GERD treatment: H2 is first line • Grade 3 cells on pap, treatment? Excision • Growth Plate fracture/Salter Harris Fx • Increased risk of ectopic pregnancy…. Salpingitis • Koplick Spots… Measles • Legg-Calve Perthes disease: avascular necrosis of the proximal femoral head • Lipid level of 1500, increased risk for? Pancreatitis • Low HGB, Low HCT, High MCV indicates what? Macrocytic anemia, B12 Def • Man with high BPH, prostate feels on digital exam? Enlarged, symmetrical, smooth • Man with HTN, CAD, present femoral pulses but absent pedal…. Arterial Insufficiency • McMurrays Sign- Meniscus tears • Lachmans- ACL • Know heart murmors!!!! MrPASS MVP MsARD • Newborn with foot turned in, what do you do? Refer to orthopedist • Osgood Schlatter disease- Knee pain • Patient forgot to start Thanksgiving dinner and husband states she has trouble remembering tasks and trouble with organization. What is this indicative of? Alzheimers • Pt has Barretts Esophagus, insurance no longer covers GI who was treating condition. Pt at FNP office wanting refill prescriptions. What do you do? Refer to oncologist • Know labs for diagnosing Hepatitis • Pt presents with rash on shoulder, erythematous maculopapular rash with center clearing and scaling? Tinea Corporis • Pt presents with “bag of worms:, indicates? Varicocele • Pt with atopic dermatitis, look for what other diseases? Asthma • Pt with bleeding after menopause- endometrial biopsy • Pt with hx of PID, increased rick for? Infertility • Bacterial vaginosis does not cause PID- trich, gonorrhea, and chlamidia can cause it • Pt with HIV took high potency anti viral treatments and CD4 is 400, what does this indicate? This is good. Want higher than 350 • Pt with hx of htn and stroke, now having memory loss. What does this indicate? Vascular dementia • Pregnant teacher with exposure to 5ths disease, what risk is there to the fetus? Fetal death and birth defects • Quick assessment of patients fall risk? Timed Get up and Go • Red beefy tongue? Pernicious anemia • Rotator cuff injury presentation: disturbs sleep, arm weakness, dull ache • Shingles near eye- immediate referral to ophthalmology • Signs and symptoms of Roseola? High fever, pink flat or raised rash • Treatment for chronic alcoholism: 12 step program • Treatment for Gonorrhea? Rocpehin IM and Zithromax PO • Young female want birth control, forgets to take pills, does not want to get pregnant for at least 5 years: IUD Questions: few questions about T2DM and appropriate treatment, including insulin. Know the reason for doing a PSA When to give a pregnant woman with negative rubella titer the rubella vaccine Treatment for gonorrhea, and syphilis, including during pregnancy What meds you can't take while ingesting grapefruit juice Bells palsy s/S S/s of serotonin syndrome Kawasaki disease presentation Lab test for "slapped face" Treatment for shin splints What to do with thyroid meds based on lab values What heart sound would be expected in CHF What antihypertensive meds to avoid in GERD Who gets hep C screening Definition of AIDS No hepatitis a or b on mine The cheapest treatment of shingles -acyclovir T2DM has foot laceration, what would u monitor them for- osteomylitis Acute GAD treatment-ssri Know which murmurs are diastolic and where they're located What pts would need to go to ED with pneumonia... CURB65 Presentation of allergic conjunctivitis- bilateral eye symptoms Treatment of mild persistent asthma Parents have heterozygous disorder, what % of children are homozygous-25% Weber and Rinne No CN questions for me Darcosytosis s/s Cotton wool on fundoscopic exam means?? Chronic use of afrin causes...medicamentosa Vascular dementia most commonly occurs with people who had stroke and htn S/s of strep a pharyngitis Questions: Some of the questions I still remember from this morning exam: Signs and symptoms of definitive HF Description of Molluscum contagiosum Management of fall with extended arm but no fracture seen on the xray 2 questions about Hepatitis Dacryocystitis Evaluation of fall for the elderly Know your labs for anemia, hypo & hyperthyroidism, hyperparathyroidism Systolic murmurs Carotid bruits Primary amenorrhea Acquired hypothyroidism Drugs for OM and alternatives Drugs for gono and chlamydia and alternatives Autosomal recessive and dominant AV nicking Pediatric asthma management Infant dehydration assessment Trichomonas Grades of HF, bruits and thrills A lot of questions about Weber and Rinnes test Erysipelas 12 weeks just above SP Intussuception Wilms tumor Antipsychotic drug that causes hyperglycemia Management of TG if niacin does not work When to prescribe insulin... that’s all I remember. And I’m sure all of you know these stuff