FNP 2 5335 final questions and answers
2025\2026 A+ Grade
Odd risk factors of hypothyroidism
- correct answer postpartum, autoimmune dz., head or neck radiation, tx with lithium, interferon,
amiodarone
odd s/s of hypothyroidism
- correct answer swelling of hands and feet, periorbital edema, infertility, hypermenorrhea, muscle
cramps, enlarged heart, hyperlipidemia,
hypothyroidism
- correct answer TSH elevated, T4 low
subclinical hypothyroidism
- correct answer TSH elevated, T4 NORMAL
Myxedema coma (hypothy)
For 2ndary or 3 tertiary hypothy. go to endocrin.
- correct answer go to ER
Risk factors for hyperthyroidism
- correct answer female, thyroid replacement, other autoimm. dz, DOWNS, iodine deficiency,
precipitating factors
test for hyperthyroidism
- correct answer cbc, LFT, radioiodine uptake scan
,Treatment for hyperthyroid
- correct answer surgery, BB (atenolol, propanolol), METHIMAZOLE, PROPYLTHYOURACIL, radioactive
iodine
Treatment for ankle sprain I - II (DRAWER TEST)
- correct answer PRICE, NO WT. bearing for 24hrs. return to sports when pain is gone
Treatment for ankle sprain III
- correct answer PRICE for 6 weeks if not better with brace then surgery REFERR
Osteoarthritis = asymmetric joint pain/stiffness last
- correct answer < 1 hr in the morning, comes back after activity or at the end of the day. Heberno's and
bouchards nodes (BP)
what is the goal standard diagnositic for OA
- correct answer Xray to check narrowing of joint spaces and for osteophytes
Treatment for OA
- correct answer first line Acetaminophen then NSAIDS, rest, excerc., heat/cold, brace, ointments,
corticosteroid injections, glucosamine/chondrin
if on NSAIDS check:
- correct answer CBC, BUN/Cr, LFT, occult stool Q yr. must be off the NSAID for 2-3 days.
when do you refer an OA pt
- correct answer when conservative measures fail, or BONE TO BONE
CHARAC. OF RA
- correct answer symmetrical joint pain > 1hr., fatigue, wt. loss, low grade temp, malaise, waxes and
wanes, l
S/S of a torn ACL
- correct answer POP inside knee, gives away, swelling, severe pain. A COMPLETE TEAR WON'T HURT,
SWELL, PAINLESS WITH MOVEMENT.
, Low back pain s/s
- correct answer pain in back, butt, thighs, muscle spasms r/t a muscle or ligament problem, radiates
down to knee,
New onset of RADICULAR low back pain in older patient is
- correct answer spinal stenosis
CAUDA EQUINA back pain SURG. EMERGENCY
- correct answer s/s major motor weakness with knee extensions or foot drop, loss of sensory tone to
anus, bladder, legs
back pain red flags REFERR!
- correct answer Hx: IV drug use, TB, chronic steroid use, CA, immune suppresion, trauma, age <20, fever
>100.4, chills, nausea, wt. loss, saddle anesthesia, bowel/bladder incontinence/retention, RECENT
BACTERIAL INFECTION, >50yrs, pain at night or supine. CONSIDER IMAGING FOR RED FLAGS OR
LITIGATION. OR AFTER ONE MONTH OF CONSERV. TX.
What tests are used for back pain assessment?
- correct answer cross leg raise, straight leg test, gait, ausc. abd. bruits AAA, rectal tone, DTR's, bulk
measurements, tone, rapid alt. movements, point to point, discrim. motor strength.
90% OF BACK PAIN RESOLVE IN
- correct answer 4-6 WEEKS
TO CHECK the (KNEE) meniscus for TEAR do :
- correct answer ant. post. drawer tests, McMurry test, Thessaly's test (parado and hold their hands to
stabilize and turn knees), 3 Apley's test (prone) or even better MRI: IF COMPLETELY TORN WILL NEED
SURGERY!!!
ss OF MENISCAL TEAR
- correct answer pain, joint locking, limited movement of knee, swelling, can't stand, popping or clicking
in the knee
2025\2026 A+ Grade
Odd risk factors of hypothyroidism
- correct answer postpartum, autoimmune dz., head or neck radiation, tx with lithium, interferon,
amiodarone
odd s/s of hypothyroidism
- correct answer swelling of hands and feet, periorbital edema, infertility, hypermenorrhea, muscle
cramps, enlarged heart, hyperlipidemia,
hypothyroidism
- correct answer TSH elevated, T4 low
subclinical hypothyroidism
- correct answer TSH elevated, T4 NORMAL
Myxedema coma (hypothy)
For 2ndary or 3 tertiary hypothy. go to endocrin.
- correct answer go to ER
Risk factors for hyperthyroidism
- correct answer female, thyroid replacement, other autoimm. dz, DOWNS, iodine deficiency,
precipitating factors
test for hyperthyroidism
- correct answer cbc, LFT, radioiodine uptake scan
,Treatment for hyperthyroid
- correct answer surgery, BB (atenolol, propanolol), METHIMAZOLE, PROPYLTHYOURACIL, radioactive
iodine
Treatment for ankle sprain I - II (DRAWER TEST)
- correct answer PRICE, NO WT. bearing for 24hrs. return to sports when pain is gone
Treatment for ankle sprain III
- correct answer PRICE for 6 weeks if not better with brace then surgery REFERR
Osteoarthritis = asymmetric joint pain/stiffness last
- correct answer < 1 hr in the morning, comes back after activity or at the end of the day. Heberno's and
bouchards nodes (BP)
what is the goal standard diagnositic for OA
- correct answer Xray to check narrowing of joint spaces and for osteophytes
Treatment for OA
- correct answer first line Acetaminophen then NSAIDS, rest, excerc., heat/cold, brace, ointments,
corticosteroid injections, glucosamine/chondrin
if on NSAIDS check:
- correct answer CBC, BUN/Cr, LFT, occult stool Q yr. must be off the NSAID for 2-3 days.
when do you refer an OA pt
- correct answer when conservative measures fail, or BONE TO BONE
CHARAC. OF RA
- correct answer symmetrical joint pain > 1hr., fatigue, wt. loss, low grade temp, malaise, waxes and
wanes, l
S/S of a torn ACL
- correct answer POP inside knee, gives away, swelling, severe pain. A COMPLETE TEAR WON'T HURT,
SWELL, PAINLESS WITH MOVEMENT.
, Low back pain s/s
- correct answer pain in back, butt, thighs, muscle spasms r/t a muscle or ligament problem, radiates
down to knee,
New onset of RADICULAR low back pain in older patient is
- correct answer spinal stenosis
CAUDA EQUINA back pain SURG. EMERGENCY
- correct answer s/s major motor weakness with knee extensions or foot drop, loss of sensory tone to
anus, bladder, legs
back pain red flags REFERR!
- correct answer Hx: IV drug use, TB, chronic steroid use, CA, immune suppresion, trauma, age <20, fever
>100.4, chills, nausea, wt. loss, saddle anesthesia, bowel/bladder incontinence/retention, RECENT
BACTERIAL INFECTION, >50yrs, pain at night or supine. CONSIDER IMAGING FOR RED FLAGS OR
LITIGATION. OR AFTER ONE MONTH OF CONSERV. TX.
What tests are used for back pain assessment?
- correct answer cross leg raise, straight leg test, gait, ausc. abd. bruits AAA, rectal tone, DTR's, bulk
measurements, tone, rapid alt. movements, point to point, discrim. motor strength.
90% OF BACK PAIN RESOLVE IN
- correct answer 4-6 WEEKS
TO CHECK the (KNEE) meniscus for TEAR do :
- correct answer ant. post. drawer tests, McMurry test, Thessaly's test (parado and hold their hands to
stabilize and turn knees), 3 Apley's test (prone) or even better MRI: IF COMPLETELY TORN WILL NEED
SURGERY!!!
ss OF MENISCAL TEAR
- correct answer pain, joint locking, limited movement of knee, swelling, can't stand, popping or clicking
in the knee
