S S S SS S S S
FNP LIGHTNING ROUND REVIEW-#2
S S S
1.HowSmanySsetsSofSKegelsSshouldSbeSdoneSeachSdayStoShelpSwithSurinarySincontinence?S
-ThreeSsetsSofS10SaSdayS
2.SWhatSisStheSfirstSlineStreatmentSforSallergicSrhinitis?
-SintranasalScorticosteroid—ie:SFlonase.S
3.SSWhatSisStheStermSusedSforStheSlossSofShigh-pitchedStonesSinSgeriatrics?S
-PresbycusisSS
4.SWhatStypeSofShearingSlossSdoesScerumenSimpactionScause?
-SConductiveShearingSlossSS
5.SYouSseeSanSolderSwomanSbendingSoverSleavingSonSherSshoppingScartSatStheSgrocerySstore.SWhatSisStheSlikelyS
diagnosis?S
-SpinalSstenosisS
6.SMultipleSmyelomaSisSdiseaseSofSwhat?S
-PlasmaScellsS
7.SWhatStestSinStheSofficeScanSyouSuseStoShelpSdiagnoseSsciatica?
-SStraightSlegStestS(AlwaysSpickStheScheapest,SmostSnoninvasiveStestsSfirst!!)SS
8.SIShaveSheelSpainSthatSisSworseSinStheSmorning.SWhatSisSmySlikelySdiagnosis?
-SPlantarSfasciitisS
90.STheSLachmanStestSisSusedStoShelpSdiagnoseSwhat?
-SACL
10.SOtherStestsSforSaclSincludeS
-anteriorSandSposteriorSdrawerStestsSS
11.SWhatSisStheStreatmentSforSgoutSandSwhatSwouldSbeStheSmedicationSinstructionsSforSaSflare?
-SColchicineSandStakeS1.2SmgSatStheSfirstSsignSofSflare,SfollowedSinS1ShourSwithSaSsingleSdoseSofS0.6Smg.S
12.SWhatSisSaSsignSofScolchicineStoxicity?
-SDiarrheaS
13.SWhatSisSaScommonScauseSofSposteriorSkneeSpain?S
-Baker’sScyst
14.SCottonSwoolSspots,SneovascularizationSandSmicroaneurysmsSareSallSEyeSexamSfindingsSinSwhatScondition?S-
Diabetes
15.SAndSwhatSaboutSAVSnickingSandSwhatSitSis?
-SHTN,SwhenSanSarteryScrossesSoverSaSveinS
16.SWhatSisStheStreatmentSforSbacterialSsinusitis?S
-AugmentinS
17.SI’mStired,ShaveSaSsoreSthroatSandSswollenSposteriorScervicalSnodesSonSexam.SWhatSisStheSlikelySdiagnosis?S-
Mono--
TheSbestSthingSIScanSsayStoShelpSdifferentiateSthoseStwoSforSmemorySisSthatSPSinSposteriorSisScloserStoSMSinSmon
oSinStheSalphabetSsoSthat’sShowSISremember!
18.SRecallSthatSswollenSANTERIORScervicalSnodesSareSseenSin
-Sstrep.S
19.SWhatSisSaScommonSsideSeffectSofSPyridium,SanSanti-spasmodicSforSdysuria?S
-OrangeScoloredSurine
20.SWhatSwouldSbeSincludedSinSyourSlistSofSdifferentialsSforShematuria?S
,-
BladderScancer,SkidneySstones,SexerciseSinduced,Strauma,Smedications,Sinfection,SandSBPHSareStheSmostScom
monSreasons
21.SWhatSisStheSmedicationStreatmentSforSMRSA?S
Bactrim
22.SWhatSareSsomeSsymptomsSaSpatientSwithSlupusSwouldScomplainSof?
-SFatigue,SmalarSrashSakaSbutterflySrash,SandSjointSaches.S
23.AndSwhatSisStheSlabSthatSyouSwouldSorderSitStoSconfirmSit?S
-ANA
24.SWhatSisStheStermSusedStoSdescribeSdry,SitchingSskin?S
-Xerosis
25.SWhatSisStheSmostScommonSkindSofSskinScancer?
-
SBasalScellScarcinomaSreminderSthatSthisScancerSpresentsSasSaSpearlySdomedSnodule,SpinkSorSfleshScoloredSandS
usuallyShasStelangiectasiaSpresentS
26.SWhatSmedicationSisSusedStoStreatSaScatSorSdogSbite?S
-AugmentinS(dogmantin)
27.SWhatSdoSyouSthinkSofSwhenSyouShearSaSbrightSbeefySredSrashSandSwhatSisStheStreatment?
-SCandidiasisSandStreatmentSisStopicalSanti-fungalS(e.gSdiaperSrash)
28.SHowSwouldSyouSdescribeStheSprostateSinSBPH?
-
SFirm,Srubbery,SsmoothSandSsymmetricallySenlarged.SNBSthatSprostateScancerSonStheSotherShandSisSasymmetric
al
29.SA1C>SwhatSisSconsideredST2DM?S>6.5%
30.SMySA1CSisS>10,SwhatSwouldSbeStheSmedicationSofSchoice?SInsulinS(alsoSfirstSchoiceSmedicationSifSfastingSglu
coseSisS>300!)
31.SHypothyroidismSisSmostScommonSinSwhatSpopulation?
-SWomenS>50yrs
32.SYourSpediatricSptShasSbloodySdischargeSinShisSear,Swhat’sStheSlikelySdx?
-SRupturedSTM
33.SYourSpatientSpresentsSwithSaSburnSandSblistersSareSpresent.SWhatSdegreeSburnSisSthis?S
-2ndSdegree
34SWhatSisStheStreatmentSforSpertussis?
-SMacrolideS(Azithromycin)
35.SWhatSbugScausesStheSgreatestSmortalitySinScommunitySacquiredSpneumonia?SStrepSpneumo
36.SWhatSwouldSbeSseenSonSxraySofSaSptSwithSTB?SASblackScircleSusuallySinStheSupperSlobes
37.SMostScommonSsideSeffectSofSlong-termSinhaledScorticosteroidSuse?S
-OsteopeniaSandScataracts
38.SS3SheartSsoundSisSaSsignSofSwhat?S
-CongestiveSheartSfailureS(keepSinSmindSthey’reSnormalSduringSpregnancy)
39.SWhatSmedicationSdoSuseStoStreatSaSfib?
, -SBetaSblockers
40.SWhatSisSpulsusSparadoxus?
-
SASdecreaseSinSsystolicSpressureSwithSinspirationSusuallySseenSinSasthmatics...toSmeasureSuseSaSbloodSpressureS
cuffSandSstethoscope
41.STheSupcomingSJulyS4thSholidaySremindsSyouSofSwhatSdiagnosis?S
-RaynaudsS..redSwhiteSandSblueScolorSchangingSofStheShands.STx?SCCBs
42.SSomeoneSwithShighStriglycerideSlevelsSisSatSincreasedSriskSofSwhat?S
-Pancreatitis
43.SSubclinicalShypothyroidismSisSdescribedSasSwhatSlabSreadings?S
-HighSTSHSwithSaSnormalST4
44.SASpositiveSMarkleStestSisSsignificantSofSwhat?S
-
AppendicitisS...recallSthatStheSMarkleStestSisSalsoSknownSasStheSheelSjarSinSwhichStheSpatientSraisesStheirSheelsSt
henSdropSthemSsuddenlySandSifStheySexperienceSpainSit’sSpositiveSforSappendicitis
45.SWhatSdifferentialsSdoSyouSthinkSofSinSsomeoneSwithSleftSupperSquadrantSpain?S
-Gastritis,Spancreatitis,SmyocardialSinfarction,SandSleftSlowerSlobeSpneumonia.S
46.SWhatSaboutSleftSlowerSquadrant?S
-Diverticulitis
47.SASpositiveSMurphy’sSsignSisSindicativeSofSwhat?S
-Cholecystitis.S
48.SWhatSdiagnosticStestSwouldSyouSorderSifSthisSwereSpositive?
-SAnSultrasound
49.SWhatSisStheSfirstSlineStreatmentSforSGERD?
-SH2Sblockers
50.SISwasSgoingStoSgoSoverShepatitisSBSmarkersSbutSISthinkSit’sSharderStoSsaySthatSoutSloudSversusSseeingSitSonSpa
perSsoSgoingStoSskipSthatSbutSofScourseSrememberStoSreviewSthoseSforStheSexamStoo!
51.SWhatSdiagnosticStestSshouldSbeSdoneSforSsuspicionSofSappendicitis?S
-
CTSscanS...youSshouldSalsoSdoSaSCTSscanSforSdiverticulitisSandSspeakingSofSdiverticulitisSwhatSisStheStreatment?SC
iproSandSFlagyl
52.SWhatSisStheSconfirmatoryStestSforSHIV?SPerSLeikS3rdSedition,
• StepS1:SOrderSHIV-1/HIV-
2SantibodiesSandSP24SantigenS(combinationSassay)SwithSreflexes.S"Reflex"SmeansSthatSifSpositive,StheSlabSwillSa
utomaticallySperformStheSfollow-upStestStoSconfirmStheSresults.
53.SWhatSisStheStreatmentSforSsyphilis?S
, -PcnSGS(forSallSstagesSofSit)
54.SAndSwhatSareSsomeSpresentingSfeaturesSofSsyphilis?SRashesSonSsolesSofSfeetSandSpalmsSofShands,SpainlessSl
esionsS(chancre)S
55.SGonorrheaStreatment?SRocephinS(“gone-a-cephin”ShelpsSmeSrememberSthisSone!)S
56.SCervicitisSisSseenSinSwhichSdiagnoses?S
-ChlamydiaSandSgonorrhea
57.SISamSaShealthyS63-year-oldSpatient,SwhatSisSmySgoalSBPSaccordingStoSJNCS8?
-S<150/90SforS60yrs+.SRecallSthatSlessSthanS60yrsSisS<140/90SinSadditionStoSthoseSwithSDMSandSCKD
58.SWhatSshouldSweSkeepSinSmindSwhenSprescribingSforStheSelderlySpopulation?S
-MayShaveStoSstartSwithShalfSdoseSandSincreaseSslowly,SsideSeffects!!SEspeciallySanticholinergics
59.SASlowSHDLSandShighStrigSlevelSalwaysSmeansSwhat?S
-InsulinSinsufficiencyS
60.STheSS1SisStheSclosureSofSwhichSvalves?S
-AVSvalves,SandSS2SisSclosureSofSsemilunarSvalvesS
61.SOnSexamSyouSfeelSaSweakenedSperipheralSpulse,SwhatSdiagnosisSdoSyouSthinkSof?
-SPADS
62.SAnSabsentSredSreflexSisSindicativeSofSwhat?
SCataract
63.SDuringSanSeyeSexamSyouSnoteSabsentSvenousSpulsations,SwhatSisSthisSrelatedSto?S
-PapilledemaS
64.STheSDixSHallpikeSmaneuverSisSusedStoStestSforSwhatScondition?S
-Vertigo
65.SWhatSisStheSmostSwell-knownSmedicationStreatmentSforSVertigo?
-SMeclizineS
66.SWhatSmedicationSisSprescribedSforSessentialStremors?S
-BBS(propranolol)
67.SASyoungSadultSpatientSstatesSthatSsheSisSexperiencingSepisodesSofSvisionSlossSandSabnormalSlimbSsensations
.SWhatSwouldSbeSatStheStopSofSyourSlistSofSdifferentials?
-SMS---andSwhatSwouldSyouSdo?SREFERSTOSNEURO
68.SWhenSassessingSaSpatientSforSdementia,SwhatSisStheSFIRSTSandSbestSthingSyouSshouldSdo?S
-GETSASGOODSHXSFROMSPTSBUTSALSOSFAMILY
69.SNameSaSdifferenceSbetweenSdementiaSandSdelirium?
-SDementiaSisSslowSprogress,SdeliriumShappensSRAPIDLY
70.SWhatSisStheSMAINScauseSofSdelirium?S