AANP FNP TEST REVIEW
ADA screening for DM in Children (Ans- -symptomatic children (polyuria, polydipsia, polyphagia, blurred vision) regardless of risk factors -asymptomatic children after puberty or 10 years of age or older if
overweight or obese (>85th percentile). Plus 1 of the following:
*T2DM in 1st or 2nd degree relative *high risk racial/ethnic group *signs of insulin resistance (HTN, dyslipidemia, acanthosis nigricans,
PCOS, SGA)
*maternal hx of DM or GDM during the child's gestation
Statistics (Ans-
- leading causes of death: Heart disease, cancer, lung disease
- leading cause of cancer death: lung
- leading cause of death in adolescents: accidents
- most common cancer: skin.
- in males: prostate. in females: breast
suicide: males more successful, women more attempts. highest rate is
older white males.
Osgood-Schlatter:
(Ans- knee pain in young adults, overuse. Repetitive stress pain, tenderness, swelling at the tendon's insertion site. The tibial tuberosity.Rule out avulsion fracture if there is an acute onset and order a lateral xray.RICE. Usually stops when the growth stops.
If patient has right sided weakness, etc. the CVA occurred where (Ans- left side
- / 4
initial evaluation of symptoms of acute prostatitis (Ans- Urinalysis and urine culture
A 65-year-old woman presents for a follow-up examination after a new patient visit. She has not seen a healthcare provider for several years. She is a smoker and her hypertension is now adequately controlled with medication. Her mother died at age 40 from a heart attack. The fasting lipid profile shows cholesterol = 240 mg/dL, HDL = 30, and LDL = 200. In addition to starting Therapeutic Lifestyle Changes, the nurse practitioner
should start the patient on:
- bile acid sequestrant.
- a statin drug.
- a cholesterol absorption inhibitor.
- low-dose aspirin.
(Ans- A statin drug
Ortolani's Click (Ans- a click is heard or felt as dislocation is reduced (developmental dysplasia of hip) (good until one year)
Which of the following laboratory tests should a nurse practitioner order when the suspected diagnosis is temporal arteritis?(Ans- Erythrocyte sedimentation rate (ESR)
What are narrow therapeutic index drugs?(Ans-
1. Warfarin sodium (Coumadin): monitor INR
2. Digoxin (lanoxin): monitor digoxin level, EKG, electrolytes(potassium,
magnesium, calcium)
3. Theophylline: monitor blood levels 2 / 4
4. Carbamazepime (Tegretol) and Phenytoin (Dilantin): Monitor blood
levels
5. Levothyroxine: Monitor TSH
6. Lithium: Monitor blood levels, TSH (risk of hypothyroidism)
Otitis Externa tx (Ans- Fluoroquinolone & Polymyxin B cortisporin drops
An elderly male patient complains of a new-onset, left-sided temporal headache accompanied by scalp tenderness and indurated temporal artery. The NP suspects temporal arteritis. What screening test would you order to assist with diagnosis?(Ans- sedimentation rate (expect to be very elevated)
Basal Cell Carcinoma (Ans- Pearly domed nodule with overlaying telangiectatic vessels. Could be plaque, papule, possible central ulceration and crusting. Dx: Biopsy Tx:
Normal, healthy woman of reproductive age (Ans- white, clear, flocculent(physiologic leukorrhea), no complaints, pH 3.8-4.2 (toward acidic), no odor, microscopic shows lactobacilli (gram+bacteria)
Multiple infections from bacteria and fungus?(Ans- Screen for HIV
Screening Tests (Ans-
- sensitivity: detect those WITH the disease. higher the sensitivity is higher
the false positives
- Specificty: detect those who DONT have the disease.
to assess pts ability to think abstractly a nurse pract could ask the patient (Ans- the meaning of a common proverb 3 / 4
The most commonly prescribed medication for mild systemic lupus
erythematosus (SLE) is:
1.azathioprine (AZA).
2.belimumab (Benlysta).
3.ibuprofen (Advil).
4.cyclophosphamide (Cytoxan).(Ans- ibuprofen (advil)
A 17-year-old female is suspected of having polycystic ovary syndrome. In addition to testosterone, the most appropriate diagnostic tests to order
would be:
(Ans- follicle-stimulating hormone (FSH), luteinizing hormone (LH), prolactin, and thyroid-stimulating hormone (TSH).
Barlow's Maneuver (Ans- Feeling of a slip as the femoral head slips away from the acetabulum (toward the butt) (good until 6 mo)
Candida vulvovaginitis
(Ans- etiology: candida albican (80-90%)
white, curdy, "cottage-cheese" like, sometimes increased, itching/burning discharge, pH <4.5, odor is usually absent, microscopic shows mycelia,
budding yeast, pseudohyphae w/KOH prep. Treatment: oral diflucan or
vaginal miconazole or terconazole
PSEUDOHYPHAE, CLOTRIMAZOLE CREAM
Proton Inhibitors (Ans- Increased risk of fractures(postmenopausal women),
- / 4