FNP Board review Questions With

FNP Board review Questions With Complete Solutions A 24-year old, otherwise healthy college student presents with c/o cough x 6 weeks. She has tried several OTC cough meds with no improvement. What is the most important information to consider when building your differential diagnoses?

• Her age
• Family hx
• Ineffectiveness of OTC cough medicines
• Length of time she has been coughing - Correct Answers

✅D) Length of time she has been coughing Why? This information helps you build your ddx

Acute cough < 3 weeks: bronchitis, sinusitis, PND,

exacerbation of COPD/asthma, pneumonia, pulmonary embolism Chronic cough (>8 weeks) GERD and Asthma are most common causes, also consider infection (e.g. pertussis, atypical pneumonia), ACE inhibitors, chronic bronchitis, bronchiectasis, lung ca) According to the CDC, what drug class is considered first-line treatment for pertussis?

• Sulfonamide
• Tetracycline
• Macrolide 1 / 4

FNP Board review Questions With Complete Solutions

• Beta-lactam - Correct Answers ✅C) Macrolide antiobitic

(e.g. Azithromycin, clarithromycin Sulfonamides are second-line

Match the antibiotics with the correct drug class:

• Sulfonamide
• Tetracycline
• Macrolide
• Beta-lactam
• Doxycyline
• Azithromycin
• Penicillins

D.Trimethoprim-Sulfamethoxazole

• Cephalosporin
• Clarithromycin - Correct Answers ✅1. Sulfonamide -

D.Trimethoprim-Sulfamethoxazole (Bactrim)

• Tetracycline - A. Doxycycline
• Macrolide - B & F, Azithromycin and Clarithromycin 2 / 4

FNP Board review Questions With Complete Solutions

• Beta-lactam - C & E, PCN and cephalosporins

What are the three most common bugs in community- acquired pneumonia? - Correct Answers ✅Streptococcus pneumoniae Mycoplasma pneuomiae (atypical pathogen) Chlamydophila pneumoniae (atypical pathogen) What is the treatment for CAP caused by Strep pneumo? - Correct Answers ✅Respiratory quinolone (e.g.Levofloxacin, moxifloxacin, gemifloxacin) OR high-dose amoxicillin OR amoxicillin with clavulanate What antibiotics are avoided in CAP caused by Strep pneumo due to high rates of resistance? - Correct Answers ✅Macrolides What is the treatment for CAP caused by Mycoplasma pneumoniae? - Correct Answers ✅Macrolide OR doxycycline What antibiotics are avoided in CAP caused by atypical pathogens? - Correct Answers ✅Beta-lactams (ineffective) A 38-year old mother of two teenagers recently recovered from Mycoplasma pneumonia a couple of weeks ago. She 3 / 4

FNP Board review Questions With Complete Solutions asks if she should get the "pneumonia shot." She takes levothyroxine 88 mcg daily for hypothyroidism, but is otherwise healthy. How do you respond?

• No, it's too soon after your infection
• No, it's not indicated
• Yes, you can get it in about a month
• Yes you can get it today - Correct Answers ✅B) No, it's

not indicated An otherwise healthy adult without immunocompromise or multiple comorbid conditions is not a "vulnerable population" The pneumonia vaccine does not prevent mycoplasma pneumonia According to GOLD, what is required to establish the diagnosis of COPD? - Correct Answers ✅Spirometry (FEV1/FVC ratio < 70%) A 70-year old house painter reports a 4-week history of exertional dyspnea, chest tightness, and cough for the past 3 months. He has never smoked. What diagnoses are included in your differential? Select 4.

• Asthma
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