Midterm Exam: FNP652/ FNP 652: Family Primary Care I Exam | Questions and Verified Answers| 100% Correct| Grade A (Latest 2024/ 2025 Update) - GCU 54 year old female with fasting labs to discuss results. Patient requested lab work cause she was more fatigued than normal. Findings are—hg 13 (n) hct 40 (n) plat 250 (n) Na 140 (n) K 3.8 (n) ch 100 (n) BUN 20 (n) creat .9 glucose 85, chol 180 LDL 100 HDL 45 trig 50, TSH 3.8, T4 1.8 T3 1.0. What is diagnosis?subclinical hypothyroidism Which of the following is not a sign of acute appendicitis in young adults marked febrile response Which best represents peak ages for acute appendicitis 10-30 years Which is not usually seen with acute cholecystitis?elevated serum creatinine Most common serious complication of cholecystitis pancreatitis Most likely to be noted in person with colorectal cancer few symptoms To avoid development of acute diverticulitis, management includes use of fiber supplements Most appropriate diagnostic approach to ruleout free air in the abdomen includes plain abdominal film Lower GI hemorrhage associated with diverticular disease usually manifests as a painless event Gastric parietal cells produce hydrochloric acid 1 / 3
H2RA most likely to cause drug interaction with phenytoin & theophylline is cimetidine NSAID-induced peptic ulcer can be best limited by use of misoprostol Peptic ulcer disease can occur in any of the following locations except large intestine With symptomatic GERD, you prescribe PPI to increase the pH of the stomach A young adult with acute onset of periumbilical pain, localizes at McBurney's point, no appetite, involuntary guarding, positive Psoas/Obturator tests - what will your plan of care be?Appendicitis - send to ER for surgical evaluation Patient presents with rapid onset pain in mid-abdomen that radiates to back with positive Cullen's and Grey-Turner's signs, what will you do?Pancreatitis - admit to hospital for IV fluids, narcotics, management Overweight female patient presents with severe right upper quadrant and epigastric pain within 1 hour of eating, pain radiates to right shoulder with n/v - what is your plan?Order US, HIDA scan - Cholecystitis Elderly patient presents with acute fever, anorexia, n/v, LLQ pain, boardlike abd, CBC w/ left shift Acute diverticulitis: clear liquid diet with empiric abx - if complicated need hospitalization Colon cancer screening guidelines Colonoscopy every 10 years depending on findings - if family hx with 1st degree relative, start at 40 with screenings every 5 years Do all patients with GERD need an endoscopy?Only patients with dysphagia, anemia, or non-responsive to tx Gonococcal arthritis will present with -Multiple joint pain -Fever -Rashes
Testing for gonococcal arthritis includes:
swab/culture NAT test for everything!cervix, rectum, pharynx, urethra 2 / 3
Signs and symptoms of osteomyelitis warmth, swelling, fever, toxic-appearing, non-weight bearing, unilateral involvement Which tx may be used to manage bone pain in patients with bone tumors?Biphosphonates Exercise External Beam Radiation Vertebralplasty A 3-year-old child is brought to the clinic by a parent who reports that the child refuses to use the right arm after being swung by both arms while playing. The child is sitting with the right arm held slightly flexed and close to the body. There is no swelling or ecchymosis present. What will the primary care pediatric nurse practitioner do?Gently attempt a supination and flexion technique A school-age child falls off a swing and suffers a closed fracture of the right clavicle. How will this be managed?Immobilization with a sling to support the affected extremity A young adolescent reports chest pain associated with coughing and lifting. Physical examination reveals tenderness over several ribs, radiating to the back. Auscultation of the heart, lungs, and abdomen are normal. There is no history of injury. What will the primary care pediatric nurse practitioner do?Recommend NSAIDs, stretching exercises, and ice packs to the area A young adolescent female is observed to have mild unequal scapula prominences on gross examination while standing. In the Adams forward bending position, this inequality disappears. What will the primary care pediatric nurse practitioner do?Discuss posture and exercise and ask about backpacks and books.The primary care pediatric nurse practitioner elicits positive Ortolani and Barlow signs in a 6-month-old infant not previously noted in the medical record. What is the correct treatment?Surgical intervention A 14-year-old boy who is overweight develops a unilateral limp with pain in the hip and knee on the affected side. An exam reveals external rotation of the hip when flexed and pain associated with attempts to internally rotate the hip. What is most important initially when managing this child's condition?Place the child on crutches or in a wheelchair to prevent weightbearing.A parent is concerned that a 12-month-old child is "bowlegged." A physical examination reveals internal tibial torsion bilaterally. A radiograph reveals asymmetric bowing of the legs with an angle greater than 15 degrees. What is the correct action for the primary care pediatric nurse practitioner?Refer to a pediatric orthopedic specialist for treatment.
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