FNP from practice exam AANP Flashcards

0
Q

If patient has right sided weakness, etc. the CVA occurred where

A

left side

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1
Q

squamous epithelial cells with stippling appearance, no lactobacilli and many WBCs is

A

wet mount that shows BV

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2
Q

the headache of an intracranial tumor

A

focal neurological signs and pain worse in supine position

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3
Q

in order to improve longevity of patient with COPD, tx of choice is

A

oxygen

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4
Q

which of the following criteria differentiates a TIA from a CVA

A

absence of residual symptoms - TIA sx occur rapidly and then resolve, CVA sx are residual - TIA is temporary block and usually no residual sx

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5
Q

med of choice for polymyalgia rheumatica

A

prednisone

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6
Q

helical CT pulmonary angiography

A

test for PE

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7
Q

electric shock unilateral facial pain

A

trigeminal neuralgia

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8
Q

sudden vision loss in which person feels like a curtain came down over his eye

A

retinal detachment

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9
Q

decreased gastric production with aging

A

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10
Q

MED FOR MYCOPLASMA PNEUMO

A

AZITHROMYCIN

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11
Q

SSRIs can cause delayed ejaculation

A

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12
Q

best laboratory test to distinguish IDA anemia from other anemias is

A

serum ferritin

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13
Q

bump on testicle can indicate cancer of testicle

A

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14
Q

for diabetic patients taking beta blockers, best indication of hypoglycemic episode will be

A

sweating (WILL NOT SEE TACHY AND PALPITATIONS DUE TO BETA BLOCKER USE)

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15
Q

S1 spinal function is assessed with what DTR

A

achilles

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16
Q

children over 8 years old can use doxy

A

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17
Q

in doing initial eval of patient with suspected acute prostatitis, what test to do

A

urinalysis and culture

18
Q

Koplik spots

A

measles

19
Q

pernicious anemia is B12 deficiency

A

20
Q

most appropriate dx tests for PCOS are

A

testosterone, LH, prolactin, TSH

21
Q

weight loss, shoulder and pelvic pain, pain with ROM, no weakness, elevated ESR

A

polymyalgia rheumatica!!!!

22
Q

pansystolic murmur

A

mitral regurgitation

23
Q

tx corneal abrasion with

A

gentamicin

24
Q

feverfew is used for

A

migraines and menstrual cramps

25
Q

most common 2 pathogens for older adults residing in community

A

strep pneumo, H. flu

26
Q

what class of anti-HTN meds is absolutely CONTRAINDICATED in bilateral renal artery stenosis and has been associated with acute renal failure

A

ACEs - With stenosed renal arteries, afferent flow cannot be increased, angiotensin II can actually become the only mechanism by which the kidney can increase filtration, and with severe stenosis, efferent arteriole constriction is crucial for maintaining some degree of filtration. ACE inhibitors would prevent conversion of Ang. I (which is inactive) to Ang. II, and therefore make everything worse by removing the kidney’s only remaining regulatory mechanism as well as cutting the perfusion pressure and eliminating what little renal function remains. With tubular cells that are already less effective due to damage from chronic ischemia, the resulting decrease in GFR would effectively accelerate kidney failure .

27
Q

HCTZ should not be taken with digoxin

A

may increase risk of digoxin toxicity

28
Q

Erythema multiforme

A

a milder form of Stevens-Johnson syndrome that produces pink-to-red targetlike lesions, wheals, and blisters, with no mucosal involvement. The clinician should look for a history of antibiotic and other drug treatment such as sulfa drugs, penicillins, and other drugs. Hypersensitivity reaction from meds, allergy, or infection.

29
Q

how is MS dx

A

lumbar puncture

30
Q

diabetes can contribute to pregnancy induced HTN

A

31
Q

hold assistive device (like cane) on opposite side

A

32
Q

sickle cell, thalassemia and leukemia can all cause

A

hepatosplenomegaly - but IDA wil not

33
Q

VSD sx

A

cyanosis and poor feeding - murmur is heard in tricuspid area

34
Q

Down’s syndrome patients can have

A

congenital heart defects, seizures, eye issues, hearing loss, obesity - NOT failure to thrive

35
Q

hyperinflation of lungs can be seen on chest X-ray in patients with asthma

A

36
Q

Kerley’s B lines on X-ray indicate

A

Pulmonary edema

37
Q

Depo provera can cause

A

menstrual irregularities and amenorrhea

38
Q

when rx hormones, consider fam hx of what cancers

A

uterine and breast

39
Q

nuva ring does not affect menstrual cycle

A

40
Q

implant can help with cramps

A

41
Q

itraconazole - oral

A

42
Q

griseofulvin

A

tinea capitis

43
Q

miconazole - topical

A