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
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?
(Ans1. Warfarin sodium (Coumadin): monitor INR - Digoxin (lanoxin): monitor digoxin level, EKG, electrolytes(potassium,
magnesium, calcium) - Theophylline: monitor blood levels
- Carbamazepime (Tegretol) and Phenytoin (Dilantin): Monitor blood
levels - Levothyroxine: Monitor TSH
- 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
(AnsPearly domed nodule with overlaying telangiectatic vessels. Could be
plaque, papule, possible central ulceration and crusting. Dx: Biopsy Tx:
Normal, healthy woman of reproductive age
(Answhite, 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
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),