Influenza vaccine contraindicated for
When should it begin to be administered – CORRECT ANSWER egg allergy
No greater than 6 months
Flu mist age range for administration – CORRECT ANSWER 2-49
Hepatitis B vaccine allergy contraindication – CORRECT ANSWER Bakers yeast
Neomycin allergy avoid – CORRECT ANSWER IPV, MMR, varicella
Streptomycin allergy avoid – CORRECT ANSWER IPV and smallpox
Treatment for anthrax – CORRECT ANSWER FluroQuinolone
Treatment for stress incontinence 1st line drug and others – CORRECT ANSWER
Pessary, Kegel Exercise, Pseudoephidrine
Treatment for urge incontinence 1st line drug and others – CORRECT ANSWER
Ditropan (others: Detrol, and Trofinil
Which is the most common incontinence in elderly – CORRECT ANSWER urge
incontinence
How do you diagnose fibromyalgia – CORRECT ANSWER It is a diagnosis of
exclusion no specific test can diagnose it. Patient can present with
Live vaccines to avoid in pregnancy – CORRECT ANSWER Flu mist, MMR,
varicella,
Rotavirus, Zostavirus
Normal vital signs for children – CORRECT ANSWER
Vaginal condition would be considered the only one that would have an alkaline pH on
the exam?
Treatment
Appearance on a smear – CORRECT ANSWER BV alkaine ph greater than 4.5
clue cells
with bacteria on cell walls
white discharge with fishy odor
Treatment with Flagyl for days
Amine Odor
KOH +
Vaginal condition that is considered an STD?
What would the smear show
Treatment – CORRECT ANSWER Trichomonias
flagallea unicellular
ph greater than 4
Flagyl for
Migraine headache with aura
Treatment preventive vs abortive options – CORRECT ANSWER unilateral
N& V, photophobia, phonophobia
last 4 hours
Abortive:::: TRIPTANS (1st line)
EROGOT
NSAIDS
Preventive
TCA’s
Beta Blockers (1st line Propanolol)
Four Ps of marketing the NP role. – CORRECT ANSWER product, price, place, and
promotion.
Alzheimer’s disease. The three A’s include: – CORRECT ANSWER aphasia
(difficulty verbalizing); apraxia (difficulty with gross motor movements such as walking);
and agnosia (inability to recognize familiar objects and people).
Stages of Change – CORRECT ANSWER Precontemplation: patient is not
interested in change and not aware there is a problem or minimizes it.
Contemplation: Patient considering change and looking at the positive and negative.
Feels stuck.
Preparation: Patient has some change behaviors or thoughts.
Action: Patient is ready to change and makes concrete steps. May be inconsistent
Maintenance/relapse: Patient learns to continue with change and embraced a healthier
habit but may relapse.
Five A’a of intervention for smokers – CORRECT ANSWER Ask(Do you smoke),
Advice (urge to quit) Assess (is the pt ready) Assist (counselng and pharmtherapy)
Arrange (followup within first week after quit date)
Number of Deaths for Leading Causes in Adults top 3
New Cases
Which cancer has the highest rate uterine/endometrial or ovarian
Most common skin and most malignant – CORRECT ANSWER 1.Heart Disease
- Cancer ;;; Lung both
Prostate males, Lung CA
Breast Females, Lung CA
Skin cancer most common Basal Cell most malignant melanoma - Chronic lower respiratory diseases
Uterine/endometrial most common
When should a colorectal cancer screen begin
When should a PAP test begin
How often for prostate
When women are younger than 20 breast exam indicated
When women are 30 breast exam indicated
Mammogram
Endometrial screening – CORRECT ANSWER Age 50 with FOBT and colonoscopy
if result is positive or risk
Age 21 and every three years if negative until age 65 for PAP (if hysterectomy total
including cervix removal cervical screening can stop unless sx done for treatment of
cancer
No routine for prostate unless risk start at 40
At 20 at periodic exam and or monthly BSE
At 20-30 Clinical breast exam every 3 years
At 40 every year CBE
Mammogram at age 40 every 1-2 years up to age 85
ENDO screening at menopause if there are risk and any abnormal vaginal bleeding
Blood loss from acute hemorhage how much loss before drop in H and H – CORRECT
ANSWER 1 liter
RBC reduction causes – CORRECT ANSWER B12, folic acid and iron deficiency
Anemia of chronic disease
Bone marrow suppression