NURSE PRACTITIONER CERTIFICATION EXAM

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NURSE PRACTITIONER CERTIFICATION EXAM

Actual Qs and Ans - Expert-Verified Explanation -Guaranteed passing score -99 Questions and Answers

-Format: Multiple-choice / Flashcard

Question 1: configuration: linear

Answer:

scratch, streak, line stripe

Question 2: small pox definition

Answer:

infectious disease unique to humans, caused by virus variants, localizes in blood vessels of the skin mouth and throat

Question 3: signs and symptoms of small pox

Answer:

Sudden onset flu like symptoms, rash appears as flat , red spots/lesions that turn into blisters within 2 days filled with clear fluid and later with pus** pain is excruciating * Question 4: configuration: target (iris)

Answer:

resembles iris of eye; lesion with concentric rings of color

Question 5: squamous cell carcinoma

Answer:

arise out of actinic keratoses; firm , irregular papule or nodule, develop over few months 3-7% metastasize, prolonged sun-exposed areas in fair skin people, keratitic, scaly bleeding

Question 6: tinea vesicolor

Answer:

fungal infection of skin caused by yeast, treated with topical selenium sulfide, topical antifungals

Question 7: folliculitis

Answer:

inflammation of hair follicle; common cause staphylococci

Question 8: paronychia

Answer:

staph around nail fold

Question 9: What is an allergic reaction and treatment

Answer:

hypersensitivity reaction to a particular allergen; symptoms can vary from mild to severe. Treated with withdrawal of any medication that is causing reaction, antipruritic agent and antihistamine

Question 10: bulla

Answer:

blister, circumscribed elevation containing fluid >1cm , extends only into epidermis, examples burns, superficial blister, contact dermatitis

Question 11: flat warts

Answer:

pink or light yellow. Treated with tretinoin cream, liquid nitrogen and electrocautery

Question 12: candida balanitis

Answer:

inflammation of superficial tissues of penile head caused by candida albicans : managed by steroids, miconazole, clotrimazole or fluconazole

Question 13: hidradenitis supparativa

Answer:

staph infection common in groin or axilla ; abscess formation common

Question 14: papule

Answer:

Small solid elevated lesion; <1cm ex.) bug bite, elevated nevus (mole) or verruca (wart)

Question 15: primary lesion

Answer:

lesion that develops on previously unaltered skin

Question 16: Abscess

Answer:

a localized collection of purulent fluid in a cavity formed by disintegration or necrosis of tissues >1cm

Question 17: what are the signs and symptoms of anthrax?

Cutaneous form

Answer:

• cutaneous (95% cases)
• occurs on exposed areas on arms and hands, followed by face and neck
• pruritic papule leading to ulcer surround vesicles.
• develops into black necrotic central eschar with edema
• after 1-2 weeks, eschar dries, loosens and separates, leaving a permanent scar
• regional lymphadenopathy

Question 18: what are some of advantages of Nuva Ring

Answer:

discreet, can not be felt by partner, once a month insertion, shorter and lighter periods, improves acne, depression and cramps Question 19: what are some absolute contradictions in prescribing oral contraceptives

Answer:

history of thromboembolic disorders, CVA, CAD, known or suspected breast ca, or estrogen dependent neoplasia, pregnancy, benign or malignant liver tumor, impaired liver function, previous cholelithiasis during pregnancy, undiagnosed abnormal uterine bleeding,

Question 20: pharmacological management of acne

Answer:

comedolytic agents: benzoyl peroxice, salicylic acid, topical antibiotics (clindamycin, erythromycin, tetracycline and metronidazole for rosacea). May consider oral antibiotics and oral contraceptives

Question 21: cyst

Answer:

any closed cavity or sac; contains fluid or semisolid material, normal or abnormal epithelium. example sebaceous cyst

Question 22: comedones

Answer:

open are called black heads (openings capped with a blackened skin debris); and closed are called white head (obstructed)

Question 23: what are some prescriptive guideline for oral contraceptives

Answer:

• begin low lose combo or multi phasic pill (35mcg or less), progestin only pills may be used in women

with history of migraines, who are breast feeding or who have contraindication with combo pill

Question 24: lesion

Answer:

a region in an organ or tissue that has suffered damage thru injury or disease

Question 25: cellulitis

Answer:

most common causes: out patients strep ; inpatient: gram negative (ecoli, klebsiels, psuedomonsa, enterbacter, staph aureus and strep

Question 26: what does ABCDE

Answer:

asymmetry, border irregularity, color variation, diameter >6cm, elevation, enlargement. treatment is biopsy and surgical excision