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WHNP/CNM Board Prep Questions and Answers (100% Pass)
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©PREP4EXAMS@2024 [REAL-EXAM-DUMPS] Monday, July 29, 2024 12:15 PMWHNP/CNM Board Prep Questions and
Answers (100% Pass)
Normal hematocrit findings - ✔️✔️37-47% in normal adult. 33% in 1st trimester, 32% in
2nd trimester
MCV - ✔️✔️average size or volume of a single RBC
Normal: 80-95 mm3, normocytic
microcytic (abnormally small): iron deficiency anemia, thalassemia
macrocytic /abnormally large: seen w megaloblastic anemias such as vit B deficiency
and folic acid deficiency
MCH - ✔️✔️Mean corpuscular hemoglobin
average amount or wt of Hgb within an RBC
normal: 27-31 pg/cell
causes for abnormalities such as with MCV
MCHC - ✔️✔️Mean Corpuscular hemoglobin Concentration
average concentration or percentage of Hgb within a single RBC
normal: 32-36g/dL, normochromic
decreased concentration or hypochromic: iron deficiency anemia and thalassemia
neutrophils - ✔️✔️increased with bacterial infections.trauma "shift to left" with acute
bacterial infections
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,©PREP4EXAMS@2024 [REAL-EXAM-DUMPS] Monday, July 29, 2024 12:15 PM
Basophils and eosinophils - ✔️✔️allergic rxns
parasitic infections
UNAFFECTED by viral or bacterial infections
Lymphocytes and monocytes - ✔️✔️increased with chronic bacterial and acute viral
infections
Normal UA results - ✔️✔️pH 4.6-8.0
Protein 0-8
spec gravity - 1.005-1.030
WBCs 0-4 per high powered field
RBCs <2
fasting glucose - ✔️✔️normal: <100
impaired: 100-125
Diagnostic for DM: >126
2hr gtt - ✔️✔️75g of glucose
normal: <140
impaired 140-199
dx for DM: >200
hgb a1c - ✔️✔️>6.5% dx for DM
for evaluating DM control: good control for someone with KNOWN DM is <7%
BUN - ✔️✔️liver/renal eval
10-20 : normal
elevated: hypovolemia, GI bleed, dehydration, sepsis, renal disease
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,©PREP4EXAMS@2024 [REAL-EXAM-DUMPS] Monday, July 29, 2024 12:15 PM
low: liver failure, malnutrition, nephrotic syndrome
creatinine - ✔️✔️0.5-1.1
increased: renal disorder, dehydration
decreased: debilitation and decreased msl mass
CDC definition of positive PPD - ✔️✔️high risk: >5mm
mod risk: >10mm
general population: >15mm
contraindicated if hx of BCG vaccine or active TB d/t possible severe local rxn
autoantibodies/antinuclear antibodies (ANA) - ✔️✔️systemic lupus erythematosus (SLE)
or RA, scleroderma
extra heart sound NORMAL in pregnancy - ✔️✔️An increased S3 may be audible in late
pregnancy. This heart sound is heard early in diastole during rapid ventricular filling.
The second and third doses of the human papillomavirus (HPV) vaccination should be
given: - ✔️✔️two months and six months after the initial dose.
Alendronate - ✔️✔️bisphosphonate - for tx or prevention of osteoporosis in
postmenopausal women
must stand or sit upright for 30mins after taking
no food or drinks except water for at least 30-60 mins after taking
2hrs between calcium or antacids
oxybutynin - ✔️✔️antimuscarinic anticholinergic
tx for overactive bladder
can cause drying out anticholinergic effects - dry mouth, heatstroke
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, ©PREP4EXAMS@2024 [REAL-EXAM-DUMPS] Monday, July 29, 2024 12:15 PM
avoid dehydration
tamoxifen - ✔️✔️selective estrogen receptor modulator (SERM)
tx for estrogen positive BRCA
prevention of ER BRCA in high risk individuals
gonadotropin releasing hormones - ✔️✔️released from hypothalamus
stimulates ant pot to release fsh/lh
pulsatile release
Follicle-stimulating hormone (FSH) - ✔️✔️secreted by the ant pituitary gland to stimulate
maturation of the egg cell (ovum) acting on ovary
leutenizing hormone (LH) - ✔️✔️released by ant pit - surge responsible for ovulation
anti-mullerian hormone (AMH) - ✔️✔️produced exclusively by granulosa cells - inhibits
FHS-dependent follicular growth
plays a role in follicular recruitment
*marker of ovarian reserve
starts to decline late 20s/30s
undetectable 5yrs after menopause
inhibin B - ✔️✔️major ovarian peptide
highest mid cycle
regulates FSH with negative feedback loop
as # of follicles decline, inhibin B falls and FSH levels rise
Antral follicle count - ✔️✔️A measure of the number of ovarian follicles that are available
during each reproductive cycle:
US eval
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