Exam (elaborations)
WHNP BOARDS EXAM
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Exam of 19 pages for the course WHNP BOARDS at WHNP BOARDS (WHNP BOARDS EXAM)
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WHNP BOARDS EXAMTreatment for mild acne - ANSWER antibacterial wash
benzoyl peroxide cream
topical retinoids
topical antibiotics
clindamycin/erythromycin
What is the best choice for systemic antimicrobial therapy for skin and soft tissue
infection likely caused by MRSA? - ANSWER Trimethoprim-sulfamethoxazole
(Bactrim)
MRSA you can use Keflex or PCN
Where do you find eczema? - ANSWER Antecubital fossa
Where do you find scabies? - ANSWER Waistband
Where do you find actinic keratosis? - ANSWER Sun exposed areas
Where do you find psoriasis vulgaris? - ANSWER Anterior surface of knees
Where do you find pityriasis rosea? - ANSWER Coin shaped lesions usually
preceded by a Herald patch on the trunk
Treatment of rosacea or "curse of the Kelt" - ANSWER Metronidazole
Treatment for tinea pedis (athlete's foot) - ANSWER Topical ketoconazole
(antifungal)
Treatment for verruca vulgaris (warts) - ANSWER Imiquimod cream
Treatment for scabies - ANSWER Permethrin lotion
Treatment for psoriasis vulgaris - ANSWER medium potency topical corticosteroid
Which is more common? Basal cell or squamous cell carcinoma? - ANSWER Basal
cell (needs biopsy and removal)
Treatment for moderate inflammatory acne? - ANSWER Oral antibiotics (doxycycline
or azithromycin)
Combined oral contraception
Accutane
Indicated for the treatment of cystic acne? - ANSWER Isotretinoin or Accutane
Most cost-effective antibacterial in mild acne? - ANSWER Benzyl peroxide
Used as a keratolytic in acne treatment? - ANSWER Tretinoin or retina
,The use of this results in reduction of androgen levels? - ANSWER Combined oral
contraceptives
Treatment of PUPPs in pregnancy - ANSWER Systemic antihistamines
Topical corticosteroids
Resolves 1 week after birth typically
Symptoms related to hypothyroidism - ANSWER Memory loss
Obesity
Menorrhagia
Slowness mentally
Dry skin
Tired
Intolerance to cold
Raised blood pressure
Low energy
Depressed DTRs
Hyperthyroid symptoms - ANSWER Sweating
Weight loss
Emotional lability
Appetite increased
Tachycardia
Heat intolerance
Irregular menstruation
Jittery
Goiter
What is the most common hyperthyroid etiology? - ANSWER Graves' disease
What is a normal TSH? - ANSWER 0.4 - 4.0
What is the normal free T4? - ANSWER 10 - 27
Subclinical hypothyroidism treatment - ANSWER (Elevated TSH and normal free t4)
Levothyroxine for patients with TSH > 5, presence of goiter, or TPO antibodies
SNOOP mnemonic for headache - ANSWER Systemic symptoms
Neurologic symptoms
Onset sudden (thunderclap)
Onset of age > 50
Previous headache history
Tension-type headache - ANSWER Mild to moderate bilateral headache with a
sensation of a tight band or pressure around the head.
Lasts 30 minutes to 7 days
Migraine without aura - ANSWER Throbbing pain behind one eye (unilateral)
Photophobia, phonophobia
, Nausea/vomiting
Can last 4-72 hours
Aggravating Factors: Red wine, MSG, aspartame,
menstruation, stress, etc.
Migraine with aura - ANSWER Feeling of dread and anxiety
Unusual fatigue
Visual or olfactory alteration
Settles over one eye
Cluster headache - ANSWER Headaches occur daily in groups or clusters
1-8 episodes at the same time of day
Suicide headaches has a parasympathetic nervous system component causing
drilling eye pain, running nose, and watery eyes
Treatment for primary headaches - ANSWER Avoid triggers
NSAIDs
Triptans best if taken at onset of headache
Prophylaxis such a beta blockers (metoprolol), tricyclic antidepressants
(amitriptyline)
With chronic anovulation such as PCOS, which phase of the menstrual cycle is the
patient stuck in? - ANSWER FOLLICULAR
Where does the variability in menses come from? - ANSWER Follicular
Which hormone is dominant in the follicular phase? - ANSWER Estrogen
The hallmark shift from estrogen dominance in the luteal phase is to what hormone?
- ANSWER Progesterone
What happens at the peak of progesterone? - ANSWER Implantation
What is the length of the luteal phase? - ANSWER 14 days!
What hormone is responsible in the increase in basal body temperature? - ANSWER
Progesterone suppressing FSH in the luteal phase
Normal increase is 0.5 degree Fahrenheit
What type of fibroid is associated with the most abnormal uterine bleeding? -
ANSWER Submucosal
Evaluation and treatment for ovarian cyst - ANSWER Bimanual exam & pelvic u/s
May resolve on its own
Repeat u/s in 3 months
If greater than 8cm, needs removal
Contraception
What are dermoid cysts at risk for? - ANSWER Torsion
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