T AANP
FNP WITH ACTUAL CORRECT DETAILED ANSWERST AANP
FNP WITH ACTUAL CORRECT DETAILED ANSWERST AANP
FNP WITH ACTUAL CORRECT DETAILED ANSWERST AANP
FNP WITH ACTUAL CORRECT DETAILED ANSWERST AANP
FNP WITH ACTUAL CORRECT DETAILED ANSWERST AANP
FNP WITH ACTUAL CORRECT DETAILED ANSWERST AAN...
Maculopapular rash; looks like measles rash; remarkable lymphadenopathy; macule on soft palate
(Forchheimer spots) - ANSWER-Rubella
High fever for 2-4 days, then abrupt cessation of fever with appearance of maculopapular rash but not
on face - ANSWER-Roseola (Exanthem subitum)
Vesicular lesions on erythematous base appearing in crops - ANSWER-Varicella (chickenpox)
,Exotoxin rash secondary to Group A Strep infection, sandpaper-like rash that ultimately desquamates -
ANSWER-Scarlet fever
What symptoms most typically characterize the lips/oral cavity of a patient who has herpangina?
1. Pharynx is unaffected
2. Tonsillar exudate is present
3. Painful vesicles on soft palate and mouth
4. Unilateral pustules appear on tonsils, blisters appear on lips - ANSWER-3. Painful vesicles on soft
palate and mouth
A 3-year old girl is diagnosed with fifth disease. Her mother is pregnant (first trimester) and has
significant exposure to the sick child. If her mother has a positive IgM (Parvo B19), what is the risk to the
fetus?
1. Intrauterine fetal death
2. Significant fetal neurologic delay
3. Congenital heart defects
4. Significant orthopedic anomalies - ANSWER-1. Intrauterine fetal death
A virus that infects children < 5 years of age in spring and early summer, characterized by fever, vesicles
on oral mucous membranes, cutaneous vesicles that ulcerate and crust, and typically resolves in 2 -3
days. - ANSWER-Hand, foot and mouth disease
Mnemonic for STD treatment - ANSWER-Children Always Get Cats To Follow Silly People
Treatment for pertussis - ANSWER-Azithromycin OR Erythromycin OR Clarithromycin
(Macrolides)
What type of bacteria is more common in COPD/smoker with PNA - ANSWER-H. influenza
,What is the CURB-65 criteria for hospital admission? - ANSWER-C (confusion)
U (BUN >19.6)
R (respiration > 30)
B (BP < 90/60)
65 years of age
What herbal supplement should you never give with alpha-blockers? - ANSWER-Saw palmetto
Treatment for anthrax? - ANSWER-Ciprofloxacin
What medication should you avoid with grapefruit juice? - ANSWER-CCB
How does hyperthyroidism affect bones? - ANSWER-Break down of bones (osteoporosis)
Is allopurinol used for maintenance or acute treatment? - ANSWER-Maintenance (to avoid gout)
Treatment of outpatient community acquired pneumonia with no comorbids? - ANSWER-Prefer
macrolides, followed by Doxy or Levaquin
Treatment of outpatient CAP with comorbids? - ANSWER-Respiratory fluoroquinolone OR beta-lactam
plus macrolide
Who will have a positive PPD with an induration >5mm (5 groups) - ANSWER-HIV (+)
Recent contact with infectious TB
CXR with fibrotic changes consistent with previous TB disease
Any child who has had close contact or has TB sx
Immunocompromised (i.e. organ transplant, bone marrow transplant, renal failure, patients on biologic
drugs, others)
, Who will have a positive PPD with an induration >10mm (3 groups) - ANSWER-Recent immigrants (within
5 years) from high-prevalence countries (Latin America, Asia, Africa, India, Pacific Islands)
Child younger than 4 years of age, or children/adolescents exposed to high-risk adult
Employees or residents from high-risk congregate settings (jails, nursing homes)
What drug class is Triamcinolone (Azmacort)? - ANSWER-ICS
What drug class is Budesonide (Pulmicort) - ANSWER-ICS
What drug class is Salmeterol (Serevent)? - ANSWER-LABA (Long acting beta agonist)
What drug class is Formoterol (Foradil) - ANSWER-LABA
What drug class is Salmeterol + fluticasone (Advair)? - ANSWER-Combo LABA + ICS
What drug class is Budesonide + Formoterol (Symbicort)? - ANSWER-Combo LABA + ICS
What drug class is Albuterol (Ventolin)? - ANSWER-SABA
What classification of asthma is FEV1 >80% predicted with daytime symptoms less than 2 days/week;
nighttime awakenings less than 2/month? - ANSWER-Intermittent asthma
What classification of asthma is FEV1 > 80% with daytime symptoms more than 2X weekly but not daily,
and nighttime awakenings 3-4 per month? - ANSWER-Mild persistent
What classification of asthma is FEV1 60-80% predicted with daily symptoms, and nighttime awakenings
are more than one per week but not nightly? - ANSWER-Moderate persistent asthma
What classification of asthma is FEV1 < 60% predicted, and symptoms of asthma throughout the day,
nocturnal awakenings nightly - ANSWER-Severe persistent asthma
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