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FNP Board Review Questions with Solutions
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FNP Board Review Questions with Solutions
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FNP Board Review Questions with Solutionswhat is murphy sign CORRECT ANS--upon deep inspiration by the patient, palpate firmly in
the right upper quadrant of the abdomen below the costovetebral angle
-sign is positive if pain occurs when performing RUQ palpation with the pt takes deep
inspiration, causing pt to abruptly stop the deep breath due to pain
-as liver palpated it will descend and push up agains the inflamed gallbladder and cause sharp
pain -- cholecystitis
common symptom of placenta previa CORRECT ANS-painless, bright red bleeding
signs of threatened abortion CORRECT ANS-vaginal bleeding and cramping but the cervix
remains closed
normal vaginal pH CORRECT ANS-4.0-4.5
if >4.5 think BV
at 12 weeks pregnant on exam where is the uterus CORRECT ANS-just rising above the
suprapubic bone
best test for diagnosing glaucoma CORRECT ANS-tonometry
normal IOP 10-22
, FNP Board Review Questions with Solutions
what is fitz-hugh-curtis CORRECT ANS-a complication of having pelvic inflammatory
disease that was caused by vaginal infection, such as gonorrhea or chlamydia.
-this causes inflammation and infection in the pelvic cavity. left untreated can cause
adhesions that stretch from the peritoneum to the liver.
signs and symptoms of measles CORRECT ANS-fever over 101, coryza, cough,
conjunctivitis, rash, and Koplik's spots on buccal mucosa
what produces HCG CORRECT ANS-the placenta
which SSRI is most likely to cause ED CORRECT ANS-Paxil
TB screening positive results CORRECT ANS->5 positive for: HIV + patients, recently
exposed to active TB, organ transplant pts, pt with fibrotic changes on CXR,
immunosuppressed
>10mm positive for: recent immigrants (w/in 5 years), injection drug users, children <4,
residents and employees of high risk congregate settings (prison worker)
>15mm positive in every one
polymyalgia rheumatica CORRECT ANS-characterized by aching and stiffness of the
shoulder and hip girdle muscles
-Eleveated ESR and responds to steroids
-may have signs and symptoms of giant cell arteritis
, FNP Board Review Questions with Solutions
*DOC is prednisone
Prostatitis and Epididymitis treatment CORRECT ANS-<35 y/o treat with ceftriaxone 250mg
IM and doxycycline 100mg BIDx10days
age >35 or unlikely sexual transmission - cirpofloxacin PO BID or levofloxacin daily for
(edidymitis 10 days) Prostatitis - 4-6 weeks.
Phrens sign CORRECT ANS-Positive if relief of pain with scrotal elevation
seen in acute bacterial epididymitis
anterior fontanell closes at CORRECT ANS-18 months
when does a kid go up and down steps alternating feet? CORRECT ANS-4 years
the four defects in teratology of fallot CORRECT ANS-Large VSD
Pulmonary stenosis
overriding aorta
RVH
TX of chlamydia CORRECT ANS-Azithromycin 1 g PO single dose
OR doxycycline 100mg BID x 7days
, FNP Board Review Questions with Solutions
TX of gonorrhea CORRECT ANS-Ceftriaxone 250mg IM x1 dose PLUS TX for chlamydia
Azithromycin 1 g PO single dose OR doxycycline 100mg BID x7days (give doxy if complicated
x14 days--PID,prostatitis, epididymitis)
Reiter's syndrome CORRECT ANS-more common in males
an immune-mediated reaction secondary to infection with certain bacteria - chlamydia,
resolves spontaneously, TX supportive - NSAIDS
"I can't see, pee, or climb up a tree"
condyloma lata CORRECT ANS-secondary syphilis
McMurrays test CORRECT ANS-MMM - medial meniscus McMurrays
an audible/palpable click when the knee is raised slowly with one foot externally rotated
(knee is flexed and then quickly straightened); NP's hand rests on the joint line;
test is positive for medial meniscal injuries
Lachmans test CORRECT ANS-drawer test to assess for anterior cruciate ligament tear
-more sensitive for ACL than drawer and easy to perform test on a swollen, painful knee
-place knee in 20-30 degree flexion, grasp leg with one hand with anterior force to proximal
tibia (stresses the ACL/PCL) while the opposite hand stabilizes the thigh; graded 1+-3+ --
positive test
KNEE JOINT LAXITY IS POSITIVE
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