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FNP 652
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FNP 652
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FNP 652 MIDTERM EXAM AND STUDY GUIDE LATEST
UPDATE THIS YEAR WITH OVER 300 QUESTIONS AND
CORRECT ANSWERS JUST RELEASED
QUESTION: A 10 year old female patient presents to the clinic with her mother with complaints
of ongoing generalized abdominal pain over the last 6 months. Her stool is negative for occult
blood and she is absent of any alarm symptoms. All previous imagining and work up has come
back negative. The pain is intermittent, and is unrelated to meals, movement or activity. Pain
medications thus far have been ineffective, and the school is sending letters home regarding
the child's many absences. What condition do you suspect? - ANSWER-Functional Abdominal
Pain
QUESTION: Which liver enzyme is typically higher in Non-alcoholic fatty liver disease? ALT or
AST? - ANSWER-ALT
QUESTION: What are potential causes of non alcoholic fatty liver disease? - ANSWER-Obesity,
DM, hypertriglyceridemia associated with insulin resistance as a part of metabolic syndrome
QUESTION: What are the "2 hits" in non-alcoholic fatty liver disease? - ANSWER-1-insulin
resistance and altered lipid metabolism resulting in fatty acids infiltrating the liver.
2-Inflammation causes more liver injury, which can result in fibrosis and later cirrhosis
1
,Page 2 of 89
QUESTION: A mother bring in her 5 year old son who was previously potty trained, but has
recently started having accidents daily and not using the toilet. What condition do you suspect?
- ANSWER-Encopresis
QUESTION: What is Primary Encopresis? - ANSWER-Child has never been toilet trained
successfully
QUESTION: What is secondary Encopresis? - ANSWER-Child previously toilet trained, but begins
to soil
QUESTION: Treating a child with encopresis with constipation, what methods of disimpaction
should be utilized? - ANSWER-Oral cathartics, enemas or combination
QUESTION: A child with encopresis with constipation just underwent bowel evacuation, what
should be initiated next? And what is the goal for their continuing bowel habits? - ANSWER-
Laxative/stool softeners in order to achieve goal of 1-2 soft stools ad ay.
QUESTION: What is the first line for management of encopresis? - ANSWER-Behavior
modification therapy
2
,Page 3 of 89
QUESTION: What is the major contributing factor for recurrence of diverticulitis? - ANSWER-
Chronic low grade inflammation
QUESTION: A patient presents with acute left lower abdominal pain with tenderness, palpable
mass, fever, and leukocytosis. What condition do you suspect? - ANSWER-Diverticulitis
QUESTION: What medications will you give for treatment of diverticulitis in the outpatient
setting? - ANSWER-Cipro and metronidazole (flagyl)
QUESTION: You have a patient in which you suspect an acute diverticular episode, what
diagnostic study would you want to order first? - ANSWER-CT of the abdomen
QUESTION: In a patient who is suspected to be having an acute diverticular episode, when
would you want to order a colonoscopy? - ANSWER-Not during acute phase, should be
performed 6 weeks after acute epoisode
What is the most common cause of neonatal obstruction? - ANSWER-Hirschsprung Disease
QUESTION: What is the definition of Hirschsprung disease? - ANSWER-Congenital absence of
ganglion cells in section of large intestine which results in lack of motility
QUESTION: What is the gold standard for diagnosis of Hirschsprung Disease? - ANSWER-Biopsy
3
, Page 4 of 89
QUESTION: A 1 month old infant is brought in by his mother with complaints of multiple
episodes of forceful vomiting that is getting worse. What condition would you suspect? -
ANSWER-Pyloric Stenosis
QUESTION: A 1 month old infant is brought in by his mother with constant hunger and weight
loss despite the mother trying to supplement his feeding. He has had regular bouts of vomiting,
which the mother thought was normal for infants. You palpate an olive shaped mass in the right
upper quadrant of the abdomen. What diagnosis do you suspect? - ANSWER-Pyloric Stenosis
QUESTION: What is the treatment for Zollinger-Ellison Syndrome? - ANSWER-PPI
QUESTION: What percentage of weight loss is enough to improve obesity related co-
morbidities? - ANSWER-5-10%
QUESTION: What medication for obesity blocks the digestion and absorption of fat in the
stomach and small intestines? - ANSWER-Orlistat
QUESTION: What are the ranges for BMI for class I, II and III of obesity? - ANSWER-I >30- <35
II >35-<40
III >40
4
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