Midwifery and Women\'s Health Nurse Practitioner Certification Review Guide
Exam study book Midwifery and Women's Health Nurse Practitioner Certification Review Guide of Beth M. Kelsey, Jamille Nagtalon-Ramos - ISBN: 9781284053029 (WHNP BOARD EXAM)
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 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
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
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
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