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SARAH MICHELLE FNP QUESTIONS AND CORRECT DETAILED ANSWERS AGRADE 2024
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SARAH MICHELLE FNP QUESTIONS AND CORRECT DETAILED ANSWERS AGRADE 2024
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SARAH MICHELLE FNP QUESTIONS AND CORRECT DETAILED ANSWERS AGRADE 2024 RATED What are absence seizures? - 💯CORRECT ANSWER ✔✔Commonly diagnosed in childhood, can last 20 -30 seconds May appear as child is daydreaming - look off into distance and stare blankly Patients will have no recollection of these episodes How are seizures diagnosed? - 💯CORRECT ANSWER ✔✔With EEG - but seizure needs to be captured on the EEG in order for it to be diagnosed What is the treatment of absence seizures? - 💯CORRECT ANSWER ✔✔Typically children will outgrow absence seizures, if not they can be treated with anti -seizure medications: Gabapentin, valproic acid and lamictal What are tonic clonic seizures? - 💯CORRECT ANSWER ✔✔Convulsion seizures Tonic - stiffening Clinic - jerking Loss of consciousness Typically last about 3 minutes When should 911 be called for a patient with tonic -clonic seizures? - 💯CORRECT ANSWER ✔✔If seizure lasts longer than 5 minutes What is the treatment for tonic clonic seizures? - 💯CORRECT ANSWER ✔✔Anti-seizure medications: Valproic acid, lamictal, Keppra, Topamax Refer to neurology to assist with management of symptoms What does Valproic acid treat? - 💯CORRECT ANSWER ✔✔Treats abscene seizures and complex partial seizures When a patient is taking valproic acid, what is something that a provider should worry about? - 💯CORRECT ANSWER ✔✔Weight gain: the majority of patients gain about 10-15 pounds in the first year alone Valproic acid effects both appetite and metabolism What side effect is effected with long -term use of valproic acid? - 💯CORRECT ANSWER ✔✔Hair loss - this is usually related to the dose This tends to occur when a patient has been on valproic acid for about 2 -6 months and it presents as a gradual hair loss Valproic Acid should avoided in patient with? - 💯CORRECT ANSWER ✔✔Liver issues - has the potential for some really severe hepatotoxicity What labs need to be monitored for patient on valproic acid? - 💯CORRECT ANSWER ✔✔Liver function tests and valproic acid levels What is the normal Valproic Acid Level? - 💯CORRECT ANSWER ✔✔50-100 mcg Can Valproic Acid be taken while pregnant? - 💯CORRECT ANSWER ✔✔No What does Dilantin treat? - 💯CORRECT ANSWER ✔✔Treat generalized seizure and complex partial seizures A patient taking Dilantin may experience what side effects? - 💯CORRECT ANSWER ✔✔Gingival hyperplasia and hirsutism How does Dilantin effect birth control? - 💯CORRECT ANSWER ✔✔Dilantin decreases the effectiveness of birth control Dilantin should be avoided in patients with? - 💯CORRECT ANSWER ✔✔Liver issues What labs need to be monitored for a patient on Dilantin? - 💯CORRECT ANSWER ✔✔Liver function tests and Dilantin levels What is Tegretol most commonly used to treat? - 💯CORRECT ANSWER ✔✔Trigeminal neuralgia, but it can also be used for seizures Tegretol has a major risk for what? - 💯CORRECT ANSWER ✔✔Bone marrow suppression and agranulocytosis What labs need to be monitored for a patient on Tegretol? - 💯CORRECT ANSWER ✔✔CBC needs to be conducted prior to initiation and every 3 months for the first year What is Topamax used to treat? - 💯CORRECT ANSWER ✔✔Seizure and migraine prophylaxis How does Topamax effect weight? - 💯CORRECT ANSWER ✔✔Patients may see a weight loss Topamax should be avoided in what patients? - 💯CORRECT ANSWER ✔✔Patients with a history of an eating disorder Patient with renal and hepatic issues Topamax increases the risk for what? - 💯CORRECT ANSWER ✔✔Renal stones Which antidepressants can be used as prophylaxis for migraines? - 💯CORRECT ANSWER ✔✔Tricyclic antidepressants: amitriptyline What is the best abortive migraine therapy option? - 💯CORRECT ANSWER ✔✔Triptans How many days a week should a patient be educated on how often they can use Triptans? - 💯CORRECT ANSWER ✔✔Can only use 2 days per week If a patient using a Triptan more than 2 times per week, they are at increased risk for what? - 💯CORRECT ANSWER ✔✔Rebound headaches Levodopa -Carbidopa works best on what Parkinson's disease symptom? - 💯CORRECT ANSWER ✔✔Bradykinesia What should a patient be educated on regarding taking Levodopa -Carbidopa? A side effect of the medication? - 💯CORRECT ANSWER ✔✔Hypotension What are some examples of dopamine agonists? - 💯CORRECT ANSWER ✔✔Ropinirole and pramipexole What is the goal of dopamine agonists? - 💯CORRECT ANSWER ✔✔Delay the initiation of Levodopa What are side effects of dopamine agonists? - 💯CORRECT ANSWER ✔✔Impulse control Leg edema Common to see hypotension
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