Family Nurse practitioner
Sensitivity correct answersdefined as the ability of a test to detect a person who has the disease.
Specificity correct answersdefined as the ability of a test to detect a person who is healthy or to detect
the person without the disease.
Trauma to Kiesselbachs plexus correct answerswill result in an anterior nosebleed
The diagnostic or gold standard test for sickle cell anemia, G6PD anemia, and alpha or beta thalassemia
correct answershemoglobin electrophoresis
questions asking for "action" correct answersthe initial action might be to interview and gather
subjective data or the history
erythromycin "allergy" vs adverse reaction correct answersadverse reactio-symptoms of nausea or GI
upset
allergy -hives, angioedema
acute mononucleosis correct answersthe patient will most likely be a teen presenting with the classic
triad of sore throat, prolonged fatigue, and enlarged cervical nodes.
Alpha thalassemia correct answersmore common among Southeast Asians such as filipinos
Lupus correct answerspresent with malar rash(butterfly rash)Pts need to avoid or to minimize sunlight
exposure(photosensitivity)
treatment for polymyalgic rheumatica(PMR) correct answersfirst line treatment for PMR includes long-
term steroids. Long term steroids are commonly used to control symptoms(pain, stiffness on shoulders,
and hip girdle). PMR pts have higher risk for temporal arteritis.
,Gold standard exam for temporal arteritis correct answersbiopsy of the temporal artery. refer pt to
opthalmologist for mgt
Finkelstein's test correct answersPositive in De Quervains tenosynovitis
Anterior Drawer maneuver and Lachman maneuver correct answersPositive if anterior cruciate ligament
(ACL) of knee damaged. The knee may also be unstable
McMurray's sign correct answersPositive in meniscus injuries of the knee
Damaged Joints correct answersorder X-ray first, but MRI is the Gold Standard
Diabetic retinopathy correct answersneovascularization, hard exudates, cotton wool spots, and
micoaneurysms
Hypertensive retinopathy correct answersAV nicking, silver and or copper wire arterioles
Checking deep tendon reflexes correct answersabsent(0),
hypoactive (1)
normal(2)
hyperactive(3)
clonus(4)
define clonus correct answersClonus is typically seen in patients with stroke, multiple sclerosis, spinal
cord damage and hepatic encephalopathy. Clonus has also appeared after ingesting potent serotonergic
drugs, where ingestion strongly predicts imminent serotonin toxicity (serotonin syndrome). Clonus is a
series of involuntary, rhythmic, muscular contractions and relaxations. Clonus is a sign of certain
neurological conditions, particularly associated with upper motor neuron lesions involving descending
motor pathways, and in many cases is, accompanied by spasticity (another form of
hyperexcitability).Unlike small, spontaneous twitches known as fasciculations (usually caused by lower
motor neuron pathology), clonus causes large motions that are usually initiated by a reflex.
,A rare but serious adverse effect of ACE inhibitors is correct answersangioedema
A common side effect of ACE inhibitors is a correct answersdry cough(10%)
First line drug to treat hypertension in diabetics and patients with mild renal disease because of their
renal protective properties correct answersACE inhibitors or ARBS
Penicillin correct answersamoxicillin(broad-spectrum PCN) Penicillin VK
Macrolide correct answerserythromycin, azithromycin(Z-Pack), or clarithromycin(Biaxin)
Cephalosporins: correct answers1st generation(Keflex), 2nd generation(Cefaclor, Ceftin, Cefzil)3rd
generation(Rocephin, Suprax, Omnicef)
Quinolones with gram positive coverage correct answerslevofloxacin(Levaquin), moxifloxacin(Avelox),
gatifloxacin(Tequin)
Quinolones correct answersciprofloxacin(Cipro), ofloxacin(Floxin)
Sulfa correct answerstrimethoprim/sulfamethazole(Bactrim, Septra), nitrofurantoin(Macrobid),
Tetracyclines correct answerstetracycline, doxycycline, minocycline(Minocin)
NSAID correct answersibuprofen, naproxen(aleve, Anaprox)
Cox-2 inhibitors correct answerscelecoxib (celebrex)
Antitussives correct answersdextromorphan(Robitussin), benzonate(Tessalon Perles)
, Drugs allowed for pregnant or lactating women correct answersCategory B
Pregnancy in pain correct answersorder Tylenol instead of Ibuprofen
Avoid nitrofurantoin and sulfa drugs during 3rd trimester correct answersincrease the risk of
hyperbilirubinemia
best way method of spreading viruses or bacteria is correct answersmaking them airborne or nebulized
treatment of cutaneous anthrax correct answersCiprofloxacin 500mg orally BID for 60 days or 8 weeks. If
pt allergic to ciprofloxacin , use doxycycline 100mg BID
Good communication rules correct answersAsk open ended questions, do not reassure patients, avoid
angering the patient, and respect the patients culture.
Eriksons Stages of Psychosocial Development correct answersStage 1: Infancy -- Age 0 to 1
Crisis: Trust vs. Mistrust
Stage 2: Toddler -- Age 1 to 2
Crisis: Autonomy (Independence) vs. Doubt (or Shame)
Stage 3: Early Childhood -- Age 2 to 6
Crisis: Initiative vs. Guilt
Stage 4: Elementary and Middle School Years -- Age 6 to 12
Crisis: Competence (aka. "Industry") vs. Inferiority
Stage 5: Adolescence -- Age 12 to 18
Crisis: Identity vs. Role Confusion
Stage 6: Young Adulthood -- Age 19 to 40
Crisis: Intimacy vs. Isolation
Stage 7: Middle Adulthood -- Age 40 to 65
Crisis: Generativity vs. Stagnation Stage 8: Late Adulthood -- Age 65 to death
Crisis: Integrity vs. Despair Important
