FNP 652 FINAL EXAM 2024/2025 QUESTIONS AND
ANSWERS NEWEST!! GCU
What tests do we do to determine the type of diabetes type 1 in a child
pancreatic antibodies
13 year old who's BMI is in 90th percentile, NP notices on the back of the neck hyperpigmentation
velvet like rash, denies polyuria, polyphagia, polydipsia, what will NP do to diagnose?
order the fasting sample for metabolic screen for type 2 diabetes
What is the most accurate tests we can do for blood glucose levels over time?
HgA1c
54 year old female with fasting labs to discuss results. Patient requested lab work cause she was more
fatigued than normal. Findings are—hg 13 (n) hct 40 (n) plat 250 (n) Na 140 (n) K 3.8 (n) ch 100 (n) BUN
20 (n) creat .9 glucose 85, chol 180 LDL 100 HDL 45 trig 50, TSH 3.8, T4 1.8 T3 1.0. What is diagnosis?
subclinical hypothyroidism
Patient has primary hypothyroidism, 6 months ago the pt dose of levothyroxine was increased. What
following comments made by patient would concern you about levothyroxine?
Ever since we increased the dose I've been jittery and my heart is beating fast
,FNP 652 FAMILY PRIMARY CARE II /GCU
Starting dose of lantus for 100 kilos.
10 units
Which of following med should be used with caution in a poorly controlled diabetic
glucocorticoids
How often do you check diabetic foot when they come into the office
everytime
Pt has thyroid nodule in 40 yr old woman, no hx of thyroid disease and feels wwell. 15mmnon tender
nodule on lobe of thyroid and no associated lymphadenopathy. Thyroid function test are normal which
of the following is appropriate next step
fine needle biopsy
10 yr old with RLQ pain, what are 3 differentials
appendicitis, constipation, UTI
10 yr old with RLQ pain, hurts and hurts then stopped with fever. What happened?
ruptured
, FNP 652 FAMILY PRIMARY CARE II /GCU
Which test do we do to determine appendicitis
McBurnies
25 yr old male who complains of sharp stabbing upper abdominal pain that is worse when he eats for
the last 4 days. Pt does admit over the weekend he met up with college buddies he relieved everything.
NP concerned prancreatitis. Beside abd US what would you order?
Amylase and lipase
Toddler has intermittent V/D for 2 days. Cranky kid with dry mucous membranes, 2 sec recoil on skin,
tachy, cold hands and feet. 6 wet diapers in 24 hours, cries liquid tear. What is treatment?
Oral rehydration for 24 hours
Young mom with 3 week old with excessive crying. Mom states no matter what I do the child cries. I
make sure all his needs are met but still crying happens 4 to 5 days a week and is worse in the
afternoon. Nothing wrong with exam. What say to mom?
Provide reassurance to mother as well as acknowledge stress
54 yr old male with constipation. Has felt this way for years. 1 bm q 5 days. Small hard rabbit pellets. Did
have colonoscopy at age 50. What is plan of action for pt?
increase fluids and fiber in the diet
18 month old who has 1 day hx of intermittent cramping and abd pain and non bilious vomiting. Child
cries and draws their knees up then lethargic in between. What does child have?
Intussusception
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