Exam (elaborations)
FNP Review- Leik graded A+
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FNP Review- Leik graded A+
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FNP Review- LeikPrimary prevention -ANS prevent disease/injury/condition
Secondary prevention -ANS detect disease/condition as early as possible
tertiary prevention -ANS limiting further harm and disability
18yoF, strong vaginal odor
large amount grayish white discharge coating walls, milk-like consistency
Microscopy reveals mature squamous epithelial cells with numerous bacteria noted on the cell
borders.
Vag pH 6.0 -ANS bacterial vaginosis (only vag condition with alkaline pH)
Vag discharge white, thick curd-like consistency, redness and itching in vulvovagina d/t
inflammation
Microscopy shows large number WBCs, pseudohyphae, and spores (spaghetti and meatballs)
-ANS cadidiasis
Vag d/c copious, bubbly, and green in color. Lots of inflammation resulting in itching and
redness. Considered an STD. -ANS trichomoniasis
Outpatient antibiotic treatment for CAP in healthy patients with no comorbidities -ANS
macrolides (azithromycin, clarithromycin, erythromycin)
This htn med causes dry cough and angioedema -ANS ACE inhibitor "-prils"
This htn med causes swollen ankles and headache -ANS CCBs- "-ipines", Diltiazem, &
Verapamil
This htn med causes hyperuricemia and hyperglycemia -ANS thiazide diuretics- HCTZ
This htn med causes fatigue and depression- avoid if possible in those with depression -ANS
beta-blockers- "-olols"
Ovarian cancer initial workup -ANS intravag u/s and CA 125 tumor marker
Barrett's esophagus -ANS -precancerous lesion of esophageal cancer
-managed by gastroenterology
-endoscopy q6mo-1y with gastroenterology
-treated with high-dose PPIs for lifetime
, 1st line treatment of mild, uncomplicated GERD -ANS lifestyle changes- avoid eating 3-4h
before bed, dietary changes, lose weight
Tanner stage 2 -ANS -breast bud and areola starts to develop
-testes with scrotum starts to enlarge (scrotal skin starts to get darker/more ruggae)
Tanner stage 3 -ANS -breast continues to grow with nipples/areola (one mound/no separation)
-penis grows longer in length and testes/scrotum continues to become larger
Tanner stage 4 -ANS -nipples and areola become elevated from the breast (a secondary
mound)
-penis becomes wider and continues to grow in length (testes are larger with darker scrotal skin
and more ruggae)
Foods with high potassium content -ANS potatoes, apricots, brussel sprouts
Foods with high tyramine content -ANS aged cheese, red wine, chocolate
can cause dangerous food-drug interactions with MAOI inhibitors
Excoriated pruritic rash located in finger webs and penis
disturb sleep at night, family members with same symptoms
work in higher risk area such as nursing home -ANS scabies
Rash with sandpaper-like texture, accompanied by sore throat, strawberry tongue, skin
desquamination (Peeling) of palms and soles. Non pruritic -ANS scarlatina
Initially appears as papules that develop into bullae that rupture easily, becoming superficial,
bright red "weeping" rashes with honey-colored exudate that becomes crusted as it dries. Rash
very pruritic and located on areas that are easily traumatized, such as face, arms, legs. Insect
bites, acne lesions, and varicella can also result in this secondarily -ANS impetigo
Rashes shaped like red raised wavy lines (seripinginous or snakelike) that are alone or few. Red
and very pruritic, become excoriated from scratching. Appears maculopapular
Common in areas exposed directly to contaminated soil and sand, such as soles of the feet,
extremities, or buttocks -ANS cutaneous larva migrans (hookworm)
treat with ivermectin once a day x1-2 days or albendazole x3 days
1st line antibiotic for AOM and sinusitis in children and adults -ANS amoxicillin
treatment failure after amox or hx of antibiotics in the last 3 months -ANS Augmentin or cefdinir
(omnicef) bid
allergic to pcn -ANS azithromycin (z pack) or clarithromycin (Biaxin) bid
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