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FNP BOARD EXAM 2024/2025 WITH 100% ACCURATE SOLUTIONS
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FNP BOARD EXAM 2024/2025 WITH 100% ACCURATE SOLUTIONS
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FNP BOARD EXAM 2024/2025 WITH100% ACCURATE SOLUTIONS
A 24-year old, otherwise healthy college student presents with c/o cough
x 6 weeks. She has tried several OTC cough meds with no improvement.
What is the most important information to consider when building your
differential diagnoses?
A) Her age
B) Family hx
C) Ineffectiveness of OTC cough medicines
D) Length of time she has been coughing - Precise Answer ✔✔D)
Length of time she has been coughing
Why? This information helps you build your ddx
Acute cough < 3 weeks: bronchitis, sinusitis, PND, exacerbation of
COPD/asthma, pneumonia, pulmonary embolism
Chronic cough (>8 weeks) GERD and Asthma are most common causes,
also consider infection (e.g. pertussis, atypical pneumonia), ACE
inhibitors, chronic bronchitis, bronchiectasis, lung ca)
According to the CDC, what drug class is considered first-line treatment
for pertussis?
A) Sulfonamide
,B) Tetracycline
C) Macrolide
D) Beta-lactam - Precise Answer ✔✔C) Macrolide antiobitic (e.g.
Azithromycin, clarithromycin
Sulfonamides are second-line
Match the antibiotics with the correct drug class:
1. Sulfonamide
2. Tetracycline
3. Macrolide
4. Beta-lactam
A. Doxycyline
B. Azithromycin
C. Penicillins
D.Trimethoprim-Sulfamethoxazole
E. Cephalosporin
F. Clarithromycin - Precise Answer ✔✔1. Sulfonamide -
D.Trimethoprim-Sulfamethoxazole (Bactrim)
2. Tetracycline - A. Doxycycline
3. Macrolide - B & F, Azithromycin and Clarithromycin
,4. Beta-lactam - C & E, PCN and cephalosporins
What are the three most common bugs in community-acquired
pneumonia? - Precise Answer ✔✔Streptococcus pneumoniae
Mycoplasma pneuomiae (atypical pathogen)
Chlamydophila pneumoniae (atypical pathogen)
What is the treatment for CAP caused by Strep pneumo? - Precise
Answer ✔✔Respiratory quinolone (e.g. Levofloxacin, moxifloxacin,
gemifloxacin) OR high-dose amoxicillin OR amoxicillin with
clavulanate
What antibiotics are avoided in CAP caused by Strep pneumo due to
high rates of resistance? - Precise Answer ✔✔Macrolides
What is the treatment for CAP caused by Mycoplasma pneumoniae? -
Precise Answer ✔✔Macrolide OR doxycycline
What antibiotics are avoided in CAP caused by atypical pathogens? -
Precise Answer ✔✔Beta-lactams (ineffective)
A 38-year old mother of two teenagers recently recovered from
Mycoplasma pneumonia a couple of weeks ago. She asks if she should
get the "pneumonia shot." She takes levothyroxine 88 mcg daily for
hypothyroidism, but is otherwise healthy. How do you respond?
, A) No, it's too soon after your infection
B) No, it's not indicated
C) Yes, you can get it in about a month
D) Yes you can get it today - Precise Answer ✔✔B) No, it's not
indicated
An otherwise healthy adult without immunocompromise or multiple
comorbid conditions is not a "vulnerable population"
The pneumonia vaccine does not prevent mycoplasma pneumonia
According to GOLD, what is required to establish the diagnosis of
COPD? - Precise Answer ✔✔Spirometry (FEV1/FVC ratio < 70%)
A 70-year old house painter reports a 4-week history of exertional
dyspnea, chest tightness, and cough for the past 3 months. He has never
smoked. What diagnoses are included in your differential? Select 4.
A) Asthma
B) Angina
C) COPD
D) GERD
E) Pneumonia
F) Tuberculosis
G) Heart Failure - Precise Answer ✔✔B) Angina
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