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ANCC FNP Study Questions with Verified Solutions| Pass Guaranteed
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ANCC FNP Study Questions with VerifiedSolutions| Pass Guaranteed
viral keratoconjunctivitis - ✔✔pink eye
treatment- symptomatic
cold compresses and slightly chilled artificial tears
avoid touching eyes, haring towels, frequent eye washing
children should not attend school until symptoms resolve
what causes viral keratoconjunctivits? - ✔✔adenovirus
contagious for 10-12 days
self limiting
Transmission of sound through the ear - ✔✔1. sound waves are collected in the pinna
2. transmission of vibrations through the hammer, anvil and stirrup
3.nerve impulses stimulate in the inner ear
4. vibrations are transmitted of the cerebral cortex auditory center
5.sound is interpreted by the cerebral cortex
Ishihara chart - ✔✔screening a patient for colour blindness
Tx for otitis media - ✔✔1st line- amoxicillin
blepharitis - ✔✔chronic condition caused by inflammation of the eyelids
contact lens keratitis - ✔✔eye pain, redness, excessive tearing, lesion on the cornea
,1st line- topical abx
primary angle-closure glaucoma - ✔✔sudden blockage of the aqueous humor
increased intraocular pressure
Acute Rhinosinusitis - ✔✔inflammation of the mucosal lining of nasal passages, lasting up to
4 weeks, caused by allergens
Acute Bacterial Rhinosinusitis - ✔✔secondary bacterial infection, usually following viral URI
Diseases caused by S. pneumoniae - ✔✔COMPS
Conjunctivitis
Otitis media
Meningitis
Pneumonia
Sinusitis
Diseases caused by H. influenza - ✔✔COMPS
Conjunctivitis
Otitis media
Meningitis
Pneumonia
Sinusitis
Common features of ABRS - ✔✔fever and symptoms duration of more than 10 days
maxillary toothache
initial symptom improvement and then worsening of symptoms (double sickening)
,cacosmia (sense of bad odor in the nose)
unilateral facial pain
7 day tx is the best
Tx for ABRS in adults - ✔✔Initial therapy: amoxicillin or amox-clav
Beta-lactam allergy:
No anaphylaxis (cefdinir, cefpodoxime, cefuroxime)
anaphylaxis (levo, moxi, doxycycline)
*macrolide abx (azithro, clarithro, erythro) and TMX-SMX (Bactrim) not recommended in ABRS
tx
Doxycycline - ✔✔pregnancy risk: Cat D
Resp fluroquinolones - ✔✔pregnancy risk: Cat C
Normal hearing - ✔✔no lateralization
AC>BC
Sensorineural hearing loss - ✔✔lateralization to good ear (sound is heard louder in the
normal ear)
AC>BC
Conductive hearing loss - ✔✔lateralization to bad ear (sound is heard louder in the bad ear)
BC>AC
, Allergic rhinitis - ✔✔inflammatory, IgE mediated disease due to genetic and environmental
interactions and characterized by nasal congestion, rhinorrhea, sneezing, intraocular and/or
nasal itching
Allergic rhinitis treatment - ✔✔1st line- avoid allergen
controller
- intranasal corticosteroids (fluticasone propionate (flonase), triamcinolone)- number of days
prior to symptom relief
- intranasal antihistamine (azelastine)- rapid symptom relief
Reliever therapy
- 2nd gen PO antihistamine (loratadine (clairtin), cetirizine (zyrtec)
- ocular antihistamines- helpful in managing allergic conjunctivitis signs and symptoms
(olopatadine, azelastine)
Sinus present at birth - ✔✔ethmoid and maxillary
Sinus develop at 5 years of age - ✔✔Frontal
Sinus develop at 12 years of age - ✔✔Sphenoid
Oral Cancer - ✔✔most cases involve squamous cell carcinomas of the tongue and mouth
floor
Risk factor for SCC oral cancer - ✔✔More potent
- longstanding HPV infection, especially HPV-16, tobacco use, alcohol misuse
Less potent
- male gender, advancing age (2/3 of individuals age >55 years at time of diagnosis)
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