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final Exam 652 FNP/Questions And Answers
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final Exam 652 FNP/Questions And Answers
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final Exam 652 FNP/Questions AndAnswers
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
-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
, -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
-45 year old obese perimenopause female. Indigestion, flatulent, and pain
that radiates to right scapula, worse with high fat meal. What is diagnosis? -
-choliathiasis
-68 yr old patient with bloating irritation and cramping diagnosis of ibs.
What criteria to meet IBS? - -symptoms started at least 6 months ago
-Fnp performs well child exam on 12 month who had repair of congenital
heart defect at 8 months. Child has normal exam, parent reports child not
taking medications. NP will contact cardiologist to discuss whether the child
needs which of the following medications? - -Amoxicillin
-5 yr old child who had repair of transposition of great artery is growing
normally and is asymptotic since surgery. NP notices mild sob with exertion,
child complains of dizziness. What will NP do? - -Refer for a same day eval
-Well check on school age child, they had complete repair of tetrology of
fallot. What is important in this child health maintenance regiment? - -
Cardiology clearance to play sports
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