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Exam (elaborations)

FNP Board Review Questions with Solutions

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FNP Board Review Questions with Solutions

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  • October 14, 2024
  • 33
  • 2024/2025
  • Exam (elaborations)
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  • FNP
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FNP Board Review Questions with Solutions

what is murphy sign CORRECT ANS--upon deep inspiration by the patient, palpate firmly in
the right upper quadrant of the abdomen below the costovetebral angle

-sign is positive if pain occurs when performing RUQ palpation with the pt takes deep
inspiration, causing pt to abruptly stop the deep breath due to pain

-as liver palpated it will descend and push up agains the inflamed gallbladder and cause sharp
pain -- cholecystitis




common symptom of placenta previa CORRECT ANS-painless, bright red bleeding




signs of threatened abortion CORRECT ANS-vaginal bleeding and cramping but the cervix
remains closed




normal vaginal pH CORRECT ANS-4.0-4.5

if >4.5 think BV




at 12 weeks pregnant on exam where is the uterus CORRECT ANS-just rising above the
suprapubic bone




best test for diagnosing glaucoma CORRECT ANS-tonometry

normal IOP 10-22

, FNP Board Review Questions with Solutions
what is fitz-hugh-curtis CORRECT ANS-a complication of having pelvic inflammatory
disease that was caused by vaginal infection, such as gonorrhea or chlamydia.

-this causes inflammation and infection in the pelvic cavity. left untreated can cause
adhesions that stretch from the peritoneum to the liver.




signs and symptoms of measles CORRECT ANS-fever over 101, coryza, cough,
conjunctivitis, rash, and Koplik's spots on buccal mucosa




what produces HCG CORRECT ANS-the placenta




which SSRI is most likely to cause ED CORRECT ANS-Paxil




TB screening positive results CORRECT ANS->5 positive for: HIV + patients, recently
exposed to active TB, organ transplant pts, pt with fibrotic changes on CXR,
immunosuppressed

>10mm positive for: recent immigrants (w/in 5 years), injection drug users, children <4,
residents and employees of high risk congregate settings (prison worker)

>15mm positive in every one




polymyalgia rheumatica CORRECT ANS-characterized by aching and stiffness of the
shoulder and hip girdle muscles

-Eleveated ESR and responds to steroids

-may have signs and symptoms of giant cell arteritis

, FNP Board Review Questions with Solutions
*DOC is prednisone




Prostatitis and Epididymitis treatment CORRECT ANS-<35 y/o treat with ceftriaxone 250mg
IM and doxycycline 100mg BIDx10days

age >35 or unlikely sexual transmission - cirpofloxacin PO BID or levofloxacin daily for
(edidymitis 10 days) Prostatitis - 4-6 weeks.




Phrens sign CORRECT ANS-Positive if relief of pain with scrotal elevation

seen in acute bacterial epididymitis




anterior fontanell closes at CORRECT ANS-18 months




when does a kid go up and down steps alternating feet? CORRECT ANS-4 years




the four defects in teratology of fallot CORRECT ANS-Large VSD

Pulmonary stenosis

overriding aorta

RVH




TX of chlamydia CORRECT ANS-Azithromycin 1 g PO single dose

OR doxycycline 100mg BID x 7days

, FNP Board Review Questions with Solutions
TX of gonorrhea CORRECT ANS-Ceftriaxone 250mg IM x1 dose PLUS TX for chlamydia

Azithromycin 1 g PO single dose OR doxycycline 100mg BID x7days (give doxy if complicated
x14 days--PID,prostatitis, epididymitis)




Reiter's syndrome CORRECT ANS-more common in males

an immune-mediated reaction secondary to infection with certain bacteria - chlamydia,
resolves spontaneously, TX supportive - NSAIDS

"I can't see, pee, or climb up a tree"




condyloma lata CORRECT ANS-secondary syphilis




McMurrays test CORRECT ANS-MMM - medial meniscus McMurrays

an audible/palpable click when the knee is raised slowly with one foot externally rotated
(knee is flexed and then quickly straightened); NP's hand rests on the joint line;

test is positive for medial meniscal injuries




Lachmans test CORRECT ANS-drawer test to assess for anterior cruciate ligament tear

-more sensitive for ACL than drawer and easy to perform test on a swollen, painful knee

-place knee in 20-30 degree flexion, grasp leg with one hand with anterior force to proximal
tibia (stresses the ACL/PCL) while the opposite hand stabilizes the thigh; graded 1+-3+ --
positive test

KNEE JOINT LAXITY IS POSITIVE

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