*Rheumatic Heart Disease*: M-protein mimicry s/p GAS
, FNP review- Questions and Answers 100% Solved
mitral regurgitation CORRECT ANS-blowing radiating to axilla
intussusception CORRECT ANS-Common in kids with CF. Obstruction may cause fecal
emesis, current jelly stools. enema---resolution=bowel movements
starts with mass ( benign or malignant)
post pardum depression CORRECT ANS-sertraline 1st line
rotator cuff tendinitis CORRECT ANS-inflammation of the tendons of the rotator cufds
s/s: weakness, difficulty lifitng the shoulder over head
trt" rest ice, ibuprofen
tinea vesicolor CORRECT ANS-fungal infection of skin caused by yeast, treated with topical
selenium sulfide, topical antifungals
down syndrome complications CORRECT ANS-cardiac
increase of MSAFP CORRECT ANS-indicative of
- multigestations
-RH incompatability
, FNP review- Questions and Answers 100% Solved
-congenital abnormality
-unerestimation of gestation age
( this could be an expected finding or not)
Shoulder Impingement CORRECT ANS-When the space between the bone on top of the
shoulder (acromion) and the tendons of the rotator cuff rub against each other during arm
elevation.. results in pain weakness and decreased ROM in shoulder. improves with lidocaine
injection. may be accompanies by grinding sensation. Worsening pain in the evening.
HPV vaccine CORRECT ANS-guardasil protects against 16, 18 ( cervical lesions), 6, and 11. (
cutaneous lesions). You can give this to symptomatic patients
lyme treatment CORRECT ANS-doxy 10-21 days ( amox if pregnant)
EEG CORRECT ANS-An amplified recording of the waves of electrical activity that sweep
across the brain's surface. These waves are measured by electrodes placed on the scalp.
painless with no sedatives,
stop all anticonvulsants and antidepresants, stimulants, and alcohol
no restrictions post test
carpal tunnel CORRECT ANS-Chronic pain, numbness, or tingling in the hand, caused by
compression of the median nerve in the wrist.
+ tinels sign
, FNP review- Questions and Answers 100% Solved
reproduction of phalens test
+ bilateral pain
flu and pregnancy CORRECT ANS-oseltamir if infected- great risk of mortality, vaccinate all
women regardless of trimester
st johns wart CORRECT ANS-antidepressant herbal supplement
education: do NOT take with tricyclic, MAOI, SSRI/SNRI
-> increase side effects and lead to serotonin syndrome
interacts with statins
NSAID effects on bp CORRECT ANS-increased bp, d/t inhibition of cox-2 enzyme which
changes the excretion of na intravascular volume
Thyroid nodule workup CORRECT ANS-*Suspicious nodule on US - do FNA>1 cm
Non-suspicious nodule: High TSH- think Hashimotos, measure anti-TPO abs, treat
hypothyroidism; Low TSH- do RAIU scan- hot nodule- no further WU
Do RAUI/ thyroid scan in all MNG to look for cold nodules
refer to endo after ultra sound
Obturator sign CORRECT ANS-RLQ on internal rotation of right thigh indicative of
appendicitis
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