Who needs prophylaxis against bacterial endocarditis - ANS ✓NOT read for
MVP with regurgitation, GI or GU procedures - IS required for patients with high
risk of adverse outcomes - prosthetic valve repair, congenital heart disease or
repairs)
Epiglottitis sx - ANS ✓severe sore throat, fever, muffled voice, drooling,
hoarseness, sniffing position (hyperextension of cervical spine -patient is looking
up cuz it opens airway more)
Tetrad of mono - ANS ✓fever, sore throat, lymphadenopathy, fatigue
Which nodes in mono are most likely to be enlarged - ANS ✓POSTERIOR
cervical
Monospot will be negative if taken too early in disease course - most likely
to be positive when - ANS ✓2nd or 3rd week of illness - if negative and sx
persist, repeat in one week
> 50% of ppl have elevated liver enzymes with mono - ANS ✓...
Where is nose bleed most likely to occur - ANS ✓Kiesselbach's plexus -
anterior (90% of nose bleeds are here)
Epistaxis most common in what ages - ANS ✓< 10, 45-65 years
FNP - PRE-
, 2
FNP
You must refer all posterior nose bleeds - ANS ✓can involve carotid or
sphenopalatine artery - needs immediate attention
What is the single most effective tx for allergic rhinitis - ANS ✓inhaled
steroids - they DOWN REGULATE the inflammatory response
Zyrtec (cetirizine) is the most sedating of the 2nd gen antihistamines - ANS
✓...
With tuning fork test for hearing, air conduction should be - ANS ✓2x length
bone conduction
What ear canal is involved in conductive hearing loss - ANS ✓external or
middle ear
NSAIS affect the vasodilatory effects of prostaglandins which predispose the
kidneys to ischmeia - ANS ✓nsaids and diuretics can cause acute prerenal
failure by decreasing renal blood flow
Medicare A coverage includes - ANS ✓inpatient hospitalization
No one can override a the decisions of a durable power of attorney (not
even spouse) - ANS ✓...
Low AFP can indicate - ANS ✓Down's syndrome or fetal demise
Both gram positive and gram negative bacteria can cause diverticulitis -
ANS ✓...
Kyphosis is a late stage of - ANS ✓osteoporosis
FNP - PRE-
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