FNP Leik 2024/2025 Post Assessment Actual
Final Exam Questions with all Questions
Accurately Answered
MVO tx - correct answer Symptomatic pts need BB avoid
caffeine and ETOH and cigarettes.
What cuases MVP sound - correct answer Click from
billowing valve and pan murmur form back flow slipping from
around the bulges. S1, nothing until middle of systole, click the
than a pan murmur, S2
Obesity (waist circumference and waist to hip ratio - correct
answer Waist circumference males > 40in/102cm; Females
>35 in/88cam. Waist to hip ratio in males> 1.0 females >0.8
BMI - correct answer Wg (Kg)/Ht2 (meters)
Metabolic syndrome - correct answer WEIGHT WE = waist
expansion, (>40in for males; >35in for females IG = Impaired
glucose (>110mg/dl) H= HTN ( >130/85) and low HDL
(<50mg /dl for females; <40mg/dg for males) T= triglycerides
(>150 mg.dl). Cause by hyperinsulinemia and peripheral insulin
resistance.
Fatty liver steatosis ( NAFLD Non alcoholic fatty liver disease) -
correct answer Caused by triglyceride fat deposits in
hepatocytes of the liver. Asymptomatic and sometimes reversible
,condition. Liver biopsy is gold standard and other lab are
basically to r/o hepatitis and other liver disease.
Statins labs - correct answer Monitor LFTs and kidney fx.
Statin s/e - correct answer Rhadomylosis and liver failure
Statin interactions - correct answer Increased risk of
rhabdomylosis with fibrates, antifungals, macrolides and
amiodarone and grapefruit. Combinations of meds also increases
risk.
Nicotinic acid - correct answer Decrease triglycerides and
increase HDL. S/e flushing, itching, hepatotoxicity, and GI upset.
Fibrates - correct answer Desired effect same as Niaspan.
Do not use in renal disease. S/e include dyspepsia, gallstones and
myopathy.
Bile acid sequestrants - correct answer Work locally in small
intestine and interfere w fat absorption (including Vit A ,D,E,K).
S/e GI upset. Alternate for statins, fibrates, niacin if they patient
cannot take these r/t hepatotoxicity.
Rhabdomylosis - correct answer Classic triad of muscle
pain, weakness and dark urine.
,Labs for rhabdomylosis - correct answer CK (very elevated
10000-25000), US for myoglobinuria, proteinuria, BUN,
creatinine, Lfts, and CMP and EKG
Drug induced heptitis - correct answer Anorexia, n/v, dark
urine, jaundice, fatigue, flu-like symptoms. Labs = Increases in
ALT, SGPT, AST, SGOT
PT ≥ 60 years w/ HTN when do initiate pharmacologic
treatment? - correct answer at ≥ SBP 150mm Hg or DBP 90
mm Hg.
Treatment goal for a pt ≥ 60yo w/ HTN - correct answer
Treat BP to a goal of < 150/90. If BP reduction is lower without
adverse effects, do not adjust treatment
Pt < 60 years w/ HTN, when do initiate tx? - correct answer
Initiate pharmacologic treatment at ≥ SBP 140 mm Hg or DBP
90 mm Hg
Treatment goal for Pt < 60 Treat - correct answer BP to a
goal of < 140/90
Population ≥ 18 years with chronic kidney disease or diabetes,
when do you initiate pharmacologic treatment? - correct
answer ≥ 140/90 and treat to < 140/90
, nonblack population ≥ 18 years and those with diabetes, what do
you initiate as pharmacologic treatment - correct answer
Initial treatment - thiazide type diuretic, CCB, ACEI, or ARB
black population ≥ 18 years and those with diabetes - correct
answer Initial treatment - thiazide type diuretic or CCB
General population ≥ 18 years with chronic kidney disease
regardless of race or diabetes should have _____ - correct
answer initial or add on treatment should include an ACEI or
ARB
If goal is not reached within ____ month then NP should? -
correct answer Goal not reached w/i one month, the NP
should increase dose of initial drug or add 2nd drug from
recommended classes
If goal BP is not reached with ____ drugs then the NP should? -
correct answer If goal not reached with 2 BP meds then NP
should add and titrate a third drug from the list provided
Do not use ___ and ___ in same patient - correct answer ACE
and ARB
HTN w/ suspected renal stenosis/disease then order____? -
correct answer Renal ultrasound
