AANP-FNP Exam 2023 With Complete Solution Graded and Already Passed.

Hegar's sign - CORRECT ANS Softening of lower uterine segment Chadwick's sign - CORRECT ANS Bluish color of cervix and vagina at 6-8 weeks Goodell's sign - CORRECT ANS Softening of cervix at 4+ weeks Lipids in chronic inactivity - CORRECT ANS Low HDL Lipids in under- or untreated hypothyroidism - CORRECT ANS Elevated total cholesterol, TG, and LDL Lipids in chronic renal insufficiency - CORRECT ANS Elevated total cholesterol and TG Lipids in alcohol abuse - CORRECT ANS Elevated TG, HDL, and LDL Vaccines with live attenuated viruses - CORRECT ANS MMR, varicella, flu-mist(intranasal), Zostavax Drugs of choice for abdominal infection - CORRECT ANS Beta lactams + metronidazole (most common); fluoroquinolones Drugs of choice for urinary tract infection - CORRECT ANS Fluoroquinolones (except moxi), TMP-SMX, fluconazole, b-lactams, nitrofurantoin, fosfomycin if pt has many allergies Drugs of choice for pulmonary infections - CORRECT ANS Macrolides, resp fluoroquinolones, b-lactams, doxycycline (MRSA, atypical coverage) Drugs of choice for skin and soft tissue infections - CORRECT ANS MRSA: TMP-SMZ, doxycycline, clindamycin; b-lactams Drugs of choice for MRSA - CORRECT ANS Vancomycin, daptomycin , linezolid, TMP-SMZ, doxycycline, ceftaroline Macrolide drugs - CORRECT ANS Erythromycin, clarithromycin, azithromycin Macrolide AEs - CORRECT ANS GI, QT prolongation Tetracycline uses - CORRECT ANS MRSA, rocky mtn spotted fever, atypicals (mycoplasma pneumonia, chlamydia), spirochetes (Lyme), i Tetracycline AEs - CORRECT ANS GI, teeth, hepatic dysfunction, photosensitivity Fluoroquinolone drugs - CORRECT ANS Ciprofloxacin, levofloxacin, moxifloxacin Fluoroquinolone uses - CORRECT ANS UTI (cipro or levo), atypicals (mycoplasma, legionella) Fluoroquinolones and dairy or vitamins - CORRECT ANS Take 2 hrs before or 4 hours after (decrease concentrations) Metronidazole (Flagyl) uses - CORRECT ANS C. Diff, vaginitis Metronidazole AEs - CORRECT ANS GI, peripheral neuropathy, disulfiram reaction Nitrofurantoin uses - CORRECT ANS UTI -not pyelonephritis due to no systemic absorption