Family Nurse practitioner
Sensitivity - correct answer ✔defined as the ability of a test to detect a
person who has the disease.
Specificity - correct answer ✔defined as the ability of a test to detect a
person who is healthy or to detect the person without the disease.
Trauma to Kiesselbachs plexus - correct answer ✔will result in an anterior
nosebleed
The diagnostic or gold standard test for sickle cell anemia, G6PD anemia, and
alpha or beta thalassemia - correct answer ✔hemoglobin electrophoresis
questions asking for "action" - correct answer ✔the initial action might be to
interview and gather subjective data or the history
erythromycin "allergy" vs adverse reaction - correct answer ✔adverse
reactio-symptoms of nausea or GI upset
allergy -hives, angioedema
acute mononucleosis - correct answer ✔the patient will most likely be a teen
presenting with the classic triad of sore throat, prolonged fatigue, and
enlarged cervical nodes.
Alpha thalassemia - correct answer ✔more common among Southeast
Asians such as filipinos
,Lupus - correct answer ✔present with malar rash(butterfly rash)Pts need to
avoid or to minimize sunlight exposure(photosensitivity)
treatment for polymyalgic rheumatica(PMR) - correct answer ✔first line
treatment for PMR includes long-term steroids. Long term steroids are
commonly used to control symptoms(pain, stiffness on shoulders, and hip
girdle). PMR pts have higher risk for temporal arteritis.
Gold standard exam for temporal arteritis - correct answer ✔biopsy of the
temporal artery. refer pt to opthalmologist for mgt
Finkelstein's test - correct answer ✔Positive in De Quervains tenosynovitis
Anterior Drawer maneuver and Lachman maneuver - correct answer
✔Positive if anterior cruciate ligament (ACL) of knee damaged. The knee may
also be unstable
McMurray's sign - correct answer ✔Positive in meniscus injuries of the knee
Damaged Joints - correct answer ✔order X-ray first, but MRI is the Gold
Standard
Diabetic retinopathy - correct answer ✔neovascularization, hard exudates,
cotton wool spots, and micoaneurysms
Hypertensive retinopathy - correct answer ✔AV nicking, silver and or copper
wire arterioles
Checking deep tendon reflexes - correct answer ✔absent(0),
,hypoactive (1)
normal(2)
hyperactive(3)
clonus(4)
define clonus - correct answer ✔Clonus is typically seen in patients with
stroke, multiple sclerosis, spinal cord damage and hepatic encephalopathy.
Clonus has also appeared after ingesting potent serotonergic drugs, where
ingestion strongly predicts imminent serotonin toxicity (serotonin syndrome).
Clonus is a series of involuntary, rhythmic, muscular contractions and
relaxations. Clonus is a sign of certain neurological conditions, particularly
associated with upper motor neuron lesions involving descending motor
pathways, and in many cases is, accompanied by spasticity (another form of
hyperexcitability).Unlike small, spontaneous twitches known as fasciculations
(usually caused by lower motor neuron pathology), clonus causes large
motions that are usually initiated by a reflex.
A rare but serious adverse effect of ACE inhibitors is - correct answer
✔angioedema
A common side effect of ACE inhibitors is a - correct answer ✔dry
cough(10%)
First line drug to treat hypertension in diabetics and patients with mild renal
disease because of their renal protective properties - correct answer ✔ACE
inhibitors or ARBS
Penicillin - correct answer ✔amoxicillin(broad-spectrum PCN) Penicillin VK
Macrolide - correct answer ✔erythromycin, azithromycin(Z-Pack), or
clarithromycin(Biaxin)
, Cephalosporins: - correct answer ✔1st generation(Keflex), 2nd
generation(Cefaclor, Ceftin, Cefzil)3rd generation(Rocephin, Suprax,
Omnicef)
Quinolones with gram positive coverage - correct answer
✔levofloxacin(Levaquin), moxifloxacin(Avelox), gatifloxacin(Tequin)
Quinolones - correct answer ✔ciprofloxacin(Cipro), ofloxacin(Floxin)
Sulfa - correct answer ✔trimethoprim/sulfamethazole(Bactrim, Septra),
nitrofurantoin(Macrobid),
Tetracyclines - correct answer ✔tetracycline, doxycycline,
minocycline(Minocin)
NSAID - correct answer ✔ibuprofen, naproxen(aleve, Anaprox)
Cox-2 inhibitors - correct answer ✔celecoxib (celebrex)
Antitussives - correct answer ✔dextromorphan(Robitussin),
benzonate(Tessalon Perles)
Drugs allowed for pregnant or lactating women - correct answer ✔Category
B
Pregnancy in pain - correct answer ✔order Tylenol instead of Ibuprofen
