FNP Boards: From Leik 3rd Ed (Exam Tips)
Leukoplakia CORRECT ANS-L_____= thickened, white, leathery-looking spots on the inside
of the mouth that can develop into oral cancer. Commonly seen in smokers.
Aphthlous stomatitis CORRECT ANS-A____ S____= canker sores. generally heal within 7-10
days. Cause is unknown.
milk CORRECT ANS-Avulsed tooth: store in cool m___ (no ice) and see dentist as soon as
possible for re-implantation.
mononucleosis
strep throat CORRECT ANS-Tonsil Conditions
-Thick white exudate= M______
-Purulent (pus-like) exudate that is yellow to green color= S____ T____
Geographic Tongue CORRECT ANS-G____ T___= tongue appearance with creases, bends,
and unusual appearance "map-like appearance"; tends to occur in people with allergic
disease but has no significant pathology. May complain of soreness with acidic foods
Torus Palatinus CORRECT ANS-a painless bony protuberance in the midline of the hard
palate. May be asymmetrical. Does not interfere with normal function.
, FNP Boards: From Leik 3rd Ed (Exam Tips)
Hypertensive Retinopathy CORRECT ANS-H___ R____= destructive retinal changes caused
by hypertension. Copper and silver wire arterioles (arteriosclerosis), arteriovenous nicking
(when arteriosclerotic arteriole crosses retinal vein), and retinal hemorrhages (flame-like).
Cotton Wool CORRECT ANS-Diabetic Retinopathy= microaneurysms cause by
neovascularization. C_____ W____ Spots are a key characteristic.
Koplik Spots
measles CORRECT ANS-K____ spots= clusters of small, red-white papules with white
centers on red base. They are found on the buccal mucosa by the rear molars; an early sign of
m_______
HIV CORRECT ANS-Hairy Leukoplakia can be cause by H__ infection or Epstein-Barr Virus
(mononucleosis)
Cheilosis
B12 CORRECT ANS-a disorder of the lips characterized by crack-like sores at the corners of
the mouth
-Check for B-__ deficiency
-If yeast infection suspected utilize KOH testing
-If staph infection suspected, complete a C&S and treat with topical mupirocin ointment
hyperopia CORRECT ANS-farsightedness; distance vision intact and near vision blurry
, FNP Boards: From Leik 3rd Ed (Exam Tips)
Myopia CORRECT ANS-nearsightedness; near vision intact and distance vision blurry
Legal Blindness CORRECT ANS-20/200 on the snellen chart
Weber Test CORRECT ANS-Place tuning fork midline on the forehead.
Normal= no lateralizations (hears the sound in both ears).
Rinne Test CORRECT ANS-Place tuning fork first on mastoid process, then at the front of
the ear. Time each area.
Normal= air conduction lasts longer than bone conduction.
sensorineural hearing loss
Air Conduction > Bone Conduction CORRECT ANS-S____ hearing loss= Lateralization to
"good" ear (sound is heard louder in the ear that is normal)= weber test
(presbycusis meniere's disease)
__ conduction > ____ conduction= Rinne Test
Conductive hearing loss
Bone conduction > Air Conduction CORRECT ANS-C___ hearing loss= lateralization to "bad"
ear (sound is heard louder in the affected ear)= Weber test
, FNP Boards: From Leik 3rd Ed (Exam Tips)
(otitis media, serous otitis media, ceruminosis, and perforation of the tympanic membrane).
___ conduction > ___ conduction= Rinne Test
Chelazion CORRECT ANS-Disorder of the meibomian glands (sweat gland in eye); non-
infectious obstruction of the gland.
Pinguecula CORRECT ANS-yellowish mass on the conjunctiva that may be related to
exposure to ultraviolet light, dry climates, and dust
Pterygium CORRECT ANS-thin tissue growing into the cornea from the conjunctiva, usually
caused from sun exposure. Also known as "swimmers eye"
mononucleosis
amoxicillin CORRECT ANS-Acute and reactivated infectious _______ can present with
generalized maculopapular rash, enlarged tonsils with cryptic exudate (white or darker color),
sore throat, enlarged cervical nodes that are tender to touch. Avoid giving a______ in patients
who have strep throat during infectious mononucleosis as patients are at increased risk for
drug associated rash (70-90%)
Cortisporin Otic Drop CORRECT ANS-Treatment for otitis externa is C_____ Otic Drops
(topical antibiotic) combined with a steroid.
Leukoplakia CORRECT ANS-L_____= thickened, white, leathery-looking spots on the inside
of the mouth that can develop into oral cancer. Commonly seen in smokers.
Aphthlous stomatitis CORRECT ANS-A____ S____= canker sores. generally heal within 7-10
days. Cause is unknown.
milk CORRECT ANS-Avulsed tooth: store in cool m___ (no ice) and see dentist as soon as
possible for re-implantation.
mononucleosis
strep throat CORRECT ANS-Tonsil Conditions
-Thick white exudate= M______
-Purulent (pus-like) exudate that is yellow to green color= S____ T____
Geographic Tongue CORRECT ANS-G____ T___= tongue appearance with creases, bends,
and unusual appearance "map-like appearance"; tends to occur in people with allergic
disease but has no significant pathology. May complain of soreness with acidic foods
Torus Palatinus CORRECT ANS-a painless bony protuberance in the midline of the hard
palate. May be asymmetrical. Does not interfere with normal function.
, FNP Boards: From Leik 3rd Ed (Exam Tips)
Hypertensive Retinopathy CORRECT ANS-H___ R____= destructive retinal changes caused
by hypertension. Copper and silver wire arterioles (arteriosclerosis), arteriovenous nicking
(when arteriosclerotic arteriole crosses retinal vein), and retinal hemorrhages (flame-like).
Cotton Wool CORRECT ANS-Diabetic Retinopathy= microaneurysms cause by
neovascularization. C_____ W____ Spots are a key characteristic.
Koplik Spots
measles CORRECT ANS-K____ spots= clusters of small, red-white papules with white
centers on red base. They are found on the buccal mucosa by the rear molars; an early sign of
m_______
HIV CORRECT ANS-Hairy Leukoplakia can be cause by H__ infection or Epstein-Barr Virus
(mononucleosis)
Cheilosis
B12 CORRECT ANS-a disorder of the lips characterized by crack-like sores at the corners of
the mouth
-Check for B-__ deficiency
-If yeast infection suspected utilize KOH testing
-If staph infection suspected, complete a C&S and treat with topical mupirocin ointment
hyperopia CORRECT ANS-farsightedness; distance vision intact and near vision blurry
, FNP Boards: From Leik 3rd Ed (Exam Tips)
Myopia CORRECT ANS-nearsightedness; near vision intact and distance vision blurry
Legal Blindness CORRECT ANS-20/200 on the snellen chart
Weber Test CORRECT ANS-Place tuning fork midline on the forehead.
Normal= no lateralizations (hears the sound in both ears).
Rinne Test CORRECT ANS-Place tuning fork first on mastoid process, then at the front of
the ear. Time each area.
Normal= air conduction lasts longer than bone conduction.
sensorineural hearing loss
Air Conduction > Bone Conduction CORRECT ANS-S____ hearing loss= Lateralization to
"good" ear (sound is heard louder in the ear that is normal)= weber test
(presbycusis meniere's disease)
__ conduction > ____ conduction= Rinne Test
Conductive hearing loss
Bone conduction > Air Conduction CORRECT ANS-C___ hearing loss= lateralization to "bad"
ear (sound is heard louder in the affected ear)= Weber test
, FNP Boards: From Leik 3rd Ed (Exam Tips)
(otitis media, serous otitis media, ceruminosis, and perforation of the tympanic membrane).
___ conduction > ___ conduction= Rinne Test
Chelazion CORRECT ANS-Disorder of the meibomian glands (sweat gland in eye); non-
infectious obstruction of the gland.
Pinguecula CORRECT ANS-yellowish mass on the conjunctiva that may be related to
exposure to ultraviolet light, dry climates, and dust
Pterygium CORRECT ANS-thin tissue growing into the cornea from the conjunctiva, usually
caused from sun exposure. Also known as "swimmers eye"
mononucleosis
amoxicillin CORRECT ANS-Acute and reactivated infectious _______ can present with
generalized maculopapular rash, enlarged tonsils with cryptic exudate (white or darker color),
sore throat, enlarged cervical nodes that are tender to touch. Avoid giving a______ in patients
who have strep throat during infectious mononucleosis as patients are at increased risk for
drug associated rash (70-90%)
Cortisporin Otic Drop CORRECT ANS-Treatment for otitis externa is C_____ Otic Drops
(topical antibiotic) combined with a steroid.
