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UPDATED 2024 FNP BOARD REVIEW QUESTIONS WITH ACCURATE ANSWERS
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UPDATED 2024 FNP BOARD REVIEW QUESTIONS WITH ACCURATE ANSWERS
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UPDATED 2024 FNP BOARD REVIEWQUESTIONS WITH ACCURATE
ANSWERS
,UPDATED 2024 FNP BOARD REVIEW
QUESTIONS WITH ACCURATE
ANSWERS
A patient has a fundal height measurement of 24 cm. She is probably about
A) 14-18 weeks gestational age
B) 18-22 weeks gestational age
C) 22-26 weeks gestational age
D) In her 3rd trimester - CORRECT ANSWERSC) 22-26 weeks gestational age
A 24-year old, otherwise healthy college student presents with c/o cough x 6 weeks. She has tried
several OTC cough meds with no improvement. What is the most important information to consider
when building your differential diagnoses?
A) Her age
B) Family hx
C) Ineffectiveness of OTC cough medicines
D) Length of time she has been coughing - CORRECT ANSWERSD) Length of time she has been coughing
Why? This information helps you build your ddx
Acute cough < 3 weeks: bronchitis, sinusitis, PND, exacerbation of COPD/asthma, pneumonia,
pulmonary embolism
Chronic cough (>8 weeks) GERD and Asthma are most common causes, also consider infection (e.g.
pertussis, atypical pneumonia), ACE inhibitors, chronic bronchitis, bronchiectasis, lung ca)
According to the CDC, what drug class is considered first-line treatment for pertussis?
A) Sulfonamide
B) Tetracycline
C) Macrolide
,D) Beta-lactam - CORRECT ANSWERSC) Macrolide antiobitic (e.g. Azithromycin, clarithromycin
Sulfonamides are second-line
Match the antibiotics with the correct drug class:
1. Sulfonamide
2. Tetracycline
3. Macrolide
4. Beta-lactam
A. Doxycyline
B. Azithromycin
C. Penicillins
D.Trimethoprim-Sulfamethoxazole
E. Cephalosporin
F. Clarithromycin - CORRECT ANSWERS1. Sulfonamide - D.Trimethoprim-Sulfamethoxazole (Bactrim)
2. Tetracycline - A. Doxycycline
3. Macrolide - B & F, Azithromycin and Clarithromycin
4. Beta-lactam - C & E, PCN and cephalosporins
What are the three most common bugs in community-acquired pneumonia? - CORRECT
ANSWERSStreptococcus pneumoniae
Mycoplasma pneuomiae (atypical pathogen)
Chlamydophila pneumoniae (atypical pathogen)
, What is the treatment for CAP caused by Strep pneumo? - CORRECT ANSWERSRespiratory quinolone
(e.g. Levofloxacin, moxifloxacin, gemifloxacin) OR high-dose amoxicillin OR amoxicillin with clavulanate
What antibiotics are avoided in CAP caused by Strep pneumo due to high rates of resistance? - CORRECT
ANSWERSMacrolides
What is the treatment for CAP caused by Mycoplasma pneumoniae? - CORRECT ANSWERSMacrolide OR
doxycycline
What antibiotics are avoided in CAP caused by atypical pathogens? - CORRECT ANSWERSBeta-lactams
(ineffective)
A 38-year old mother of two teenagers recently recovered from Mycoplasma pneumonia a couple of
weeks ago. She asks if she should get the "pneumonia shot." She takes levothyroxine 88 mcg daily for
hypothyroidism, but is otherwise healthy. How do you respond?
A) No, it's too soon after your infection
B) No, it's not indicated
C) Yes, you can get it in about a month
D) Yes you can get it today - CORRECT ANSWERSB) No, it's not indicated
An otherwise healthy adult without immunocompromise or multiple comorbid conditions is not a
"vulnerable population"
The pneumonia vaccine does not prevent mycoplasma pneumonia
According to GOLD, what is required to establish the diagnosis of COPD? - CORRECT
ANSWERSSpirometry (FEV1/FVC ratio < 70%)
A 70-year old house painter reports a 4-week history of exertional dyspnea, chest tightness, and cough
for the past 3 months. He has never smoked. What diagnoses are included in your differential? Select 4.
A) Asthma
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