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FHEA FNP Board Exam Review – Questions & Answers
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FHEA FNP Board Exam Review – Questions & Answers
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FHEA FNP Board Exam Review – Questions & AnswersMost common side of the heart to have problems Right Ans - The left side
Left ventricular hypertrophy (common TOD from uncontrolled hypertension)
Left atria hypertrophy
Aortic stenosis (syncope)
Mitral valve regurgitation (shortness of breath)
Do not give MMR vaccine if... Right Ans - Anaphylactic reaction to gelatin
Do not give hepatitis B vaccine if... Right Ans - Anaphylactic reaction to
Bakers yeast
Do you not give IPV, MMR, or Varicella vaccinations if.. Right Ans -
Anaphylactic reaction to neomycin
Anaphylaxis symptoms Right Ans - Hives (uticaria)
Angioedema (edema, most often of the head and neck)
Respiratory compromise (cough, or wheeze)
When to avoid live vaccinations such as MMR, chickenpox and flumist
Right Ans - -pregnancy
-severe immunocompromise
When to avoid the rotavirus vaccine Right Ans - -infants with severe
combined immuno deficiency(SCID)
-History of intussusception
Most common cancers for males Right Ans - prostate, lung, colorectal,
melanoma
Most common cancers for females Right Ans - breast, lung, colorectal,
melanoma
Cancers with highest death rates Right Ans - Lung, breast or prostate,
colon, pancreatic
PSA testing guidelines Right Ans - -If patients have no preference, then
don't do it
,-May begin at 50 unless family history
-can be done yearly
-No more after 70 years old
Colorectal Screening Guidelines Right Ans - ages 45-75
gFOBT annually
OR
stool-based test every 3 years
OR
colonoscopy every 10 years
OR
flex sig ever 5 years
*if any positive then need colonoscopy
Lung cancer screening guidelines Right Ans - yearly low-dose CT scan to
screen for lung cancer in patients aged 50-80 years old who have hx of 20
pack/year. Patient should also be currently smoking or have quit within the
prior 15 years.
Breast cancer screening guidelines Right Ans - Normal: mammogram q2y
started at 50 YO (ACS- maybe at 40, 45-54 annual, 55 annual or biennial,
continue until life expectancy under 10 years)
Genetic testing if...
- 2 1st degree relatives (1 before 50)
- 3 1st or 2nd degree
- 1st or 2nd w/ breast AND ovarian
- BC in male relative
Cervical cancer screening guidelines Right Ans - *No testing under 21
regardless of sexual activity and no screening after 65
USPTF- start at 21 with paps q 3 and 30+ add HPV q 5 (cotest q 5)
ACS- start at 25 with HPV q 5/pap q 3 or cotest q 5
What medication prevent micronutrient absorption Right Ans - Metformin
(vitamin B 12) and PPI (vitamin B12 and iron)
, Microcytic anemia, next step Right Ans - Get ferritin level then treat with
Ferrous sulfate until normal +3 months
Thalassemia next steps Right Ans - Hemoglobin electrophoresis
Alpha thalassemia minor ethnic groups Right Ans - Asian and African
Beta thalassemia minor ethnic groups Right Ans - African, Mediterranean,
Middle Eastern
Macrocytic anemia next steps Right Ans - Serum B12 and RBC folate to
determine which one it is then treat based on results
Drug induced macrocytosis Right Ans - usually without anemia, hemogram
looks normal, but the MCV is elevated
medication:
carbamazepine (tegretol)
valproic acid
phenytoin (Dilantin)
AZT
alcoholism- need to stop
(excessive drinking is five or more drinks in men and three or more drinks in
women)
Elevated neutrophils indicate Right Ans - bacterial infection
Elevated lymphocytes indicate Right Ans - viral infection
Elevated monocytes indicate Right Ans - Debris- burns and trauma
elevated eosinophils indicate Right Ans - Allergies or parasitic infection
Elevated basophils indicate Right Ans - Anaphylaxis
COMPS Right Ans - Conjunctivitis, otitis media, meningitis, pneumonia
sinusitis
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