APEA Pearls to help pass FNP boards Title Assessment Questions And Answers| 2024.

oxacin - correct answer fluoroquinolones terol - correct answer beta agonist tropium - correct answer inhaled anticholinergic "prevents bronchospasm" ipratropium (atrovent) one or ide - correct answer inhaled steriods -lol - correct answer beta blocker triptan - correct answer migraine (constricts cerebral arteries--to not overuse) mycin - correct answer macrolide -pam - correct answer benzo -dine - correct answer h2 blockers (famotidine) prazole - correct answer proton pump inhibitor -ide - correct answer thiazide diuretic -pril - correct answer ace inhibitor -sartan - correct answer ARB -lol - correct answer Beta Blocker -pine - correct answer calcium channel blocker---first line for ISH -gliptan - correct answer diabetic med--no hypoglycemia -sin - correct answer alpha adrenergic blockers (tx BPH) 4 indications for cxr with acute cough - correct answer abnormal VS rales, consolidation >75 years old fever Who gets PPSV23 vaccine?? - correct answer -single dose 65 or older -single dose 19-64 if chronic illness, smoker, group home -Immunocompromised receive another dose at 5 YEAR interval -ALWAYS get dose at 65 even if received earlier doses as long as 5 Years has passed!! Bacteria responsible for most pneumonia deaths - correct answer Strep pneumonae (Gram -) Three most common bacteria - CAP - correct answer S. Pneumoniae Mycoplasma pneumoniae (walking pneumonia) Chlamydophila pneumoniae Best initial antibiotics for pneumonia if no antibiotic exposure in last 3 months - correct answer Doxycycine or Macrolide (Azithromycin or Clarithromycin) ----because they cover for atypicals Best initial antibiotics for pneumonia if comorbidities or antibiotics in 90 days - correct answer -Resp quinolone (levofloxacin, gemifloxacin, moxifloxacin) or IF ALLERGY -Beta-lactam (PCN or cephalosporin) PLUS macrolide How long course of antibiotics for pneumonia - correct answer 3 days longer than s/s of infection. Pneumonia severity index??? - correct answer CRB-65 -Confusion -RR >30 -BP low -Age >65 What confirms COPD on PFTs??? - correct answer FEV1/FVC <70% COPD staging - correct answer Bigger number more severe What med is crucial for COPD patient - correct answer SABA!! Where are beta1 receptors - correct answer Heart Where are beta2 receptors - correct answer Lungs What is the maintenance drug of choice for all levels of asthma? - correct answer Inhaled corticosteroid. What classifies persistent asthma ? - correct answer >2 days /wk symptoms; nighttime sx >3 x month How do postitive PPD readings differ for immunocompromixed patients? - correct answer smaller size of induration positive if immunocompromized (>15 mm if healthy, >5mm if HIV) What does Baciille Calmette Guerin vaccine protect against? - correct answer BCG vaccine for TB. Given in other countries. At what age should you do a f/u CXR after treatment for pneumonia - correct answer Anyone over 40 Possible sequelae of long term inhaled steroid use - correct answer cataract formation osteoporosis rising A1C What cardiac class is bad for COPD /Asthma - correct answer -lol; Beta Blockers...opposite affect of SABA and LABAs Which patients typically should have higher h&h??? - correct answer Hgh altitudes, smokers, COPDers What population "generally" has lower h&h? - correct answer >65 Range of "normocytic" MCV rbc - correct answer 80-90fl <80 microcytic >96 Macrocytic on a cbc, the size of rbc is described by the - correct answer MCV On a cbc, the hemoglobin content of RBCs is decribed by the - correct answer MCH (mean corpucular hgb) hypo/hyperchromic?? Normal Hgb - correct answer 11-15g/dl normal Hct - correct answer 33-45% RDW - wh