& Answers | NP Certification Study Guide|
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What is the biggest side effect of colchicine?
ANSWER: diarrhea
How would you describe the appearance of molluscum
contagiosum?
ANSWER: papules that are umbilicated and contain a caseous plug
How do we treat a broken clavicle in an infant?
ANSWER: no treatment; it should heal on it's own
At what week of pregnancy is the uterus palpable just above the
pubic symphysis?
ANSWER: week 12
At what week of pregnancy is the fundus palpable halfway between
the pubic symphysis and umbilicus?
ANSWER: week 16
At what week of pregnancy is the fundus of the uterus at the
umbilicus?
ANSWER: week 20
,At what week of pregnancy is the fundus of the uterus halfway
between the xiphoid process and umbilicus?
ANSWER: week 28
At what week of pregnancy is the fundus just below the xiphoid
process?
ANSWER: week 34
Increased sweat production is a sign of what endocrine disorder?
ANSWER: hyperthyroidism
What is Paget's disease?
ANSWER:
there is localized increased bone turnover and blood flow resulting
in the breakdown of bone and replacing it with weakened and highly
vascular bone putting the indiv at increased risk of fractures
How do we treat Paget's diseease?
ANSWER:
bisphosphonates
How should pregnant women wear their seatbelt?
ANSWER:
with the shoulder strap like a normal person and then the groin strap
below the belly and across the hips
What is another name for fifth disease?
ANSWER:
parvovirus aka slapped cheek disease aka erythema infectiosum
Which type of prevention are vaccinations?
ANSWER:
primary
,When should patients begin antiretroviral therapy for HIV infection?
ANSWER:
as soon as it is detected, even if in the acute phase
What are the first generation antihistamines?
ANSWER:
diphenhydramine (benadryl) and chlorpeniramine (actifed)
What are s/s of the secondary stage of syphilis?
ANSWER:
rash on hands and feet, lymphadenopathy, fever
What is the recommended treatment for chronic bacterial
prostatitis?
ANSWER:
a fluoroquinolone (cipro or levo) + bactrim
What is the recommended treatment for acute prostatitis?
ANSWER:
cipro (if not STI related) or ceftriaxone
What are s/s of an intraductal breast papilloma?
ANSWER:
clear to bloody unilateral nipple discharge (bilateral is usually
benign), and also a wart like lump palpated in the nipple area
If a patient has GABHS but has an allergy to penicillins, what is the
second line option?
ANSWER:
first generation cephalosporins, unless the allergy is severe, then
you would consider macrolides like a -mycin
, PDE5 inhibitors (sildenafil, tadalafil) are contraindicated in which
patient populations?
ANSWER:
in those who are on any type of nitrate or triptan because it could
result in hypotension
What class of drug is sildenafil (viagra)?
ANSWER:
a PDE5 inhibitor which can cause hypotension so you should do a full
cardiac assessment before starting a patient on this and maybe do
an EKG
What are the symptoms of peripheral artery disease?
ANSWER:
think P meaning pain, A meaning absent or weak pulses, eschar or
shiny legs, intermittent claudication
What is first line treatment for PAD?
ANSWER:
walking and physical activity to improve circulation. second line is an
aspirin or anti-platelet
What should we tell our patients with PAD NOT to do?
ANSWER:
do not elevate the feet; keep them down
How do we diagnose PAD?
ANSWER:
an ABI < 7; doppler can also be used to diagnose as well but is the
second choice
What are s/s of peripheral vascular disease?