AANPxfFNPxfTESTxfreview
ADAxfscreeningxfforxfDMxfinxfChildrenxf-xfcorrectxfanswer✔ ✔ -
symptomaticxfchildrenxf(polyuria,xfpolydipsia,xfpolyphagia,xfblurredxfvision
)xfregardlessxfofxfriskxffactorsxf
-
asymptomaticxfchildrenxfafterxfpubertyxforxf10xfyearsxfofxfagexforxfolderxfifxfov
erweightxforxfobesexf(>85thxfpercentile).xfPlusxf1xfofxfthexffollowing:
*T2DMxfinxf1stxforxf2ndxfdegreexfrelative
*highxfriskxfracial/ethnicxfgroupxf
*signsxfofxfinsulinxfresistancexf(HTN,xfdyslipidemia,xfacanthosisxfnigricans,xf
PCOS,xfSGA)
*maternalxfhxxfofxfDMxforxfGDMxfduringxfthexfchild'sxfgestation
Statisticsxf-xfcorrectxfanswer✔ ✔ -
xfleadingxfcausesxfofxfdeath:xfHeartxfdisease,xfcancer,xflungxfdisease
-xfleadingxfcausexfofxfcancerxfdeath:xflungxf
-xfleadingxfcausexfofxfdeathxfinxfadolescents:xfaccidents
-xfmostxfcommonxfcancer:xfskin.xf
-xfinxfmales:xfprostate.xfinxffemales:xfbreast
suicide:xfmalesxfmorexfsuccessful,xfwomenxfmorexfattempts.xfhighestxfratexfisxf
olderxfwhitexfmales.
,Osgood-Schlatter:xf-xfcorrectxfanswer✔ ✔
kneexfpainxfinxfyoungxfadults,xfoveruse.xfRepetitivexfstressxfpain,xftendernes
s,xfswellingxfatxfthexftendon'sxfinsertionxfsite.xfThexftibialxftuberosity.xfRulexfou
txfavulsionxffracturexfifxftherexfisxfanxfacutexfonsetxfandxforderxfaxflateralxfxray.xf
RICE.xfUsuallyxfstopsxfwhenxfthexfgrowthxfstops.
Ifxfpatientxfhasxfrightxfsidedxfweakness,xfetc.xfthexfCVAxfoccurredxfwherexf-
xfcorrectxfanswer✔ ✔ leftxfside
initialxfevaluationxfofxfsymptomsxfofxfacutexfprostatitisxf-xfcorrectxfanswer✔
✔ Urinalysisxfandxfurinexfculture
Axf65-year-oldxfwomanxfpresentsxfforxfaxffollow-
upxfexaminationxfafterxfaxfnewxfpatientxfvisit.xfShexfhasxfnotxfseenxfaxfhealthcar
exfproviderxfforxfseveralxfyears.xfShexfisxfaxfsmokerxfandxfherxfhypertensionxfisxf
nowxfadequatelyxfcontrolledxfwithxfmedication.xfHerxfmotherxfdiedxfatxfagexf4
0xffromxfaxfheartxfattack.xfThexffastingxflipidxfprofilexfshowsxfcholesterolxf=xf24
0xfmg/dL,xfHDLxf=xf30,xfandxfLDLxf=xf200.xfInxfadditionxftoxfstartingxfTherape
uticxfLifestylexfChanges,xfthexfnursexfpractitionerxfshouldxfstartxfthexfpatientxfo
n:
1.xfbilexfacidxfsequestrant.
2.xfaxfstatinxfdrug.
,3.xfaxfcholesterolxfabsorptionxfinhibitor.
4.xflow-dosexfaspirin.xf-xfcorrectxfanswer✔ ✔ Axfstatinxfdrug
Ortolani'sxfClickxf-xfcorrectxfanswer✔ ✔
axfclickxfisxfheardxforxffeltxfasxfdislocationxfisxfreducedxf(developmentalxfdys
plasiaxfofxfhip)xf(goodxfuntilxfonexfyear)
Whichxfofxfthexffollowingxflaboratoryxftestsxfshouldxfaxfnursexfpractitionerxfor
derxfwhenxfthexfsuspectedxfdiagnosisxfisxftemporalxfarteritis?xf-
xfcorrectxfanswer✔ ✔ Erythrocytexfsedimentationxfratexf(ESR)
Whatxfarexfnarrowxftherapeuticxfindexxfdrugs?xf-xfcorrectxfanswer✔ ✔
1.xfWarfarinxfsodiumxf(Coumadin):xfmonitorxfINR
2.xfDigoxinxf(lanoxin):xfmonitorxfdigoxinxflevel,xfEKG,xfelectrolytes(potassi
um,xfmagnesium,xfcalcium)
3.xfTheophylline:xfmonitorxfbloodxflevels
4.xfCarbamazepimexf(Tegretol)xfandxfPhenytoinxf(Dilantin):xfMonitorxfblood
xflevels
5.xfLevothyroxine:xfMonitorxfTSH
6.xfLithium:xfMonitorxfbloodxflevels,xfTSHxf(riskxfofxfhypothyroidism)
, OtitisxfExternaxftxxf-xfcorrectxfanswer✔ ✔
Fluoroquinolonexf&xfPolymyxinxfBxfcortisporinxfdrops
Anxfelderlyxfmalexfpatientxfcomplainsxfofxfaxfnew-onset,xfleft-
sidedxftemporalxfheadachexfaccompaniedxfbyxfscalpxftendernessxfandxfindurat
edxftemporalxfartery.xfThexfNPxfsuspectsxftemporalxfarteritis.xfWhatxfscreenin
gxftestxfwouldxfyouxforderxftoxfassistxfwithxfdiagnosis?xf-xfcorrectxfanswer✔
✔ sedimentationxfratexf(expectxftoxfbexfveryxfelevated)
BasalxfCellxfCarcinomaxf-xfcorrectxfanswer✔ ✔
Pearlyxfdomedxfnodulexfwithxfoverlayingxftelangiectaticxfvessels.xfCouldxfb
exfplaque,xfpapule,xfpossiblexfcentralxfulcerationxfandxfcrusting.xfDx:xfBiopsyxf
Tx:
Normal,xfhealthyxfwomanxfofxfreproductivexfagexf-xfcorrectxfanswer✔ ✔
white,xfclear,xfflocculent(physiologicxfleukorrhea),xfnoxfcomplaints,xfpHxf3
.8-
4.2xf(towardxfacidic),xfnoxfodor,xfmicroscopicxfshowsxflactobacillixf(gram+ba
cteria)
Multiplexfinfectionsxffromxfbacteriaxfandxffungus?xf-xfcorrectxfanswer✔ ✔
ScreenxfforxfHIV
ADAxfscreeningxfforxfDMxfinxfChildrenxf-xfcorrectxfanswer✔ ✔ -
symptomaticxfchildrenxf(polyuria,xfpolydipsia,xfpolyphagia,xfblurredxfvision
)xfregardlessxfofxfriskxffactorsxf
-
asymptomaticxfchildrenxfafterxfpubertyxforxf10xfyearsxfofxfagexforxfolderxfifxfov
erweightxforxfobesexf(>85thxfpercentile).xfPlusxf1xfofxfthexffollowing:
*T2DMxfinxf1stxforxf2ndxfdegreexfrelative
*highxfriskxfracial/ethnicxfgroupxf
*signsxfofxfinsulinxfresistancexf(HTN,xfdyslipidemia,xfacanthosisxfnigricans,xf
PCOS,xfSGA)
*maternalxfhxxfofxfDMxforxfGDMxfduringxfthexfchild'sxfgestation
Statisticsxf-xfcorrectxfanswer✔ ✔ -
xfleadingxfcausesxfofxfdeath:xfHeartxfdisease,xfcancer,xflungxfdisease
-xfleadingxfcausexfofxfcancerxfdeath:xflungxf
-xfleadingxfcausexfofxfdeathxfinxfadolescents:xfaccidents
-xfmostxfcommonxfcancer:xfskin.xf
-xfinxfmales:xfprostate.xfinxffemales:xfbreast
suicide:xfmalesxfmorexfsuccessful,xfwomenxfmorexfattempts.xfhighestxfratexfisxf
olderxfwhitexfmales.
,Osgood-Schlatter:xf-xfcorrectxfanswer✔ ✔
kneexfpainxfinxfyoungxfadults,xfoveruse.xfRepetitivexfstressxfpain,xftendernes
s,xfswellingxfatxfthexftendon'sxfinsertionxfsite.xfThexftibialxftuberosity.xfRulexfou
txfavulsionxffracturexfifxftherexfisxfanxfacutexfonsetxfandxforderxfaxflateralxfxray.xf
RICE.xfUsuallyxfstopsxfwhenxfthexfgrowthxfstops.
Ifxfpatientxfhasxfrightxfsidedxfweakness,xfetc.xfthexfCVAxfoccurredxfwherexf-
xfcorrectxfanswer✔ ✔ leftxfside
initialxfevaluationxfofxfsymptomsxfofxfacutexfprostatitisxf-xfcorrectxfanswer✔
✔ Urinalysisxfandxfurinexfculture
Axf65-year-oldxfwomanxfpresentsxfforxfaxffollow-
upxfexaminationxfafterxfaxfnewxfpatientxfvisit.xfShexfhasxfnotxfseenxfaxfhealthcar
exfproviderxfforxfseveralxfyears.xfShexfisxfaxfsmokerxfandxfherxfhypertensionxfisxf
nowxfadequatelyxfcontrolledxfwithxfmedication.xfHerxfmotherxfdiedxfatxfagexf4
0xffromxfaxfheartxfattack.xfThexffastingxflipidxfprofilexfshowsxfcholesterolxf=xf24
0xfmg/dL,xfHDLxf=xf30,xfandxfLDLxf=xf200.xfInxfadditionxftoxfstartingxfTherape
uticxfLifestylexfChanges,xfthexfnursexfpractitionerxfshouldxfstartxfthexfpatientxfo
n:
1.xfbilexfacidxfsequestrant.
2.xfaxfstatinxfdrug.
,3.xfaxfcholesterolxfabsorptionxfinhibitor.
4.xflow-dosexfaspirin.xf-xfcorrectxfanswer✔ ✔ Axfstatinxfdrug
Ortolani'sxfClickxf-xfcorrectxfanswer✔ ✔
axfclickxfisxfheardxforxffeltxfasxfdislocationxfisxfreducedxf(developmentalxfdys
plasiaxfofxfhip)xf(goodxfuntilxfonexfyear)
Whichxfofxfthexffollowingxflaboratoryxftestsxfshouldxfaxfnursexfpractitionerxfor
derxfwhenxfthexfsuspectedxfdiagnosisxfisxftemporalxfarteritis?xf-
xfcorrectxfanswer✔ ✔ Erythrocytexfsedimentationxfratexf(ESR)
Whatxfarexfnarrowxftherapeuticxfindexxfdrugs?xf-xfcorrectxfanswer✔ ✔
1.xfWarfarinxfsodiumxf(Coumadin):xfmonitorxfINR
2.xfDigoxinxf(lanoxin):xfmonitorxfdigoxinxflevel,xfEKG,xfelectrolytes(potassi
um,xfmagnesium,xfcalcium)
3.xfTheophylline:xfmonitorxfbloodxflevels
4.xfCarbamazepimexf(Tegretol)xfandxfPhenytoinxf(Dilantin):xfMonitorxfblood
xflevels
5.xfLevothyroxine:xfMonitorxfTSH
6.xfLithium:xfMonitorxfbloodxflevels,xfTSHxf(riskxfofxfhypothyroidism)
, OtitisxfExternaxftxxf-xfcorrectxfanswer✔ ✔
Fluoroquinolonexf&xfPolymyxinxfBxfcortisporinxfdrops
Anxfelderlyxfmalexfpatientxfcomplainsxfofxfaxfnew-onset,xfleft-
sidedxftemporalxfheadachexfaccompaniedxfbyxfscalpxftendernessxfandxfindurat
edxftemporalxfartery.xfThexfNPxfsuspectsxftemporalxfarteritis.xfWhatxfscreenin
gxftestxfwouldxfyouxforderxftoxfassistxfwithxfdiagnosis?xf-xfcorrectxfanswer✔
✔ sedimentationxfratexf(expectxftoxfbexfveryxfelevated)
BasalxfCellxfCarcinomaxf-xfcorrectxfanswer✔ ✔
Pearlyxfdomedxfnodulexfwithxfoverlayingxftelangiectaticxfvessels.xfCouldxfb
exfplaque,xfpapule,xfpossiblexfcentralxfulcerationxfandxfcrusting.xfDx:xfBiopsyxf
Tx:
Normal,xfhealthyxfwomanxfofxfreproductivexfagexf-xfcorrectxfanswer✔ ✔
white,xfclear,xfflocculent(physiologicxfleukorrhea),xfnoxfcomplaints,xfpHxf3
.8-
4.2xf(towardxfacidic),xfnoxfodor,xfmicroscopicxfshowsxflactobacillixf(gram+ba
cteria)
Multiplexfinfectionsxffromxfbacteriaxfandxffungus?xf-xfcorrectxfanswer✔ ✔
ScreenxfforxfHIV
