FNP Board Review Questions – AANP & ANCC Certification Prep

FNP BOARD REVIEW QUESTIONS


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 dierential diagnoses?

A) Her age

B) Family hx

C) Ineectiveness of OTC cough medicines

D) Length of time she has been coughing

Correct answer: D) 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 rst-line treatment for pertussis?

A) Sulfonamide

B) Tetracycline

C) Macrolide

D) Beta-lactam

Correct answer: C) 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 answer: 1. 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 answer: Streptococcus pneumoniae

Mycoplasma pneuomiae (atypical pathogen)

Chlamydophila pneumoniae (atypical pathogen)

,What is the treatment for CAP caused by Strep pneumo?

Correct answer: Respiratory quinolone (e.g. Levooxacin, moxioxacin, gemioxacin) 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 answer: Macrolides



What is the treatment for CAP caused by Mycoplasma pneumoniae?

Correct answer: Macrolide OR doxycycline



What antibiotics are avoided in CAP caused by atypical pathogens?

Correct answer: Beta-lactams (ineective)



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 answer: B) 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 answer: Spirometry (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 dierential? Select 4.



A) Asthma

B) Angina

C) COPD

D) GERD

E) Pneumonia

F) Tuberculosis

G) Heart Failure

Correct answer: B) Angina

C) COPD

F) Tuberculosis

G) Heart failure



How do inhaled anticholinergics work to treat shortness of breath in COPD?

A) They cause bronchodilation in the lungs

B) They block the action of acetylcholine and prevent bronchoconstriction

Correct answer: B) They block the action of acetylcholine and prevent bronchconstriction



Name a short-acting inhaled anticholinergic:

Correct answer: Ipratropium (Atrovent)