Summary Fitzgerald NP Certification Exam Review & Advanced Practice Update A+ Guide Latest Fall 2022

Fitzgerald NP Certification Exam Review & Advanced Update 2022 Earliest urine pregnancy test, when? hcg? - 7-10 days after ovulation, BhCG= 25 mIU Appendicitis: assessment - RLQ pain (McBurney's point), + psoas sign, + obturator sign Appendicitis: symptoms - abdominal pain, fever, N/V Appendicitis: labs - elevated WBCs, left shift Actinic keratosis - rough, pink lesion on sun-exposed region of the body. precancerous and can progress into squamous cell carcinoma PMS pathophysiology - serotonin dysfunction PMS treatment - SSRIs continuously or in luteal phase SSRI: fetal risk when taken prenatally - pulmonary hypertension 1st degree uterine prolapse - descent limited to upper 2/3 of vagina 2nd degree uterine prolapse - body of uterus lies within vagina 3rd degree uterine prolapse - uterus and cervix outside the vagina - cervical carcinoma in situ - stage 0 cervical cancer, noninvasive, progressive neoplastic change that involves the full thickness of the cervix CIN I, II, III - dysplasia of cervix seen on biopsy squamous intraepithelial lesion (SIL) - cervical dysplasia seen on pap where is the fundus immediately postpartum? - between the symphysis pubis and umbilicus Rescue therapy for pregnant asthma - albuterol (SABA) Controller therapy for persistent asthma in pregnancy - inhaled corticosteroids where is the fundus after 2 days postpartum? - descending from umbilicus 1 cm per day where is the fundus 12 hours postpartum? - umbilicus Herpes zoster: presentation - 1-2 day prodrome followed by eruption of vesicles concentrated along dermatome Corpus luteum cysts formation - follicle sac does not dissolve after egg release, fluid accumulates Follicular cyst formation - sac surrounding egg does not rupture, fluid accumutes Benign ovarian cyst formation - follicle is stimulated, but no dominant follicle develops impetigo presentation - honey crusts Herpes Zoster: lab - Tzanck smear subclinical hypothyroidism - TSH high, T4 normal Ciprofloxacin: pregnancy category - C TMP-SMX pregnancy category - D TMP-SMX pregnancy category, why? - antifolate effects acute asthma exacerbation treatment in pregnancy - systemic steroids immediately Recommended treatment for UTI in pregnancy - nitrofurantoin nitrofurantoin pregnancy category - B most common pathogen in uncomplicated UTI - E. coli Prednisone pregnancy category - C Tertiary prevention - prevent further deterioration from an existing condition Secondary prevention - identify asymptomatic disease before damage occurs Primary prevention - prevent disease, illness, or health deviation corpus albicans cyst - fibrous scar formed after corpus luteum involution ASC-H follow-uo - colposcopy positive screen for coagulopathies - 1) heavy menstrual bleeding since menarche 2) increased bleeding/ hemorrhage 3) frequent epistaxis (nosebleeds) Homan's sign - pain on dorsiflexion of foot, DVT sign Slight temperature elevation postpartum is due to: - dehydration DVT signs - unilateral edema, pain, warmth over area IUD insertion infection would present when? - within first 20 days after insertion Treatment for intrapartum or postpartum hypertensive emergency - hydralazine IV How long should a woman wait to conceive after bariatric surgery? - 12-18 months HPV vaccine has potential to prevent ___% of cervical, vulvar, vaginal, and anal cancers - 90% HPV strains responsible for 70% of cervical cancers - HPV 16 + HPV 18 It normal for which lab to be elevated immediately postpartum? - WBCs endometriosis symptoms - dysmenorrhea, pain with intercourse, pain with bowel movements or urination, and excessive bleeding After bariatric surgery, patients are at increased risk of deficiencies in - iron, vitamin B12, folate, vitamin D, and calcium teratogenic injury pattern - organ-system specific and predictable MEC: category 1 - no restriction on use MEC: category 2 - advantages outweigh risks of use MEC: category 3 - risks generally outweigh benefits of use MEC: category 4 - use represents unacceptable risk DMPA injection: immediate postpartum and breastfeeding, MEC category - 2 POPs: immediate postpartum and breastfeeding, MEC category - 2 LARC: presence of endometrial hyperplasia, rheumatoid arthritis without immunosuppressive therapy, or a history of bariatric surgery, MEC category - 1 LARC: Moderately or severely impaired cardiac function, MEC category - 2 ******************************CONTINUED****************************