FNP from practice exam AANP (with complete solutions)

If patient has right sided weakness, etc. the CVA occurred where - ANSWER left side erythromycin for chlamydia eye infection in infants - ANSWER ... squamous epithelial cells with stippling appearance, no lactobacilli and many WBCs is - ANSWER wet mount that shows BV the headache of an intracranial tumor - ANSWER focal neurological signs and pain worse in supine position in order to improve longevity of patient with COPD, tx of choice is - ANSWER oxygen which of the following criteria differentiates a TIA from a CVA - ANSWER absence of residual symptoms - TIA sx occur rapidly and then resolve, CVA sx are residual - TIA is temporary block and usually no residual sx med of choice for polymyalgia rheumatica - ANSWER prednisone helical CT pulmonary angiography - ANSWER test for PE electric shock unilateral facial pain - ANSWER trigeminal neuralgia sudden vision loss in which person feels like a curtain came down over his eye - ANSWER retinal detachment decreased gastric production with aging - ANSWER ... MED FOR MYCOPLASMA PNEUMO - ANSWER AZITHROMYCIN SSRIs can cause delayed ejaculation - ANSWER ... best laboratory test to distinguish IDA anemia from other anemias is - ANSWER serum ferritin bump on testicle can indicate cancer of testicle - ANSWER ... for diabetic patients taking beta blockers, best indication of hypoglycemic episode will be - ANSWER sweating (WILL NOT SEE TACHY AND PALPITATIONS DUE TO BETA BLOCKER USE) S1 spinal function is assessed with what DTR - ANSWER achilles children over 8 years old can use doxy - ANSWER ... in doing initial eval of patient with suspected acute prostatitis, what test to do - ANSWER urinalysis and culture Koplik spots - ANSWER measles pernicious anemia is B12 deficiency - ANSWER ... most appropriate dx tests for PCOS are - ANSWER testosterone, LH, prolactin, TSH weight loss, shoulder and pelvic pain, pain with ROM, no weakness, elevated ESR - ANSWER polymyalgia rheumatica!!!! pansystolic murmur - ANSWER mitral regurgitation tx corneal abrasion with - ANSWER gentamicin feverfew is used for - ANSWER migraines and menstrual cramps most common 2 pathogens for older adults residing in community - ANSWER strep pneumo, H. flu what class of anti-HTN meds is absolutely CONTRAINDICATED in bilateral renal artery stenosis and has been associated with acute renal failure - ANSWER ACEs - With stenosed renal arteries, afferent flow cannot be increased, angiotensin II can actually become the only mechanism by which the kidney can increase filtration, and with severe stenosis, efferent arteriole constriction is crucial for maintaining some degree of filtration. ACE inhibitors would prevent conversion of Ang. I (which is inactive) to Ang. II, and therefore make everything worse by removing the kidney's only remaining regulatory mechanism as well as cutting the perfusion pressure and eliminating what little renal function remains. With tubular cells that are already less effective due to damage from chronic ischemia, the resulting decrease in GFR would effectively accelerate kidney failure . HCTZ should not be taken with digoxin - ANSWER may increase risk of digoxin toxicity Erythema multiforme - ANSWER a milder form of Stevens-Johnson syndrome that produces pink-to-red targetlike lesions, wheals, and blisters, with no mucosal involvement. The clinician should look for a history of antibiotic and other drug treatment such as sulfa drugs, penicillins, and other drugs. Hypersensitivity reaction from meds, allergy, or infection. how is MS dx - ANSWER lumbar puncture diabetes can contribute to pregnancy induced HTN - ANSWER ... hold assistive device (like cane) on opposite side - ANSWER ... sickle cell, thalassemia and leukemia can all cause - ANSWER hepatosplenomegaly - but IDA wil not VSD sx - ANSWER cyanosis and poor feeding - murmur is heard in tricuspid area Down's syndrome patients can have - ANSWER congenital heart defects, seizures, eye issues, hearing loss, obesity - NOT failure to thrive hyperinflation of lungs can be seen on chest X-ray in patients with asthma - ANSWER ... Kerley's B lines on X-ray indicate - ANSWER Pulmonary edema Depo provera can cause - ANSWER menstrual irregularities and amenorrhea when rx hormones, consider fam hx of what cancers - ANSWER uterine and breast nuva ring does not affect menstrual cycle - ANSWER ... implant can help with cramps - ANSWER ... itraconazole - oral - ANSWER ... griseofulvin - ANSWER tinea capitis miconazole - topical - ANSWER ...