FNP Certification Review 3rd ed (Leik) - Study Questions with complete solution 2023

FNP Certification Review 3rd ed (Leik) - Study Questions with complete solution 2023Which medications are associated with the highest incidence of erectile dysfunction? SSRI -- Paroxetine (Paxil) is a selective serotonin reuptake inhibitor (SSRI) that causes sexual adverse effects (impotence, inability to reach orgasm) in up to 50% of men who take it. Of all the SSRIs, it seems to be the one with the highest risk of erectile dysfunction. tests would you recommend to patients to confirm the diagnosis of beta thalassemia or sickle cell anemia hemoglobin electrophoresis Stepwise approach to treating acne vulgaris 1. Topical agents are the first-line treatment for acne vulgaris 2. Retin-A 0.25% gel 3. Oral preparations (tetracycline) 4. Accutane 1. What is the least common pathogen found in community-acquired pneumonia? 2. Common in 3. Treatment 1. P. aeruginosa is an uncommon cause of community-acquired pneumonia. 2. It is more common in patients with cystic fibrosis and hospitalized patients. 3. In mild cases, it can be treated with ciprofloxacin (Cipro) or levofloxacin (Levaquin), which are fluoroquinolones. P. aeruginosa is resistant to several antibiotics and it can be tricky to treat. Many patients need hospitalization. maculopapular rash is noted to have areas of central clearing making it resemble a round target. (Disease/Host/Organism) Erythema migrans is a symptom of early Lyme disease. It is an annular lesion that slowly enlarges with time (days to weeks) and has central clearing. It is caused by a bite from an infected (Borrelia burgdorferi) blacklegged tick. If untreated, infection will spread to joints, nervous system, and heart. Most cases of Lyme disease occur in the Northeast, mid-Atlantic states, Wisconsin, Minnesota, and northern California. A chest radiograph shows an area of consolidation on the lower lobe. What conditions is most likely Bacterial pneumonia Pneumonia is an inflammatory condition of the lung especially affecting the alveoli. It is associated with fever, chest symptoms, and consolidation on a chest x-ray. Infectious agents include bacteria, viruses, fungi, and parasites. Consolidation is not present in the lungs with bronchitis, chronic obstructive pulmonary disease (COPD), or atypical pneumonia. Which drug class is preferred initially to treat symptoms of GERD? A proton pump inhibitor (PPI) trial for 8 weeks is preferred for the treatment of moderate/severe GERD whose symptoms are not responding to lifestyle changes. Given the frequency of symptoms, a step-down approach should be considered in this patient. 1. side effect from the use of nifedipine (Procardia XL) 2. Classification? 1. edema of the ankles, dizziness, headaches, flushing, and weakness. 2. calcium channel blockers Angiotensin-converting enzyme (ACE) inhibitors tend to have the side effects of angioedema and a dry hacking cough Diuretics can cause side effects of hyperkalemia and hyperuricemia Downs syndrome can play contact sports if check for cervical instability Atlantoaxial instability (AAI) denotes increased mobility at the articulation of the first and second cervical vertebrae (atlantoaxial joint). The American Academy of Pediatrics issued a position statement in 1984 on AAI and Down syndrome (DS): All children with DS who wish to participate in sports should have cervical spine x-rays. Repeated x-rays are not indicated for children with DS who have had a previously normal neck x-ray. Persons with DS who have no evidence of AAI may participate in all sports. Nonhealing ulcers of the skin are a risk for skin cancer and patients should be treated how? referral -- evaluated by a dermatologist for treatment Acute alcohol withdrawal delirium is managed with benzodiazepines