AANP-FNP Exam Questions & Answers Graded A+

Hegar's sign - Answer Softening of lower uterine segment Chadwick's sign - Answer Bluish color of cervix and vagina at 6-8 weeks Goodell's sign - Answer Softening of cervix at 4+ weeks Lipids in chronic inactivity - Answer Low HDL Lipids in under- or untreated hypothyroidism - Answer Elevated total cholesterol, TG, and LDL Lipids in chronic renal insufficiency - Answer Elevated total cholesterol and TG Lipids in alcohol abuse - Answer Elevated TG, HDL, and LDL Vaccines with live attenuated viruses - Answer MMR, varicella, flu-mist(intranasal), Zostavax Drugs of choice for abdominal infection - Answer Beta lactams + metronidazole (most common); fluoroquinolones Drugs of choice for urinary tract infection - Answer Fluoroquinolones (except moxi), TMP-SMX, fluconazole, b-lactams, nitrofurantoin, fosfomycin if pt has many allergies Drugs of choice for pulmonary infections - Answer Macrolides, resp fluoroquinolones, b-lactams, doxycycline (MRSA, atypical coverage) Drugs of choice for skin and soft tissue infections - Answer MRSA: TMP-SMZ, doxycycline, clindamycin; b-lactams Drugs of choice for MRSA - Answer Vancomycin, daptomycin , linezolid, TMP-SMZ, doxycycline, ceftaroline Macrolide drugs - Answer Erythromycin, clarithromycin, azithromycin Macrolide AEs - Answer GI, QT prolongation Tetracycline uses - Answer MRSA, rocky mtn spotted fever, atypicals (mycoplasma pneumonia, chlamydia), spirochetes (Lyme), i Tetracycline AEs - Answer GI, teeth, hepatic dysfunction, photosensitivity Fluoroquinolone drugs - Answer Ciprofloxacin, levofloxacin, moxifloxacin Fluoroquinolone uses - Answer UTI (cipro or levo), atypicals (mycoplasma, legionella) Fluoroquinolones and dairy or vitamins - Answer Take 2 hrs before or 4 hours after (decrease concentrations) Metronidazole (Flagyl) uses - Answer C. Diff, vaginitis Metronidazole AEs - Answer GI, peripheral neuropathy, disulfiram reaction Nitrofurantoin uses - Answer UTI -not pyelonephritis due to no systemic absorption Nitrofurantoin AEs, contraindications - Answer Pulmonary fibrosis, contraindicated in CrCl <60 (excludes many elderly) Aminoglycoside drugs - Answer Gentamycin, tobramycin Aminoglycoside uses - Answer Atypical coverage, resistant infections, tobramycin for CF only Aminoglycoside AEs - Answer Ototoxicity (irreversible), nephrotoxicity (reversible) Aminoglycoside monitoring - Answer Renal dose adjust, hearing test, drug level monitoring Antifungals (azoles) - Answer Fluconazole, itraconazole Itraconazole interactions - Answer Acid suppressive therapies Fluconazole dose adjust - Answer Renal