AANP FNP Exam Prep with Complete and Verified Solutions | Latest 2023/2024

AANP FNP Exam Prep with Complete and Verified Solutions | Latest 2023/2024 Hegar's sign Softening of lower uterine segment Chadwick's sign Bluish color of cervix and vagina at 6-8 weeks Goodell's sign Softening of cervix at 4+ weeks Lipids in chronic inactivity Low HDL Lipids in under- or untreated hypothyroidism Elevated total cholesterol, TG, and LDL Lipids in chronic renal insufficiency Elevated total cholesterol and TG Lipids in alcohol abuse Elevated TG, HDL, and LDL Vaccines with live attenuated viruses MMR, varicella, flu-mist(intranasal), Zostavax Drugs of choice for abdominal infection Beta lactams + metronidazole (most common); fluoroquinolones Drugs of choice for urinary tract infection Fluoroquinolones (except moxi), TMP-SMX, fluconazole, b-lactams, nitrofurantoin, fosfomycin if pt has many allergies Drugs of choice for pulmonary infections Macrolides, resp fluoroquinolones, blactams, doxycycline (MRSA, atypical coverage) Drugs of choice for skin and soft tissue infections MRSA: TMP-SMZ, doxycycline, clindamycin; b-lactams Drugs of choice for MRSA Vancomycin, daptomycin , linezolid, TMP-SMZ, doxycycline, ceftaroline Macrolide drugs Erythromycin, clarithromycin, azithromycin Macrolide AEs GI, QT prolongation Tetracycline uses MRSA, rocky mtn spotted fever, atypicals (mycoplasma pneumonia, chlamydia), spirochetes (Lyme), i Tetracycline AEs GI, teeth, hepatic dysfunction, photosensitivity Fluoroquinolone drugs Ciprofloxacin, levofloxacin, moxifloxacin Fluoroquinolone uses UTI (cipro or levo), atypicals (mycoplasma, legionella) Fluoroquinolones and dairy or vitamins Take 2 hrs before or 4 hours after (decrease concentrations) Metronidazole (Flagyl) uses C. Diff, vaginitis Metronidazole AEs GI, peripheral neuropathy, disulfiram reaction Nitrofurantoin uses UTI -not pyelonephritis due to no systemic absorption Nitrofurantoin AEs, contraindications Pulmonary fibrosis, contraindicated in CrCl <60 (excludes many elderly) Aminoglycoside drugs Gentamycin, tobramycin Aminoglycoside uses Atypical coverage, resistant infections, tobramycin for CF only Aminoglycoside AEs Ototoxicity (irreversible), nephrotoxicity (reversible) Aminoglycoside monitoring Renal dose adjust, hearing test, drug level monitoring Antifungals (azoles) Fluconazole, itraconazole Itraconazole interactions Acid suppressive therapies Fluconazole dose adjust Renal Antifungal AEs GI, QTc prolongation (fluconazole) Antifungal drug interactions QT prolongation meds, warfarin Anti-infectives not for pregnant Tetracyclines, TMP-SMZ TMP-SMZ coverage G+, G-, MRSA, Protozoa (toxoplasma gondii), fungus (pneumocystis jirovecii), poor anaerobic activity TMP-SMZ AEs Sulfa allergy, photosensitivity, hematologic (anemia, leukopenia, thrombocytopenia)