WT FNP 2019 Study Guide Graded A

Your patient Kenneth, age 62, presents to the clinic with pruritis and complaints of lymphadenopathy in his neck. He also complains of night sweats and a low grade fever. He has no weight loss and otherwise feels well today. He is widowed and has been dating a new woman recently. On physical exam, you find enlarged supraclavicular nodes. You suspect a diagnosis of - hodgkins lymphoma The majority of the body's iron is obtained from: - recycled iron content from aged RBCs Physical examination findings in otitis externa include: - increased ear pain with tragus palpation When should a rescue course of prednisolone be initiated for an attack of asthma? - Whenever the client needs it, at any time and any step Decongestants work primarily through: - Vasoconstriction The first choice of therapy for a client who is positive for HIV and has oral candidiasis is : - Clotrimazole troches (10mg) five times daily or nystatin (Mycostatin) suspension 500,000-1,000,000 units three to five times daily - Because of the common recurrence of oral candidiasis and increased rates of drug resistance, systemic fungicides, such as fluconazole, ketoconazole, and griseofulvin, should be reserved for severe cases, such as esophageal candidiasis and clients with dysphagia. When a neonate is initially protected against measles, mumps, and rubella because the mother is immune, this is an example of which type of immunity? - natural passive Which of the following best describes asthma? - chronic airway inflammation with superimposed bronchospasm One of the most prominent clinical features of bronchiolitis is: - Wheezing Antihistamines work primarily through: - action on the histamine-1 (H1) receptor sites What would you expect to find in a patient with acute rhinosinusitis? - Erythematous & edematous nasal mucosa w/o purulence & watery discharge Which of the following best describes hearing loss associated with presbycusis? - slowly progressive, usually symmetric, and predominantly high frequency A risk factor for external otitis is: - -Swimming -Hot/humid climates -Trauma (qtips, pens etc) -Hearing aids (trauma) -Atopic dermatitis Treatment of viral conjunctivitis can include: - No Antibiotic Therapy Needed The Epstein-Barr virus is primarily transmitted via: - oropharyngeal secretions Joanne, age 16, has had her asthma well controlled by using only a beta-adrenergic metered-dose inhaler. Lately, she has had difficult breathing during the night, and her sleep has been interrupted about three times a week. What do you do? - Prescribe an inhaled steroid Expected findings in acute otitis media include: - tympanic membrane immobility What is the most common rosacea trigger? - Sun exposure The "herald patch" is present in almost all cases of - Pityriasis rosea John, age 49, is a construction worker. He has a nevus on his shoulder that has recently changed from brown to bluish black in color. You advise him to - Have an excisional biopsy Choose the correct description of fissure. - a linear crack extending from the epidermis to the dermis Expected findings in acute otitis media include: - tympanic membrane immobility One of the more common sites for atopic dermatitis in an adult is: - Flexor surfaces Which of the following is a predisposing condition for furunculosis? - Diabetes mellitus - Predisposing conditions for furunculosis or carbuncles include diabetes mellitus, HIV, and injection drug use Which of the following is among the most common causes of congestive heart failure? - hypertensive heart disease You are suspecting an appendicitis in Andrew, who is age 18 years. With his right hip and knee flexed, you slowly rotate his right leg internally to stretch a muscle. He states that it is painful over his right lower quadrant area. Which sign did you elicit? - Obturator Sign The progestin component of hormone therapy is given to: - minimize the endometrial hyperplasia Which of the following laboratory tests are utilized to confirm diagnosis of HIV? - ELISA, Western Blot Daniel is a 12 month old male who is new to your practice. His mother brings him in one day with a chief complaint of vomiting for 2 days. Before you step into the exam room to see him you know the most frequent cause of vomiting in this age group is related to which of the following? - Gastroenteritis (I'm pretty sure) All of the following are likely reported in the woman with an initial episode of genital human herpesvirus-2 infection except: - Pustular lesions Which of the following women is the best candidate for progestin-only pill use? - A 32 year old woman who is breastfeeding What immunizations may be safely administered during the first trimester of pregnancy? - Influenza -TDAP can technically be given, but is recommended at third trimester Developmental tasks of early adulthood (ages 20-45) include which of the following? - Psychological separation from parents and developing a capacity for intimacy with a partner Which of the following antihypertensive agents would most likely produce a rebound hypertensive crisis following its abrupt withdrawal? - Clonidine The most likely causative pathogen in a 26 year old woman with PID is: - C. Trichamotis Marvin asks you for a prescription for sildenafil (Viagra). The only medication he takes is isosorbide mononitrate. He has a history of diet controlled diabetes. What do you tell him? - It's contraindicated with isosorbide mononitrate, let's discuss other options What is the best treatment for a child with asymptomatic swallowed foreign body? - I'm not sure what answer I chose at the moment or what the correct answer actually is, but I believe that with any non-toxic substance lacking sharp edges the answer is Careful observation for 24 hours post ingestion In patients with varicose veins, which vessel is most often affected? - Saphenous Deep vein thrombosis may result in: - generalized edema of the involved extremity After a history, exam and lab tests, a patient is diagnosed with irritable bowel syndrome. Which initial treatment is considered most appropriate? - Either adoption of high fiber diet or excluding trigger foods from diet Sue has an acute exacerbation of Crohn's disease. Which laboratory test value(s) would you expect to be decreased? - Vitamins A, B complex, and C levels