FNP – 5\ APEA Peds Questions and Answers
2024
Ankle inversion is a common complaint from a patient with a: - ✔✔ANSW✔✔..lateral
ankle sprain
clinical presentation of acute angle glaucoma - ✔✔ANSW✔✔..The clinical presentation
of a patient with acute angle glaucoma is as this patient has presented, with a hard
eyeball, eye pain, along with blurred vision. Nausea and vomiting are common. Pain is
usually present when the intraocular pressure rises rapidly. This produces conjunctival
redness. Symptoms are more common in the evening when light levels diminish and
mydriasis occurs. - can produce blindness
A 79 year-old frail adult reports that she had a fall last week. She had no broken bones
but is very sore. In evaluating this adult, what question is most important to ask? -
✔✔ANSW✔✔..have you had other falls this year? - If the fall is NOT a single event, a
fall assessment should be done. This would involve fall history, gait and balance, home
hazards, physical factors like joint pain or neurologic disease, vision, a medication
evaluation, and others depending on patient's history.
Cigarette smoking accelerates skeletal bone loss. The mechanism is unknown, but, it
may be due to increased metabolism of estrogen. Therefore, smoking cessation is
important in prevention of osteopenia as well as other diseases and conditions. -
✔✔ANSW✔✔..weight bearing exercise is very impt too and calcium and vitamin D
when can pap smears be discontinued - ✔✔ANSW✔✔..women aged 65-70 years
unless there are risk factors (previous GYN cancer, HIV positive). - Pap smears screen
for cervical cancer. Cervical cancer is very uncommon in older women, especially those
who have no risk factors. Most learned authorities agree that screening for cervical
cancer can be discontinued.This patient still needs to visit the nurse practitioner for an
annual exam but sampling of cervical cells can be discontinued in a patient of this age
, doxy should to be given to kids under age - ✔✔ANSW✔✔..9
A topical treatment for basal cell carcinoma is: - ✔✔ANSW✔✔..5-fluorouracil (5-FU). 5-
FU works by inhibiting DNA synthesis. It is effective if used for superficial basal cell
carcinomas. It is available in cream and solution and is usually applied twice daily for 3-
6 weeks.
cotton wool spots on eyes should prompt provider to examine for -
✔✔ANSW✔✔..diabetes
AV nicking is good indication that - ✔✔ANSW✔✔..HTN has been present for a long time
A patient presents with severe toothache. She reports sensitivity to heat and cold. There
is visible pus around the painful area. What is this termed? - ✔✔ANSW✔✔..pulpits -
The predominant symptom of patients who exhibit pulpitis is pain especially elicited by
thermal changes, cold and hot. The pain can become severe and patients are ill
appearing. Pus may be seen around the gum area or may be restricted to the pulp
cavity. Caries and gingivitis do not produce pus. Periodontitis is characterized by
gingival inflammation and pain. Pus is not present in this disease. A periodontal
abscess produces pain and pus, but the pus is usually only expressed after probing.
When is Osgood-Schlatter disease most likely to produce symptoms? -
✔✔ANSW✔✔..during a growth spurt
A skin lesion fluoresces under a Wood's lamp. What microscopic finding is consistent
with this? - ✔✔ANSW✔✔..hyphae - A Wood's lamp emits ultraviolet light when turned
on. If an area fluoresces under Wood's lamp illumination, a fungal (and sometimes
bacterial) infection should be suspected.
A common presentation of an inguinal hernia is: - ✔✔ANSW✔✔..groin or abdominal
pain with a scrotal mass.
A cohort study describes an observational study that is prospective in nature, such as
the case with this group of smokers. Cohort studies usually ask the question, "what will
happen?" A case control study looks backward in time (retrospective). Case control
studies usually ask the question, "what happened?" A controlled trial is an experimental
study, not observational. - ✔✔ANSW✔✔.....
hyphae indicate what type of infection - ✔✔ANSW✔✔..fungal
pre-pubertal child is in tanner stage - ✔✔ANSW✔✔..1
hematuria is commonly seen in - ✔✔ANSW✔✔..renal cancer, bladder cancer, and BPH
2024
Ankle inversion is a common complaint from a patient with a: - ✔✔ANSW✔✔..lateral
ankle sprain
clinical presentation of acute angle glaucoma - ✔✔ANSW✔✔..The clinical presentation
of a patient with acute angle glaucoma is as this patient has presented, with a hard
eyeball, eye pain, along with blurred vision. Nausea and vomiting are common. Pain is
usually present when the intraocular pressure rises rapidly. This produces conjunctival
redness. Symptoms are more common in the evening when light levels diminish and
mydriasis occurs. - can produce blindness
A 79 year-old frail adult reports that she had a fall last week. She had no broken bones
but is very sore. In evaluating this adult, what question is most important to ask? -
✔✔ANSW✔✔..have you had other falls this year? - If the fall is NOT a single event, a
fall assessment should be done. This would involve fall history, gait and balance, home
hazards, physical factors like joint pain or neurologic disease, vision, a medication
evaluation, and others depending on patient's history.
Cigarette smoking accelerates skeletal bone loss. The mechanism is unknown, but, it
may be due to increased metabolism of estrogen. Therefore, smoking cessation is
important in prevention of osteopenia as well as other diseases and conditions. -
✔✔ANSW✔✔..weight bearing exercise is very impt too and calcium and vitamin D
when can pap smears be discontinued - ✔✔ANSW✔✔..women aged 65-70 years
unless there are risk factors (previous GYN cancer, HIV positive). - Pap smears screen
for cervical cancer. Cervical cancer is very uncommon in older women, especially those
who have no risk factors. Most learned authorities agree that screening for cervical
cancer can be discontinued.This patient still needs to visit the nurse practitioner for an
annual exam but sampling of cervical cells can be discontinued in a patient of this age
, doxy should to be given to kids under age - ✔✔ANSW✔✔..9
A topical treatment for basal cell carcinoma is: - ✔✔ANSW✔✔..5-fluorouracil (5-FU). 5-
FU works by inhibiting DNA synthesis. It is effective if used for superficial basal cell
carcinomas. It is available in cream and solution and is usually applied twice daily for 3-
6 weeks.
cotton wool spots on eyes should prompt provider to examine for -
✔✔ANSW✔✔..diabetes
AV nicking is good indication that - ✔✔ANSW✔✔..HTN has been present for a long time
A patient presents with severe toothache. She reports sensitivity to heat and cold. There
is visible pus around the painful area. What is this termed? - ✔✔ANSW✔✔..pulpits -
The predominant symptom of patients who exhibit pulpitis is pain especially elicited by
thermal changes, cold and hot. The pain can become severe and patients are ill
appearing. Pus may be seen around the gum area or may be restricted to the pulp
cavity. Caries and gingivitis do not produce pus. Periodontitis is characterized by
gingival inflammation and pain. Pus is not present in this disease. A periodontal
abscess produces pain and pus, but the pus is usually only expressed after probing.
When is Osgood-Schlatter disease most likely to produce symptoms? -
✔✔ANSW✔✔..during a growth spurt
A skin lesion fluoresces under a Wood's lamp. What microscopic finding is consistent
with this? - ✔✔ANSW✔✔..hyphae - A Wood's lamp emits ultraviolet light when turned
on. If an area fluoresces under Wood's lamp illumination, a fungal (and sometimes
bacterial) infection should be suspected.
A common presentation of an inguinal hernia is: - ✔✔ANSW✔✔..groin or abdominal
pain with a scrotal mass.
A cohort study describes an observational study that is prospective in nature, such as
the case with this group of smokers. Cohort studies usually ask the question, "what will
happen?" A case control study looks backward in time (retrospective). Case control
studies usually ask the question, "what happened?" A controlled trial is an experimental
study, not observational. - ✔✔ANSW✔✔.....
hyphae indicate what type of infection - ✔✔ANSW✔✔..fungal
pre-pubertal child is in tanner stage - ✔✔ANSW✔✔..1
hematuria is commonly seen in - ✔✔ANSW✔✔..renal cancer, bladder cancer, and BPH
