FNP POST-TEST LATEST TEST BANK 300+ QUESTIONS
AND CORRECT ANSWERS|ALREADY GRADED A+
Orchitis can occur in males infected with - ANSWER: mumps
2 viral infections caused by Coxsackie viruses are - ANSWER: hand foot and mouth
disease and herpangina
quinolines can increase sensitivity to - ANSWER: sun
caput succedaneum - ANSWER: scalp edema - Caput succedaneum is a common
finding in newborns. It is a result of pressure over the presenting part. This results in
some ecchymosis of the scalp. While this may be disturbing to new parents who
observe this in their newborn, it will resolve in a few days and is harmless
What laboratory test can be used to help diagnose Lyme disease - ANSWER: ELISA -
this is the most common initial test for Lyme - if positive, it should be confirmed with
western blot
Erysipelas - ANSWER: involves the upper dermis and superficial lymphatics; usually
caused by strep
cellulitis - ANSWER: involves deeper dermis and subcutaneous fat - caused by staph
and less commonly, strep
A 60 year-old patient is noted to have rounding of the distal phalanx of the fingers.
What might have caused this? - ANSWER: Hepatic cirrhosis - Rounding of the distal
phalanx describes clubbing. Clubbing of fingers is most often associated with chronic
hypoxia as seen in cigarette smokers and patients with COPD or lung cancer. Other
causes are cirrhosis, cystic fibrosis, pulmonary fibrosis and cyanotic heart disease.
A patient is diagnosed with tinea pedis. A microscopic examination of the sample
taken from the infected area would likely demonstrate: - ANSWER: hyphae - Under
microscopic exam, hyphae are long, thin and branching, and indicate dermatophytic
infections. Hyphae are typical in tinea pedis, tinea cruris, and tinea corporis. Yeasts
are usually seen in candidal infections. Cocci and rods are specific to bacterial
infections
A patient is found to have koilonychia. What laboratory test would be prudent to
perform? - ANSWER: Koilonychia is the term that describes spoon shaped nails.
Spoon shaped nails may be present in patients with long-standing iron deficiency
anemia. A CBC should be performed to assess for anemia. The most common
symptoms of iron deficiency anemia are weakness, headache, irritability, fatigue,
and exercise intolerance.
, wood's lamp - ANSWER: used to determine presence of 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.
The incubation period for scabies is about - ANSWER: 3-4 weeks after primary
infection; Patients with subsequent infections with scabies will develop symptoms in
1-3 days.
#1 goal with sinusitis is - ANSWER: to promote drainage - do NOT use antihistamines
IDSA says oral decongestants (sudafed, phenylephrine) not helpful in ABRS -
ANSWER: may benefit it it's AVRS with euastachian tube dysfunction
1st line med for ABRS in adults - ANSWER: augmentin (500 TID or 875 BI)
augmentin 875/125 has less side effects - why - ANSWER: dosed BID so 250 of
clavulanate vs. 375 with the 500/175 TID dosing - clavulanate is a potassium salt and
causes diarrhea
if penicillin allergy, what is first line for treating ABRS in adults - ANSWER: doxycline -
if can't use doxy, can use respiratory quinolone
do NOT use what med class for ABRS - ANSWER: macrolides - high resistance rate; do
not use bactrim or 2nd or 3rd gen ceph
first line for ABRS tx in peds - ANSWER: amoxicillin - do not use sulfa drugs or
azithromycin; can use cefdinir, cefuroxime, cefpodoxine
how long to tx ABRS - ANSWER: 5-7 days - evidence says equal efficacy, better
compliance, fewer complications
most common pathogens for pharyngitis / tonsillitis - ANSWER: viral agents
(influenza, rhinovirus, and more)
tonsillar exudate, fever and absent cough - ANSWER: high likelihood of GAStrep
Centor Score - ANSWER: to determine need for tx, culture, etc. with pharyngitis
complaint (positives are absence of cough, swollen anterior lymph nodes, tonsillar
exudate or swelling) if age, one point for 3-14, 0 points for 15-44, -1 points for > 45
years
scarlet fever (scarlatina) is a sequela to - ANSWER: strep
describe the rash of scarlet fever - ANSWER: sandpaper texture, strawberry tongue,
skin desquamations
AND CORRECT ANSWERS|ALREADY GRADED A+
Orchitis can occur in males infected with - ANSWER: mumps
2 viral infections caused by Coxsackie viruses are - ANSWER: hand foot and mouth
disease and herpangina
quinolines can increase sensitivity to - ANSWER: sun
caput succedaneum - ANSWER: scalp edema - Caput succedaneum is a common
finding in newborns. It is a result of pressure over the presenting part. This results in
some ecchymosis of the scalp. While this may be disturbing to new parents who
observe this in their newborn, it will resolve in a few days and is harmless
What laboratory test can be used to help diagnose Lyme disease - ANSWER: ELISA -
this is the most common initial test for Lyme - if positive, it should be confirmed with
western blot
Erysipelas - ANSWER: involves the upper dermis and superficial lymphatics; usually
caused by strep
cellulitis - ANSWER: involves deeper dermis and subcutaneous fat - caused by staph
and less commonly, strep
A 60 year-old patient is noted to have rounding of the distal phalanx of the fingers.
What might have caused this? - ANSWER: Hepatic cirrhosis - Rounding of the distal
phalanx describes clubbing. Clubbing of fingers is most often associated with chronic
hypoxia as seen in cigarette smokers and patients with COPD or lung cancer. Other
causes are cirrhosis, cystic fibrosis, pulmonary fibrosis and cyanotic heart disease.
A patient is diagnosed with tinea pedis. A microscopic examination of the sample
taken from the infected area would likely demonstrate: - ANSWER: hyphae - Under
microscopic exam, hyphae are long, thin and branching, and indicate dermatophytic
infections. Hyphae are typical in tinea pedis, tinea cruris, and tinea corporis. Yeasts
are usually seen in candidal infections. Cocci and rods are specific to bacterial
infections
A patient is found to have koilonychia. What laboratory test would be prudent to
perform? - ANSWER: Koilonychia is the term that describes spoon shaped nails.
Spoon shaped nails may be present in patients with long-standing iron deficiency
anemia. A CBC should be performed to assess for anemia. The most common
symptoms of iron deficiency anemia are weakness, headache, irritability, fatigue,
and exercise intolerance.
, wood's lamp - ANSWER: used to determine presence of 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.
The incubation period for scabies is about - ANSWER: 3-4 weeks after primary
infection; Patients with subsequent infections with scabies will develop symptoms in
1-3 days.
#1 goal with sinusitis is - ANSWER: to promote drainage - do NOT use antihistamines
IDSA says oral decongestants (sudafed, phenylephrine) not helpful in ABRS -
ANSWER: may benefit it it's AVRS with euastachian tube dysfunction
1st line med for ABRS in adults - ANSWER: augmentin (500 TID or 875 BI)
augmentin 875/125 has less side effects - why - ANSWER: dosed BID so 250 of
clavulanate vs. 375 with the 500/175 TID dosing - clavulanate is a potassium salt and
causes diarrhea
if penicillin allergy, what is first line for treating ABRS in adults - ANSWER: doxycline -
if can't use doxy, can use respiratory quinolone
do NOT use what med class for ABRS - ANSWER: macrolides - high resistance rate; do
not use bactrim or 2nd or 3rd gen ceph
first line for ABRS tx in peds - ANSWER: amoxicillin - do not use sulfa drugs or
azithromycin; can use cefdinir, cefuroxime, cefpodoxine
how long to tx ABRS - ANSWER: 5-7 days - evidence says equal efficacy, better
compliance, fewer complications
most common pathogens for pharyngitis / tonsillitis - ANSWER: viral agents
(influenza, rhinovirus, and more)
tonsillar exudate, fever and absent cough - ANSWER: high likelihood of GAStrep
Centor Score - ANSWER: to determine need for tx, culture, etc. with pharyngitis
complaint (positives are absence of cough, swollen anterior lymph nodes, tonsillar
exudate or swelling) if age, one point for 3-14, 0 points for 15-44, -1 points for > 45
years
scarlet fever (scarlatina) is a sequela to - ANSWER: strep
describe the rash of scarlet fever - ANSWER: sandpaper texture, strawberry tongue,
skin desquamations
