FNP 2 Exam Prep Test Questions with
Complete Solutions| Verified Answers
Initial Diagnostics for HTN - ANSWER Urine albumin:creat
CBC w/diff
FSBG
CMP
BUN
Fasting lipids
TSH
24 urine cortisol (if cushing is suspected)
Definition and epidemiology anemia - ANSWER Anemia: reduction of RBC's,
hgb concentration or hematocrit
Hgb <13.6 for men, <12 for women
IDA most common in kids, preggos
ACD most common elderly
Sickle cell most common in AA
Thalassemia's most common in Mediterranean
Clinical Presentation and Physical Exam Anemias - ANSWER Presentation: may be
gradual until hgb <7.5, fatigue, malaise, HA, dyspnea, irritability, exercise
intolerance, resting tachy, dyspnea requiring O2 supplementation, pica (IDA)
, PE: wide pulse pressure, pansystolic murmur, brittle nails, glossitis, angular chelitis,
spoon nails, pallor of mucous membranes/lips/palmar creases
Diagnostics Anemia - ANSWER MCV (80-100) - how big RBC's
MCH (32-36) - how colorful RBC's
Reticulocytes - how immature RBC's are
RBC
Hgb
Hct
Fe
Ferritin (1st to deplete in IDA)
TIBC - total iron binding capacity
Microcytic Anemias - ANSWER MCV <80, MCHC <32 "microcytic, hypochromic"
IDA, Thalassemias or sideroblastic
What's the next lab step?.......serum ferritin for iron stores
If ferritin is normal....what are you thinking??? Thalassemia-are they mediterranean?
Fam hx?
Iron Deficiency Anemia - ANSWER Patho: Nutritional, menstruation, GI bleed, increased
requirements (cancer, adolescence, pregnancy)
Presentation: fatigue, exercise intol, HA, weak, palpitations, pica, sore
tongue, paresthesia's, takes lots of NSAIDS??, murmur, pallor, angular chelitis
Dx: Microcytic, Hypochromic, Low Serum Ferritin (1st to be affected) , Low serum
Iron, High TIBC
Tx: Replace Fe 150-200mg/day until corrected, until
Complete Solutions| Verified Answers
Initial Diagnostics for HTN - ANSWER Urine albumin:creat
CBC w/diff
FSBG
CMP
BUN
Fasting lipids
TSH
24 urine cortisol (if cushing is suspected)
Definition and epidemiology anemia - ANSWER Anemia: reduction of RBC's,
hgb concentration or hematocrit
Hgb <13.6 for men, <12 for women
IDA most common in kids, preggos
ACD most common elderly
Sickle cell most common in AA
Thalassemia's most common in Mediterranean
Clinical Presentation and Physical Exam Anemias - ANSWER Presentation: may be
gradual until hgb <7.5, fatigue, malaise, HA, dyspnea, irritability, exercise
intolerance, resting tachy, dyspnea requiring O2 supplementation, pica (IDA)
, PE: wide pulse pressure, pansystolic murmur, brittle nails, glossitis, angular chelitis,
spoon nails, pallor of mucous membranes/lips/palmar creases
Diagnostics Anemia - ANSWER MCV (80-100) - how big RBC's
MCH (32-36) - how colorful RBC's
Reticulocytes - how immature RBC's are
RBC
Hgb
Hct
Fe
Ferritin (1st to deplete in IDA)
TIBC - total iron binding capacity
Microcytic Anemias - ANSWER MCV <80, MCHC <32 "microcytic, hypochromic"
IDA, Thalassemias or sideroblastic
What's the next lab step?.......serum ferritin for iron stores
If ferritin is normal....what are you thinking??? Thalassemia-are they mediterranean?
Fam hx?
Iron Deficiency Anemia - ANSWER Patho: Nutritional, menstruation, GI bleed, increased
requirements (cancer, adolescence, pregnancy)
Presentation: fatigue, exercise intol, HA, weak, palpitations, pica, sore
tongue, paresthesia's, takes lots of NSAIDS??, murmur, pallor, angular chelitis
Dx: Microcytic, Hypochromic, Low Serum Ferritin (1st to be affected) , Low serum
Iron, High TIBC
Tx: Replace Fe 150-200mg/day until corrected, until
