Fitzgerald FNP Review
In order for a child to get thalassemia major or sickle cell disease both parents must -
CORRECT ANSWER-have the trait or the disease
3 most common organisms in bacterial sinusitis (most are viral)? - CORRECT
ANSWER-1. s. pneumoniae
2. h. influenzae
3. m. catarrhalis
Most common diseases caused by s. pneumoniae and h. influenzae - CORRECT
ANSWER-COMPS
Conjunctivitis
Otitis media
Meningitis
Pneumonia
Sinusitis
How long does acute bacterial rhinosinusitis need to be treated - CORRECT ANSWER-
5-7 days
Antibiotics used for acute bacterial rhinosinusitis - CORRECT ANSWER-1. Amoxicillin
with clavulanate
2. Doxycycline
3. Levofloxacin
4. Moxifloxacin
Significant drug interaction r/t CYP450 3A4 - CORRECT ANSWER-Clarithromycin and
statins= increase in statin
St Johns wart and OCP or cyclosporine= decrease
(statins, sildenafil, statins, and alprazolam)
What to do if someone has an egg allergy r/t flu vaccine - CORRECT ANSWER-
administer vaccine with medial supervision/ monitor for 15 min
5 stages of change - CORRECT ANSWER-1. Precontemplation
2. Contemplation
3. Preparation
4. Action
,5. Maintenance
5 A's of smoking cessation - CORRECT ANSWER-1. Ask
2. Advise
3. Assess
4. Assist
5. Arrange
Leading cause of death ages 10-35 - CORRECT ANSWER-1. Unintentional injury
2. Suicide
Leading cause of death all ages - CORRECT ANSWER-1. heart disease
2. cancer
3. Unintentional injury
4. COPD
5. Cerebrovascular
Most common cancers in males - CORRECT ANSWER-1. Prostate
2. Lung
3. Colon
4. Bladder
5. Melanoma
Most common cancers females - CORRECT ANSWER-1. Breast
2. Lung
3. Colon
4. Uterine
5. Thyroid
Most common cancer deaths in males - CORRECT ANSWER-1. Lung
2. Prostate
3. Colon
4. Pancreas
5. Liver
Most common cancer deaths in females - CORRECT ANSWER-1. Lung
2. Breast
3. Colon
4. Pancreas
5. Ovary
Prostate Cancer Screening - CORRECT ANSWER-Age 55-69, PSA
Primary Prevention - CORRECT ANSWER-Prevention
, Secondary Prevention - CORRECT ANSWER-Screening
Tertiary Prevention - CORRECT ANSWER-Treatment
3 Live Vaccines and who should avoid - CORRECT ANSWER-1. MMR
2. Varicella
3. Flu Mist
Pregnancy/ <1 year old/ severe immunocompromised
When should immunization be deferred? - CORRECT ANSWER-Presence of moderate-
to- severe illness w/ w/o fever
Contraindications to epinephrine - CORRECT ANSWER-None in the emergent setting
When to give 2 flu vaccines - CORRECT ANSWER-Children ages 6 mo- 8 years during
first flu season (4 weeks a part)
unless they received 2 or more flu vaccines in the past
BRCA testing - CORRECT ANSWER-Assess women with a personal or family history of
breast, ovarian, tubal, or peritoneal cancer/ history of BRCA1/2 gene
positive screen= genetic counseling
Colorectal Cancer Screening - CORRECT ANSWER-ACS: 45- 75 (85 by choice): FOBT
or FIT test annually, stool DNA q 3 years, colonoscopy q 10 years, sigmoidoscopy q 5,
double contrast barium enema q 5
USPSTF: 50 -75 (85 by choice)- FOBT or FIT test annually, stool DNA q 1 or 3 years,
colonoscopy q 10 years, sigmoidoscopy q 5, CT colonoscopy 1 5, sigmoidoscopy q 10
with FIT annually
Endometrial Cancer Screening - CORRECT ANSWER-Endometrial biopsy with any
bleeding post menopause or if history of hereditary non polyposis colon cancer (annual
screening after age 35)
Lung Cancer Screening - CORRECT ANSWER-Lung cancer screening with annual low-
dose CT scan is currently recommended by the United States Preventative Services
Task Force (USPSTF) in patients with a 30 pack year or more history of smoking
including those who have quit smoking during the last 15 years who are between the
ages of 55 and 80. (ACS until age 74)
Breast Cancer Screening - CORRECT ANSWER-ACS age 45- 54 annually, then
biennially while in good health and life expectancy for 10 years
USPSTF 50-74, biennial
In order for a child to get thalassemia major or sickle cell disease both parents must -
CORRECT ANSWER-have the trait or the disease
3 most common organisms in bacterial sinusitis (most are viral)? - CORRECT
ANSWER-1. s. pneumoniae
2. h. influenzae
3. m. catarrhalis
Most common diseases caused by s. pneumoniae and h. influenzae - CORRECT
ANSWER-COMPS
Conjunctivitis
Otitis media
Meningitis
Pneumonia
Sinusitis
How long does acute bacterial rhinosinusitis need to be treated - CORRECT ANSWER-
5-7 days
Antibiotics used for acute bacterial rhinosinusitis - CORRECT ANSWER-1. Amoxicillin
with clavulanate
2. Doxycycline
3. Levofloxacin
4. Moxifloxacin
Significant drug interaction r/t CYP450 3A4 - CORRECT ANSWER-Clarithromycin and
statins= increase in statin
St Johns wart and OCP or cyclosporine= decrease
(statins, sildenafil, statins, and alprazolam)
What to do if someone has an egg allergy r/t flu vaccine - CORRECT ANSWER-
administer vaccine with medial supervision/ monitor for 15 min
5 stages of change - CORRECT ANSWER-1. Precontemplation
2. Contemplation
3. Preparation
4. Action
,5. Maintenance
5 A's of smoking cessation - CORRECT ANSWER-1. Ask
2. Advise
3. Assess
4. Assist
5. Arrange
Leading cause of death ages 10-35 - CORRECT ANSWER-1. Unintentional injury
2. Suicide
Leading cause of death all ages - CORRECT ANSWER-1. heart disease
2. cancer
3. Unintentional injury
4. COPD
5. Cerebrovascular
Most common cancers in males - CORRECT ANSWER-1. Prostate
2. Lung
3. Colon
4. Bladder
5. Melanoma
Most common cancers females - CORRECT ANSWER-1. Breast
2. Lung
3. Colon
4. Uterine
5. Thyroid
Most common cancer deaths in males - CORRECT ANSWER-1. Lung
2. Prostate
3. Colon
4. Pancreas
5. Liver
Most common cancer deaths in females - CORRECT ANSWER-1. Lung
2. Breast
3. Colon
4. Pancreas
5. Ovary
Prostate Cancer Screening - CORRECT ANSWER-Age 55-69, PSA
Primary Prevention - CORRECT ANSWER-Prevention
, Secondary Prevention - CORRECT ANSWER-Screening
Tertiary Prevention - CORRECT ANSWER-Treatment
3 Live Vaccines and who should avoid - CORRECT ANSWER-1. MMR
2. Varicella
3. Flu Mist
Pregnancy/ <1 year old/ severe immunocompromised
When should immunization be deferred? - CORRECT ANSWER-Presence of moderate-
to- severe illness w/ w/o fever
Contraindications to epinephrine - CORRECT ANSWER-None in the emergent setting
When to give 2 flu vaccines - CORRECT ANSWER-Children ages 6 mo- 8 years during
first flu season (4 weeks a part)
unless they received 2 or more flu vaccines in the past
BRCA testing - CORRECT ANSWER-Assess women with a personal or family history of
breast, ovarian, tubal, or peritoneal cancer/ history of BRCA1/2 gene
positive screen= genetic counseling
Colorectal Cancer Screening - CORRECT ANSWER-ACS: 45- 75 (85 by choice): FOBT
or FIT test annually, stool DNA q 3 years, colonoscopy q 10 years, sigmoidoscopy q 5,
double contrast barium enema q 5
USPSTF: 50 -75 (85 by choice)- FOBT or FIT test annually, stool DNA q 1 or 3 years,
colonoscopy q 10 years, sigmoidoscopy q 5, CT colonoscopy 1 5, sigmoidoscopy q 10
with FIT annually
Endometrial Cancer Screening - CORRECT ANSWER-Endometrial biopsy with any
bleeding post menopause or if history of hereditary non polyposis colon cancer (annual
screening after age 35)
Lung Cancer Screening - CORRECT ANSWER-Lung cancer screening with annual low-
dose CT scan is currently recommended by the United States Preventative Services
Task Force (USPSTF) in patients with a 30 pack year or more history of smoking
including those who have quit smoking during the last 15 years who are between the
ages of 55 and 80. (ACS until age 74)
Breast Cancer Screening - CORRECT ANSWER-ACS age 45- 54 annually, then
biennially while in good health and life expectancy for 10 years
USPSTF 50-74, biennial
