FITZGERALD FNP REVIEW NOTES
QUESTIONS & VERIFIED COMPLETE
SOLUTIONS
What is the most cost effective form of healthcare? - correct answer ✔✔Primary prevention
Immunizations as well as counseling about safety, injury, and disease prevention is what form of
prevention? - correct answer ✔✔primary
Detecting diseases in the early, asymptomatic, or preclinical state to minimize its impact is what
type of prevention? - correct answer ✔✔secondary
Screening tests such as BP checks, mammograms, and colonoscopy are examples of what type
of prevention? - correct answer ✔✔secondary
What type of prevention minimizes negative disease induced outcomes? - correct answer
✔✔tertiary
In an established disease, adjusting therapy to avoid further target organ damage is what type
of disease prevention? - correct answer ✔✔tertiary
What vaccines should be avoided in patients with anaphylactic reaction to neomycin or gelatin?
- correct answer ✔✔IPV
MMR
varicella (and varicella Zoster)
,What vaccine should be avoided in patients with anaphylactic reaction to Bakers yeast? - correct
answer ✔✔Hepatitis B
What vaccines are considered live of attenuated? - correct answer ✔✔MMR
Varicella
Intranasal influenza (FluMist)
Rotavirus
What are the 5 steps to making a change? - correct answer ✔✔1. Precontemplation: not
interested in change
2. Contemplation: considering change
3. Preparation: some change taking place but feels doesn't have tools to succeed
4. Action: concrete steps toward change
5. Maintenance: steps made to continue the change
What are the 5 A's for smoking intervention? - correct answer ✔✔Ask: ask tobacco use status
every visit
Advise: urge tobacco users to quit
Assess: is user willing to quit at this time?
Assist: use counseling and pharmacotherapy to help patient quit
Arrange: schedule follow up contact within first week of quit date
Age to begin pap? - correct answer ✔✔21 regardless of sexual activity
Age to begin pap + HPV? - correct answer ✔✔30
How often do women over 30 need pap? HPV? - correct answer ✔✔pap every 3 years
,HPV every 5 years
When can women stop paps? - correct answer ✔✔Age 65 as long as 3 consecutive negative
screening results
What does elevated neutrophils indicate? - correct answer ✔✔bacterial infection
What does elevated lymphocytes indicate? - correct answer ✔✔viral infection
What does elevated platelets indicate? - correct answer ✔✔bleeding issue somewhere
What does MCV measure? - correct answer ✔✔RBC size
MCV values: - correct answer ✔✔microcytic <80
normocytic 80-96
macrocytic >96
What does hemoglobin determine in a cell? - correct answer ✔✔color
**small RBCs are always pale RBCs
If MCV, MCHC, and RDW are normal, what diseases can be ruled out? - correct answer ✔✔iron
deficiency
vitamin B12 deficiency
folate deficiency
What causes normocytic anemia? - correct answer ✔✔chronic diesease
, chronic kidney disease
acute blood loss
Normocytic anemia labs: - correct answer ✔✔low: Hb, Hct, RBC
normal: MCV, MCHC, RDW
What causes microcytic anemia? - correct answer ✔✔iron deficiency and lead toxicity
Microcytic anemia labs: - correct answer ✔✔everything is low except RDW is high
What should you check if microcytic anemia is present? - correct answer ✔✔ferritin
lead levels (in young children)
What causes microcytic hypochromic anemia? - correct answer ✔✔alpha or beta thalassemia
minor
What ethnic groups are at risk for alpha thalassemia minor? - correct answer ✔✔Asian, African
ancestry (AAA)
What ethnic groups are at risk for beta thalassemia minor? - correct answer ✔✔African,
Mediterranean, Middle Eastern ancestry
Labs for microcytic hypochromic anemia: - correct answer ✔✔low everything except high RBC
and normal RDW
What should you order if a patient has microcytic hypochromic anemia? - correct answer
✔✔hemoglobin electrophoresis for evaluation of hemoglobin variants
QUESTIONS & VERIFIED COMPLETE
SOLUTIONS
What is the most cost effective form of healthcare? - correct answer ✔✔Primary prevention
Immunizations as well as counseling about safety, injury, and disease prevention is what form of
prevention? - correct answer ✔✔primary
Detecting diseases in the early, asymptomatic, or preclinical state to minimize its impact is what
type of prevention? - correct answer ✔✔secondary
Screening tests such as BP checks, mammograms, and colonoscopy are examples of what type
of prevention? - correct answer ✔✔secondary
What type of prevention minimizes negative disease induced outcomes? - correct answer
✔✔tertiary
In an established disease, adjusting therapy to avoid further target organ damage is what type
of disease prevention? - correct answer ✔✔tertiary
What vaccines should be avoided in patients with anaphylactic reaction to neomycin or gelatin?
- correct answer ✔✔IPV
MMR
varicella (and varicella Zoster)
,What vaccine should be avoided in patients with anaphylactic reaction to Bakers yeast? - correct
answer ✔✔Hepatitis B
What vaccines are considered live of attenuated? - correct answer ✔✔MMR
Varicella
Intranasal influenza (FluMist)
Rotavirus
What are the 5 steps to making a change? - correct answer ✔✔1. Precontemplation: not
interested in change
2. Contemplation: considering change
3. Preparation: some change taking place but feels doesn't have tools to succeed
4. Action: concrete steps toward change
5. Maintenance: steps made to continue the change
What are the 5 A's for smoking intervention? - correct answer ✔✔Ask: ask tobacco use status
every visit
Advise: urge tobacco users to quit
Assess: is user willing to quit at this time?
Assist: use counseling and pharmacotherapy to help patient quit
Arrange: schedule follow up contact within first week of quit date
Age to begin pap? - correct answer ✔✔21 regardless of sexual activity
Age to begin pap + HPV? - correct answer ✔✔30
How often do women over 30 need pap? HPV? - correct answer ✔✔pap every 3 years
,HPV every 5 years
When can women stop paps? - correct answer ✔✔Age 65 as long as 3 consecutive negative
screening results
What does elevated neutrophils indicate? - correct answer ✔✔bacterial infection
What does elevated lymphocytes indicate? - correct answer ✔✔viral infection
What does elevated platelets indicate? - correct answer ✔✔bleeding issue somewhere
What does MCV measure? - correct answer ✔✔RBC size
MCV values: - correct answer ✔✔microcytic <80
normocytic 80-96
macrocytic >96
What does hemoglobin determine in a cell? - correct answer ✔✔color
**small RBCs are always pale RBCs
If MCV, MCHC, and RDW are normal, what diseases can be ruled out? - correct answer ✔✔iron
deficiency
vitamin B12 deficiency
folate deficiency
What causes normocytic anemia? - correct answer ✔✔chronic diesease
, chronic kidney disease
acute blood loss
Normocytic anemia labs: - correct answer ✔✔low: Hb, Hct, RBC
normal: MCV, MCHC, RDW
What causes microcytic anemia? - correct answer ✔✔iron deficiency and lead toxicity
Microcytic anemia labs: - correct answer ✔✔everything is low except RDW is high
What should you check if microcytic anemia is present? - correct answer ✔✔ferritin
lead levels (in young children)
What causes microcytic hypochromic anemia? - correct answer ✔✔alpha or beta thalassemia
minor
What ethnic groups are at risk for alpha thalassemia minor? - correct answer ✔✔Asian, African
ancestry (AAA)
What ethnic groups are at risk for beta thalassemia minor? - correct answer ✔✔African,
Mediterranean, Middle Eastern ancestry
Labs for microcytic hypochromic anemia: - correct answer ✔✔low everything except high RBC
and normal RDW
What should you order if a patient has microcytic hypochromic anemia? - correct answer
✔✔hemoglobin electrophoresis for evaluation of hemoglobin variants
