AANP Exam
NFP LATEST UPDATE
CORRECT ANSWERS GRADED A+
WITH EXPLANATIONS
,A patient tells the nurse practitioner that she recently started taking the
supplement St. John's wort after reading about its benefits online. Which of the
following medications, if being actively consumed, must be immediately
stopped?
A. Benadryl
B. Famotidine (Pepcid)
C. Metformnin (Glucophage)
D. Sumatriptan (Imitrex) - CORRECT ANSWER - D. Sumatriptan (imitrex)
Sumatriptan (Imitrex) (D) is a medication used to treat migraines and belongs to a
drug class known as serotonin agonists. When used in conjunction with St. John's
wort, it may increase the risk of serotonin syndrome, a potentially life-threatening
condition.
Which of the following is not a symptom of both major depressive disorder and
post-traumatic stress disorder?
A. Difficulty concentrating
B. Hypervigilance
C. Insomnia
D. Irritabilty - CORRECT ANSWER - B. Hypervigilance
In addition to difficulty concentrating, insomnia, and irritability, major depressive
disorder (MDD) may also include symptoms of depressed mood, anhedonia,
,weight loss or gain, and low energy. However, hypervigilance (B) is not a symptom
associated with this diagnosis.
A patient with type 1 diabetes presents for a follow-up visit. He has been stable
on his medication regimen but is worried because he is between jobs and will be
without health insurance coverage for a few months. He asks if there are less
expensive insulin options to get him through this time. Which of the following
would be good options for this patient, given his circumstance?
Incorrect
A.
Insulin aspart 70/30
B.
Insulin detemir
C.
Insulin isophane
D.
Insulin degludec - CORRECT ANSWER - Insulin Isophane
The least expensive insulin type listed in this question is insulin isophane (C)
(neutral protamine Hagedorn insulin). There are also often pharmacy-specific
coupons that can be used on insulin, so helping patients apply for and navigate
these programs can be instrumental in managing their diabetes. Another
inexpensive option is regular insulin.Insulin analogs (glargine, detemir, degludec,
, lispro, and aspart) are significantly more expensive than human insulin (isophane,
regular). Insulins modified by manufacturers, especially when sold as brand-name
medications, tend to be more expensive due to this modification. While analogs
offer alternate lengths of action and convenience, there is no well-documented
clinical evidence that patient outcomes are improved with differing brands.
Therefore, maintaining a patient's blood glucose level through outcome-focused
treatment is more valuable than a process-focused plan based on medication.
A 40-year-old woman with type 2 diabetes presents to the clinic with concerns
of spiking blood sugar between lunch and dinner. She states she is on a rapid-
acting insulin sliding scale and long-acting insulin. Which change should be
implemented to help prevent or curb this glycemic spike?
A.
Add a dose of mealtime insulin aspart (Novolog) at lunch
B.
Add insulin detemir (Levemir) at night
C.
Increase her insulin glargine (Lantus)
D.
Prescribe a dose of neutral protamine Hagedorn insulin with dinner - CORRECT
ANSWER - A. Add a dose of mealtime insulin aspart (Novolog) at lunch
NFP LATEST UPDATE
CORRECT ANSWERS GRADED A+
WITH EXPLANATIONS
,A patient tells the nurse practitioner that she recently started taking the
supplement St. John's wort after reading about its benefits online. Which of the
following medications, if being actively consumed, must be immediately
stopped?
A. Benadryl
B. Famotidine (Pepcid)
C. Metformnin (Glucophage)
D. Sumatriptan (Imitrex) - CORRECT ANSWER - D. Sumatriptan (imitrex)
Sumatriptan (Imitrex) (D) is a medication used to treat migraines and belongs to a
drug class known as serotonin agonists. When used in conjunction with St. John's
wort, it may increase the risk of serotonin syndrome, a potentially life-threatening
condition.
Which of the following is not a symptom of both major depressive disorder and
post-traumatic stress disorder?
A. Difficulty concentrating
B. Hypervigilance
C. Insomnia
D. Irritabilty - CORRECT ANSWER - B. Hypervigilance
In addition to difficulty concentrating, insomnia, and irritability, major depressive
disorder (MDD) may also include symptoms of depressed mood, anhedonia,
,weight loss or gain, and low energy. However, hypervigilance (B) is not a symptom
associated with this diagnosis.
A patient with type 1 diabetes presents for a follow-up visit. He has been stable
on his medication regimen but is worried because he is between jobs and will be
without health insurance coverage for a few months. He asks if there are less
expensive insulin options to get him through this time. Which of the following
would be good options for this patient, given his circumstance?
Incorrect
A.
Insulin aspart 70/30
B.
Insulin detemir
C.
Insulin isophane
D.
Insulin degludec - CORRECT ANSWER - Insulin Isophane
The least expensive insulin type listed in this question is insulin isophane (C)
(neutral protamine Hagedorn insulin). There are also often pharmacy-specific
coupons that can be used on insulin, so helping patients apply for and navigate
these programs can be instrumental in managing their diabetes. Another
inexpensive option is regular insulin.Insulin analogs (glargine, detemir, degludec,
, lispro, and aspart) are significantly more expensive than human insulin (isophane,
regular). Insulins modified by manufacturers, especially when sold as brand-name
medications, tend to be more expensive due to this modification. While analogs
offer alternate lengths of action and convenience, there is no well-documented
clinical evidence that patient outcomes are improved with differing brands.
Therefore, maintaining a patient's blood glucose level through outcome-focused
treatment is more valuable than a process-focused plan based on medication.
A 40-year-old woman with type 2 diabetes presents to the clinic with concerns
of spiking blood sugar between lunch and dinner. She states she is on a rapid-
acting insulin sliding scale and long-acting insulin. Which change should be
implemented to help prevent or curb this glycemic spike?
A.
Add a dose of mealtime insulin aspart (Novolog) at lunch
B.
Add insulin detemir (Levemir) at night
C.
Increase her insulin glargine (Lantus)
D.
Prescribe a dose of neutral protamine Hagedorn insulin with dinner - CORRECT
ANSWER - A. Add a dose of mealtime insulin aspart (Novolog) at lunch
