FITZGERALD NP CERTIFICATION
COMPREHENSIVE TEST 2026 STUDY GUIDE
SOLVED
◉ Causes of anemia. Answer: Acute blood loss
Chronic blood loss
Reduced RBC production
Premature destruction
◉ Acute rhinosinusitis. Answer: Inflammation of mucosal passages
lasting greater then 4 weeks
◉ Most common pathogen in ABRS, CAP and AOM?. Answer: S.
Pneumo
H. influenza
M. Catarrahalis
◉ What are the risk for DRSP in ABRS?. Answer: Age less then 2 or
greater then 65
Daycare
Prior abx in 1 month
Prior hospitalization in 5 days
,Comorbidities
Immune compromised
◉ First line empiric therapy for ABRS?. Answer: Augmentin
500/125 BID
Secondary
doxycycline 200mg Po daily or 2000mg augmentin BID
◉ What is the empiric treatment for ABRS for patient with PCN
allergy?. Answer: Doxycycline or levofloxacin or moxifloxacin only
use fluoroquinolones if DRSP is suspected. Avoid doxycycline in
pregnancy and QT prolongation plus tendon rupture risk with FQ
◉ Which medication are CYP450 3A4 inhibitors?. Answer:
Macrolides except Azithromycin
Erythromycin and Clarithromycin
Causes substrate level to increase and cause toxicity
◉ Which medication is cyp450 inducer?. Answer: St. John's wart
Reduced drug levels and makes medication ineffective
Ex. Warfarin and St. John's wart reduces warfarin levels
,◉ What is conductive hearing loss?. Answer: Local hearing loss
caused by earwax, foreign object or ruptured ear drum, ear
infection.
Weber test sound lateralize to affected ear
Rinne test negative resulting in bone conduction better then air
conduction
◉ sensorineural hearing loss. Answer: hearing loss caused by
damage to the cochlea's receptor cells or to the auditory nerves.
◉ allergic rhinitis and treatment?. Answer: an allergic reaction to
airborne allergens that causes an increased flow of mucus.
Avoid allergen
1st line therapy = intranasal corticosteroids such as Fluticasone and
adjunctively LTM can be added such as singulair
Reliever therapy = second Generation antihistamines such as
loratadine (Claritin) or cetrizine (Zyrtec)
◉ Syphilitic chancre. Answer: Mostly occurs in anogential area and
goes away in 3 weeks
, ◉ Apathaous stomatitis. Answer: Also known as canker sore... very
tender and painful
◉ Cranial nerves mnemonic?. Answer: Oh oh oh towering tops A
Finn and German viewed some Hops!
Oh, Oh, Oh, To Touch And Feel Virgin Girls' Vaginas and Hymens.
Olfactory = smell
Optic = vision
Oculomotor = eyelid and eye ball movement
Trochlear = eye movement in and out
Trigeminal = chewing, face and mouth, touch and pain
Abducens = look side to side
Facial = controls most facial expressions secretions of tears saliva
and taste 2/3 of tongue taste
Acoustic = hearing and equilibrium
Gossopharyngeal = taste and senses carotid BP
Vagus = slowed heart rate,
Spinal accessor = shoulder shrug
Hypoglossal = move tongue
COMPREHENSIVE TEST 2026 STUDY GUIDE
SOLVED
◉ Causes of anemia. Answer: Acute blood loss
Chronic blood loss
Reduced RBC production
Premature destruction
◉ Acute rhinosinusitis. Answer: Inflammation of mucosal passages
lasting greater then 4 weeks
◉ Most common pathogen in ABRS, CAP and AOM?. Answer: S.
Pneumo
H. influenza
M. Catarrahalis
◉ What are the risk for DRSP in ABRS?. Answer: Age less then 2 or
greater then 65
Daycare
Prior abx in 1 month
Prior hospitalization in 5 days
,Comorbidities
Immune compromised
◉ First line empiric therapy for ABRS?. Answer: Augmentin
500/125 BID
Secondary
doxycycline 200mg Po daily or 2000mg augmentin BID
◉ What is the empiric treatment for ABRS for patient with PCN
allergy?. Answer: Doxycycline or levofloxacin or moxifloxacin only
use fluoroquinolones if DRSP is suspected. Avoid doxycycline in
pregnancy and QT prolongation plus tendon rupture risk with FQ
◉ Which medication are CYP450 3A4 inhibitors?. Answer:
Macrolides except Azithromycin
Erythromycin and Clarithromycin
Causes substrate level to increase and cause toxicity
◉ Which medication is cyp450 inducer?. Answer: St. John's wart
Reduced drug levels and makes medication ineffective
Ex. Warfarin and St. John's wart reduces warfarin levels
,◉ What is conductive hearing loss?. Answer: Local hearing loss
caused by earwax, foreign object or ruptured ear drum, ear
infection.
Weber test sound lateralize to affected ear
Rinne test negative resulting in bone conduction better then air
conduction
◉ sensorineural hearing loss. Answer: hearing loss caused by
damage to the cochlea's receptor cells or to the auditory nerves.
◉ allergic rhinitis and treatment?. Answer: an allergic reaction to
airborne allergens that causes an increased flow of mucus.
Avoid allergen
1st line therapy = intranasal corticosteroids such as Fluticasone and
adjunctively LTM can be added such as singulair
Reliever therapy = second Generation antihistamines such as
loratadine (Claritin) or cetrizine (Zyrtec)
◉ Syphilitic chancre. Answer: Mostly occurs in anogential area and
goes away in 3 weeks
, ◉ Apathaous stomatitis. Answer: Also known as canker sore... very
tender and painful
◉ Cranial nerves mnemonic?. Answer: Oh oh oh towering tops A
Finn and German viewed some Hops!
Oh, Oh, Oh, To Touch And Feel Virgin Girls' Vaginas and Hymens.
Olfactory = smell
Optic = vision
Oculomotor = eyelid and eye ball movement
Trochlear = eye movement in and out
Trigeminal = chewing, face and mouth, touch and pain
Abducens = look side to side
Facial = controls most facial expressions secretions of tears saliva
and taste 2/3 of tongue taste
Acoustic = hearing and equilibrium
Gossopharyngeal = taste and senses carotid BP
Vagus = slowed heart rate,
Spinal accessor = shoulder shrug
Hypoglossal = move tongue
