FNP FITZGERALD EXAM QUESTIONS
& CORRECT PASSED 100% UPDATED
VERSION
Anemia - Correct Answer ✔✔ Reduction in rbc ans hgb. Occurs when insult is severe
enough to exceed the reserves
Causes of anemia - Correct Answer ✔✔ Acute blood loss
Chronic blood loss
Reduced RBC production
Premature destruction
Acute rhinosinusitis - Correct Answer ✔✔ Inflammation of mucosal passages lasting
greater then 4 weeks
Most common pathogen in ABRS, CAP and AOM? - Correct Answer ✔✔ S. Pneumo
H. influenza
M. Catarrahalis
What are the risk for DRSP in ABRS? - Correct 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? - Correct 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? - Correct 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? - Correct Answer ✔✔ Macrolides except
Azithromycin
Erythromycin and Clarithromycin
Causes substrate level to increase and cause toxicity
,Which medication is cyp450 inducer? - Correct 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? - Correct 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 - Correct Answer ✔✔ hearing loss caused by damage to the
cochlea's receptor cells or to the auditory nerves.
allergic rhinitis and treatment? - Correct 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 - Correct Answer ✔✔ Mostly occurs in anogential area and goes
away in 3 weeks
Apathaous stomatitis - Correct Answer ✔✔ Also known as canker sore... very tender
and painful
Cranial nerves mnemonic? - Correct 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
, Triad of opthamalogic emergency? - Correct Answer ✔✔ Redness, pain, vision changes
of eye
macular degeneration? - Correct Answer ✔✔ Central vision loss
open angle glaucoma - Correct Answer ✔✔ Peripheral vision loss
Floating spots in visual field - Correct Answer ✔✔ Proliferative diabetic retinopathy
Which test is used to evaluate the anterior eye structure including cornea, conjunctiva,
sclera and iris? - Correct Answer ✔✔ Slit- lamp examination
General visual acuity screen test? - Correct Answer ✔✔ Snellen chart
Early detection of macular degeneration? - Correct Answer ✔✔ Amsler grid test....
remember the wavy lines and dot as hole on graph paper
Which equipment is used to measure the IOP in glaucoma screening test? - Correct
Answer ✔✔ Tonometry
What is angle closure glaucoma? - Correct Answer ✔✔ Increase IOP... opthalmic
emergency... increase redness, pain and vision change... halos around lights
What is Anosmia? - Correct Answer ✔✔ Loss of smell or taste... accelerated by tobacco
use.
Treatment for conjunctivitis? - Correct Answer ✔✔ Often self limiting but can use cold
artificial tear solution for bacterial conjunctivitis use FQ ocular solution
otitis externa? - Correct Answer ✔✔ Use oral cipro for severe disease for DM, HIV
patients... rest just use VOSOL ear drops
Treatment for strep throat? - Correct Answer ✔✔ Penicillin V PO for 10 days if
adherence issue then use benzathine IM 1 dose can use augmentin
If PCN allergic? Use Z pack for 5 days or macrolide
otitis media with effusion or swimmers ear - Correct Answer ✔✔ Examination will reveal
fullness in ear, air bubbles in Tympanic membrane. Treat allergic rhinitis symptoms
acute otitis media - Correct Answer ✔✔ Redness in TM and bulging abx amoxi or
augmentin
Cefdinir or Azithromycin for pcn allergy
What is varicella and treatment? - Correct Answer ✔✔ Chickenpox... present in children
or adults...
& CORRECT PASSED 100% UPDATED
VERSION
Anemia - Correct Answer ✔✔ Reduction in rbc ans hgb. Occurs when insult is severe
enough to exceed the reserves
Causes of anemia - Correct Answer ✔✔ Acute blood loss
Chronic blood loss
Reduced RBC production
Premature destruction
Acute rhinosinusitis - Correct Answer ✔✔ Inflammation of mucosal passages lasting
greater then 4 weeks
Most common pathogen in ABRS, CAP and AOM? - Correct Answer ✔✔ S. Pneumo
H. influenza
M. Catarrahalis
What are the risk for DRSP in ABRS? - Correct 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? - Correct 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? - Correct 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? - Correct Answer ✔✔ Macrolides except
Azithromycin
Erythromycin and Clarithromycin
Causes substrate level to increase and cause toxicity
,Which medication is cyp450 inducer? - Correct 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? - Correct 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 - Correct Answer ✔✔ hearing loss caused by damage to the
cochlea's receptor cells or to the auditory nerves.
allergic rhinitis and treatment? - Correct 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 - Correct Answer ✔✔ Mostly occurs in anogential area and goes
away in 3 weeks
Apathaous stomatitis - Correct Answer ✔✔ Also known as canker sore... very tender
and painful
Cranial nerves mnemonic? - Correct 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
, Triad of opthamalogic emergency? - Correct Answer ✔✔ Redness, pain, vision changes
of eye
macular degeneration? - Correct Answer ✔✔ Central vision loss
open angle glaucoma - Correct Answer ✔✔ Peripheral vision loss
Floating spots in visual field - Correct Answer ✔✔ Proliferative diabetic retinopathy
Which test is used to evaluate the anterior eye structure including cornea, conjunctiva,
sclera and iris? - Correct Answer ✔✔ Slit- lamp examination
General visual acuity screen test? - Correct Answer ✔✔ Snellen chart
Early detection of macular degeneration? - Correct Answer ✔✔ Amsler grid test....
remember the wavy lines and dot as hole on graph paper
Which equipment is used to measure the IOP in glaucoma screening test? - Correct
Answer ✔✔ Tonometry
What is angle closure glaucoma? - Correct Answer ✔✔ Increase IOP... opthalmic
emergency... increase redness, pain and vision change... halos around lights
What is Anosmia? - Correct Answer ✔✔ Loss of smell or taste... accelerated by tobacco
use.
Treatment for conjunctivitis? - Correct Answer ✔✔ Often self limiting but can use cold
artificial tear solution for bacterial conjunctivitis use FQ ocular solution
otitis externa? - Correct Answer ✔✔ Use oral cipro for severe disease for DM, HIV
patients... rest just use VOSOL ear drops
Treatment for strep throat? - Correct Answer ✔✔ Penicillin V PO for 10 days if
adherence issue then use benzathine IM 1 dose can use augmentin
If PCN allergic? Use Z pack for 5 days or macrolide
otitis media with effusion or swimmers ear - Correct Answer ✔✔ Examination will reveal
fullness in ear, air bubbles in Tympanic membrane. Treat allergic rhinitis symptoms
acute otitis media - Correct Answer ✔✔ Redness in TM and bulging abx amoxi or
augmentin
Cefdinir or Azithromycin for pcn allergy
What is varicella and treatment? - Correct Answer ✔✔ Chickenpox... present in children
or adults...
