FNP 1 FINAL STUDY GUIDE EXAM QUESTIONS
WITH ACCURATE SOLUTIONS | GRADED A+ .
What are S/S of iron deficiency anemia? - correct Answers -Microcytic/hypochromic anemia,
presents with fatigue, SOB, PICA, soft spoon nails, cheilosis, sore tongue, and in children
learning difficulties. PALLOR is late sign. May also be asymptomatic. Know labs are Low
MCV, MCHC and HGB
What are treatments for iron deficiency anemia? - correct Answers -Fix the site of bleeding, give
iron supplementation, recheck in about 3 months
Risk factors for the development of iron deficiency anemia? - correct Answers -Those with
dietary restrictions or malabsorption issues, GI bleed, in children high amounts of cows milk,
premature infants, exclusively breast feeding past 4-6 month
What are contraindications to hormonal contraception or HRT? - correct Answers -Clotting
disorders, history of DVT or PE, migraine with aura or focal neurological deficit, uncontrolled
HTN, smoking, active breast or uterine cancer, undiagnosed vaginal bleeding, or liver disease
What are the assessment findings in testicular torsion? How is it diagnosed? - correct Answers -
Pain in the testicle or abdomen, N/V, one testicle higher or at strange angle, swelling of scrotum.
Diagnosed with physical exam, cremasteric reflex, and scrotal ultrasound
What are common problems seen in Klinefelters? - correct Answers -Sterile males, feminine
characteristics, learning disabilities
What are common problems seen in Down's Syndrome? - correct Answers -Congenital heart
disease, hirschprungs, duodenal atresia, imperforate anus, expressive language difficulty, delayed
development
, What are common problems seen in Turner's Syndrome? - correct Answers -Short statured,
broad chested, often sterile or will need help to conceive,
What is included in a functional geriatric assessment? - correct Answers -Need to assess basic
self cares (ADLs) can use Katz index. Also need to assess instrumental ADLs which indicate
their ability for independent community living... can use Lawton-Brody scale for this
How do you determine to use Progestin only vs combination HRT? - correct Answers -Progestin
only is useful in breastfeeding mothers. Can use estrogen only if local application. Unopposed
systemic estrogen therapy not recommended due to risk of osteoporosis and worsening CV
disease
Absolute contraindications for systemic HRT? - correct Answers -Pregnancy, VTE, Breast or
liver cancer, high triglycerides
Why is progesterone given in HRT? - correct Answers -To prevent endometrial thickening which
could potentially lead to endometrial cancers
What is the dosage of Vit D needed to prevent osteoporosis? - correct Answers -It is thought we
need about 800IU daily along with 1200-1500 mg calcium
What are the numbers on the DEXA scan and their corresponding diagnoses? - correct Answers -
T-Score -2.5 or below is osteoporosis
T-Score -1 to -2.4 is osteopenia
S/S of sickle cell crisis? Treatment? - correct Answers -joint or abd pain, microvascular necrosis,
MI, bone pain, swelling in the face.
Treated with O2, hydration, analgesia and education to prevent further attacks
What is the presentation of cradle cap in an infant? Treatment? - correct Answers -This is
infantile seborrheic dermatitis and presents as oily, greasy, yellowish scales on the scalp. Parents
can use olive or mineral oil or dawn dishwashing soap. May also try mizoram shampoo. Need to
remove flakes with soft brush of some sort
WITH ACCURATE SOLUTIONS | GRADED A+ .
What are S/S of iron deficiency anemia? - correct Answers -Microcytic/hypochromic anemia,
presents with fatigue, SOB, PICA, soft spoon nails, cheilosis, sore tongue, and in children
learning difficulties. PALLOR is late sign. May also be asymptomatic. Know labs are Low
MCV, MCHC and HGB
What are treatments for iron deficiency anemia? - correct Answers -Fix the site of bleeding, give
iron supplementation, recheck in about 3 months
Risk factors for the development of iron deficiency anemia? - correct Answers -Those with
dietary restrictions or malabsorption issues, GI bleed, in children high amounts of cows milk,
premature infants, exclusively breast feeding past 4-6 month
What are contraindications to hormonal contraception or HRT? - correct Answers -Clotting
disorders, history of DVT or PE, migraine with aura or focal neurological deficit, uncontrolled
HTN, smoking, active breast or uterine cancer, undiagnosed vaginal bleeding, or liver disease
What are the assessment findings in testicular torsion? How is it diagnosed? - correct Answers -
Pain in the testicle or abdomen, N/V, one testicle higher or at strange angle, swelling of scrotum.
Diagnosed with physical exam, cremasteric reflex, and scrotal ultrasound
What are common problems seen in Klinefelters? - correct Answers -Sterile males, feminine
characteristics, learning disabilities
What are common problems seen in Down's Syndrome? - correct Answers -Congenital heart
disease, hirschprungs, duodenal atresia, imperforate anus, expressive language difficulty, delayed
development
, What are common problems seen in Turner's Syndrome? - correct Answers -Short statured,
broad chested, often sterile or will need help to conceive,
What is included in a functional geriatric assessment? - correct Answers -Need to assess basic
self cares (ADLs) can use Katz index. Also need to assess instrumental ADLs which indicate
their ability for independent community living... can use Lawton-Brody scale for this
How do you determine to use Progestin only vs combination HRT? - correct Answers -Progestin
only is useful in breastfeeding mothers. Can use estrogen only if local application. Unopposed
systemic estrogen therapy not recommended due to risk of osteoporosis and worsening CV
disease
Absolute contraindications for systemic HRT? - correct Answers -Pregnancy, VTE, Breast or
liver cancer, high triglycerides
Why is progesterone given in HRT? - correct Answers -To prevent endometrial thickening which
could potentially lead to endometrial cancers
What is the dosage of Vit D needed to prevent osteoporosis? - correct Answers -It is thought we
need about 800IU daily along with 1200-1500 mg calcium
What are the numbers on the DEXA scan and their corresponding diagnoses? - correct Answers -
T-Score -2.5 or below is osteoporosis
T-Score -1 to -2.4 is osteopenia
S/S of sickle cell crisis? Treatment? - correct Answers -joint or abd pain, microvascular necrosis,
MI, bone pain, swelling in the face.
Treated with O2, hydration, analgesia and education to prevent further attacks
What is the presentation of cradle cap in an infant? Treatment? - correct Answers -This is
infantile seborrheic dermatitis and presents as oily, greasy, yellowish scales on the scalp. Parents
can use olive or mineral oil or dawn dishwashing soap. May also try mizoram shampoo. Need to
remove flakes with soft brush of some sort
