LEIK FNP REVIEW TIPS ANSWERS AND QUESTIONS
SET A+
✔✔From 33-35 cm - ✔✔A multigravida who is at 34 wks gestation wants to know at
what level her uterine funds should be. The best answer is to advise the mother that her
funds is:
✔✔Advise mother that her pregnancy is progressing well - ✔✔A multigravida who is
28wks gestation has a fundal height of 29cm. What is the best recommendation for this
patient?
✔✔Creatinine - ✔✔Which laboratory test is used in primary care to evaluate renal
function?
✔✔Chronic intake of non steroidal anti-inflammatory drugs (NSAIDs) can cause the
disorder - ✔✔All of the following are false statements regarding acute gastritis except:
A) Chronic intake of non steroidal anti-inflammatory drugs (NSAIDs) can cause the
disorder
B) Chronic lack of dietary fiber is the main cause of the disorder
C) The screening rest for the disorder is the barium swallow test
D) The gold standard to evaluate the disorder is a colonoscopy.
✔✔Apraxia and fatigue - ✔✔Signs and symptoms of depression do not include:
✔✔A) Upon deep inspiration by the patient, palpate firmly in the right upper quadrant of
the abdomen below the costovertebral angle. - ✔✔Which of the following is an accurate
description of eliciting for Murphy's sign?
A) Upon deep inspiration by the patient, palpate firmly in the right upper quadrant of the
abdomen below the costovertebral angle
B) Bend the patient at the hips and knees at 90 degrees, then passively rotate hip
externally, then internally
C) Ask the patient to quit, then place the stethoscope on the apical area.
D) Press into the abdomen deeply, then released it suddenly
,✔✔Murphy's Sign - ✔✔Positive if pain occurs when performing RUQ palpation while
patient takes a deep breath, causing the patient to abruptly stop the deep breath due to
pain. As the liver is palpated, it will descend and push up against the inflamed
gallbladder and cause sharp pain (cholecystitis)
✔✔Apraxia - ✔✔a disorder of the nervous system in which the brain is affected and the
patient is unable not move the arms/legs when asked to do so.
✔✔Common signs of depression - ✔✔1. anhedonia
2. unintentional weight loss or gain
3. fatigue
4. change in appetite
5. insomnia or hypersomnia
6. Feelings of guilt and worthlessness
7. recurrent thought of suicide.
✔✔Anhedonia - ✔✔loss of interest in activities that the patient finds pleasurable
✔✔What does Chronic NSAID use do? - ✔✔Disrupts the product of prostaglandins,
which decreases blood supply and then breaks down the protective layer of the
mucosa, which leads to gastric disease.
✔✔Why is Serum creatinine in measured? - ✔✔To evaluate renal function. Creation is
the end product of creatine metabolism. Creatinine clearance is not affected by fluid or
dietary intake of meat.
✔✔After 20 wks - ✔✔At how many weeks gestation should fundal height equal weeks
gestation?
✔✔2cm or greater - ✔✔When measuring fundal height, how many centimeters variation
should warrant further testing to evaluate fetal growth
✔✔The drawer sign - ✔✔Performed on the knee or ankle to assess for knee instability.
The affected knee/ankle will have more laxity when compared to the unaffected
knee/ankle.
✔✔Heberden's nodes - ✔✔These are commonly seen in degenerative joint disease,
and are bony nodules located on the distal interphalangeal joints (DIPs)
✔✔Laryngeal neoplasia - ✔✔HPV infection of the larynx has been associated with:
✔✔Cervical cancer. - ✔✔HPV infection of the cervix is associated with:
,✔✔Tanner Stage III: Male - ✔✔Consist of penis lengthening and darker, course pubic
hair, which begins to curl.
✔✔The Lachman maneuver - ✔✔Test performed to assess for knee instability. Knee
instability indicated a tear of the anterior cruciate ligament.
✔✔Calcium channel blockers - ✔✔Antihypertensive medication that acts by blocking the
calcium channels in the heart muscle and the blood vessels, thereby keeping more
calcium in the bones. Should be used in elderly patients with osteoporoisis
✔✔Both gram negative and gram positive bacteria - ✔✔Diverticula in the colon can be
infected with
✔✔In the fetal and maternal liver. - ✔✔Where is AFP produced?
✔✔Multiple gestations d/t growing fetuses and enlargement of the livers - ✔✔When are
higher levels of AFP commonly seen?
✔✔Kyphosis - ✔✔a curvature of the spine that causes a rounding of the back, which
leads to slouching posture.
✔✔Osteoporosis - ✔✔Severe thinking of the bones that contributes to this curvature in
the spine.
✔✔Symptoms that may occur with severe cases of kyphosis - ✔✔difficulty breathing
fatigue
back pain
✔✔An abnormal during pregnancy.
An U/S should be ordered to further evaluate the fetus for characteristics of Down
syndrome and/or fetal demise. - ✔✔What do abnormally low levels of alpha fetoprotein
and estriol and high levels of human chorionic gonadotropin indicate and what should
be done?
✔✔Nerve cell damage - ✔✔What can Vitamin B12 deficiency anemia cause if not
treated?
✔✔Symptoms of B12 deficiency anemia? - ✔✔tingling and numbness of fingers and
toes
difficulty walking
mood changes
depression
memory loss
disorientation
, dementia
✔✔What do NSAIDs and ASA inhibit - ✔✔The vasodilatory effects of prostaglandins,
which predisposes the kidney to ischemia. NSAIDs and diuretics can cause acute pre-
renal failure by decreasing renal blood flow
✔✔Which infections commonly affect the labia and vagina - ✔✔bacterial vaginosis
candidiasis
trichomoniasis
✔✔What part of the body is affected by chlamydia trachomas? - ✔✔Cervix, endometrial
lining, fallopian tubes and pelvic cavity
✔✔Signs and symptoms of an acute abdomen - ✔✔Involuntary guarding, rebound
tenderness, board like abdomen, and a positive obturator and posts sign
✔✔Positive obturator sign: - ✔✔Occurs when pain is elicited by internal rotation of the
right hip from 90 degrees hip/knee flexion
✔✔Positive Psoas sign: - ✔✔Occurs when pain occurs with passive extension of the
thigh while the patient is lying on his/her side with knees extended, or when pain occurs
with active flexion of his/her thigh at the hip
✔✔Recommended care for women diagnosed with preeclampsia: - ✔✔Bed rest with
BRP, weight and BP monitoring, and closely following urine protein and serum protein,
creatinine, and platelet counts. Oral medications are not used as first line treatment.
✔✔Medicare A coverage includes - ✔✔Inpatient hospitalization and skilled care given in
a certified SNF.
✔✔Mycoplasma pneumonia's - ✔✔The organism most commonly seen in children and
young adults. It is easily spread from droplets, from sneezing and coughing, in close
proximity. Diagnosis is based on symptoms and x-ray results of infiltrates in lower lobes.
✔✔Common signs and symptoms of pregnancy-induced hypertension - ✔✔Edema of
the face and upper extremities, weight gain, blurred vision, elevated BP, proteinuria,
and headaches
✔✔When and why should Beta-blockers should be avoided? - ✔✔In patients with a
history of emphysema. Studies have shown evidence of a reduction in forced expiratory
volume in 1 second (FEV1), increased airway hyper responsiveness, and inhibition of
bronchodilator response to beta agonists in patients receiving non-selective beta-
blockers and high doses of cardioselective beta-blockers.
SET A+
✔✔From 33-35 cm - ✔✔A multigravida who is at 34 wks gestation wants to know at
what level her uterine funds should be. The best answer is to advise the mother that her
funds is:
✔✔Advise mother that her pregnancy is progressing well - ✔✔A multigravida who is
28wks gestation has a fundal height of 29cm. What is the best recommendation for this
patient?
✔✔Creatinine - ✔✔Which laboratory test is used in primary care to evaluate renal
function?
✔✔Chronic intake of non steroidal anti-inflammatory drugs (NSAIDs) can cause the
disorder - ✔✔All of the following are false statements regarding acute gastritis except:
A) Chronic intake of non steroidal anti-inflammatory drugs (NSAIDs) can cause the
disorder
B) Chronic lack of dietary fiber is the main cause of the disorder
C) The screening rest for the disorder is the barium swallow test
D) The gold standard to evaluate the disorder is a colonoscopy.
✔✔Apraxia and fatigue - ✔✔Signs and symptoms of depression do not include:
✔✔A) Upon deep inspiration by the patient, palpate firmly in the right upper quadrant of
the abdomen below the costovertebral angle. - ✔✔Which of the following is an accurate
description of eliciting for Murphy's sign?
A) Upon deep inspiration by the patient, palpate firmly in the right upper quadrant of the
abdomen below the costovertebral angle
B) Bend the patient at the hips and knees at 90 degrees, then passively rotate hip
externally, then internally
C) Ask the patient to quit, then place the stethoscope on the apical area.
D) Press into the abdomen deeply, then released it suddenly
,✔✔Murphy's Sign - ✔✔Positive if pain occurs when performing RUQ palpation while
patient takes a deep breath, causing the patient to abruptly stop the deep breath due to
pain. As the liver is palpated, it will descend and push up against the inflamed
gallbladder and cause sharp pain (cholecystitis)
✔✔Apraxia - ✔✔a disorder of the nervous system in which the brain is affected and the
patient is unable not move the arms/legs when asked to do so.
✔✔Common signs of depression - ✔✔1. anhedonia
2. unintentional weight loss or gain
3. fatigue
4. change in appetite
5. insomnia or hypersomnia
6. Feelings of guilt and worthlessness
7. recurrent thought of suicide.
✔✔Anhedonia - ✔✔loss of interest in activities that the patient finds pleasurable
✔✔What does Chronic NSAID use do? - ✔✔Disrupts the product of prostaglandins,
which decreases blood supply and then breaks down the protective layer of the
mucosa, which leads to gastric disease.
✔✔Why is Serum creatinine in measured? - ✔✔To evaluate renal function. Creation is
the end product of creatine metabolism. Creatinine clearance is not affected by fluid or
dietary intake of meat.
✔✔After 20 wks - ✔✔At how many weeks gestation should fundal height equal weeks
gestation?
✔✔2cm or greater - ✔✔When measuring fundal height, how many centimeters variation
should warrant further testing to evaluate fetal growth
✔✔The drawer sign - ✔✔Performed on the knee or ankle to assess for knee instability.
The affected knee/ankle will have more laxity when compared to the unaffected
knee/ankle.
✔✔Heberden's nodes - ✔✔These are commonly seen in degenerative joint disease,
and are bony nodules located on the distal interphalangeal joints (DIPs)
✔✔Laryngeal neoplasia - ✔✔HPV infection of the larynx has been associated with:
✔✔Cervical cancer. - ✔✔HPV infection of the cervix is associated with:
,✔✔Tanner Stage III: Male - ✔✔Consist of penis lengthening and darker, course pubic
hair, which begins to curl.
✔✔The Lachman maneuver - ✔✔Test performed to assess for knee instability. Knee
instability indicated a tear of the anterior cruciate ligament.
✔✔Calcium channel blockers - ✔✔Antihypertensive medication that acts by blocking the
calcium channels in the heart muscle and the blood vessels, thereby keeping more
calcium in the bones. Should be used in elderly patients with osteoporoisis
✔✔Both gram negative and gram positive bacteria - ✔✔Diverticula in the colon can be
infected with
✔✔In the fetal and maternal liver. - ✔✔Where is AFP produced?
✔✔Multiple gestations d/t growing fetuses and enlargement of the livers - ✔✔When are
higher levels of AFP commonly seen?
✔✔Kyphosis - ✔✔a curvature of the spine that causes a rounding of the back, which
leads to slouching posture.
✔✔Osteoporosis - ✔✔Severe thinking of the bones that contributes to this curvature in
the spine.
✔✔Symptoms that may occur with severe cases of kyphosis - ✔✔difficulty breathing
fatigue
back pain
✔✔An abnormal during pregnancy.
An U/S should be ordered to further evaluate the fetus for characteristics of Down
syndrome and/or fetal demise. - ✔✔What do abnormally low levels of alpha fetoprotein
and estriol and high levels of human chorionic gonadotropin indicate and what should
be done?
✔✔Nerve cell damage - ✔✔What can Vitamin B12 deficiency anemia cause if not
treated?
✔✔Symptoms of B12 deficiency anemia? - ✔✔tingling and numbness of fingers and
toes
difficulty walking
mood changes
depression
memory loss
disorientation
, dementia
✔✔What do NSAIDs and ASA inhibit - ✔✔The vasodilatory effects of prostaglandins,
which predisposes the kidney to ischemia. NSAIDs and diuretics can cause acute pre-
renal failure by decreasing renal blood flow
✔✔Which infections commonly affect the labia and vagina - ✔✔bacterial vaginosis
candidiasis
trichomoniasis
✔✔What part of the body is affected by chlamydia trachomas? - ✔✔Cervix, endometrial
lining, fallopian tubes and pelvic cavity
✔✔Signs and symptoms of an acute abdomen - ✔✔Involuntary guarding, rebound
tenderness, board like abdomen, and a positive obturator and posts sign
✔✔Positive obturator sign: - ✔✔Occurs when pain is elicited by internal rotation of the
right hip from 90 degrees hip/knee flexion
✔✔Positive Psoas sign: - ✔✔Occurs when pain occurs with passive extension of the
thigh while the patient is lying on his/her side with knees extended, or when pain occurs
with active flexion of his/her thigh at the hip
✔✔Recommended care for women diagnosed with preeclampsia: - ✔✔Bed rest with
BRP, weight and BP monitoring, and closely following urine protein and serum protein,
creatinine, and platelet counts. Oral medications are not used as first line treatment.
✔✔Medicare A coverage includes - ✔✔Inpatient hospitalization and skilled care given in
a certified SNF.
✔✔Mycoplasma pneumonia's - ✔✔The organism most commonly seen in children and
young adults. It is easily spread from droplets, from sneezing and coughing, in close
proximity. Diagnosis is based on symptoms and x-ray results of infiltrates in lower lobes.
✔✔Common signs and symptoms of pregnancy-induced hypertension - ✔✔Edema of
the face and upper extremities, weight gain, blurred vision, elevated BP, proteinuria,
and headaches
✔✔When and why should Beta-blockers should be avoided? - ✔✔In patients with a
history of emphysema. Studies have shown evidence of a reduction in forced expiratory
volume in 1 second (FEV1), increased airway hyper responsiveness, and inhibition of
bronchodilator response to beta agonists in patients receiving non-selective beta-
blockers and high doses of cardioselective beta-blockers.
