ANCC FNP 3 FULL EXAMS ACTUAL
QUESTIONS WITH VERIFIED SOLUTIONS
◉ blepharitis.
Answer: chronic condition caused by inflammation of the eyelids
◉ contact lens keratitis.
Answer: eye pain, redness, excessive tearing, lesion on the cornea
1st line- topical abx
◉ primary angle-closure glaucoma.
Answer: sudden blockage of the aqueous humor
increased intraocular pressure
◉ Acute Rhinosinusitis.
Answer: inflammation of the mucosal lining of nasal passages,
lasting up to 4 weeks, caused by allergens
◉ Acute Bacterial Rhinosinusitis.
Answer: secondary bacterial infection, usually following viral URI
,◉ Diseases caused by S. pneumoniae.
Answer: COMPS
Conjunctivitis
Otitis media
Meningitis
Pneumonia
Sinusitis
◉ Diseases caused by H. influenza.
Answer: COMPS
Conjunctivitis
Otitis media
Meningitis
Pneumonia
Sinusitis
◉ Common features of ABRS.
Answer: fever and symptoms duration of more than 10 days
maxillary toothache
initial symptom improvement and then worsening of symptoms
(double sickening)
cacosmia (sense of bad odor in the nose)
,unilateral facial pain
7 day tx is the best
◉ Tx for ABRS in adults.
Answer: Initial therapy: amoxicillin or amox-clav
Beta-lactam allergy:
No anaphylaxis (cefdinir, cefpodoxime, cefuroxime)
anaphylaxis (levo, moxi, doxycycline)
*macrolide abx (azithro, clarithro, erythro) and TMX-SMX (Bactrim)
not recommended in ABRS tx
◉ Doxycycline.
Answer: pregnancy risk: Cat D
◉ Resp fluroquinolones.
Answer: pregnancy risk: Cat C
◉ Normal hearing.
Answer: no lateralization
AC>BC
, ◉ Sensorineural hearing loss.
Answer: lateralization to good ear (sound is heard louder in the
normal ear)
AC>BC
◉ Conductive hearing loss.
Answer: lateralization to bad ear (sound is heard louder in the bad
ear)
BC>AC
◉ Allergic rhinitis.
Answer: inflammatory, IgE mediated disease due to genetic and
environmental interactions and characterized by nasal congestion,
rhinorrhea, sneezing, intraocular and/or nasal itching
◉ Allergic rhinitis treatment.
Answer: 1st line- avoid allergen
controller
- intranasal corticosteroids (fluticasone propionate (flonase),
triamcinolone)- number of days prior to symptom relief
- intranasal antihistamine (azelastine)- rapid symptom relief
Reliever therapy
- 2nd gen PO antihistamine (loratadine (clairtin), cetirizine (zyrtec)
QUESTIONS WITH VERIFIED SOLUTIONS
◉ blepharitis.
Answer: chronic condition caused by inflammation of the eyelids
◉ contact lens keratitis.
Answer: eye pain, redness, excessive tearing, lesion on the cornea
1st line- topical abx
◉ primary angle-closure glaucoma.
Answer: sudden blockage of the aqueous humor
increased intraocular pressure
◉ Acute Rhinosinusitis.
Answer: inflammation of the mucosal lining of nasal passages,
lasting up to 4 weeks, caused by allergens
◉ Acute Bacterial Rhinosinusitis.
Answer: secondary bacterial infection, usually following viral URI
,◉ Diseases caused by S. pneumoniae.
Answer: COMPS
Conjunctivitis
Otitis media
Meningitis
Pneumonia
Sinusitis
◉ Diseases caused by H. influenza.
Answer: COMPS
Conjunctivitis
Otitis media
Meningitis
Pneumonia
Sinusitis
◉ Common features of ABRS.
Answer: fever and symptoms duration of more than 10 days
maxillary toothache
initial symptom improvement and then worsening of symptoms
(double sickening)
cacosmia (sense of bad odor in the nose)
,unilateral facial pain
7 day tx is the best
◉ Tx for ABRS in adults.
Answer: Initial therapy: amoxicillin or amox-clav
Beta-lactam allergy:
No anaphylaxis (cefdinir, cefpodoxime, cefuroxime)
anaphylaxis (levo, moxi, doxycycline)
*macrolide abx (azithro, clarithro, erythro) and TMX-SMX (Bactrim)
not recommended in ABRS tx
◉ Doxycycline.
Answer: pregnancy risk: Cat D
◉ Resp fluroquinolones.
Answer: pregnancy risk: Cat C
◉ Normal hearing.
Answer: no lateralization
AC>BC
, ◉ Sensorineural hearing loss.
Answer: lateralization to good ear (sound is heard louder in the
normal ear)
AC>BC
◉ Conductive hearing loss.
Answer: lateralization to bad ear (sound is heard louder in the bad
ear)
BC>AC
◉ Allergic rhinitis.
Answer: inflammatory, IgE mediated disease due to genetic and
environmental interactions and characterized by nasal congestion,
rhinorrhea, sneezing, intraocular and/or nasal itching
◉ Allergic rhinitis treatment.
Answer: 1st line- avoid allergen
controller
- intranasal corticosteroids (fluticasone propionate (flonase),
triamcinolone)- number of days prior to symptom relief
- intranasal antihistamine (azelastine)- rapid symptom relief
Reliever therapy
- 2nd gen PO antihistamine (loratadine (clairtin), cetirizine (zyrtec)
