FITZGERALD NP CERTIFICATION
SOLUTION TESTED QUESTIONS FULL
RESPONSE
◉ Treatment for strep throat. 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. Answer: Examination
will reveal fullness in ear, air bubbles in Tympanic membrane. Treat
allergic rhinitis symptoms
◉ acute otitis media. Answer: Redness in TM and bulging abx amoxi
or augmentin
Cefdinir or Azithromycin for pcn allergy
◉ What is varicella and treatment?. Answer: Chickenpox... present in
children or adults...
droplet precautions plus contact
Clinical presentation with fever and miserable itch
2-3 mm vesicles start on trunk and move to limbs
Treatment with antiviral such as acyclovir within 24 to 48 H
,2 doses of immunization = 99 percent immunity
◉ shingles (herpes zoster)?. Answer: Occurs in age 50 or older and
vaccine given at 60 or above
Have to have history of varicella
Droplet plus contact precaution
Pain plus itch
UNILATERAL DERMATOME pattern
Treatment high dose antiviral such as acyclovir
◉ What kind of lesions does poison ivy has?. Answer: Linear
◉ Annular lesion?. Answer: Lyme disease bulls eye fashion
◉ Clustered lesion?. Answer: HSV pattern
◉ Scattered lesion. Answer: Rubeola
◉ confluence lesion?. Answer: Psoriasis
◉ What is Imiquimod cream used for?. Answer: Verruca vulgaris
,◉ Psoriasis vulgaris treatment?. Answer: Medium potency steroids
◉ Tinea pedis treatment?. Answer: Topical Ketoconazole
◉ Rosacea Treatment?. Answer: Metronidazole
◉ Pityriasis rosea?. Answer: Mostly proceeds by a herald patch and
has Christmas tree patterns.
◉ Most likely location of occurrence?. Answer: Pityriasis rosea =
herald patch on the trunk
Eczema = antecubital fossa
Psoriasis vulgaris = anterior surfaces of knee
Actinic Keratoses = sun exposed areas such as head
Over waist band area = scabies
◉ What is the treatment for scabies?. Answer: Premethrin lotion
◉ What is the treatment of poison ivy?. Answer: Med or high
potency streroids topical
If >20 percent body involvement or rash impacts face, gentian area
or inhibits occupation function use prednisone 0.5 to 1mg/kg for 10
to 14 days
, ◉ Honey crusted lesion? Treatment?. Answer: Impetigo...
non bullous = topical mupirocin
◉ Treatment for non purulent cellulitis/erysipelas/impetigo?.
Answer: Penicillin VK or Diclixacillin
◉ Treatment for purulent such as abscess/carbuncle/furuncle?.
Answer: I & D
Bactrim or doxy
◉ Which 2 hormones does the thyroid produce?. Answer: T3 and T4.
They act as cellular energy
◉ What is hypothyroidism?. Answer: Reduced cellular energy or
high TSH.
Normal 0.4 to 4.0
◉ What are sign and symptoms of hypothyroidism?. Answer: Think
low energy...
thick dry skin
Hung up pattelar reflex, overall hyporeflexia
Can't make sense of thoughts
SOLUTION TESTED QUESTIONS FULL
RESPONSE
◉ Treatment for strep throat. 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. Answer: Examination
will reveal fullness in ear, air bubbles in Tympanic membrane. Treat
allergic rhinitis symptoms
◉ acute otitis media. Answer: Redness in TM and bulging abx amoxi
or augmentin
Cefdinir or Azithromycin for pcn allergy
◉ What is varicella and treatment?. Answer: Chickenpox... present in
children or adults...
droplet precautions plus contact
Clinical presentation with fever and miserable itch
2-3 mm vesicles start on trunk and move to limbs
Treatment with antiviral such as acyclovir within 24 to 48 H
,2 doses of immunization = 99 percent immunity
◉ shingles (herpes zoster)?. Answer: Occurs in age 50 or older and
vaccine given at 60 or above
Have to have history of varicella
Droplet plus contact precaution
Pain plus itch
UNILATERAL DERMATOME pattern
Treatment high dose antiviral such as acyclovir
◉ What kind of lesions does poison ivy has?. Answer: Linear
◉ Annular lesion?. Answer: Lyme disease bulls eye fashion
◉ Clustered lesion?. Answer: HSV pattern
◉ Scattered lesion. Answer: Rubeola
◉ confluence lesion?. Answer: Psoriasis
◉ What is Imiquimod cream used for?. Answer: Verruca vulgaris
,◉ Psoriasis vulgaris treatment?. Answer: Medium potency steroids
◉ Tinea pedis treatment?. Answer: Topical Ketoconazole
◉ Rosacea Treatment?. Answer: Metronidazole
◉ Pityriasis rosea?. Answer: Mostly proceeds by a herald patch and
has Christmas tree patterns.
◉ Most likely location of occurrence?. Answer: Pityriasis rosea =
herald patch on the trunk
Eczema = antecubital fossa
Psoriasis vulgaris = anterior surfaces of knee
Actinic Keratoses = sun exposed areas such as head
Over waist band area = scabies
◉ What is the treatment for scabies?. Answer: Premethrin lotion
◉ What is the treatment of poison ivy?. Answer: Med or high
potency streroids topical
If >20 percent body involvement or rash impacts face, gentian area
or inhibits occupation function use prednisone 0.5 to 1mg/kg for 10
to 14 days
, ◉ Honey crusted lesion? Treatment?. Answer: Impetigo...
non bullous = topical mupirocin
◉ Treatment for non purulent cellulitis/erysipelas/impetigo?.
Answer: Penicillin VK or Diclixacillin
◉ Treatment for purulent such as abscess/carbuncle/furuncle?.
Answer: I & D
Bactrim or doxy
◉ Which 2 hormones does the thyroid produce?. Answer: T3 and T4.
They act as cellular energy
◉ What is hypothyroidism?. Answer: Reduced cellular energy or
high TSH.
Normal 0.4 to 4.0
◉ What are sign and symptoms of hypothyroidism?. Answer: Think
low energy...
thick dry skin
Hung up pattelar reflex, overall hyporeflexia
Can't make sense of thoughts
