ANCC FNP Board Exam Study Guide Part 2 Exam Questions And Answers

ANCC FNP Board Exam Study Guide Part 2 Exam Questions And Answers Baby with yellow drainage from eye -bacterial conjunctivitis -gonococcal ophthalmia neonatorum -chlamydial ophthalmia neonatorum (trachoma) Pyloric stenosis -classic presentation - 4-6 week old (first born) male with projectile, nonbilious vomiting; olive-like mass better palpated immediately after vomiting; occurs in 3.5/1000 births -diagnosis made by ultrasound -differential diagnoses should include - GERD; milk protein intolerance; intestinal obstruction -management - refer for surgical correction (laparoscopic pyloromyotomy) Brainpower Read More Previous Play Next Rewind 10 seconds Move forward 10 seconds Unmute 0:00 / 0:00 Full screen Rubeola -measles - caused by rubeola virus - measles, rubeola, and Koplik all have one L in them -symptoms include fever, malaise, and the 3 Cs - conjunctivitis, coryza (runny nose, congestion), and cough -maculopapular "brick red" rash; starts on head and neck; spreads centrifugally to trunk and extremities -Koplik spots - enanthem (rash on mucus membrane) associated with rubeola; 1-3mm white/blue/gray elevations on the buccal mucosa, hard, and soft palate; resemble grains of sand; precede rash GERD with Barrett’s esophagus -Barrett's esophagus is a long-term complication of GERD and is a premalignancy to esophageal cancer -Barrett's esophagus is diagnosed by upper endoscopy with biopsy -Any patient with at least a decade history of chronic heartburn should be referred to GI for endoscopy to rule out Barrett's esophagus -treatment for Barrett's is PPI BID and H2 blocker qhs Migraine treatment -triptans are used as abortive treatment for migraines -prophylactic treatment for migraines includes - avoid triggers, beta blockers (propranolol), TCAs (amitriptyline, nortriptyline), anticonvulsants (topiramate), gabapentin Coombs’ test -indirect Coombs' test is performed early in pregnancy to determine if there are antibodies to the Rh factor in the mother's blood -If pregnant woman is found to be Rh negative, she will receive RhoGam at 28 weeks gestation and within 72 hours of delivery -If pregnant woman is Rh negative and miscarries or terminates the pregnancy, she should still receive RhoGam Allergic conjunctivitis in adolescents -caused by an acute type I hypersensitivity to allergen -symptoms - itchy eyes, watery or stringy discharge, chemosis (swelling of the conjunctiva), eyelid edema, rhinitis, and an "allergic shiner" -typically occurs bilaterally treatment is oral antihistamine Otitis externa – “swimmer’s ear” -bacterial infection of the external ear canal -more common during warm, humid weather (summer) -common organisms - pseudomonas aeruginosa (gram -), staphylococcus aureus (gram +) -symptoms - external ear pain, swelling, green purulent discharge usually following recent swimming -treatment - cortisporin otic drops QID x 7 days; keep water out of the ear during treatment Elderly lady with beefy red maceration under breast -likely superficial candidiasis - superficial skin yeast infection promoted by increased warmth and humidity, friction, and decreased immunity; generally occurs in intertriginous areas (under breast, axillae, abdomen, groin, and web spaces between toes) -treatment - nystatin powder/cream; OTC topical antifungal; keep skin dry and aerated Patient with history of HTN and stroke now having memory loss; indicative of? -vascular dementia Molloscum contagiosum