PNP – PC Exam Questions and Answers 2024

PNP – PC Exam Questions and Answers 2024 UTI most common organism - Answer-E. coli UTI Treatment - Answer-Bactrim (if 2 months) Amoxicillin Cryptorchidism - Testicles should descend by - gestation, if not by - - Answer-28 - 36 gestation; most descend by 6 months of life Cryptorchidism - when is orchiopexy recommended? - Answer-at 12 - 18 months Gonorrhea treatment - Answer-Ceftriaxone Chlamydia Treatment - Answer-Azithromycin or Erythromycin (children 12 y/o) Syphilis treatment - Answer-Penicillin G Herpes Simplex Virus treatment - Answer-Acyclovir Trichomoniasis treatment - Answer-Metronidazole (Flagyl) Bacterial vaginosis treatment - Answer-Metronidazole Clindamycin Legg-Calve-Perthes Disease treatment - Answer-Aggressive treatment if: over 8 years old or greater than 1/2 femoral head involvement Osgood-Schlatter treatment - Answer-Stretching, bracing, NSAIDs, Ice Do NOT avoid sports / activity Scoliosis treatment - Answer-Bracing at 20 degrees, Surgery 40 degrees Slipped Capital Femoral Epiphysis treatment - Answer-Immediate referral; avoid ambulation Duchenne Muscular Dystrophy outcome - Answer-affects LE, then UE, then chest wall, then heart; Becomes evident at 3 - 5 years old Wheelchair dependent by 10 - 12 years old Developmental Hip Dysplasia treatment - Answer- 6 months: Pavlik harness 6 months: surgery Genu Varum is normal until what age? - Answer-3 years old Genu Valgum normal age range? - Answer-2 years - 8 years Septicemia organisms - Answer-Newborn: GBS or E. coli Neonate ( 28 days): S. aureus Diphtheria treatment - Answer-Erythromycin / Penicillin What is diphtheria? - Answer-Contagious acute URTI that can lead to cutaneous disease, cardiac dysfunction, neuro toxicity, renal failure What is the treatment for Cytomegalovirus? - Answer-IV ganciclovir Pertussis treatment - Answer-Erythromycin or Azithromycin Rubella rash: - Answer-Starts on forehead/face, spreads to trunk/extremities within first day; usually fades and is gone by day 3 What causes Rubella - Answer-RNA virus - Rubivirus Rubeola (measles) symptoms & rash: - Answer-3 C's: Coryza, Cough, Conjunctivitis Koplik spots Rash that turns brownish after 3 - 4 days What causes Rubeola (measles)? - Answer-RNA virus - Morbillivirus Roseola Infantum symptoms - Answer-Abrupt fever 3 - 5 days followed by rash (starts on trunk, spreads to extremities) What causes Roseola Infantum? - Answer-Human Herpes Virus 6 (HHV-6) Fifth Disease (Erythema Infectiosum) cause: - Answer-Parvovirus B19 Fifth Disease rash - Answer-"Slapped cheek" appearance; Lacy-reticular, slightly raised exanthem Hallmark symptoms of Mumps - Answer-Swelling of Parotid glands Fever / Malaise Orchitis When can you return to school after mumps? - Answer-9 days after onset of symptoms Rocky Mountain Spotted Fever tick - - Answer-Rickettsia rickettsii Rocky Mountain Spotted Fever rash - Answer-Generalized vasculitis w/ petechial or purpuric rash - starts on wrists & ankles, spreads to trunk/palms/soles Rocky Mountain Spotted Fever treatment - Answer-Doxycycline Lyme disease tick - Answer-Deer tick - Borrelia burgdorferi Lyme disease rash - Answer-Erythema migrans; Circumsized, erythematous, annular rash with central clearing Lyme disease treatment - Answer- 8 years: Amoxicillin 8 years: Doxycycline Infant botulism- cause, dx, tx - Answer-Avoid honey until 1 y/o; DX by stool sample, TX human derived antitoxin (BabyBIG) Malaria: cause and symptoms - Answer-Plasmosdium (via Mosquito) High fever, Rigors, Sweats, Headaches S. Aureus treatment - Answer-Dicloxacillin Streptococci treatment - Answer-Erythomycin or Penicillin MRSA treatment - Answer-Bactrim or Clindamycin Pinworm treatment - Answer-Pyrantel ( 2 y/o) Mebendazole Acne treatment - Answer-Mild: Topical benzoyl peroxide Moderate: above or Topical Trentinoin Severe: above or Topical/Oral antibiotics (Doxy, Minocycline, Tetra) Fungal infections caused by? and Dx with? - Answer-Trichophyton; DX with KOH scraping Tina capitis treatment - Answer-Griseofulvin Tina corporis, Tinea cruris, & Tinea pedis treatment - Answer-Topical antifungals: Miconazole, ketoconazole, Clotrimazole Tina versicolor treatment - Answer-Selenium sulfide shampoo Scabies treatment - Answer-Permethrin 5% cream Pediculosis infection - Answer-Permethrin Impetigo treatment - Answer-Mupirocin Croup treatment - Answer-Dexamethasone (0.6mg/kg) Racemic epi nebulizer if severe Croup common cause - Answer-Human Parainfluenza Bronchiolitis main cause - Answer-RSV Pneumonia treatment - Answer-5 years: Amoxicillin 5 years: Azithromycin VSD murmur - Answer-Holosystolic, Thrill, LLSB Still's Murmur - Answer-Musical, systolic, LLSB