AANP-FNP exam WELL ELABORATED
QUESTIONS AND ANSWERS
Hegar's sign - ANSWER - Softening of lower uterine segment
Chadwick's sign - ANSWER - Bluish color of cervix and vagina at 6-8 weeks
Goodell's sign - ANSWER - Softening of cervix at 4+ weeks
Lipids in chronic inactivity - ANSWER - Low HDL
Lipids in under- or untreated hypothyroidism - ANSWER - Elevated total cholesterol,
TG, and LDL
Lipids in chronic renal insufficiency - ANSWER - Elevated total cholesterol and TG
Lipids in alcohol abuse - ANSWER - Elevated TG, HDL, and LDL
Vaccines with live attenuated viruses - ANSWER - MMR, varicella, flu-mist(intranasal),
Zostavax
Drugs of choice for abdominal infection - ANSWER - Beta lactams + metronidazole
(most common); fluoroquinolones
Drugs of choice for urinary tract infection - ANSWER - Fluoroquinolones (except moxi),
TMP-SMX, fluconazole, b-lactams, nitrofurantoin, fosfomycin if pt has many allergies
, Drugs of choice for pulmonary infections - ANSWER - Macrolides, resp
fluoroquinolones, b-lactams, doxycycline (MRSA, atypical coverage)
Drugs of choice for skin and soft tissue infections - ANSWER - MRSA: TMP-SMZ,
doxycycline, clindamycin; b-lactams
Drugs of choice for MRSA - ANSWER - Vancomycin, daptomycin , linezolid, TMP-SMZ,
doxycycline, ceftaroline
Macrolide drugs - ANSWER - Erythromycin, clarithromycin, azithromycin
Macrolide AEs - ANSWER - GI, QT prolongation
Tetracycline uses - ANSWER - MRSA, rocky mtn spotted fever, atypicals (mycoplasma
pneumonia, chlamydia), spirochetes (Lyme), h.pylori
Tetracycline AEs - ANSWER - GI, teeth, hepatic dysfunction, photosensitivity
Fluoroquinolone drugs - ANSWER - Ciprofloxacin, levofloxacin, moxifloxacin
Fluoroquinolone uses - ANSWER - UTI (cipro or levo), atypicals (mycoplasma,
legionella)
Fluoroquinolones and dairy or vitamins - ANSWER - Take 2 hrs before or 4 hours after
(decrease concentrations)
Metronidazole (Flagyl) uses - ANSWER - C. Diff, vaginitis
Metronidazole AEs - ANSWER - GI, peripheral neuropathy, disulfiram reaction
QUESTIONS AND ANSWERS
Hegar's sign - ANSWER - Softening of lower uterine segment
Chadwick's sign - ANSWER - Bluish color of cervix and vagina at 6-8 weeks
Goodell's sign - ANSWER - Softening of cervix at 4+ weeks
Lipids in chronic inactivity - ANSWER - Low HDL
Lipids in under- or untreated hypothyroidism - ANSWER - Elevated total cholesterol,
TG, and LDL
Lipids in chronic renal insufficiency - ANSWER - Elevated total cholesterol and TG
Lipids in alcohol abuse - ANSWER - Elevated TG, HDL, and LDL
Vaccines with live attenuated viruses - ANSWER - MMR, varicella, flu-mist(intranasal),
Zostavax
Drugs of choice for abdominal infection - ANSWER - Beta lactams + metronidazole
(most common); fluoroquinolones
Drugs of choice for urinary tract infection - ANSWER - Fluoroquinolones (except moxi),
TMP-SMX, fluconazole, b-lactams, nitrofurantoin, fosfomycin if pt has many allergies
, Drugs of choice for pulmonary infections - ANSWER - Macrolides, resp
fluoroquinolones, b-lactams, doxycycline (MRSA, atypical coverage)
Drugs of choice for skin and soft tissue infections - ANSWER - MRSA: TMP-SMZ,
doxycycline, clindamycin; b-lactams
Drugs of choice for MRSA - ANSWER - Vancomycin, daptomycin , linezolid, TMP-SMZ,
doxycycline, ceftaroline
Macrolide drugs - ANSWER - Erythromycin, clarithromycin, azithromycin
Macrolide AEs - ANSWER - GI, QT prolongation
Tetracycline uses - ANSWER - MRSA, rocky mtn spotted fever, atypicals (mycoplasma
pneumonia, chlamydia), spirochetes (Lyme), h.pylori
Tetracycline AEs - ANSWER - GI, teeth, hepatic dysfunction, photosensitivity
Fluoroquinolone drugs - ANSWER - Ciprofloxacin, levofloxacin, moxifloxacin
Fluoroquinolone uses - ANSWER - UTI (cipro or levo), atypicals (mycoplasma,
legionella)
Fluoroquinolones and dairy or vitamins - ANSWER - Take 2 hrs before or 4 hours after
(decrease concentrations)
Metronidazole (Flagyl) uses - ANSWER - C. Diff, vaginitis
Metronidazole AEs - ANSWER - GI, peripheral neuropathy, disulfiram reaction
