FNP Leik 2024/2025 Exam test preparation
Questions and Must have marking scheme
1st line antibiotic for AOM and sinusitis in children and adults -
correct answer amoxicillin
Treatment failure after amox or hx of antibiotics in the last 3
months - correct answer Augmentin or cefdinir (omnicef) bid
Allergic to pcn - correct answer azithromycin (z pack) or
clarithromycin (Biaxin) bid
S3 heart sound- best area to listen for it? - correct answer
pulmonic area (since it is near the ventricles)
Pathognomic for heart failure
Systolic murmur
Grade 1-2/6, best heard with diaphragm
Loudest at middle to left sternal border
No radiation - correct answer physiologic
Systolic murmur
Loud, hard crescendo-decrescedo murmur
Best heard at 2nd right ICS with pt leaning forward but may be
heard throughout the precordium
Frequently radiates to neck
Often associated with thrill
, Fatigue, palpitation, DOE, dizziness, syncope, angina
Radial pulse diminished
Narrow pulse pressure
Unexplained GI tract bleeding - correct answer aortic stenosis
Systolic murmur
Holosystolic, blowing, often loud
Heard best at apex in the left lateral position
Decreases with inspiration
Radiates to left axilla and occasionally to the back
Fatigue, palpitations, dizziness, DOE, syncope, angina
Left atrium enlarged - correct answer mitral regurgitation
Systolic murmur
Murmur may or may not be present; sounds like "whoop"
A mid systolic click is best head over the apex with the
diaphragm
The click and murmur are best heard while the patient is in the
sitting or squatting position or with the Valsalva maneuver
Dysrhythmia, chest pain, anxiety
White, caucasian women - correct answer mitral valve
prolapse
Diastolic murmur
Questions and Must have marking scheme
1st line antibiotic for AOM and sinusitis in children and adults -
correct answer amoxicillin
Treatment failure after amox or hx of antibiotics in the last 3
months - correct answer Augmentin or cefdinir (omnicef) bid
Allergic to pcn - correct answer azithromycin (z pack) or
clarithromycin (Biaxin) bid
S3 heart sound- best area to listen for it? - correct answer
pulmonic area (since it is near the ventricles)
Pathognomic for heart failure
Systolic murmur
Grade 1-2/6, best heard with diaphragm
Loudest at middle to left sternal border
No radiation - correct answer physiologic
Systolic murmur
Loud, hard crescendo-decrescedo murmur
Best heard at 2nd right ICS with pt leaning forward but may be
heard throughout the precordium
Frequently radiates to neck
Often associated with thrill
, Fatigue, palpitation, DOE, dizziness, syncope, angina
Radial pulse diminished
Narrow pulse pressure
Unexplained GI tract bleeding - correct answer aortic stenosis
Systolic murmur
Holosystolic, blowing, often loud
Heard best at apex in the left lateral position
Decreases with inspiration
Radiates to left axilla and occasionally to the back
Fatigue, palpitations, dizziness, DOE, syncope, angina
Left atrium enlarged - correct answer mitral regurgitation
Systolic murmur
Murmur may or may not be present; sounds like "whoop"
A mid systolic click is best head over the apex with the
diaphragm
The click and murmur are best heard while the patient is in the
sitting or squatting position or with the Valsalva maneuver
Dysrhythmia, chest pain, anxiety
White, caucasian women - correct answer mitral valve
prolapse
Diastolic murmur
