FAMILY NURSE PRACTITIONER
QUESTIONS & ANSWERS
Epididymitis ✔️✔️Epididymitis is swelling (inflammation) of the epididymis, the tube that
connects the testicle with the vas deferens.
Cremasteric Reflex. ... Examiner strokes or pinches medial thigh; Stimulus usually causes
cremasteric muscle contraction; Observe for rise of the Testicles
cluster headaches ✔️✔️abortive :100% oxygen 7-10 L for 10-15 minutes
triptans-ergotamine(cafergot)
intranasal lidocaine 4%
Prophylaxis:CCB: verapamil(calan), lithium(lithobid), indomethacin(Indocin),
nifedipine(Procardia), nimodipine
migrains ✔️✔️abortive:triptans, ergotamine-caffeine(cafergot), NSAIDS
prophylaxis: topiramate(topamax), propanolol, timolol, CCB
Tension headache ✔️✔️Abortive:NSAIDS, asa
prophylaxis:amitriptiline(Elavil), imipramine(tofranil), non specific beta blockers
,trigeminal Neuralgia/tic douloureux ✔️✔️a disorder of the 5th cranial nerve(trigeminal nerve)
which produces severe pain in the lip, gum, cheek, and face
Meds:
Carbamazepine is used first line
Meningitis ✔️✔️Positive Kernig and Brudzinski signs:
Kernig sign:complete extension of leg causes neck pain and flexion
Brudzinski sign: flexion of legs if neck is passively flexed
tx:
ampicillin PLUS third generation cephalosporins
parkinson diasease ✔️✔️4 prominent feutures:
-bradykinesia
-muscular rigidity
-resting tremor
-postural instability
meds
Dopamine adonist: amantadine(symmetrel)
,cataract ✔️✔️an opacification of the lenss of the eye, and the leading cause of blindness in the
US
Slipped capital femoral epiphysis ✔️✔️A slipped capital femoral epiphysis is a separation of
the ball of the hip joint from the thigh bone (femur) at the upper growing end (growth plate) of
the bone.Slipped capital femoral epiphysis (SCFE) is an unusual disorder of the adolescent hip. It
is not rare. For reasons that are not well understood, the ball at the upper end of the femur (thigh
bone) slips off in a backward direction. This is due to weakness of the growth plate. Most often,
it develops during periods of accelerated growth, shortly after the onset of puberty.
the most common adolescent hip disorder
SCFE is often misdiagnosed because of only50% of the patients have hip pain and 25% have
knee pain
---URGENT referal to orthopedic for pinning
Legg-Calvé-Perthes syndrome ✔️✔️is a childhood hip disorder initiated by a disruption of
blood flow to the ball of the femur called the femoral head. Due to the lack of blood flow, the
bone dies (osteonecrosis or avascular necrosis) and stops growing. Over time, healing occurs by
new blood vessels infiltrating the dead bone and removing the necrotic bone which leads to a
loss of bone mass and a weakening of the femoral head.[1] The bone loss leads to some degree
of collapse and deformity of the femoral head and sometimes secondary changes to the shape of
the hip socket.
, the goal of treatment is to avoid severe arthritis.
MRI:necrosis
It is self limiting ,
Uterus during pregnancy ✔️✔️10-12 weeks-fundus slighlty above symphysis pubis
16 weeks-fundus midway between symphysis pubis and umbilicus
20-22 weeks-fundus at level of umbilucus
28 weeks-fundus three finger breadths above umbulicus
36 weeks-fundus just below xiphoid
Signs of pregnancy ✔️✔️SUBJECTIVE(Presumptive)signs
-amenorrhea
-n/v
-urinary incontinence
-breast tenderness
-perception of fetal movement(quickening: usually felt between 16-18 weeks gestation)
-fatigue
OBJECTIVE(Probable) signs
-Goodell's sign-softening of the cervix
-Chadwicks sign-dark blue to purplish red color of the vaginal mucosa
-Hegars sign-softening of the isthmus of the uterus
QUESTIONS & ANSWERS
Epididymitis ✔️✔️Epididymitis is swelling (inflammation) of the epididymis, the tube that
connects the testicle with the vas deferens.
Cremasteric Reflex. ... Examiner strokes or pinches medial thigh; Stimulus usually causes
cremasteric muscle contraction; Observe for rise of the Testicles
cluster headaches ✔️✔️abortive :100% oxygen 7-10 L for 10-15 minutes
triptans-ergotamine(cafergot)
intranasal lidocaine 4%
Prophylaxis:CCB: verapamil(calan), lithium(lithobid), indomethacin(Indocin),
nifedipine(Procardia), nimodipine
migrains ✔️✔️abortive:triptans, ergotamine-caffeine(cafergot), NSAIDS
prophylaxis: topiramate(topamax), propanolol, timolol, CCB
Tension headache ✔️✔️Abortive:NSAIDS, asa
prophylaxis:amitriptiline(Elavil), imipramine(tofranil), non specific beta blockers
,trigeminal Neuralgia/tic douloureux ✔️✔️a disorder of the 5th cranial nerve(trigeminal nerve)
which produces severe pain in the lip, gum, cheek, and face
Meds:
Carbamazepine is used first line
Meningitis ✔️✔️Positive Kernig and Brudzinski signs:
Kernig sign:complete extension of leg causes neck pain and flexion
Brudzinski sign: flexion of legs if neck is passively flexed
tx:
ampicillin PLUS third generation cephalosporins
parkinson diasease ✔️✔️4 prominent feutures:
-bradykinesia
-muscular rigidity
-resting tremor
-postural instability
meds
Dopamine adonist: amantadine(symmetrel)
,cataract ✔️✔️an opacification of the lenss of the eye, and the leading cause of blindness in the
US
Slipped capital femoral epiphysis ✔️✔️A slipped capital femoral epiphysis is a separation of
the ball of the hip joint from the thigh bone (femur) at the upper growing end (growth plate) of
the bone.Slipped capital femoral epiphysis (SCFE) is an unusual disorder of the adolescent hip. It
is not rare. For reasons that are not well understood, the ball at the upper end of the femur (thigh
bone) slips off in a backward direction. This is due to weakness of the growth plate. Most often,
it develops during periods of accelerated growth, shortly after the onset of puberty.
the most common adolescent hip disorder
SCFE is often misdiagnosed because of only50% of the patients have hip pain and 25% have
knee pain
---URGENT referal to orthopedic for pinning
Legg-Calvé-Perthes syndrome ✔️✔️is a childhood hip disorder initiated by a disruption of
blood flow to the ball of the femur called the femoral head. Due to the lack of blood flow, the
bone dies (osteonecrosis or avascular necrosis) and stops growing. Over time, healing occurs by
new blood vessels infiltrating the dead bone and removing the necrotic bone which leads to a
loss of bone mass and a weakening of the femoral head.[1] The bone loss leads to some degree
of collapse and deformity of the femoral head and sometimes secondary changes to the shape of
the hip socket.
, the goal of treatment is to avoid severe arthritis.
MRI:necrosis
It is self limiting ,
Uterus during pregnancy ✔️✔️10-12 weeks-fundus slighlty above symphysis pubis
16 weeks-fundus midway between symphysis pubis and umbilicus
20-22 weeks-fundus at level of umbilucus
28 weeks-fundus three finger breadths above umbulicus
36 weeks-fundus just below xiphoid
Signs of pregnancy ✔️✔️SUBJECTIVE(Presumptive)signs
-amenorrhea
-n/v
-urinary incontinence
-breast tenderness
-perception of fetal movement(quickening: usually felt between 16-18 weeks gestation)
-fatigue
OBJECTIVE(Probable) signs
-Goodell's sign-softening of the cervix
-Chadwicks sign-dark blue to purplish red color of the vaginal mucosa
-Hegars sign-softening of the isthmus of the uterus
