FNP 2 5335 final Exam Questions with Complete
Solutions| Verified Answers
Odd risk factors of hypothyroidism - ANSWER postpartum, autoimmune dz., head or
neck radiation, tx with lithium, interferon, amiodarone
odd s/s of hypothyroidism - ANSWER swelling of hands and feet, periorbital edema,
infertility, hypermenorrhea, muscle cramps, enlarged heart, hyperlipidemia,
hypothyroidism - ANSWER TSH elevated, T4 low
subclinical hypothyroidism - ANSWER TSH elevated, T4 NORMAL
Myxedema coma (hypothy)
For 2ndary or 3 tertiary hypothy. go to endocrin. - ANSWER go to ER
Risk factors for hyperthyroidism - ANSWER female, thyroid replacement, other
autoimm. dz, DOWNS, iodine deficiency, precipitating factors
test for hyperthyroidism - ANSWER cbc, LFT, radioiodine uptake scan
Treatment for hyperthyroid - ANSWER surgery, BB (atenolol, propanolol),
METHIMAZOLE, PROPYLTHYOURACIL, radioactive iodine
Treatment for ankle sprain I - II (DRAWER TEST) - ANSWER PRICE, NO WT. bearing for
24hrs. return to sports when pain is gone
,Treatment for ankle sprain III - ANSWER PRICE for 6 weeks if not better with brace then
surgery REFERR
Osteoarthritis = asymmetric joint pain/stiffness last - ANSWER < 1 hr in the morning,
comes back after activity or at the end of the day. Heberno's and bouchards nodes (BP)
what is the goal standard diagnositic for OA - ANSWER Xray to check narrowing of joint
spaces and for osteophytes
Treatment for OA - ANSWER first line Acetaminophen then NSAIDS, rest, excerc.,
heat/cold, brace, ointments, corticosteroid injections, glucosamine/chondrin
if on NSAIDS check: - ANSWER CBC, BUN/Cr, LFT, occult stool Q yr. must be off the
NSAID for 2-3 days.
when do you refer an OA pt - ANSWER when conservative measures fail, or BONE TO
BONE
CHARAC. OF RA - ANSWER symmetrical joint pain > 1hr., fatigue, wt. loss, low grade
temp, malaise, waxes and wanes, l
S/S of a torn ACL - ANSWER POP inside knee, gives away, swelling, severe pain. A
COMPLETE TEAR WON'T HURT, SWELL, PAINLESS WITH MOVEMENT.
Low back pain s/s - ANSWER pain in back, butt, thighs, muscle spasms r/t a muscle or
ligament problem, radiates down to knee,
New onset of RADICULAR low back pain in older patient is - ANSWER spinal stenosis
, CAUDA EQUINA back pain SURG. EMERGENCY - ANSWER s/s major motor weakness
with knee extensions or foot drop, loss of sensory tone to anus, bladder, legs
back pain red flags REFERR! - ANSWER Hx: IV drug use, TB, chronic steroid use, CA,
immune suppresion, trauma, age <20, fever >100.4, chills, nausea, wt. loss, saddle
anesthesia, bowel/bladder incontinence/retention, RECENT BACTERIAL INFECTION,
>50yrs, pain at night or supine. CONSIDER IMAGING FOR RED FLAGS OR LITIGATION. OR
AFTER ONE MONTH OF CONSERV. TX.
What tests are used for back pain assessment? - ANSWER cross leg raise, straight leg
test, gait, ausc. abd. bruits AAA, rectal tone, DTR's, bulk measurements, tone, rapid alt.
movements, point to point, discrim. motor strength.
90% OF BACK PAIN RESOLVE IN - ANSWER 4-6 WEEKS
TO CHECK the (KNEE) meniscus for TEAR do : - ANSWER ant. post. drawer tests,
McMurry test, Thessaly's test (parado and hold their hands to stabilize and turn knees),
3 Apley's test (prone) or even better MRI: IF COMPLETELY TORN WILL NEED SURGERY!!!
ss OF MENISCAL TEAR - ANSWER pain, joint locking, limited movement of knee, swelling,
can't stand, popping or clicking in the knee
Tx for meniscal tear - ANSWER conservative RICE
Dx: Scoliosis - ANSWER > 10 degree lateral spine curvature on xray.
What are the types of scoliosis - ANSWER idopathic, neuromuscular, and congenital.
CAN be related to Down's/Marfan and other syndromes.
Solutions| Verified Answers
Odd risk factors of hypothyroidism - ANSWER postpartum, autoimmune dz., head or
neck radiation, tx with lithium, interferon, amiodarone
odd s/s of hypothyroidism - ANSWER swelling of hands and feet, periorbital edema,
infertility, hypermenorrhea, muscle cramps, enlarged heart, hyperlipidemia,
hypothyroidism - ANSWER TSH elevated, T4 low
subclinical hypothyroidism - ANSWER TSH elevated, T4 NORMAL
Myxedema coma (hypothy)
For 2ndary or 3 tertiary hypothy. go to endocrin. - ANSWER go to ER
Risk factors for hyperthyroidism - ANSWER female, thyroid replacement, other
autoimm. dz, DOWNS, iodine deficiency, precipitating factors
test for hyperthyroidism - ANSWER cbc, LFT, radioiodine uptake scan
Treatment for hyperthyroid - ANSWER surgery, BB (atenolol, propanolol),
METHIMAZOLE, PROPYLTHYOURACIL, radioactive iodine
Treatment for ankle sprain I - II (DRAWER TEST) - ANSWER PRICE, NO WT. bearing for
24hrs. return to sports when pain is gone
,Treatment for ankle sprain III - ANSWER PRICE for 6 weeks if not better with brace then
surgery REFERR
Osteoarthritis = asymmetric joint pain/stiffness last - ANSWER < 1 hr in the morning,
comes back after activity or at the end of the day. Heberno's and bouchards nodes (BP)
what is the goal standard diagnositic for OA - ANSWER Xray to check narrowing of joint
spaces and for osteophytes
Treatment for OA - ANSWER first line Acetaminophen then NSAIDS, rest, excerc.,
heat/cold, brace, ointments, corticosteroid injections, glucosamine/chondrin
if on NSAIDS check: - ANSWER CBC, BUN/Cr, LFT, occult stool Q yr. must be off the
NSAID for 2-3 days.
when do you refer an OA pt - ANSWER when conservative measures fail, or BONE TO
BONE
CHARAC. OF RA - ANSWER symmetrical joint pain > 1hr., fatigue, wt. loss, low grade
temp, malaise, waxes and wanes, l
S/S of a torn ACL - ANSWER POP inside knee, gives away, swelling, severe pain. A
COMPLETE TEAR WON'T HURT, SWELL, PAINLESS WITH MOVEMENT.
Low back pain s/s - ANSWER pain in back, butt, thighs, muscle spasms r/t a muscle or
ligament problem, radiates down to knee,
New onset of RADICULAR low back pain in older patient is - ANSWER spinal stenosis
, CAUDA EQUINA back pain SURG. EMERGENCY - ANSWER s/s major motor weakness
with knee extensions or foot drop, loss of sensory tone to anus, bladder, legs
back pain red flags REFERR! - ANSWER Hx: IV drug use, TB, chronic steroid use, CA,
immune suppresion, trauma, age <20, fever >100.4, chills, nausea, wt. loss, saddle
anesthesia, bowel/bladder incontinence/retention, RECENT BACTERIAL INFECTION,
>50yrs, pain at night or supine. CONSIDER IMAGING FOR RED FLAGS OR LITIGATION. OR
AFTER ONE MONTH OF CONSERV. TX.
What tests are used for back pain assessment? - ANSWER cross leg raise, straight leg
test, gait, ausc. abd. bruits AAA, rectal tone, DTR's, bulk measurements, tone, rapid alt.
movements, point to point, discrim. motor strength.
90% OF BACK PAIN RESOLVE IN - ANSWER 4-6 WEEKS
TO CHECK the (KNEE) meniscus for TEAR do : - ANSWER ant. post. drawer tests,
McMurry test, Thessaly's test (parado and hold their hands to stabilize and turn knees),
3 Apley's test (prone) or even better MRI: IF COMPLETELY TORN WILL NEED SURGERY!!!
ss OF MENISCAL TEAR - ANSWER pain, joint locking, limited movement of knee, swelling,
can't stand, popping or clicking in the knee
Tx for meniscal tear - ANSWER conservative RICE
Dx: Scoliosis - ANSWER > 10 degree lateral spine curvature on xray.
What are the types of scoliosis - ANSWER idopathic, neuromuscular, and congenital.
CAN be related to Down's/Marfan and other syndromes.
