FNP 2 Latest update Exam Questions
and Complete Verified Answers
major advantage of CAGE screening - ANSWER brevity of questions
Elderly patients who are treated for depression with tricyclic antidepressants (TCAs)
often exhibit - ANSWER arrythmias
sx of serotonin syndrome include - ANSWER hyperreflexia, clonus, rigidity in the lower
extremities, tachycardia, hyperthermia, hypertension, vomiting, disorientation,
agitated delirium, or tremor.
SSRIs and triptans together can cause - ANSWER serotonin syndrome
sx of mania in bipolar disorder include - ANSWER inflated self-esteem and grandiosity (like
a buying a baby grand piano), decreased need for sleep, hyper verbosity (excessive
talking), racing thoughts and flight of ideas, distractibility, and excessive involvement in
pleasurable activities that can be associated with very painful consequences later.
The possibility of neglect should always be given when - ANSWER a young patient and
caregiver make poor eye contact with the examiner. Other clues to neglect are a lack of
,animation and no social smile. Additionally, the child should be observed for
nutritional status, behavior, attitude, and physical appearance
There is strong familial component to bipolar disorder; in addition: - ANSWER Patients
with bipolar disorder have shortened life expectancies. Up to 50% of patients with
this disorder will attempt suicide at least once. Risk factors for suicidal behavior in
patients with bipolar disorder include family history of suicide attempts, substance
abuse, presence of impulsivity or aggression, and frequent depressive episodes.
valproate is associated with what serious side effects and what common side effects -
ANSWER liver toxicity and failure, and thrombocytopenia. Liver function studies and
platelet counts should be monitored prior to therapy and then regularly as indicated
by the drug manufacturer. Common side effects of valproate are nausea, vomiting,
easy bruising, and tremors.
Valproate levels should be measured to insure target blood level between - ANSWER
50-125 micrograms/mL.
GGT - ANSWER gamma-glutamyl transferase, is often elevated even when ALT and
AST are normal. It can help identify damage to the liver as a result of alcohol abuse.
ADD and ADHD - ANSWER ADD and ADHD with hyperactivity are two separate
diagnoses. This disorder is more common in boys (5:1) and symptoms must be present
by age 7 for at least 6 months before diagnosis can be made. DSM V should be used to
diagnose children. Parents and/or teachers should establish specific elements. Examples
include fidgeting, difficulty remaining in seat, excessive talking, impatient when asked
to wait their turn, blurting out answers before time, and interrupting conversation.
These must be established in more than one environment.
what disease are associated with high rates of depression - ANSWER Diseases associated
with the central nervous system are associated with high rates of depression. These include
stroke, Parkinson's disease, multiple sclerosis, and dementia. Other illnesses
, associated with high rates of depression are cancer and cardiovascular illnesses
like myocardial infarction
dx depression - ANSWER Major depression is diagnosed when at least 5 symptoms out
of nine symptoms (that characterize depression) are identified by the examiner. Minor
depression is characterized by the presence of 2-4 of the nine symptoms. Symptoms
must be present for at least 2 weeks and must be present most of the day nearly every
day. One symptom that must be present is depressed mood. The 9 criteria are identified
by the DSM V manual.
The most common mental disorder in older adults is: - ANSWER anxiety
dysthmia - ANSWER sx present for at least 2 years (review this)
how long to wait to determine response from SSRI - ANSWER 8-12 weeks
A patient may derive benefit from a tricyclic antidepressant (TCA) if he experiences
depression and: - ANSWER chronic pain - Amitriptyline and nortriptyline are commonly
used in patients who exhibit depression and chronic pain syndromes. TCAs are known
to produce mild peripheral vasodilator effects and subsequent relief of pain by an
unknown mechanism.
The most common side effect of lithium therapy is - ANSWER nephrogenic
diabetes insipidus (NDI)
what characterizes bulimia - ANSWER binge eating
alcohol abuse can have what effect on lipids - ANSWER increases triglycerides
and Complete Verified Answers
major advantage of CAGE screening - ANSWER brevity of questions
Elderly patients who are treated for depression with tricyclic antidepressants (TCAs)
often exhibit - ANSWER arrythmias
sx of serotonin syndrome include - ANSWER hyperreflexia, clonus, rigidity in the lower
extremities, tachycardia, hyperthermia, hypertension, vomiting, disorientation,
agitated delirium, or tremor.
SSRIs and triptans together can cause - ANSWER serotonin syndrome
sx of mania in bipolar disorder include - ANSWER inflated self-esteem and grandiosity (like
a buying a baby grand piano), decreased need for sleep, hyper verbosity (excessive
talking), racing thoughts and flight of ideas, distractibility, and excessive involvement in
pleasurable activities that can be associated with very painful consequences later.
The possibility of neglect should always be given when - ANSWER a young patient and
caregiver make poor eye contact with the examiner. Other clues to neglect are a lack of
,animation and no social smile. Additionally, the child should be observed for
nutritional status, behavior, attitude, and physical appearance
There is strong familial component to bipolar disorder; in addition: - ANSWER Patients
with bipolar disorder have shortened life expectancies. Up to 50% of patients with
this disorder will attempt suicide at least once. Risk factors for suicidal behavior in
patients with bipolar disorder include family history of suicide attempts, substance
abuse, presence of impulsivity or aggression, and frequent depressive episodes.
valproate is associated with what serious side effects and what common side effects -
ANSWER liver toxicity and failure, and thrombocytopenia. Liver function studies and
platelet counts should be monitored prior to therapy and then regularly as indicated
by the drug manufacturer. Common side effects of valproate are nausea, vomiting,
easy bruising, and tremors.
Valproate levels should be measured to insure target blood level between - ANSWER
50-125 micrograms/mL.
GGT - ANSWER gamma-glutamyl transferase, is often elevated even when ALT and
AST are normal. It can help identify damage to the liver as a result of alcohol abuse.
ADD and ADHD - ANSWER ADD and ADHD with hyperactivity are two separate
diagnoses. This disorder is more common in boys (5:1) and symptoms must be present
by age 7 for at least 6 months before diagnosis can be made. DSM V should be used to
diagnose children. Parents and/or teachers should establish specific elements. Examples
include fidgeting, difficulty remaining in seat, excessive talking, impatient when asked
to wait their turn, blurting out answers before time, and interrupting conversation.
These must be established in more than one environment.
what disease are associated with high rates of depression - ANSWER Diseases associated
with the central nervous system are associated with high rates of depression. These include
stroke, Parkinson's disease, multiple sclerosis, and dementia. Other illnesses
, associated with high rates of depression are cancer and cardiovascular illnesses
like myocardial infarction
dx depression - ANSWER Major depression is diagnosed when at least 5 symptoms out
of nine symptoms (that characterize depression) are identified by the examiner. Minor
depression is characterized by the presence of 2-4 of the nine symptoms. Symptoms
must be present for at least 2 weeks and must be present most of the day nearly every
day. One symptom that must be present is depressed mood. The 9 criteria are identified
by the DSM V manual.
The most common mental disorder in older adults is: - ANSWER anxiety
dysthmia - ANSWER sx present for at least 2 years (review this)
how long to wait to determine response from SSRI - ANSWER 8-12 weeks
A patient may derive benefit from a tricyclic antidepressant (TCA) if he experiences
depression and: - ANSWER chronic pain - Amitriptyline and nortriptyline are commonly
used in patients who exhibit depression and chronic pain syndromes. TCAs are known
to produce mild peripheral vasodilator effects and subsequent relief of pain by an
unknown mechanism.
The most common side effect of lithium therapy is - ANSWER nephrogenic
diabetes insipidus (NDI)
what characterizes bulimia - ANSWER binge eating
alcohol abuse can have what effect on lipids - ANSWER increases triglycerides
