ACTUAL EXAM WITH COMPLETE 100+ QUESTIONS AND
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The FNP has diagnosed the patient with herpes of the eye, what's the next step? -
Correct Answer > - Opthalmic emergency
- Do not treat
- Consult ophthalmology
Describe assessment findings for appendicitis - Correct Answer > Abdominal pain,
usually severe; localized to the right lower quadrant (RLQ)
Most common symptoms: anorexia, abdominal pain, nausea and vomiting
(typically present in this order)
Constipation and diarrhea occur after the pain
What follow up question should the FNP ask for an eye injury? - Correct Answer >
- Always ask someone with conjunctivitis if they have recently injured their eye or
if they wear contact lenses
- Fluorescein dye is used with a woods lamp
- If the injury is from a tree branch or any vegetation, do not patch the eye
- Ophthalmic emergency
- Refer out for foreign body which is embedded in the eye
,Describe the pharmacological treatment for gonorrhea - Correct Answer >
Ceftriaxone 500 mg IM as a single dose, for persons weighing < 150 kg
For persons weighing > 150 kg, ceftriaxone 1gm IM as a single dose
Describe the pharmacological treatment for chlamydia - Correct Answer >
Doxycycline 100 mg PO BID for 7 days
During pregnancy, azithromycin 1 gm as a single dose to treat chlamydia
Alternative regimens:
Gentamicin 240 mg IM as a single dose + azithromycin 2 gm PO as a single dose
Cefixime 800 mg orally as a single dose + doxycycline 100 mg PO BID for 7 days (if
chlamydia CANNOT be excluded)
When assessing a patient, what is done first? - Correct Answer > - Observe
- Inspect
- Listen
- Palpate, respectively
Describe acute abdominal pain - Correct Answer > - severe, persistent pain
- sudden onset
- nausea, vomiting
- abdominal distention
- fever, signs of shock
, What is obturator sign? - Correct Answer > - The patient lies on the back with hip
and knee flexed at 90 degrees while the knee is stabilized and the ankle rotated
away from the body
How is sepsis handled in the primary care setting? - Correct Answer > refer patient
to the ED
Describe treatment for an abscess - Correct Answer > I&D
Describe assessment findings for cellulitis - Correct Answer > Erythema
Warmth
Edema
Pain
Fever
Lymphadenopathy
Fissuring, scaling or maceration in toe webs may be source of colonization (treat
with antifungal agents such as econazole, naftifine)
History of recurrent abscesses
How is a puncture wound from an animal bite treated? - Correct Answer > -
typically not sutured closed
- treat with Augmentin
Describe assessment findings for bacterial vaginosis - Correct Answer > Most
women with BV are asymptomatic