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FNP - 8-A FNP - Test 8 EXAM QUESTIONS AND CORRECT VERIFIED ANSWERS

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FNP - 8-A FNP - Test 8 EXAM QUESTIONS AND CORRECT VERIFIED ANSWERSEXAM QUESTIONS AND CORRECT VERIFIED ANSWERS

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FNP - 8-A
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Orchitis can occur in males infected with mumps

2 viral infections caused by Coxsackie hand foot and mouth disease and herpangina
viruses are

quinolines can increase sensitivity to sun

scalp edema - Caput succedaneum is a common finding in newborns. It is a result of
pressure over the presenting part. This results in some ecchymosis of the scalp. While
caput succedaneum
this may be disturbing to new parents who observe this in their newborn, it will
resolve in a few days and is harmless

What laboratory test can be used to help ELISA - this is the most common initial test for Lyme - if positive, it should be
diagnose Lyme disease confirmed with western blot

Erysipelas involves the upper dermis and superficial lymphatics; usually caused by strep

involves deeper dermis and subcutaneous fat - caused by staph and less commonly,
cellulitis
strep

Hepatic cirrhosis - Rounding of the distal phalanx describes clubbing. Clubbing of
A 60 year-old patient is noted to have
fingers is most often associated with chronic hypoxia as seen in cigarette smokers
rounding of the distal phalanx of the
and patients with COPD or lung cancer. Other causes are cirrhosis, cystic fibrosis,
fingers. What might have caused this?
pulmonary fibrosis and cyanotic heart disease.

See an expert-written answer!



A patient is diagnosed with tinea pedis. A hyphae - Under microscopic exam, hyphae are long, thin and branching, and
microscopic examination of the sample indicate dermatophytic infections. Hyphae are typical in tinea pedis, tinea cruris, and
taken from the infected area would likely tinea corporis. Yeasts are usually seen in candidal infections. Cocci and rods are
demonstrate: specific to bacterial infections
See an expert-written answer!



Borellia - Lyme ...

, Koilonychia is the term that describes spoon shaped nails. Spoon shaped nails may
A patient is found to have koilonychia. What
be present in patients with long-standing iron deficiency anemia. A CBC should be
laboratory test would be prudent to
performed to assess for anemia. The most common symptoms of iron deficiency
perform?
anemia are weakness, headache, irritability, fatigue, and exercise intolerance.

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used to determine presence of hyphae - A Wood's lamp emits ultraviolet light when
wood's lamp turned on. If an area fluoresces under Wood's lamp illumination, a fungal (and
sometimes bacterial) infection should be suspected.

3-4 weeks after primary infection; Patients with subsequent infections with scabies
The incubation period for scabies is about
will develop symptoms in 1-3 days.

#1 goal with sinusitis is to promote drainage - do NOT use antihistamines

IDSA says oral decongestants (sudafed, may benefit it it's AVRS with euastachian tube dysfunction
phenylephrine) not helpful in ABRS

1st line med for ABRS in adults augmentin (500 TID or 875 BI)

augmentin 875/125 has less side effects - dosed BID so 250 of clavulanate vs. 375 with the 500/175 TID dosing - clavulanate is
why a potassium salt and causes diarrhea

if penicillin allergy, what is first line for doxycline - if can't use doxy, can use respiratory quinolone
treating ABRS in adults

do NOT use what med class for ABRS macrolides - high resistance rate; do not use bactrim or 2nd or 3rd gen ceph

amoxicillin - do not use sulfa drugs or azithromycin; can use cefdinir, cefuroxime,
first line for ABRS tx in peds
cefpodoxine

how long to tx ABRS 5-7 days - evidence says equal efficacy, better compliance, fewer complications

most common pathogens for pharyngitis / viral agents (influenza, rhinovirus, and more)
tonsillitis

tonsillar exudate, fever and absent cough high likelihood of GAStrep

to determine need for tx, culture, etc. with pharyngitis complaint (positives are
Centor Score absence of cough, swollen anterior lymph nodes, tonsillar exudate or swelling) if
age, one point for 3-14, 0 points for 15-44, -1 points for > 45 years

if adult has centor score ≥ 3, do rapid strep ...
test

cough and sore throat can indicate GERD, ...
esp in older patients

scarlet fever (scarlatina) is a sequela to strep

describe the rash of scarlet fever sandpaper texture, strawberry tongue, skin desquamations

some kids will have stomach pain and this is due to the exotoxin rupture and the effect it has on child
nausea a few days after starting abx for
strep

strep - heart valves are magnets for the bacteria - take PCN before or 30 mins after
bacterial endocarditis is secondary to
the procedure to virtually eliminate the risk

NOT read for MVP with regurgitation, GI or GU procedures - IS required for patients
who needs prophylaxis against bacterial
with high risk of adverse outcomes - prosthetic valve repair, congenital heart disease
endocarditis
or repairs)

severe sore throat, fever, muffled voice, drooling, hoarseness, sniffing position
epiglottitis sx
(hyperextension of cervical spine -patient is looking up cuz it opens airway more)

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