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FNP Board review Questions with Detailed Verified
Answers
A 24-year old, otherwise healthy college student presents with c/o cough x 6 weeks. She has tried
several OTC cough meds with no improvement. What is the most important information to consider
when building your differential diagnoses?
A) Her age
B) Family hx
C) Ineffectiveness of OTC cough medicines
D) Length of time she has been coughing Ans: ✓ ✓ ✓ D) Length of time she has been coughing
Why? This information helps you build your ddx
Acute cough < 3 weeks: bronchitis, sinusitis, PND, exacerbation of COPD/asthma, pneumonia,
pulmonary embolism
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Chronic cough (>8 weeks) GERD and Asthma are most common causes, also consider infection (e.g.
pertussis, atypical pneumonia), ACE inhibitors, chronic bronchitis, bronchiectasis, lung ca)
According to the CDC, what drug class is considered first-line treatment for pertussis?
A) Sulfonamide
B) Tetracycline
C) Macrolide
D) Beta-lactam Ans: ✓ ✓ ✓ C) Macrolide antiobitic (e.g. Azithromycin, clarithromycin
Sulfonamides are second-line
Match the antibiotics with the correct drug class:
1. Sulfonamide
2. Tetracycline
3. Macrolide
4. Beta-lactam
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A. Doxycyline
B. Azithromycin
C. Penicillins
D.Trimethoprim-Sulfamethoxazole
E. Cephalosporin
F. Clarithromycin Ans: ✓ ✓ ✓ 1. Sulfonamide - D.Trimethoprim-Sulfamethoxazole (Bactrim)
2. Tetracycline - A. Doxycycline
3. Macrolide - B & F, Azithromycin and Clarithromycin
4. Beta-lactam - C & E, PCN and cephalosporins
What are the three most common bugs in community-acquired pneumonia? Ans: ✓ ✓ ✓
Streptococcus pneumoniae
Mycoplasma pneuomiae (atypical pathogen)
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Chlamydophila pneumoniae (atypical pathogen)
What is the treatment for CAP caused by Strep pneumo? Ans: ✓ ✓ ✓ Respiratory quinolone (e.g.
Levofloxacin, moxifloxacin, gemifloxacin) OR high-dose amoxicillin OR amoxicillin with clavulanate
What antibiotics are avoided in CAP caused by Strep pneumo due to high rates of resistance? Ans:
✓ ✓ ✓ Macrolides
What is the treatment for CAP caused by Mycoplasma pneumoniae? Ans: ✓ ✓ ✓ Macrolide OR
doxycycline
What antibiotics are avoided in CAP caused by atypical pathogens? Ans: ✓ ✓ ✓ Beta-lactams
(ineffective)
A 38-year old mother of two teenagers recently recovered from Mycoplasma pneumonia a couple
of weeks ago. She asks if she should get the "pneumonia shot." She takes levothyroxine 88 mcg
daily for hypothyroidism, but is otherwise healthy. How do you respond?
A) No, it's too soon after your infection
B) No, it's not indicated
C) Yes, you can get it in about a month
D) Yes you can get it today Ans: ✓ ✓ ✓ B) No, it's not indicated
An otherwise healthy adult without immunocompromise or multiple comorbid conditions is not a
"vulnerable population"
© Get it right 2025 Getaway - Stuvia US All rights reserved
FNP Board review Questions with Detailed Verified
Answers
A 24-year old, otherwise healthy college student presents with c/o cough x 6 weeks. She has tried
several OTC cough meds with no improvement. What is the most important information to consider
when building your differential diagnoses?
A) Her age
B) Family hx
C) Ineffectiveness of OTC cough medicines
D) Length of time she has been coughing Ans: ✓ ✓ ✓ D) Length of time she has been coughing
Why? This information helps you build your ddx
Acute cough < 3 weeks: bronchitis, sinusitis, PND, exacerbation of COPD/asthma, pneumonia,
pulmonary embolism
© Get it right 2025 Getaway - Stuvia US All rights reserved
,Click here for more: Scholars nexus
Chronic cough (>8 weeks) GERD and Asthma are most common causes, also consider infection (e.g.
pertussis, atypical pneumonia), ACE inhibitors, chronic bronchitis, bronchiectasis, lung ca)
According to the CDC, what drug class is considered first-line treatment for pertussis?
A) Sulfonamide
B) Tetracycline
C) Macrolide
D) Beta-lactam Ans: ✓ ✓ ✓ C) Macrolide antiobitic (e.g. Azithromycin, clarithromycin
Sulfonamides are second-line
Match the antibiotics with the correct drug class:
1. Sulfonamide
2. Tetracycline
3. Macrolide
4. Beta-lactam
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,Click here for more: Scholars nexus
A. Doxycyline
B. Azithromycin
C. Penicillins
D.Trimethoprim-Sulfamethoxazole
E. Cephalosporin
F. Clarithromycin Ans: ✓ ✓ ✓ 1. Sulfonamide - D.Trimethoprim-Sulfamethoxazole (Bactrim)
2. Tetracycline - A. Doxycycline
3. Macrolide - B & F, Azithromycin and Clarithromycin
4. Beta-lactam - C & E, PCN and cephalosporins
What are the three most common bugs in community-acquired pneumonia? Ans: ✓ ✓ ✓
Streptococcus pneumoniae
Mycoplasma pneuomiae (atypical pathogen)
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, Click here for more: Scholars nexus
Chlamydophila pneumoniae (atypical pathogen)
What is the treatment for CAP caused by Strep pneumo? Ans: ✓ ✓ ✓ Respiratory quinolone (e.g.
Levofloxacin, moxifloxacin, gemifloxacin) OR high-dose amoxicillin OR amoxicillin with clavulanate
What antibiotics are avoided in CAP caused by Strep pneumo due to high rates of resistance? Ans:
✓ ✓ ✓ Macrolides
What is the treatment for CAP caused by Mycoplasma pneumoniae? Ans: ✓ ✓ ✓ Macrolide OR
doxycycline
What antibiotics are avoided in CAP caused by atypical pathogens? Ans: ✓ ✓ ✓ Beta-lactams
(ineffective)
A 38-year old mother of two teenagers recently recovered from Mycoplasma pneumonia a couple
of weeks ago. She asks if she should get the "pneumonia shot." She takes levothyroxine 88 mcg
daily for hypothyroidism, but is otherwise healthy. How do you respond?
A) No, it's too soon after your infection
B) No, it's not indicated
C) Yes, you can get it in about a month
D) Yes you can get it today Ans: ✓ ✓ ✓ B) No, it's not indicated
An otherwise healthy adult without immunocompromise or multiple comorbid conditions is not a
"vulnerable population"
© Get it right 2025 Getaway - Stuvia US All rights reserved
