FHEA FNP board exam review (1-14) UPDATED ACTUAL Questions and CORRECT
Answers
1. Most common The left side
side of the heart Left ventricular hypertrophy (common TOD from uncontrolled hypertension)
to have problems Left atria hypertrophy
Aortic stenosis (syncope)
Mitral valve regurgitation (shortness of breath)
2. Do not give MMR Anaphylactic reaction to gelatin
vaccine if...
3. Do not give he- Anaphylactic reaction to Bakers yeast
patitis B vaccine
if...
4. Do you not give Anaphylactic reaction to neomycin
IPV, MMR, or
Varicella vaccina-
tions if..
5. Anaphylaxis Hives (uticaria)
symptoms Angioedema (edema, most often of the head and neck)
Respiratory compromise (cough, or wheeze)
6. When to avoid -pregnancy
live vaccinations -severe immunocompromise
such as MMR,
chickenpox and
flumist
7. When to avoid -infants with severe combined immuno deficiency(SCID)
the rotavirus vac- -History of intussusception
cine
,8. prostate, lung, colorectal, melanoma
, Most common
cancers for males
9. Most common breast, lung, colorectal, melanoma
cancers for fe-
males
10. Cancers with Lung, breast or prostate, colon, pancreatic
highest death
rates
11. PSA testing -If patients have no preference, then don't do it
guidelines -May begin at 50 unless family history
-can be done yearly
-No more after 70 years old
12. Colorectal ages 45-75
Screening gFOBT annually
Guidelines OR
stool-based test every 3 years
OR
colonoscopy every 10 years
OR
flex sig ever 5 years
*if any positive then need colonoscopy
13. Lung cancer yearly low-dose CT scan to screen for lung cancer in patients aged 50-80 years
screening guide- old who have hx of 20 pack/year. Patient should also be currently smoking or have
lines quit within the prior 15 years.
14. Normal: mammogram q2y started at 50 YO (ACS- maybe at 40, 45-54 annual, 55
annual or biennial, continue until life expectancy under 10 years)
, Breast cancer Genetic testing if...
screening guide- - 2 1st degree relatives (1 before 50)
lines - 3 1st or 2nd degree
- 1st or 2nd w/ breast AND ovarian
- BC in male relative
15. Cervical cancer *No testing under 21 regardless of sexual activity and no screening after 65
screening guide-
lines USPTF- start at 21 with paps q 3 and 30+ add HPV q 5 (cotest q 5)
ACS- start at 25 with HPV q 5/pap q 3 or cotest q 5
16. What medication Metformin (vitamin B 12) and PPI (vitamin B12 and iron)
prevent micronu-
trient absorption
17. Microcytic ane- Get ferritin level then treat with Ferrous sulfate until normal +3 months
mia, next step
18. Thalassemia next Hemoglobin electrophoresis
steps
19. Alpha tha- Asian and African
lassemia minor
ethnic groups
20. Beta thalassemia African, Mediterranean, Middle Eastern
minor ethnic
groups
21. Macrocytic ane- Serum B12 and RBC folate to determine which one it is then treat based on results
mia next steps
22.
Answers
1. Most common The left side
side of the heart Left ventricular hypertrophy (common TOD from uncontrolled hypertension)
to have problems Left atria hypertrophy
Aortic stenosis (syncope)
Mitral valve regurgitation (shortness of breath)
2. Do not give MMR Anaphylactic reaction to gelatin
vaccine if...
3. Do not give he- Anaphylactic reaction to Bakers yeast
patitis B vaccine
if...
4. Do you not give Anaphylactic reaction to neomycin
IPV, MMR, or
Varicella vaccina-
tions if..
5. Anaphylaxis Hives (uticaria)
symptoms Angioedema (edema, most often of the head and neck)
Respiratory compromise (cough, or wheeze)
6. When to avoid -pregnancy
live vaccinations -severe immunocompromise
such as MMR,
chickenpox and
flumist
7. When to avoid -infants with severe combined immuno deficiency(SCID)
the rotavirus vac- -History of intussusception
cine
,8. prostate, lung, colorectal, melanoma
, Most common
cancers for males
9. Most common breast, lung, colorectal, melanoma
cancers for fe-
males
10. Cancers with Lung, breast or prostate, colon, pancreatic
highest death
rates
11. PSA testing -If patients have no preference, then don't do it
guidelines -May begin at 50 unless family history
-can be done yearly
-No more after 70 years old
12. Colorectal ages 45-75
Screening gFOBT annually
Guidelines OR
stool-based test every 3 years
OR
colonoscopy every 10 years
OR
flex sig ever 5 years
*if any positive then need colonoscopy
13. Lung cancer yearly low-dose CT scan to screen for lung cancer in patients aged 50-80 years
screening guide- old who have hx of 20 pack/year. Patient should also be currently smoking or have
lines quit within the prior 15 years.
14. Normal: mammogram q2y started at 50 YO (ACS- maybe at 40, 45-54 annual, 55
annual or biennial, continue until life expectancy under 10 years)
, Breast cancer Genetic testing if...
screening guide- - 2 1st degree relatives (1 before 50)
lines - 3 1st or 2nd degree
- 1st or 2nd w/ breast AND ovarian
- BC in male relative
15. Cervical cancer *No testing under 21 regardless of sexual activity and no screening after 65
screening guide-
lines USPTF- start at 21 with paps q 3 and 30+ add HPV q 5 (cotest q 5)
ACS- start at 25 with HPV q 5/pap q 3 or cotest q 5
16. What medication Metformin (vitamin B 12) and PPI (vitamin B12 and iron)
prevent micronu-
trient absorption
17. Microcytic ane- Get ferritin level then treat with Ferrous sulfate until normal +3 months
mia, next step
18. Thalassemia next Hemoglobin electrophoresis
steps
19. Alpha tha- Asian and African
lassemia minor
ethnic groups
20. Beta thalassemia African, Mediterranean, Middle Eastern
minor ethnic
groups
21. Macrocytic ane- Serum B12 and RBC folate to determine which one it is then treat based on results
mia next steps
22.
