AANP-FNP exam
Fluoroquinolone drugs - CORRECT ANSWERS-Ciprofloxacin, levofloxacin,
moxifloxacin
Fluoroquinolone uses - CORRECT ANSWERS-UTI (cipro or levo), atypicals
(mycoplasma, legionella)
Fluoroquinolones and dairy or vitamins - CORRECT ANSWERS-Take 2 hrs before or 4
hours after (decrease concentrations)
Metronidazole (Flagyl) uses - CORRECT ANSWERS-C. Diff, vaginitis
Metronidazole AEs - CORRECT ANSWERS-GI, peripheral neuropathy, disulfiram
reaction
Hegar's sign - CORRECT ANSWERS-Softening of lower uterine segment
Chadwick's sign - CORRECT ANSWERS-Bluish color of cervix and vagina at 6-8 weeks
Goodell's sign - CORRECT ANSWERS-Softening of cervix at 4+ weeks
Lipids in chronic inactivity - CORRECT ANSWERS-Low HDL
Lipids in under- or untreated hypothyroidism - CORRECT ANSWERS-Elevated total
cholesterol, TG, and LDL
Lipids in chronic renal insufficiency - CORRECT ANSWERS-Elevated total cholesterol
and TG
Lipids in alcohol abuse - CORRECT ANSWERS-Elevated TG, HDL, and LDL
Vaccines with live attenuated viruses - CORRECT ANSWERS-MMR, varicella, flu-
mist(intranasal), Zostavax
Drugs of choice for abdominal infection - CORRECT ANSWERS-Beta lactams +
metronidazole (most common); fluoroquinolones
Drugs of choice for urinary tract infection - CORRECT ANSWERS-Fluoroquinolones
(except moxi), TMP-SMX, fluconazole, b-lactams, nitrofurantoin, fosfomycin if pt has
many allergies
Drugs of choice for pulmonary infections - CORRECT ANSWERS-Macrolides, resp
fluoroquinolones, b-lactams, doxycycline (MRSA, atypical coverage)
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, Drugs of choice for skin and soft tissue infections - CORRECT ANSWERS-MRSA:
TMP-SMZ, doxycycline, clindamycin; b-lactams
Drugs of choice for MRSA - CORRECT ANSWERS-Vancomycin, daptomycin , linezolid,
TMP-SMZ, doxycycline, ceftaroline
Macrolide drugs - CORRECT ANSWERS-Erythromycin, clarithromycin, azithromycin
Macrolide AEs - CORRECT ANSWERS-GI, QT prolongation
Tetracycline uses - CORRECT ANSWERS-MRSA, rocky mtn spotted fever, atypicals
(mycoplasma pneumonia, chlamydia), spirochetes (Lyme), h.pylori
Tetracycline AEs - CORRECT ANSWERS-GI, teeth, hepatic dysfunction,
photosensitivity
Fluoroquinolone drugs - CORRECT ANSWERS-Ciprofloxacin, levofloxacin,
moxifloxacin
Fluoroquinolone uses - CORRECT ANSWERS-UTI (cipro or levo), atypicals
(mycoplasma, legionella)
Fluoroquinolones and dairy or vitamins - CORRECT ANSWERS-Take 2 hrs before or 4
hours after (decrease concentrations)
Metronidazole (Flagyl) uses - CORRECT ANSWERS-C. Diff, vaginitis
Metronidazole AEs - CORRECT ANSWERS-GI, peripheral neuropathy, disulfiram
reaction
Nitrofurantoin uses - CORRECT ANSWERS-UTI -not pyelonephritis due to no systemic
absorption
Nitrofurantoin AEs, contraindications - CORRECT ANSWERS-Pulmonary fibrosis,
contraindicated in CrCl <60 (excludes many elderly)
Aminoglycoside drugs - CORRECT ANSWERS-Gentamycin, tobramycin
Aminoglycoside uses - CORRECT ANSWERS-Atypical coverage, resistant infections,
tobramycin for CF only
Aminoglycoside AEs - CORRECT ANSWERS-Ototoxicity (irreversible), nephrotoxicity
(reversible)
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Fluoroquinolone drugs - CORRECT ANSWERS-Ciprofloxacin, levofloxacin,
moxifloxacin
Fluoroquinolone uses - CORRECT ANSWERS-UTI (cipro or levo), atypicals
(mycoplasma, legionella)
Fluoroquinolones and dairy or vitamins - CORRECT ANSWERS-Take 2 hrs before or 4
hours after (decrease concentrations)
Metronidazole (Flagyl) uses - CORRECT ANSWERS-C. Diff, vaginitis
Metronidazole AEs - CORRECT ANSWERS-GI, peripheral neuropathy, disulfiram
reaction
Hegar's sign - CORRECT ANSWERS-Softening of lower uterine segment
Chadwick's sign - CORRECT ANSWERS-Bluish color of cervix and vagina at 6-8 weeks
Goodell's sign - CORRECT ANSWERS-Softening of cervix at 4+ weeks
Lipids in chronic inactivity - CORRECT ANSWERS-Low HDL
Lipids in under- or untreated hypothyroidism - CORRECT ANSWERS-Elevated total
cholesterol, TG, and LDL
Lipids in chronic renal insufficiency - CORRECT ANSWERS-Elevated total cholesterol
and TG
Lipids in alcohol abuse - CORRECT ANSWERS-Elevated TG, HDL, and LDL
Vaccines with live attenuated viruses - CORRECT ANSWERS-MMR, varicella, flu-
mist(intranasal), Zostavax
Drugs of choice for abdominal infection - CORRECT ANSWERS-Beta lactams +
metronidazole (most common); fluoroquinolones
Drugs of choice for urinary tract infection - CORRECT ANSWERS-Fluoroquinolones
(except moxi), TMP-SMX, fluconazole, b-lactams, nitrofurantoin, fosfomycin if pt has
many allergies
Drugs of choice for pulmonary infections - CORRECT ANSWERS-Macrolides, resp
fluoroquinolones, b-lactams, doxycycline (MRSA, atypical coverage)
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, Drugs of choice for skin and soft tissue infections - CORRECT ANSWERS-MRSA:
TMP-SMZ, doxycycline, clindamycin; b-lactams
Drugs of choice for MRSA - CORRECT ANSWERS-Vancomycin, daptomycin , linezolid,
TMP-SMZ, doxycycline, ceftaroline
Macrolide drugs - CORRECT ANSWERS-Erythromycin, clarithromycin, azithromycin
Macrolide AEs - CORRECT ANSWERS-GI, QT prolongation
Tetracycline uses - CORRECT ANSWERS-MRSA, rocky mtn spotted fever, atypicals
(mycoplasma pneumonia, chlamydia), spirochetes (Lyme), h.pylori
Tetracycline AEs - CORRECT ANSWERS-GI, teeth, hepatic dysfunction,
photosensitivity
Fluoroquinolone drugs - CORRECT ANSWERS-Ciprofloxacin, levofloxacin,
moxifloxacin
Fluoroquinolone uses - CORRECT ANSWERS-UTI (cipro or levo), atypicals
(mycoplasma, legionella)
Fluoroquinolones and dairy or vitamins - CORRECT ANSWERS-Take 2 hrs before or 4
hours after (decrease concentrations)
Metronidazole (Flagyl) uses - CORRECT ANSWERS-C. Diff, vaginitis
Metronidazole AEs - CORRECT ANSWERS-GI, peripheral neuropathy, disulfiram
reaction
Nitrofurantoin uses - CORRECT ANSWERS-UTI -not pyelonephritis due to no systemic
absorption
Nitrofurantoin AEs, contraindications - CORRECT ANSWERS-Pulmonary fibrosis,
contraindicated in CrCl <60 (excludes many elderly)
Aminoglycoside drugs - CORRECT ANSWERS-Gentamycin, tobramycin
Aminoglycoside uses - CORRECT ANSWERS-Atypical coverage, resistant infections,
tobramycin for CF only
Aminoglycoside AEs - CORRECT ANSWERS-Ototoxicity (irreversible), nephrotoxicity
(reversible)
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