FNP Board Review: Bits And Pieces Exam
With Complete Solutions
Primary prevention measures include: - ANSWER activities provided to
individuals to prevent the onset or acquisition of a given disease. to spare
individuals suffering, burden and cost associated with a clinical condition
Examples of primary prevention: - ANSWER education, use of car restraints, fall
prevention education, immunizations
Active immunization through use of - ANSWER vaccines
Passive immunization through the use of - ANSWER immune globulin (only
provides temporary protection)
Secondary prevention measures: - ANSWER include activities provided to
identify and treat symptomatic persons who have risk factors for a given disease
or in preclinical disease
examples of secondary prevention include: - ANSWER screening examinations
for a given disease or in
preclinical disease
mammography
Cervical exam, pap smear
If anaphylactic reaction history is to Neomycin avoid the immunization: -
ANSWER IPV, MMR, Varicella
If anaphylactic reaction history is to streptomycin, polycyxin B, neomycin avoid
the immunization: - ANSWER IPV, Vaccinia (small pox)
If anaphylactic reaction history is to Baker's yeast avoid the immunization: -
ANSWER Hepatitis B
If anaphylactic reaction history is to egg avoid the immunization: - ANSWER
Influenza vaccine (nasal spray, injected)
If anaphylactic reaction history is to gelatin avoid the immunization: - ANSWER
MMR
, With HIV infections, live virus vaccines usually not given with: - ANSWER CD4 T
lymphocyte cell counts less than 200 cell/uL.
A 6-month-old infant is brought to the clinic for a well-child visit. The
developmental assessment should include evaluation of the infant's ability to:
a. Pick up small objects with the thumb and forefinger.
b. Say "no-no" and "bye-bye."
c. Sit up, with and without support.
d. Pull-up to a standing position. - ANSWER sit up, with and without support
A 15-year-old female comes in for routine treatment of acne vulgaris. She has
been using benzoyl peroxide facial scrubs with no improvement. Numerous
open and closed comedones are seen on exam, as well as numerous papules
and a few pustules. No cysts or scarring are noted. The preferred treatment
regimen would be:
a. Isotretinoin (Accutane) in the morning and minocycline hydrochloride
(Minocin) 100 mg b.i.d.
b. Erythromycin 1% gel (E-Mycin) gel in the morning and 0.025% tretinoin (Retin-
A) cream at bedtime
c. Tretinoin (Retin-A) 1% cream at bedtime
d. Oral erythromycin 250 mg t.i.d. - ANSWER erythromycin 1% gel (E-mycin) gel
in the morning and 0.025% tretinoin (retin-A) cream at bed time
The differential diagnosis of gastroesophageal reflux (GERD) in an infant (> 2
months old) would include all of the following except:
a. Overfeeding
b. Hirschsprung's disease
c. Urinary tract infection
d. Gastroenteritis - ANSWER Hirschprung's disease presents with constipation
and abdominal dissension rather than vomiting or spitting up
A 62-year-old nulliparous diabetic female presents with complaint of watery
vaginal discharge without itching or irritation. You notice no discharge,
erythema, or lesions on pelvic exam. Your initial work-up should include all
except:
a. Microscopy with KOH for fungal elements and spores
b. CA 125
c. Pap smear and transvaginal ultrasound
d. Microscopy for clue cells - ANSWER Pap smear and transvaginal ultrasound.
An older patient is taking carbidopa-levodopa (Sinemet) for Parkinson's disease.
He develops depression. Which of the following medications to treat depression
would be contraindicated for this patient?
a. Monoamine oxidase inhibitor (MAOI)
b. Serotonin selective reuptake inhibitor (SSRI)
c. Tricyclic antidepressant
With Complete Solutions
Primary prevention measures include: - ANSWER activities provided to
individuals to prevent the onset or acquisition of a given disease. to spare
individuals suffering, burden and cost associated with a clinical condition
Examples of primary prevention: - ANSWER education, use of car restraints, fall
prevention education, immunizations
Active immunization through use of - ANSWER vaccines
Passive immunization through the use of - ANSWER immune globulin (only
provides temporary protection)
Secondary prevention measures: - ANSWER include activities provided to
identify and treat symptomatic persons who have risk factors for a given disease
or in preclinical disease
examples of secondary prevention include: - ANSWER screening examinations
for a given disease or in
preclinical disease
mammography
Cervical exam, pap smear
If anaphylactic reaction history is to Neomycin avoid the immunization: -
ANSWER IPV, MMR, Varicella
If anaphylactic reaction history is to streptomycin, polycyxin B, neomycin avoid
the immunization: - ANSWER IPV, Vaccinia (small pox)
If anaphylactic reaction history is to Baker's yeast avoid the immunization: -
ANSWER Hepatitis B
If anaphylactic reaction history is to egg avoid the immunization: - ANSWER
Influenza vaccine (nasal spray, injected)
If anaphylactic reaction history is to gelatin avoid the immunization: - ANSWER
MMR
, With HIV infections, live virus vaccines usually not given with: - ANSWER CD4 T
lymphocyte cell counts less than 200 cell/uL.
A 6-month-old infant is brought to the clinic for a well-child visit. The
developmental assessment should include evaluation of the infant's ability to:
a. Pick up small objects with the thumb and forefinger.
b. Say "no-no" and "bye-bye."
c. Sit up, with and without support.
d. Pull-up to a standing position. - ANSWER sit up, with and without support
A 15-year-old female comes in for routine treatment of acne vulgaris. She has
been using benzoyl peroxide facial scrubs with no improvement. Numerous
open and closed comedones are seen on exam, as well as numerous papules
and a few pustules. No cysts or scarring are noted. The preferred treatment
regimen would be:
a. Isotretinoin (Accutane) in the morning and minocycline hydrochloride
(Minocin) 100 mg b.i.d.
b. Erythromycin 1% gel (E-Mycin) gel in the morning and 0.025% tretinoin (Retin-
A) cream at bedtime
c. Tretinoin (Retin-A) 1% cream at bedtime
d. Oral erythromycin 250 mg t.i.d. - ANSWER erythromycin 1% gel (E-mycin) gel
in the morning and 0.025% tretinoin (retin-A) cream at bed time
The differential diagnosis of gastroesophageal reflux (GERD) in an infant (> 2
months old) would include all of the following except:
a. Overfeeding
b. Hirschsprung's disease
c. Urinary tract infection
d. Gastroenteritis - ANSWER Hirschprung's disease presents with constipation
and abdominal dissension rather than vomiting or spitting up
A 62-year-old nulliparous diabetic female presents with complaint of watery
vaginal discharge without itching or irritation. You notice no discharge,
erythema, or lesions on pelvic exam. Your initial work-up should include all
except:
a. Microscopy with KOH for fungal elements and spores
b. CA 125
c. Pap smear and transvaginal ultrasound
d. Microscopy for clue cells - ANSWER Pap smear and transvaginal ultrasound.
An older patient is taking carbidopa-levodopa (Sinemet) for Parkinson's disease.
He develops depression. Which of the following medications to treat depression
would be contraindicated for this patient?
a. Monoamine oxidase inhibitor (MAOI)
b. Serotonin selective reuptake inhibitor (SSRI)
c. Tricyclic antidepressant
