UTA – NURS 5432 – FNP 1 – EXAM STUDY NOTES
This document covers the entirety of the class – consisting of a midterm and the comprehensive final. Don’t waste
your time watching all those videos, they are horribly low yield. By following this document, I just saved you a
dozen or so hours of studying – you’re welcome. All highlighted, red, italicized text are those focused questions that
appear in those outlined summaries of each module. Double check these against your current semester taking this
course. That said, I can’t really make any of these modules high yield as anything could be on the exams from
these modules; and in all honesty, that was the case for me. However, think about it this way - since you are
only going to get 150 questions (between the midterm and the final) and there’s over 100 pages in this
document summarizing the entirety of the course, comprised of I-don’t-know-how-many-data-points, focus
on that topics/categories that you are most likely to be tested on; or, to put it another way, what do you think
you are going to be absolutely, 100% be tested on? That answers I’m going for are – pharmacology, diagnostics,
physical assessment, patho, etc. I would tackle each topic in this manner. I highly recommend to focus on these
categories of each topic first – as it is basically impossible to simply review everything covered in the course and
properly retain everything. For instance, focus on (and memorize) all the pharmacology for each topic covered in
the course (anki maybe); then do the same for diagnostics, and so on. Doing this, you may not cover every possible
question you could get, but you would at least ace the questions you are for sure going to be asked in each of those
categories. Trust me, you will be. Any italicized text is my own note/addition/snarky comment and did not come from
lecture material. I would suggest cross-referencing all these topics w/ Osmosis videos (if you have time) and chatgpt
(ask your question, followed by the prompt “please explain in advanced medical terminology.” Be cognizant of
possible AI hallucinations). Also, you must get 100% on everything else in the course. Good luck.
I Won’t Be Making Another One Of These For Fnp2 Or Fnp3 – So Don’t Bother Looking For It. This Took Too Much Time To Create.
Recommend Your Notes Utilize The Following
Format – Disease Name –
What Are Signs And Symptoms? –
Special Considerations For This
Disease? – How Do You Manage
Disease? –
When Do You Refer To Specialist(S)?
Mid-Term Exam – Modules 1-4 –
Module 1 -
Vaccinations >>
Should Not Be Delayed Due To Minor Illnesses, Even If They Illicit Low-Grade Fever.
However, For Moderate To Severe Infections, Vaccinations Could Be Postponed. Premature
Infants Should Follow A Schedule For Immunizations Based On Their Chronological Age, Not
Their Gestational Age. Vaccine Doses Should Not Be Adjusted (Reduced) For Premature Or
Low-Birthweight Patients. Chronic Diseases Are Not Outright Contra-Indications; However,
Vaccination With Dtap Should Be Deferred Until The Neurologic Condition Has Been Clarified
And/Or Is Stable.
Rotavirus Vaccines –
• Rotarix –Doses S/B Given 28 Days Apart – For Infants, Given At Age 2 Mo And 4
Mo. – Completed By 24 Weeks.
• Rotateq – 3 Doses Completed By 32 Weeks Of Age.
Immunodeficient Children Should Not Be Given Live-Virus Vaccines. These Include –
• Oral Polio Vaccine [Opv, Not Available In The United States]
• Rotavirus
• Mmr
• Var
, • Mmrv
• Yellow Fever
• Laiv (Live Attenuated)
• Live-Bacteria Vaccines (Bcg Or Live Typhoid Fever Vaccine).
If Malignancy Is In Remission Or Chemo Hasn’t Been Administered Within 90 Days They Can
Receive
Live Virus Vaccine.
Known Allergies And Vaccines –
Mmr, Ipv, And Var Contain Microgram Quantities Of Neomycin, And Ipv Also Contains Trace
Amounts Of Streptomycin And Polymyxin B; Children With Known Anaphylactic Responses
To These Antibiotics Should Not Be Given These Vaccines.
Trace Quantities Of Egg Antigens May Be Present In Both Inactivated And Live Influenza And
Yellow Fever Vaccines. Guidelines For Influenza Vaccination In Children With Egg Allergies
Have Recently Changed. The Trace Amounts Of Egg Protein Are Generally Considered Below
The Threshold Needed To Induce An Allergic Reaction And There Has Been No Increased Risk
Of Anaphylaxis Documented In Children With Severe Egg Allergies. Therefore, Children With
Severe Egg Allergy Can Be Vaccinated With Influenza Vaccine With No Special Precautions
Beyond Those For Any Other Vaccine.
Rv Vaccine –
Rare Incidence (1 In 20k-100k) Of Intussusception. Med Should Be Avoided In Pt’s W/ Hx Of
Chronic Gi Issues (Hirschsprung’s Dz, Hx Of Intussusception, Or Immune Conditions. Rv1
Should Not Be Given To Infants With A Severe Latex Allergy; Container For Rv1 Med Has
Latex. Both Vaccines (Rv1 + Rv5) Are Contraindicated In Infants With Severe Combined
Immunodeficiency (Scid). Rv Vaccines Should Be Avoided In Infants Whose Mother Received
A Biologic Response Modifier (Eg, Etanercept) During Pregnancy. Vaccination Should Be
Deferred In Infants With Acute Moderate Or Severe Gastroenteritis. Hospitalized Children
Should Wait Until Post Discharge To Receive Their First Dose.
Developmental >>
Typical Things Children Should Be Able To Do, By Age –
• They Can Lift Their Heads With Good Control At 3 Months.
• Sit Independently At 6 Months – Question Involved A 4mo.
• What Can They Do At 4mo??
• Roll Over From Front To Back By 6 Months?
• Hand To Hand Transfer 5-6 Months.
• Pincer Grasp 8-10 Months.
• Crawl At 9 Months.
• Pinch Grasp At 12 Months.
• Walk At 1 Year.
o The Child Learning To Walk Has A Wide Based Gait At First. Next, He Or She
Walks
With Legs Closer Together, The Arms Move Medially, A Heel Toe Gait
Develops, And The Arms Swing Symmetrically By 18–24 Months.
• Feed Self By 15 Months.
• Scoop With A Spoon, Throw Ball At 18 Months.
• Run By 18 Months.
, • 18 Months – Would Be Concerning If They Are Not Making Eye Contact Or
Feeding Themselves.
• Speech / Language –
o Babbling Reaches A Peak At Age 12 Months.
o The Child Then Moves Into A Stage Of Having Needs Met By Using Individual
Words To Represent Objects Or Actions. It Is Common At This Age For
Children To Express Wants And Needs By Pointing To Objects Or Using Other
Gestures.
o Children Usually Have 5–10 Comprehensible Words By 12–18 Months; By
Age 2 Years They Are Putting 2–3 Words Into Flexible Phrases, 50% Of
Which Strangers Can Understand And Fluidly Use About 50 Words For
Various Needs.
o The Acquisition Of Expressive Vocabulary Expands Significantly Between 12
And 24 Months Of Age. As They Age, Children Become More Understanding.
o By Kindergarten Age – They Can Understand 100% Of The Language.
o Approximately 75% Of Speech Understandable At 3 Years Old,
o About 100% Of Speech Is Understandable By 4 Years Old.
Tanner Stages >>
System For Describing Predictable Steps During Sexual
Maturation. Centers On Two, Independent Criteria –
• Appearance – Pubic Hair In Males And Females
• Genital Development –
o Males – Increased Testicular Volume, Penile Growth.
o Females – Breast Development
Tanner Stages – be able to stage by age.
• Stage 1 – Pre-Pubertal
o No Pubic Hair, Either Sex
• Stage 2 –
o Soft Pubic Hair, Both Sexes
o M – Measurable Testes Enlargement
o F – Breast Buds Appear
• Stage 3 –
o Pubic Hair Becomes Coarser.
o M – Penis Begins To Enlarge In Size, Length
o F – Breast Mounds Form
• Stage 4 –
o Pubic Hair Begins To Cover The Pubic Area.
o M – Penis Begins To Widen
o F – Breast Enlargement Forms “Mound On Mound” Breast Contour
• Stage 5 – Adult
o Pubic Hair Extends To The Inner Thigh.
o M – Penis, Tests Enlarge To Adult Size
o F – Breast Takes On Adult Contour
, Autism – None
Set Of Symptoms That Typically Present Prior To 3 Years Of Age.
Ob –
This Classification System Pairs Aub With Descriptive Terms Denoting The Bleeding Pattern
(Ie, Heavy, Light And Menstrual, Intermenstrual) And Etiology.
Module 2 – Women’s Health
Pap Screening Guidelines
Abnormal Pap Tests, Cervical Cancer, Vaginal Candidiasis, And Bartholin's Gland Cyst.
What Do The Guidelines State The Age Is For The First Pap?
Last Pap?
How Do You Manage Abnormal Paps?
Pt Will Have Hpv Testing To Determine Sub-Type Of Hpv.
Pt May Also Have Colposcopy If They Test Positive For High-Risk Type.
Routine Surveillance Is Recommended Based On Age, And The Governing Body Recommended
Frequency (Typically Between Every 3-5 Years).
What Is The Treatment For Vaginal Candidiasis And Bartholin's Gland Cyst?
Vaginal Candidiasis – None
• Antifungals – Topical Vs Oral
o Flagyl Po 150mg Once
o Clotrimazole, Miconazole, Terconazole – Vary From One-Time Doses To 3–
7-Day Courses.
Bartholin’s Gland Cysts – None
• I+D
o Word Catheter Inserted – 4-6 Weeks To Allow For Drainage.
• Abx Therapy
The Second Lecture Covers Abnormal Uterine
Bleeding. What Does The Acronym Palm/Coein Stand
For?
The Acronym Palm-Coein Standing For Possible Causes Of Aub… None.
• Polyp
• Adenomyosis – Occurs When The Tissue That Normally Lines The Uterus (Endometrial
Tissue) Grows Into The Muscular Wall Of The Uterus.
• Leiomyoma - A Group Of Benign Smooth Muscle Tumors Commonly
Present In Premenopausal Women.
• Malignancy And Hyperplasia
• Coagulopathy – Up To 18% Of Women W/ Aub Have Underlying Dz.
o Consider Von Willebrand Panel In Blood Tests.
• Ovulatory Dysfunction
• Endometrial – Involving The Lining Of The Uterus.
• Iatrogenic
o Caused By Medical Device/Medication.
• Not Yet Classified.
This document covers the entirety of the class – consisting of a midterm and the comprehensive final. Don’t waste
your time watching all those videos, they are horribly low yield. By following this document, I just saved you a
dozen or so hours of studying – you’re welcome. All highlighted, red, italicized text are those focused questions that
appear in those outlined summaries of each module. Double check these against your current semester taking this
course. That said, I can’t really make any of these modules high yield as anything could be on the exams from
these modules; and in all honesty, that was the case for me. However, think about it this way - since you are
only going to get 150 questions (between the midterm and the final) and there’s over 100 pages in this
document summarizing the entirety of the course, comprised of I-don’t-know-how-many-data-points, focus
on that topics/categories that you are most likely to be tested on; or, to put it another way, what do you think
you are going to be absolutely, 100% be tested on? That answers I’m going for are – pharmacology, diagnostics,
physical assessment, patho, etc. I would tackle each topic in this manner. I highly recommend to focus on these
categories of each topic first – as it is basically impossible to simply review everything covered in the course and
properly retain everything. For instance, focus on (and memorize) all the pharmacology for each topic covered in
the course (anki maybe); then do the same for diagnostics, and so on. Doing this, you may not cover every possible
question you could get, but you would at least ace the questions you are for sure going to be asked in each of those
categories. Trust me, you will be. Any italicized text is my own note/addition/snarky comment and did not come from
lecture material. I would suggest cross-referencing all these topics w/ Osmosis videos (if you have time) and chatgpt
(ask your question, followed by the prompt “please explain in advanced medical terminology.” Be cognizant of
possible AI hallucinations). Also, you must get 100% on everything else in the course. Good luck.
I Won’t Be Making Another One Of These For Fnp2 Or Fnp3 – So Don’t Bother Looking For It. This Took Too Much Time To Create.
Recommend Your Notes Utilize The Following
Format – Disease Name –
What Are Signs And Symptoms? –
Special Considerations For This
Disease? – How Do You Manage
Disease? –
When Do You Refer To Specialist(S)?
Mid-Term Exam – Modules 1-4 –
Module 1 -
Vaccinations >>
Should Not Be Delayed Due To Minor Illnesses, Even If They Illicit Low-Grade Fever.
However, For Moderate To Severe Infections, Vaccinations Could Be Postponed. Premature
Infants Should Follow A Schedule For Immunizations Based On Their Chronological Age, Not
Their Gestational Age. Vaccine Doses Should Not Be Adjusted (Reduced) For Premature Or
Low-Birthweight Patients. Chronic Diseases Are Not Outright Contra-Indications; However,
Vaccination With Dtap Should Be Deferred Until The Neurologic Condition Has Been Clarified
And/Or Is Stable.
Rotavirus Vaccines –
• Rotarix –Doses S/B Given 28 Days Apart – For Infants, Given At Age 2 Mo And 4
Mo. – Completed By 24 Weeks.
• Rotateq – 3 Doses Completed By 32 Weeks Of Age.
Immunodeficient Children Should Not Be Given Live-Virus Vaccines. These Include –
• Oral Polio Vaccine [Opv, Not Available In The United States]
• Rotavirus
• Mmr
• Var
, • Mmrv
• Yellow Fever
• Laiv (Live Attenuated)
• Live-Bacteria Vaccines (Bcg Or Live Typhoid Fever Vaccine).
If Malignancy Is In Remission Or Chemo Hasn’t Been Administered Within 90 Days They Can
Receive
Live Virus Vaccine.
Known Allergies And Vaccines –
Mmr, Ipv, And Var Contain Microgram Quantities Of Neomycin, And Ipv Also Contains Trace
Amounts Of Streptomycin And Polymyxin B; Children With Known Anaphylactic Responses
To These Antibiotics Should Not Be Given These Vaccines.
Trace Quantities Of Egg Antigens May Be Present In Both Inactivated And Live Influenza And
Yellow Fever Vaccines. Guidelines For Influenza Vaccination In Children With Egg Allergies
Have Recently Changed. The Trace Amounts Of Egg Protein Are Generally Considered Below
The Threshold Needed To Induce An Allergic Reaction And There Has Been No Increased Risk
Of Anaphylaxis Documented In Children With Severe Egg Allergies. Therefore, Children With
Severe Egg Allergy Can Be Vaccinated With Influenza Vaccine With No Special Precautions
Beyond Those For Any Other Vaccine.
Rv Vaccine –
Rare Incidence (1 In 20k-100k) Of Intussusception. Med Should Be Avoided In Pt’s W/ Hx Of
Chronic Gi Issues (Hirschsprung’s Dz, Hx Of Intussusception, Or Immune Conditions. Rv1
Should Not Be Given To Infants With A Severe Latex Allergy; Container For Rv1 Med Has
Latex. Both Vaccines (Rv1 + Rv5) Are Contraindicated In Infants With Severe Combined
Immunodeficiency (Scid). Rv Vaccines Should Be Avoided In Infants Whose Mother Received
A Biologic Response Modifier (Eg, Etanercept) During Pregnancy. Vaccination Should Be
Deferred In Infants With Acute Moderate Or Severe Gastroenteritis. Hospitalized Children
Should Wait Until Post Discharge To Receive Their First Dose.
Developmental >>
Typical Things Children Should Be Able To Do, By Age –
• They Can Lift Their Heads With Good Control At 3 Months.
• Sit Independently At 6 Months – Question Involved A 4mo.
• What Can They Do At 4mo??
• Roll Over From Front To Back By 6 Months?
• Hand To Hand Transfer 5-6 Months.
• Pincer Grasp 8-10 Months.
• Crawl At 9 Months.
• Pinch Grasp At 12 Months.
• Walk At 1 Year.
o The Child Learning To Walk Has A Wide Based Gait At First. Next, He Or She
Walks
With Legs Closer Together, The Arms Move Medially, A Heel Toe Gait
Develops, And The Arms Swing Symmetrically By 18–24 Months.
• Feed Self By 15 Months.
• Scoop With A Spoon, Throw Ball At 18 Months.
• Run By 18 Months.
, • 18 Months – Would Be Concerning If They Are Not Making Eye Contact Or
Feeding Themselves.
• Speech / Language –
o Babbling Reaches A Peak At Age 12 Months.
o The Child Then Moves Into A Stage Of Having Needs Met By Using Individual
Words To Represent Objects Or Actions. It Is Common At This Age For
Children To Express Wants And Needs By Pointing To Objects Or Using Other
Gestures.
o Children Usually Have 5–10 Comprehensible Words By 12–18 Months; By
Age 2 Years They Are Putting 2–3 Words Into Flexible Phrases, 50% Of
Which Strangers Can Understand And Fluidly Use About 50 Words For
Various Needs.
o The Acquisition Of Expressive Vocabulary Expands Significantly Between 12
And 24 Months Of Age. As They Age, Children Become More Understanding.
o By Kindergarten Age – They Can Understand 100% Of The Language.
o Approximately 75% Of Speech Understandable At 3 Years Old,
o About 100% Of Speech Is Understandable By 4 Years Old.
Tanner Stages >>
System For Describing Predictable Steps During Sexual
Maturation. Centers On Two, Independent Criteria –
• Appearance – Pubic Hair In Males And Females
• Genital Development –
o Males – Increased Testicular Volume, Penile Growth.
o Females – Breast Development
Tanner Stages – be able to stage by age.
• Stage 1 – Pre-Pubertal
o No Pubic Hair, Either Sex
• Stage 2 –
o Soft Pubic Hair, Both Sexes
o M – Measurable Testes Enlargement
o F – Breast Buds Appear
• Stage 3 –
o Pubic Hair Becomes Coarser.
o M – Penis Begins To Enlarge In Size, Length
o F – Breast Mounds Form
• Stage 4 –
o Pubic Hair Begins To Cover The Pubic Area.
o M – Penis Begins To Widen
o F – Breast Enlargement Forms “Mound On Mound” Breast Contour
• Stage 5 – Adult
o Pubic Hair Extends To The Inner Thigh.
o M – Penis, Tests Enlarge To Adult Size
o F – Breast Takes On Adult Contour
, Autism – None
Set Of Symptoms That Typically Present Prior To 3 Years Of Age.
Ob –
This Classification System Pairs Aub With Descriptive Terms Denoting The Bleeding Pattern
(Ie, Heavy, Light And Menstrual, Intermenstrual) And Etiology.
Module 2 – Women’s Health
Pap Screening Guidelines
Abnormal Pap Tests, Cervical Cancer, Vaginal Candidiasis, And Bartholin's Gland Cyst.
What Do The Guidelines State The Age Is For The First Pap?
Last Pap?
How Do You Manage Abnormal Paps?
Pt Will Have Hpv Testing To Determine Sub-Type Of Hpv.
Pt May Also Have Colposcopy If They Test Positive For High-Risk Type.
Routine Surveillance Is Recommended Based On Age, And The Governing Body Recommended
Frequency (Typically Between Every 3-5 Years).
What Is The Treatment For Vaginal Candidiasis And Bartholin's Gland Cyst?
Vaginal Candidiasis – None
• Antifungals – Topical Vs Oral
o Flagyl Po 150mg Once
o Clotrimazole, Miconazole, Terconazole – Vary From One-Time Doses To 3–
7-Day Courses.
Bartholin’s Gland Cysts – None
• I+D
o Word Catheter Inserted – 4-6 Weeks To Allow For Drainage.
• Abx Therapy
The Second Lecture Covers Abnormal Uterine
Bleeding. What Does The Acronym Palm/Coein Stand
For?
The Acronym Palm-Coein Standing For Possible Causes Of Aub… None.
• Polyp
• Adenomyosis – Occurs When The Tissue That Normally Lines The Uterus (Endometrial
Tissue) Grows Into The Muscular Wall Of The Uterus.
• Leiomyoma - A Group Of Benign Smooth Muscle Tumors Commonly
Present In Premenopausal Women.
• Malignancy And Hyperplasia
• Coagulopathy – Up To 18% Of Women W/ Aub Have Underlying Dz.
o Consider Von Willebrand Panel In Blood Tests.
• Ovulatory Dysfunction
• Endometrial – Involving The Lining Of The Uterus.
• Iatrogenic
o Caused By Medical Device/Medication.
• Not Yet Classified.
