FNP:(Family Nurse Practitioner) Exam Study Guide: Latest Updated

Trauma to Kiesselbachs plexus: (Ans- Will result in an anterior nosebleed The diagnostic or gold standard test for sickle cell anemia, G6PD anemia, and alpha or beta thalassemia: (Ans- Hemoglobin electrophoresis Erythromycin "allergy" vs adverse reaction: (Ans- Adverse reaction-symptoms of nausea or GI upset allergy -hives, angioedema Acute mononucleosis: (Ans- Pt will most likely be a teen presenting w classic triad of sore throat, prolonged fatigue, and enlarged cervical nodes. Alpha thalassemia: (Ans- More common among Southeast Asians such as, Indian, Chinese, or Filipino descent Lupus (Ans- Malar rash(butterfly rash)Pts need to avoid or to minimize sunlight exposure(photosensitivity) Tx polymyalgic rheumatica(PMR) (Ans- 1st line tx for PMR includes long-term steroids. Long term steroids are commonly used to control symptoms(pain, stiffness on shoulders, and hip girdle). PMR pts have higher risk for temporal arteritis. Gold standard exam for temporal arteritis: (Ans- Biopsy of the temporal artery. refer pt to opthalmologist for mgt Finkelstein's test: (Ans- Positive in De Quervains tenosynovitis Anterior Drawer maneuver and Lachman maneuver: (Ans- Positive if anterior cruciate ligament (ACL) of knee damaged. The knee may also be unstable McMurray's sign: (Ans- Positive in meniscus injuries of the knee Damaged Joints: (Ans- Order X-ray first, but MRI is the Gold Standard Diabetic retinopathy: (Ans- Neovascularization, hard exudates, cotton wool spots, and micoaneurysms Hypertensive retinopathy: (Ans- AV nicking, silver and or copper wire arterioles