FNP 2 5335 Final Exam |Questions with Verified
Solutions 2025|Rated A+
Odd risk factors of hypothyroidism - ANSWER postpartum, autoimmune dz., head or neck
radiation, tx with lithium, interferon, amiodarone
odd s/s of hypothyroidism - ANSWER swelling of hands and feet, periorbital edema, infertility,
hypermenorrhea, muscle cramps, enlarged heart, hyperlipidemia,
hypothyroidism - ANSWER TSH elevated, T4 low
subclinical hypothyroidism - ANSWER TSH elevated, T4 NORMAL
Myxedema coma (hypothy)
For 2ndary or 3 tertiary hypothy. go to endocrin. - ANSWER go to ER
Risk factors for hyperthyroidism - ANSWER female, thyroid replacement, other autoimm. dz,
DOWNS, iodine deficiency, precipitating factors
test for hyperthyroidism - ANSWER cbc, LFT, radioiodine uptake scan
Treatment for hyperthyroid - ANSWER surgery, BB (atenolol, propanolol), METHIMAZOLE,
PROPYLTHYOURACIL, radioactive iodine
Treatment for ankle sprain I - II (DRAWER TEST) - ANSWER PRICE, NO WT. bearing for 24hrs.
return to sports when pain is gone
,Treatment for ankle sprain III - ANSWER PRICE for 6 weeks if not better with brace then surgery
REFERR
Osteoarthritis = asymmetric joint pain/stiffness last - ANSWER < 1 hr in the morning, comes
back after activity or at the end of the day. Heberno's and bouchards nodes (BP)
what is the goal standard diagnositic for OA - ANSWER Xray to check narrowing of joint spaces
and for osteophytes
Treatment for OA - ANSWER first line Acetaminophen then NSAIDS, rest, excerc., heat/cold,
brace, ointments, corticosteroid injections, glucosamine/chondrin
if on NSAIDS check: - ANSWER CBC, BUN/Cr, LFT, occult stool Q yr. must be off the NSAID for 2-3
days.
when do you refer an OA pt - ANSWER when conservative measures fail, or BONE TO BONE
CHARAC. OF RA - ANSWER symmetrical joint pain > 1hr., fatigue, wt. loss, low grade temp,
malaise, waxes and wanes, l
S/S of a torn ACL - ANSWER POP inside knee, gives away, swelling, severe pain. A COMPLETE
TEAR WON'T HURT, SWELL, PAINLESS WITH MOVEMENT.
Low back pain s/s - ANSWER pain in back, butt, thighs, muscle spasms r/t a muscle or ligament
problem, radiates down to knee,
New onset of RADICULAR low back pain in older patient is - ANSWER spinal stenosis
, CAUDA EQUINA back pain SURG. EMERGENCY - ANSWER s/s major motor weakness with knee
extensions or foot drop, loss of sensory tone to anus, bladder, legs
back pain red flags REFERR! - ANSWER Hx: IV drug use, TB, chronic steroid use, CA, immune
suppresion, trauma, age <20, fever >100.4, chills, nausea, wt. loss, saddle anesthesia,
bowel/bladder incontinence/retention, RECENT BACTERIAL INFECTION, >50yrs, pain at night or
supine. CONSIDER IMAGING FOR RED FLAGS OR LITIGATION. OR AFTER ONE MONTH OF
CONSERV. TX.
What tests are used for back pain assessment? - ANSWER cross leg raise, straight leg test, gait,
ausc. abd. bruits AAA, rectal tone, DTR's, bulk measurements, tone, rapid alt. movements, point
to point, discrim. motor strength.
90% OF BACK PAIN RESOLVE IN - ANSWER 4-6 WEEKS
TO CHECK the (KNEE) meniscus for TEAR do : - ANSWER ant. post. drawer tests, McMurry test,
Thessaly's test (parado and hold their hands to stabilize and turn knees), 3 Apley's test (prone)
or even better MRI: IF COMPLETELY TORN WILL NEED SURGERY!!!
ss OF MENISCAL TEAR - ANSWER pain, joint locking, limited movement of knee, swelling, can't
stand, popping or clicking in the knee
Tx for meniscal tear - ANSWER conservative RICE
Dx: Scoliosis - ANSWER > 10 degree lateral spine curvature on xray.
What are the types of scoliosis - ANSWER idopathic, neuromuscular, and congenital. CAN be
related to Down's/Marfan and other syndromes.
Solutions 2025|Rated A+
Odd risk factors of hypothyroidism - ANSWER postpartum, autoimmune dz., head or neck
radiation, tx with lithium, interferon, amiodarone
odd s/s of hypothyroidism - ANSWER swelling of hands and feet, periorbital edema, infertility,
hypermenorrhea, muscle cramps, enlarged heart, hyperlipidemia,
hypothyroidism - ANSWER TSH elevated, T4 low
subclinical hypothyroidism - ANSWER TSH elevated, T4 NORMAL
Myxedema coma (hypothy)
For 2ndary or 3 tertiary hypothy. go to endocrin. - ANSWER go to ER
Risk factors for hyperthyroidism - ANSWER female, thyroid replacement, other autoimm. dz,
DOWNS, iodine deficiency, precipitating factors
test for hyperthyroidism - ANSWER cbc, LFT, radioiodine uptake scan
Treatment for hyperthyroid - ANSWER surgery, BB (atenolol, propanolol), METHIMAZOLE,
PROPYLTHYOURACIL, radioactive iodine
Treatment for ankle sprain I - II (DRAWER TEST) - ANSWER PRICE, NO WT. bearing for 24hrs.
return to sports when pain is gone
,Treatment for ankle sprain III - ANSWER PRICE for 6 weeks if not better with brace then surgery
REFERR
Osteoarthritis = asymmetric joint pain/stiffness last - ANSWER < 1 hr in the morning, comes
back after activity or at the end of the day. Heberno's and bouchards nodes (BP)
what is the goal standard diagnositic for OA - ANSWER Xray to check narrowing of joint spaces
and for osteophytes
Treatment for OA - ANSWER first line Acetaminophen then NSAIDS, rest, excerc., heat/cold,
brace, ointments, corticosteroid injections, glucosamine/chondrin
if on NSAIDS check: - ANSWER CBC, BUN/Cr, LFT, occult stool Q yr. must be off the NSAID for 2-3
days.
when do you refer an OA pt - ANSWER when conservative measures fail, or BONE TO BONE
CHARAC. OF RA - ANSWER symmetrical joint pain > 1hr., fatigue, wt. loss, low grade temp,
malaise, waxes and wanes, l
S/S of a torn ACL - ANSWER POP inside knee, gives away, swelling, severe pain. A COMPLETE
TEAR WON'T HURT, SWELL, PAINLESS WITH MOVEMENT.
Low back pain s/s - ANSWER pain in back, butt, thighs, muscle spasms r/t a muscle or ligament
problem, radiates down to knee,
New onset of RADICULAR low back pain in older patient is - ANSWER spinal stenosis
, CAUDA EQUINA back pain SURG. EMERGENCY - ANSWER s/s major motor weakness with knee
extensions or foot drop, loss of sensory tone to anus, bladder, legs
back pain red flags REFERR! - ANSWER Hx: IV drug use, TB, chronic steroid use, CA, immune
suppresion, trauma, age <20, fever >100.4, chills, nausea, wt. loss, saddle anesthesia,
bowel/bladder incontinence/retention, RECENT BACTERIAL INFECTION, >50yrs, pain at night or
supine. CONSIDER IMAGING FOR RED FLAGS OR LITIGATION. OR AFTER ONE MONTH OF
CONSERV. TX.
What tests are used for back pain assessment? - ANSWER cross leg raise, straight leg test, gait,
ausc. abd. bruits AAA, rectal tone, DTR's, bulk measurements, tone, rapid alt. movements, point
to point, discrim. motor strength.
90% OF BACK PAIN RESOLVE IN - ANSWER 4-6 WEEKS
TO CHECK the (KNEE) meniscus for TEAR do : - ANSWER ant. post. drawer tests, McMurry test,
Thessaly's test (parado and hold their hands to stabilize and turn knees), 3 Apley's test (prone)
or even better MRI: IF COMPLETELY TORN WILL NEED SURGERY!!!
ss OF MENISCAL TEAR - ANSWER pain, joint locking, limited movement of knee, swelling, can't
stand, popping or clicking in the knee
Tx for meniscal tear - ANSWER conservative RICE
Dx: Scoliosis - ANSWER > 10 degree lateral spine curvature on xray.
What are the types of scoliosis - ANSWER idopathic, neuromuscular, and congenital. CAN be
related to Down's/Marfan and other syndromes.
