FNP University Of Texas - Arlington -FNP Board Review
Questions With Complete Solutions
______________ medications are among the most commonly
used medications by women in the first trimester of pregnancy.
A) Antiepileptic drugs
B) Antibiotics
C) Antihypertensives
D) Opioids Correct Answers B) Antibiotics
27-year old male with lupus has a eGFR of 48 and Ā1C of 7.2%,
newly diagnosed with T2DM.
1) What medication is first choice in this patient? Correct
Answers 1) Metformin (can be given as long as the GFT is >
45, monitor closely)
35-year old female with newly diagnosed impaired fasting
glucose and Ā1C of 5.9%
1) What medication is first-line?
2) What if she is contemplating pregnancy? Correct Answers
1) Metformin
2) Metformin is OK in pregnancy
35-year old obese male with hx of T2DM is on the max dose of
Metformin. His Ā1C is 7.6 (goal < 7%). He desires weight loss
and is needle-phobic.
1) What medication class should be considered
2) Which med class(es) should be avoided? Correct Answers 1)
SGLT-2 inhibitor (canagliflozin - Invokana, empagliflozin -
Jardiance)
,2)Sulfonylureas (a/w weight gain)
GLP-1, insulin (injectables)
82-year old male with T2DM is currently on max dose of
Metformin. His Ā1C is 7.9%.
1) What is your plan at this visit for his Ā1C? Correct Answers
1) A reasonable Ā1C goal for his age is <8%. Review lifestyle
modifications and decrease carb intake
A 19-year old college student (otherwise healthy, nonsmoker)
was diagnosed with community-acquired pneumonia by CXR a
couple days ago. She has been taking amoxillin with clavulanate
875 mg BID for the past 48 hours. She returns today for a
follow-up appointment.
Her vitals 2 days ago: BP 120/72, HR 96, T 103F, RR 24/min,
Ó2 sats 92%.
Her vitals today: BP 130/80, HR 100, T 102.2, RR 24/min, Ó2
sats 94%.
How would you manager her today?
A) Repeat CXR, CBC, and start levofloxacin
B) Start azithromycin 5-day pack
C) Continue with amoxicillin-clavulanate for another 24 hours
D) Stop amoxicillin-clavulanate and start doxcycline 100 mg
BID x 7 days Correct Answers D) Stop amoxicillin-clavulanate
and start doxycycline 100 mg BID x 7 days
,She most likely has an atypical pathogen (mycoplasma
pneumoniae or chlamydophila pneumoniae), which should be
treated with a macrolide or doxycycline
A 19-year old man presents with stage 1 HTN. Which of the
following is correct concerning his participation in sport
activities?
A) Full activity should be encouraged
B) Weight lifting is contraindicated
C) He should have an exercise tolerance test
D) A beta-adrenergic antagonist should be prescribed Correct
Answers A) Full activity should be encouraged
A 22-year old female wants to know if she can start a walking
program. She has been diagnosed with mitral valve prolapse,
and her echo revealed trace mitral regurgitation. You respond
that
A) she should have an exercise tolerance test
B) an ECG should be obtained
C) she may proceed in the absence of symptoms of activity
intolerance
D) running should be avoided Correct Answers C) she may
proceed in the absence of symptoms of activity intolerance
A 23-year old female presents with mild mitral stenosis and is
asymptomatic. Which of the following is correct concerning her
participation in sports?
A) Full activity is likely acceptable
, B) Prolonged aerobic exercise should be avoided
C) An ACE inhibitor should be prescribed prior to participation
D) Participation should be limited to non-contact sports Correct
Answers A) Full activity is likely acceptable
A 24-year old male walks in to the clinic c/o raccoon bite in his
right thigh. On physical exam, you note a 1 cm deep wound on
his right thigh that is oozing bright red blood. Your next best
course of action is to
A) administer high-dose parenteral penicillin
B) initiate antibacterial prophylaxis with amoxicillin
C) give rabies immune globlulin and rabies vaccine
D) suture the wound after proper cleaning Correct Answers C)
give rabies immune globlulin and rabies vaccine
Bats, racoons, skunks carry a significant rabies risk and should
be considered rabid. Give RIG and rabies vaccine, consider
tetanus
A 24-year old woman was diagnosed with iron deficiency
anemia 4 weeks ago (Hgb 11.5, Hct 34.5%). Today her Hgb is
12.8 and her Hct is 38.4%. How do you proceed?
A) Stop iron supplementation since she is no longer anemic
B) Order a reticuloctye count
C) Order a TIBC
D) Consider continued iron supplementation for another 3-5
months Correct Answers D) Consider continued iron
supplementation for another 3-5 months (to replace iron stores)
Questions With Complete Solutions
______________ medications are among the most commonly
used medications by women in the first trimester of pregnancy.
A) Antiepileptic drugs
B) Antibiotics
C) Antihypertensives
D) Opioids Correct Answers B) Antibiotics
27-year old male with lupus has a eGFR of 48 and Ā1C of 7.2%,
newly diagnosed with T2DM.
1) What medication is first choice in this patient? Correct
Answers 1) Metformin (can be given as long as the GFT is >
45, monitor closely)
35-year old female with newly diagnosed impaired fasting
glucose and Ā1C of 5.9%
1) What medication is first-line?
2) What if she is contemplating pregnancy? Correct Answers
1) Metformin
2) Metformin is OK in pregnancy
35-year old obese male with hx of T2DM is on the max dose of
Metformin. His Ā1C is 7.6 (goal < 7%). He desires weight loss
and is needle-phobic.
1) What medication class should be considered
2) Which med class(es) should be avoided? Correct Answers 1)
SGLT-2 inhibitor (canagliflozin - Invokana, empagliflozin -
Jardiance)
,2)Sulfonylureas (a/w weight gain)
GLP-1, insulin (injectables)
82-year old male with T2DM is currently on max dose of
Metformin. His Ā1C is 7.9%.
1) What is your plan at this visit for his Ā1C? Correct Answers
1) A reasonable Ā1C goal for his age is <8%. Review lifestyle
modifications and decrease carb intake
A 19-year old college student (otherwise healthy, nonsmoker)
was diagnosed with community-acquired pneumonia by CXR a
couple days ago. She has been taking amoxillin with clavulanate
875 mg BID for the past 48 hours. She returns today for a
follow-up appointment.
Her vitals 2 days ago: BP 120/72, HR 96, T 103F, RR 24/min,
Ó2 sats 92%.
Her vitals today: BP 130/80, HR 100, T 102.2, RR 24/min, Ó2
sats 94%.
How would you manager her today?
A) Repeat CXR, CBC, and start levofloxacin
B) Start azithromycin 5-day pack
C) Continue with amoxicillin-clavulanate for another 24 hours
D) Stop amoxicillin-clavulanate and start doxcycline 100 mg
BID x 7 days Correct Answers D) Stop amoxicillin-clavulanate
and start doxycycline 100 mg BID x 7 days
,She most likely has an atypical pathogen (mycoplasma
pneumoniae or chlamydophila pneumoniae), which should be
treated with a macrolide or doxycycline
A 19-year old man presents with stage 1 HTN. Which of the
following is correct concerning his participation in sport
activities?
A) Full activity should be encouraged
B) Weight lifting is contraindicated
C) He should have an exercise tolerance test
D) A beta-adrenergic antagonist should be prescribed Correct
Answers A) Full activity should be encouraged
A 22-year old female wants to know if she can start a walking
program. She has been diagnosed with mitral valve prolapse,
and her echo revealed trace mitral regurgitation. You respond
that
A) she should have an exercise tolerance test
B) an ECG should be obtained
C) she may proceed in the absence of symptoms of activity
intolerance
D) running should be avoided Correct Answers C) she may
proceed in the absence of symptoms of activity intolerance
A 23-year old female presents with mild mitral stenosis and is
asymptomatic. Which of the following is correct concerning her
participation in sports?
A) Full activity is likely acceptable
, B) Prolonged aerobic exercise should be avoided
C) An ACE inhibitor should be prescribed prior to participation
D) Participation should be limited to non-contact sports Correct
Answers A) Full activity is likely acceptable
A 24-year old male walks in to the clinic c/o raccoon bite in his
right thigh. On physical exam, you note a 1 cm deep wound on
his right thigh that is oozing bright red blood. Your next best
course of action is to
A) administer high-dose parenteral penicillin
B) initiate antibacterial prophylaxis with amoxicillin
C) give rabies immune globlulin and rabies vaccine
D) suture the wound after proper cleaning Correct Answers C)
give rabies immune globlulin and rabies vaccine
Bats, racoons, skunks carry a significant rabies risk and should
be considered rabid. Give RIG and rabies vaccine, consider
tetanus
A 24-year old woman was diagnosed with iron deficiency
anemia 4 weeks ago (Hgb 11.5, Hct 34.5%). Today her Hgb is
12.8 and her Hct is 38.4%. How do you proceed?
A) Stop iron supplementation since she is no longer anemic
B) Order a reticuloctye count
C) Order a TIBC
D) Consider continued iron supplementation for another 3-5
months Correct Answers D) Consider continued iron
supplementation for another 3-5 months (to replace iron stores)
