FNP Board review questions
Study online at https://quizlet.com/_51fine
1. A 24-year old, otherwise healthy college student D) Length of time she has been
presents with c/o cough x 6 weeks. She has tried coughing
several OTC cough meds with no improvement.
What is the most important information to con- Why? This information helps you
sider when building your differential diagnoses? build your ddx
A) Her age Acute cough < 3 weeks: bron-
B) Family hx chitis, sinusitis, PND, exacerba-
C) Ineffectiveness of OTC cough medicines tion of COPD/asthma, pneumo-
D) Length of time she has been coughing nia, pulmonary embolism
Chronic cough (>8 weeks) GERD
and Asthma are most common
causes, also consider infection
(e.g. pertussis, atypical pneu-
monia), ACE inhibitors, chronic
bronchitis, bronchiectasis, lung
ca)
2. According to the CDC, what drug class is consid- C) Macrolide antiobitic (e.g.
ered first-line treatment for pertussis? Azithromycin, clarithromycin
A) Sulfonamide
B) Tetracycline Sulfonamides are second-line
C) Macrolide
D) Beta-lactam
3. Match the antibiotics with the correct drug class: 1. Sulfonamide -
D.Trimethoprim-Sulfamethoxa-
1. Sulfonamide zole (Bactrim)
2. Tetracycline 2. Tetracycline - A. Doxycycline
3. Macrolide 3. Macrolide - B & F, Azithromycin
4. Beta-lactam and Clarithromycin
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A. Doxycyline 4. Beta-lactam - C & E, PCN and
B. Azithromycin cephalosporins
C. Penicillins
D.Trimethoprim-Sulfamethoxazole
E. Cephalosporin
F. Clarithromycin
4. What are the three most common bugs in com- Streptococcus pneumoniae
munity-acquired pneumonia? Mycoplasma pneuomiae (atypi-
cal pathogen)
Chlamydophila pneumoniae
(atypical pathogen)
5. What is the treatment for CAP caused by Strep Respiratory quinolone (e.g. Lev-
pneumo? ofloxacin, moxifloxacin, gemi-
floxacin) OR high-dose amoxi-
cillin OR amoxicillin with clavu-
lanate
6. What antibiotics are avoided in CAP caused by Macrolides
Strep pneumo due to high rates of resistance?
7. What is the treatment for CAP caused by My- Macrolide OR doxycycline
coplasma pneumoniae?
8. What antibiotics are avoided in CAP caused by Beta-lactams (ineffective)
atypical pathogens?
9. A 38-year old mother of two teenagers recently B) No, it's not indicated
recovered from Mycoplasma pneumonia a cou-
ple of weeks ago. She asks if she should get An otherwise healthy adult with-
the "pneumonia shot." She takes levothyroxine 88 out immunocompromise or mul-
mcg daily for hypothyroidism, but is otherwise tiple comorbid conditions is not
, FNP Board review questions
Study online at https://quizlet.com/_51fine
healthy. How do you respond? a "vulnerable population"
A) No, it's too soon after your infection
B) No, it's not indicated The pneumonia vaccine does not
C) Yes, you can get it in about a month prevent mycoplasma pneumonia
D) Yes you can get it today
10. According to GOLD, what is required to establish Spirometry (FEV1/FVC ratio <
the diagnosis of COPD? 70%)
11. A 70-year old house painter reports a 4-week B) Angina
history of exertional dyspnea, chest tightness, C) COPD
and cough for the past 3 months. He has never F) Tuberculosis
smoked. What diagnoses are included in your dif- G) Heart failure
ferential? Select 4.
A) Asthma
B) Angina
C) COPD
D) GERD
E) Pneumonia
F) Tuberculosis
G) Heart Failure
12. How do inhaled anticholinergics work to treat B) They block the action of acetyl-
shortness of breath in COPD? choline and prevent bronchcon-
A) They cause bronchodilation in the lungs striction
B) They block the action of acetylcholine and pre-
vent bronchoconstriction
13. Name a short-acting inhaled anticholinergic: Ipratropium (Atrovent)
14. Name a long-acting inhaled anticholinergic: Tiotropium (Spiriva)
, FNP Board review questions
Study online at https://quizlet.com/_51fine
15. How do inhaled betá-agonists work to treat short- A) They cause bronchodilation in
ness of breath in COPD? the lungs
A) They cause bronchodilation in the lungs
B) They block the action of acetylcholine and pre-
vent bronchoconstriction
16. What are the only 2 inhaled short-acting beta ag- Albuterol and levalbuterol
onists (SABAs):
17. Name an inhaled long-acting beta agonists Salmeterol (Serevent)
(LABAs):
18. What are the side effects associated with anti- Cognitive impairment, confu-
cholinergic medications? sion, hallucinations, dry mouth,
blurry vision, urinary retention,
constipation, tachycardia, acute
angle glaucoma
"Can't see, can't pee, can't spit,
can't shit."
19. Name a inhaled combined short-acting anti- Ipratropium/albuterol (Com-
cholinergic/short-acting beta agonist: bivent)
20. Name a inhaled combined long-acting beta-ago- Fluticasone/salmeterol (Advair)
nist/corticosteroid Fluticasone/vilanterol (Breo)
Budesonide/formoterol (Symbi-
cort)
Mometasone/frmoterol (Dulera)
21. Name an inhaled steroid: Fluticasone (Flovent)
Budesonide (Pulmicort)
Mometasone (Asmanex)
Study online at https://quizlet.com/_51fine
1. A 24-year old, otherwise healthy college student D) Length of time she has been
presents with c/o cough x 6 weeks. She has tried coughing
several OTC cough meds with no improvement.
What is the most important information to con- Why? This information helps you
sider when building your differential diagnoses? build your ddx
A) Her age Acute cough < 3 weeks: bron-
B) Family hx chitis, sinusitis, PND, exacerba-
C) Ineffectiveness of OTC cough medicines tion of COPD/asthma, pneumo-
D) Length of time she has been coughing nia, pulmonary embolism
Chronic cough (>8 weeks) GERD
and Asthma are most common
causes, also consider infection
(e.g. pertussis, atypical pneu-
monia), ACE inhibitors, chronic
bronchitis, bronchiectasis, lung
ca)
2. According to the CDC, what drug class is consid- C) Macrolide antiobitic (e.g.
ered first-line treatment for pertussis? Azithromycin, clarithromycin
A) Sulfonamide
B) Tetracycline Sulfonamides are second-line
C) Macrolide
D) Beta-lactam
3. Match the antibiotics with the correct drug class: 1. Sulfonamide -
D.Trimethoprim-Sulfamethoxa-
1. Sulfonamide zole (Bactrim)
2. Tetracycline 2. Tetracycline - A. Doxycycline
3. Macrolide 3. Macrolide - B & F, Azithromycin
4. Beta-lactam and Clarithromycin
, FNP Board review questions
Study online at https://quizlet.com/_51fine
A. Doxycyline 4. Beta-lactam - C & E, PCN and
B. Azithromycin cephalosporins
C. Penicillins
D.Trimethoprim-Sulfamethoxazole
E. Cephalosporin
F. Clarithromycin
4. What are the three most common bugs in com- Streptococcus pneumoniae
munity-acquired pneumonia? Mycoplasma pneuomiae (atypi-
cal pathogen)
Chlamydophila pneumoniae
(atypical pathogen)
5. What is the treatment for CAP caused by Strep Respiratory quinolone (e.g. Lev-
pneumo? ofloxacin, moxifloxacin, gemi-
floxacin) OR high-dose amoxi-
cillin OR amoxicillin with clavu-
lanate
6. What antibiotics are avoided in CAP caused by Macrolides
Strep pneumo due to high rates of resistance?
7. What is the treatment for CAP caused by My- Macrolide OR doxycycline
coplasma pneumoniae?
8. What antibiotics are avoided in CAP caused by Beta-lactams (ineffective)
atypical pathogens?
9. A 38-year old mother of two teenagers recently B) No, it's not indicated
recovered from Mycoplasma pneumonia a cou-
ple of weeks ago. She asks if she should get An otherwise healthy adult with-
the "pneumonia shot." She takes levothyroxine 88 out immunocompromise or mul-
mcg daily for hypothyroidism, but is otherwise tiple comorbid conditions is not
, FNP Board review questions
Study online at https://quizlet.com/_51fine
healthy. How do you respond? a "vulnerable population"
A) No, it's too soon after your infection
B) No, it's not indicated The pneumonia vaccine does not
C) Yes, you can get it in about a month prevent mycoplasma pneumonia
D) Yes you can get it today
10. According to GOLD, what is required to establish Spirometry (FEV1/FVC ratio <
the diagnosis of COPD? 70%)
11. A 70-year old house painter reports a 4-week B) Angina
history of exertional dyspnea, chest tightness, C) COPD
and cough for the past 3 months. He has never F) Tuberculosis
smoked. What diagnoses are included in your dif- G) Heart failure
ferential? Select 4.
A) Asthma
B) Angina
C) COPD
D) GERD
E) Pneumonia
F) Tuberculosis
G) Heart Failure
12. How do inhaled anticholinergics work to treat B) They block the action of acetyl-
shortness of breath in COPD? choline and prevent bronchcon-
A) They cause bronchodilation in the lungs striction
B) They block the action of acetylcholine and pre-
vent bronchoconstriction
13. Name a short-acting inhaled anticholinergic: Ipratropium (Atrovent)
14. Name a long-acting inhaled anticholinergic: Tiotropium (Spiriva)
, FNP Board review questions
Study online at https://quizlet.com/_51fine
15. How do inhaled betá-agonists work to treat short- A) They cause bronchodilation in
ness of breath in COPD? the lungs
A) They cause bronchodilation in the lungs
B) They block the action of acetylcholine and pre-
vent bronchoconstriction
16. What are the only 2 inhaled short-acting beta ag- Albuterol and levalbuterol
onists (SABAs):
17. Name an inhaled long-acting beta agonists Salmeterol (Serevent)
(LABAs):
18. What are the side effects associated with anti- Cognitive impairment, confu-
cholinergic medications? sion, hallucinations, dry mouth,
blurry vision, urinary retention,
constipation, tachycardia, acute
angle glaucoma
"Can't see, can't pee, can't spit,
can't shit."
19. Name a inhaled combined short-acting anti- Ipratropium/albuterol (Com-
cholinergic/short-acting beta agonist: bivent)
20. Name a inhaled combined long-acting beta-ago- Fluticasone/salmeterol (Advair)
nist/corticosteroid Fluticasone/vilanterol (Breo)
Budesonide/formoterol (Symbi-
cort)
Mometasone/frmoterol (Dulera)
21. Name an inhaled steroid: Fluticasone (Flovent)
Budesonide (Pulmicort)
Mometasone (Asmanex)
