FAMILY NURSE PRACTITIONER
Exam Questions and Answers Graded A+
Trauma to Kiesselbachs plexus: - Correct answer-Will result in an anterior
nosebleed
The diagnostic or gold standard test for sickle cell anemia, G6PD anemia, and
alpha or beta thalassemia: - Correct answer-Hemoglobin electrophoresis
Erythromycin "allergy" vs adverse reaction: - Correct answer-Adverse reaction-
symptoms of nausea or GI upset
allergy -hives, angioedema
Acute mononucleosis: - Correct answer-Pt will most likely be a teen presenting w
classic triad of sore throat, prolonged fatigue, and enlarged cervical nodes.
Alpha thalassemia: - Correct answer-More common among Southeast Asians such
as, Indian, Chinese, or Filipino descent
Lupus - Correct answer-Malar rash(butterfly rash)Pts need to avoid or to minimize
sunlight exposure(photosensitivity)
©COPYRIGHT 2025, ALL RIGHTS RESERVED 1
,Tx polymyalgic rheumatica(PMR) - Correct answer-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: - Correct answer-Biopsy of the temporal
artery. refer pt to opthalmologist for mgt
Finkelstein's test: - Correct answer-Positive in De Quervains tenosynovitis
Anterior Drawer maneuver and Lachman maneuver: - Correct answer-Positive if
anterior cruciate ligament (ACL) of knee damaged. The knee may also be unstable
McMurray's sign: - Correct answer-Positive in meniscus injuries of the knee
Damaged Joints: - Correct answer-Order X-ray first, but MRI is the Gold Standard
Diabetic retinopathy: - Correct answer-Neovascularization, hard exudates, cotton
wool spots, and micoaneurysms
Hypertensive retinopathy: - Correct answer-AV nicking, silver and or copper wire
arterioles
Checking deep tendon reflexes: - Correct answer-absent(0),
hypoactive (1)
©COPYRIGHT 2025, ALL RIGHTS RESERVED 2
,normal(2)
hyperactive(3)
clonus(4)
Clonus: - Correct answer-Clonus is typically seen in patients with stroke, multiple
sclerosis, spinal cord damage and hepatic encephalopathy.
Clonus has also appeared after ingesting potent serotonergic drugs, where ingestion
strongly predicts imminent serotonin toxicity (serotonin syndrome).
Clonus is a series of involuntary, rhythmic, muscular contractions and relaxations.
Clonus is a sign of certain neurological conditions, particularly associated with
upper motor neuron lesions involving descending motor pathways, and in many
cases is, accompanied by spasticity (another form of hyperexcitability).Unlike
small, spontaneous twitches known as fasciculations (usually caused by lower
motor neuron pathology), clonus causes large motions that are usually initiated by
a reflex.
A rare but serious adverse effect of ACE inhibitors is: - Correct answer-
Angioedema
A common side effect of ACE inhibitors is a - Correct answer-Dry cough(10%)
©COPYRIGHT 2025, ALL RIGHTS RESERVED 3
, 1st line drug to tx htn in DM & pts w mild renal dz bc of their renal protective
properties: - Correct answer-ACE inhibitors or ARBS
Penicillin: - Correct answer-Amoxicillin(broad-spectrum PCN) Penicillin VK
Macrolide: - Correct answer-Erythromycin, azithromycin(Z-Pack), or
clarithromycin(Biaxin)
Cephalosporins: - Correct answer-1st generation(Keflex), 2nd generation(Cefaclor,
Ceftin, Cefzil)3rd generation(Rocephin, Suprax, Omnicef)
Quinolones w gram positive coverage: - Correct answer-Levofloxacin(Levaquin),
moxifloxacin(Avelox), gatifloxacin(Tequin)
Quinolones: - Correct answer-Ciprofloxacin(Cipro), ofloxacin(Floxin)
Sulfa: - Correct answer-Trimethoprim/sulfamethazole(Bactrim, Septra),
nitrofurantoin(Macrobid),
Tetracyclines: - Correct answer-Tetracycline, doxycycline, minocycline(Minocin)
NSAID: - Correct answer-Ibuprofen, naproxen(aleve, Anaprox)
Cox-2 inhibitors: - Correct answer-Celecoxib (celebrex)
Antitussives: - Correct answer-Dextromorphan(Robitussin), benzonate(Tessalon
Perles)
©COPYRIGHT 2025, ALL RIGHTS RESERVED 4
Exam Questions and Answers Graded A+
Trauma to Kiesselbachs plexus: - Correct answer-Will result in an anterior
nosebleed
The diagnostic or gold standard test for sickle cell anemia, G6PD anemia, and
alpha or beta thalassemia: - Correct answer-Hemoglobin electrophoresis
Erythromycin "allergy" vs adverse reaction: - Correct answer-Adverse reaction-
symptoms of nausea or GI upset
allergy -hives, angioedema
Acute mononucleosis: - Correct answer-Pt will most likely be a teen presenting w
classic triad of sore throat, prolonged fatigue, and enlarged cervical nodes.
Alpha thalassemia: - Correct answer-More common among Southeast Asians such
as, Indian, Chinese, or Filipino descent
Lupus - Correct answer-Malar rash(butterfly rash)Pts need to avoid or to minimize
sunlight exposure(photosensitivity)
©COPYRIGHT 2025, ALL RIGHTS RESERVED 1
,Tx polymyalgic rheumatica(PMR) - Correct answer-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: - Correct answer-Biopsy of the temporal
artery. refer pt to opthalmologist for mgt
Finkelstein's test: - Correct answer-Positive in De Quervains tenosynovitis
Anterior Drawer maneuver and Lachman maneuver: - Correct answer-Positive if
anterior cruciate ligament (ACL) of knee damaged. The knee may also be unstable
McMurray's sign: - Correct answer-Positive in meniscus injuries of the knee
Damaged Joints: - Correct answer-Order X-ray first, but MRI is the Gold Standard
Diabetic retinopathy: - Correct answer-Neovascularization, hard exudates, cotton
wool spots, and micoaneurysms
Hypertensive retinopathy: - Correct answer-AV nicking, silver and or copper wire
arterioles
Checking deep tendon reflexes: - Correct answer-absent(0),
hypoactive (1)
©COPYRIGHT 2025, ALL RIGHTS RESERVED 2
,normal(2)
hyperactive(3)
clonus(4)
Clonus: - Correct answer-Clonus is typically seen in patients with stroke, multiple
sclerosis, spinal cord damage and hepatic encephalopathy.
Clonus has also appeared after ingesting potent serotonergic drugs, where ingestion
strongly predicts imminent serotonin toxicity (serotonin syndrome).
Clonus is a series of involuntary, rhythmic, muscular contractions and relaxations.
Clonus is a sign of certain neurological conditions, particularly associated with
upper motor neuron lesions involving descending motor pathways, and in many
cases is, accompanied by spasticity (another form of hyperexcitability).Unlike
small, spontaneous twitches known as fasciculations (usually caused by lower
motor neuron pathology), clonus causes large motions that are usually initiated by
a reflex.
A rare but serious adverse effect of ACE inhibitors is: - Correct answer-
Angioedema
A common side effect of ACE inhibitors is a - Correct answer-Dry cough(10%)
©COPYRIGHT 2025, ALL RIGHTS RESERVED 3
, 1st line drug to tx htn in DM & pts w mild renal dz bc of their renal protective
properties: - Correct answer-ACE inhibitors or ARBS
Penicillin: - Correct answer-Amoxicillin(broad-spectrum PCN) Penicillin VK
Macrolide: - Correct answer-Erythromycin, azithromycin(Z-Pack), or
clarithromycin(Biaxin)
Cephalosporins: - Correct answer-1st generation(Keflex), 2nd generation(Cefaclor,
Ceftin, Cefzil)3rd generation(Rocephin, Suprax, Omnicef)
Quinolones w gram positive coverage: - Correct answer-Levofloxacin(Levaquin),
moxifloxacin(Avelox), gatifloxacin(Tequin)
Quinolones: - Correct answer-Ciprofloxacin(Cipro), ofloxacin(Floxin)
Sulfa: - Correct answer-Trimethoprim/sulfamethazole(Bactrim, Septra),
nitrofurantoin(Macrobid),
Tetracyclines: - Correct answer-Tetracycline, doxycycline, minocycline(Minocin)
NSAID: - Correct answer-Ibuprofen, naproxen(aleve, Anaprox)
Cox-2 inhibitors: - Correct answer-Celecoxib (celebrex)
Antitussives: - Correct answer-Dextromorphan(Robitussin), benzonate(Tessalon
Perles)
©COPYRIGHT 2025, ALL RIGHTS RESERVED 4
