UPDATED 2024 FAMILY NURSE
PRACTITIONER WITH ACCURATE
ANSWERS
,UPDATED 2024 FAMILY NURSE
PRACTITIONER WITH ACCURATE
ANSWERS
-Antimicrosomal antibodies: "elevated(gold standard test for diagnosisng AHshimotodisease)
---work-up: order TSH first. If elevated, order thyroid panel. Next step is to order TSH receptor
antibodies to confirm Hashimoto thyroiditis.
Treatment plan
-starting dose of levothyroxine(synthroid) is 25 to 50 mcg per day
-start with lowerst dose(Synthroid 25 mcg) increase by 25mcg every few weeks until TSH normamlized
-recheck TSH every 6-8 weeks until TSH is normalized(less than 6 mIU/L)
Insulin - CORRECT ANSWERSRapid Acting insulin (insulin lispro)-covers one meal at a time
Regular insulin(Regular) -lasts from meal to meal
NPH insulin lasts from breakfast to dinner
Lantus is once a day
Sensitivity - CORRECT ANSWERSdefined as the ability of a test to detect a person who has the disease.
Specificity - CORRECT ANSWERSdefined as the ability of a test to detect a person who is healthy or to
detect the person without the disease.
Trauma to Kiesselbachs plexus - CORRECT ANSWERSwill result in an anterior nosebleed
The diagnostic or gold standard test for sickle cell anemia, G6PD anemia, and alpha or beta thalassemia -
CORRECT ANSWERShemoglobin electrophoresis
,questions asking for "action" - CORRECT ANSWERSthe initial action might be to interview and gather
subjective data or the history
erythromycin "allergy" vs adverse reaction - CORRECT ANSWERSadverse reactio-symptoms of nausea or
GI upset
allergy -hives, angioedema
acute mononucleosis - CORRECT ANSWERSthe patient will most likely be a teen presenting with the
classic triad of sore throat, prolonged fatigue, and enlarged cervical nodes.
Alpha thalassemia - CORRECT ANSWERSmore common among Southeast Asians such as filipinos
Lupus - CORRECT ANSWERSpresent with malar rash(butterfly rash)Pts need to avoid or to minimize
sunlight exposure(photosensitivity)
treatment for polymyalgic rheumatica(PMR) - CORRECT ANSWERSfirst line treatment 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 ANSWERSbiopsy of the temporal artery. refer pt to
opthalmologist for mgt
Finkelstein's test - CORRECT ANSWERSPositive in De Quervains tenosynovitis
Anterior Drawer maneuver and Lachman maneuver - CORRECT ANSWERSPositive if anterior cruciate
ligament (ACL) of knee damaged. The knee may also be unstable
McMurray's sign - CORRECT ANSWERSPositive in meniscus injuries of the knee
Damaged Joints - CORRECT ANSWERSorder X-ray first, but MRI is the Gold Standard
, Diabetic retinopathy - CORRECT ANSWERSneovascularization, hard exudates, cotton wool spots, and
micoaneurysms
Hypertensive retinopathy - CORRECT ANSWERSAV nicking, silver and or copper wire arterioles
Checking deep tendon reflexes - CORRECT ANSWERSabsent(0),
hypoactive (1)
normal(2)
hyperactive(3)
clonus(4)
define clonus - CORRECT ANSWERSClonus 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 ANSWERSangioedema
A common side effect of ACE inhibitors is a - CORRECT ANSWERSdry cough(10%)
First line drug to treat hypertension in diabetics and patients with mild renal disease because of their
renal protective properties - CORRECT ANSWERSACE inhibitors or ARBS
Penicillin - CORRECT ANSWERSamoxicillin(broad-spectrum PCN) Penicillin VK
Macrolide - CORRECT ANSWERSerythromycin, azithromycin(Z-Pack), or clarithromycin(Biaxin)
PRACTITIONER WITH ACCURATE
ANSWERS
,UPDATED 2024 FAMILY NURSE
PRACTITIONER WITH ACCURATE
ANSWERS
-Antimicrosomal antibodies: "elevated(gold standard test for diagnosisng AHshimotodisease)
---work-up: order TSH first. If elevated, order thyroid panel. Next step is to order TSH receptor
antibodies to confirm Hashimoto thyroiditis.
Treatment plan
-starting dose of levothyroxine(synthroid) is 25 to 50 mcg per day
-start with lowerst dose(Synthroid 25 mcg) increase by 25mcg every few weeks until TSH normamlized
-recheck TSH every 6-8 weeks until TSH is normalized(less than 6 mIU/L)
Insulin - CORRECT ANSWERSRapid Acting insulin (insulin lispro)-covers one meal at a time
Regular insulin(Regular) -lasts from meal to meal
NPH insulin lasts from breakfast to dinner
Lantus is once a day
Sensitivity - CORRECT ANSWERSdefined as the ability of a test to detect a person who has the disease.
Specificity - CORRECT ANSWERSdefined as the ability of a test to detect a person who is healthy or to
detect the person without the disease.
Trauma to Kiesselbachs plexus - CORRECT ANSWERSwill result in an anterior nosebleed
The diagnostic or gold standard test for sickle cell anemia, G6PD anemia, and alpha or beta thalassemia -
CORRECT ANSWERShemoglobin electrophoresis
,questions asking for "action" - CORRECT ANSWERSthe initial action might be to interview and gather
subjective data or the history
erythromycin "allergy" vs adverse reaction - CORRECT ANSWERSadverse reactio-symptoms of nausea or
GI upset
allergy -hives, angioedema
acute mononucleosis - CORRECT ANSWERSthe patient will most likely be a teen presenting with the
classic triad of sore throat, prolonged fatigue, and enlarged cervical nodes.
Alpha thalassemia - CORRECT ANSWERSmore common among Southeast Asians such as filipinos
Lupus - CORRECT ANSWERSpresent with malar rash(butterfly rash)Pts need to avoid or to minimize
sunlight exposure(photosensitivity)
treatment for polymyalgic rheumatica(PMR) - CORRECT ANSWERSfirst line treatment 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 ANSWERSbiopsy of the temporal artery. refer pt to
opthalmologist for mgt
Finkelstein's test - CORRECT ANSWERSPositive in De Quervains tenosynovitis
Anterior Drawer maneuver and Lachman maneuver - CORRECT ANSWERSPositive if anterior cruciate
ligament (ACL) of knee damaged. The knee may also be unstable
McMurray's sign - CORRECT ANSWERSPositive in meniscus injuries of the knee
Damaged Joints - CORRECT ANSWERSorder X-ray first, but MRI is the Gold Standard
, Diabetic retinopathy - CORRECT ANSWERSneovascularization, hard exudates, cotton wool spots, and
micoaneurysms
Hypertensive retinopathy - CORRECT ANSWERSAV nicking, silver and or copper wire arterioles
Checking deep tendon reflexes - CORRECT ANSWERSabsent(0),
hypoactive (1)
normal(2)
hyperactive(3)
clonus(4)
define clonus - CORRECT ANSWERSClonus 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 ANSWERSangioedema
A common side effect of ACE inhibitors is a - CORRECT ANSWERSdry cough(10%)
First line drug to treat hypertension in diabetics and patients with mild renal disease because of their
renal protective properties - CORRECT ANSWERSACE inhibitors or ARBS
Penicillin - CORRECT ANSWERSamoxicillin(broad-spectrum PCN) Penicillin VK
Macrolide - CORRECT ANSWERSerythromycin, azithromycin(Z-Pack), or clarithromycin(Biaxin)
