FNP Board review questions

FNP Board review questions / Comprehensive Practice Test Study Guide Newest Actual Questions & Answers (A+ Guide Solutions.

Qs: A 24-year old, otherwise healthy college student presents with c/o cough

x 6 weeks. She has tried several OTC cough meds with no improvement.What is the most important information to consider when building your differential diagnoses?

• Her age
• Family hx
• Ineffectiveness of OTC cough medicines
• Length of time she has been coughing -

Answer:

• Length of time she has been coughing

Qs: Why? This information helps you build your ddx

Acute cough < 3 weeks: bronchitis, sinusitis, PND, exacerbation of

COPD/asthma, pneumonia, pulmonary embolism Chronic cough (>8 weeks) GERD and Asthma are most common causes, also consider infection (e.g. pertussis, atypical pneumonia), ACE inhibitors, chronic bronchitis, bronchiectasis, lung ca)

Qs: According to the CDC, what drug class is considered first-line treatment

for pertussis?Page 1 of 147 1 / 4

• Sulfonamide
• Tetracycline
• Macrolide
• Beta-lactam -

Answer:

• Macrolide antiobitic (e.g. Azithromycin, clarithromycin

Sulfonamides are second-line Qs: Match the antibiotics with the correct drug class:

• Sulfonamide
• Tetracycline
• Macrolide
• Beta-lactam
• Doxycyline
• Azithromycin
• Penicillins

D.Trimethoprim-Sulfamethoxazole

• Cephalosporin
• Clarithromycin -

Answer:

• Sulfonamide - D.Trimethoprim-Sulfamethoxazole (Bactrim)
• Tetracycline - A. Doxycycline
• Macrolide - B & F, Azithromycin and Clarithromycin

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• Beta-lactam - C & E, PCN and cephalosporins

Qs: What are the three most common bugs in community-acquired

pneumonia? -

Answer:

Streptococcus pneumoniae Mycoplasma pneuomiae (atypical pathogen) Chlamydophila pneumoniae (atypical pathogen)

Qs: What is the treatment for CAP caused by Strep pneumo? -

Answer:

Respiratory quinolone (e.g. Levofloxacin, moxifloxacin, gemifloxacin) OR high-dose amoxicillin OR amoxicillin with clavulanate

Qs: What antibiotics are avoided in CAP caused by Strep pneumo due to high

rates of resistance? -

Answer:

Macrolides

Qs: What is the treatment for CAP caused by Mycoplasma pneumoniae? -

Answer:

Macrolide OR doxycycline

Qs: What antibiotics are avoided in CAP caused by atypical pathogens? -

Answer:

Beta-lactams (ineffective) Page 3 of 147 3 / 4

Qs: A 38-year old mother of two teenagers recently recovered from

Mycoplasma pneumonia a couple of weeks ago. She asks if she should get the "pneumonia shot." She takes levothyroxine 88 mcg daily for hypothyroidism, but is otherwise healthy. How do you respond?

• No, it's too soon after your infection
• No, it's not indicated
• Yes, you can get it in about a month
• Yes you can get it today -

Answer:

• No, it's not indicated

An otherwise healthy adult without immunocompromise or multiple comorbid conditions is not a "vulnerable population" The pneumonia vaccine does not prevent mycoplasma pneumonia

Qs: According to GOLD, what is required to establish the diagnosis of COPD? -

Answer:

Spirometry (FEV1/FVC ratio < 70%)

Qs: A 70-year old house painter reports a 4-week history of exertional

dyspnea, chest tightness, and cough for the past 3 months. He has never smoked. What diagnoses are included in your differential? Select 4.

• Asthma
• Angina

C) COPD

D) GERD

• Pneumonia

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