LEIK FNP Study guides, Class notes & Summaries

The Lachman Maneuver is used to detect which of the following? A: Instability of the knee B: Nerve Damage of the knee due to past knee injuries C: Integrity of the patellar tendon D: Tears of the meniscus - Answer-instability of the knee A 28-year old multipara who is at 32 weeks gestation presents to your office complaining of a sudden onset of small amounts of bright-red vaginal bleeding. She has had several episodes and appears anxious. On exam, her uterus is soft to palpation. ...

The posterior fontanel should be completely closed by: - Answer-3 months On auscultation of the chest, a split s2 is best heard at: A: 2 ICS, right sternal border B: 2 ICS, Left sternal border C: 5th ICS, midclavicular line D: 4 ICS, left sternal border - Answer-2nd ICS left sternal border The most common type of skin malignancy in the united states is: A: squamous cell skin cancer B: Basal cell carcinoma C: Melanoma D: dysplastic nevi - Answer-Basal Cell Carcinoma All of th...

What health conditions are contraindicated if taking decongestants? - Answer-hypertension and CAD If decongestants are taken with a stimulant, what symptoms can occur? - Answer-heart palpitations, tremors, and anxiety Risks of using NSAIDs long term - Answer-MI, stroke, emboli, GI bleed, and ARF What can capsaicin cream be used for? - Answer-Treat pain in neuralgia and PHN First line treatment for polymyalgia rheumatica and temporal arteritis - Answer-Oral corticosteroids First li...

Sensitivity - Answer-(SNOUT) Negative results rules out the disease. Specificity - Answer-(SPIN) Positive results rules in the disease. Primary Prevention - Answer-Prevent the disease in its entirety. Examples include healthy diet, exercise, safety (helmets/seatbelts), immunizations, and job safety Secondary Prevention - Answer-Early detection of a disease. Examples include screening tests Tertiary Prevention - Answer-Rehabilitation of a disease. Examples include support groups, educ...

Sensitivity - Answer-(SNOUT) Negative results rules out the disease. Sensitivity test are good at identifying the positive markers of disease. So good that it is more prone to report false positives. So a negative result is more definitive Specificity - Answer-(SPIN) Positive results rules in the disease. Specificity tests are good at identifying the negative marker of a disease. So good that is more prone to report false negatives. So a positive result is more definitive. Primary Preventi...

Primary prevention - Answer-prevent disease/injury/condition Secondary prevention - Answer-detect disease/condition as early as possible tertiary prevention - Answer-limiting further harm and disability 18yoF, strong vaginal odor large amount grayish white discharge coating walls, milk-like consistency Microscopy reveals mature squamous epithelial cells with numerous bacteria noted on the cell borders. Vag pH 6.0 - Answer-bacterial vaginosis (only vag condition with alkaline pH) ...

A 28-year-old student is seen in the school health clinic with complaints of a hacking cough that is productive of small amounts of sputum and a runny nose. He does not take any medications, denies any allergies, and has no significant medical history. Physical examination reveals a low-grade temperature of 99.9 degrees Fahrenheit, respirations of 16/min, a pulse of 90 beats per minute, and diffuse fine crackles in the base of the lungs. A chest radiograph (x-ray) shows diffuse infiltrates on th...

Which of the following drugs interact with warfarin/coumadin? a. Imodium (loperamide) b. Diltiazem Hydrochloride SR (diltiazem) c. trimethoporim-sulfamethoxazole (Bactrim) d. sumatriptan (Imitrex) - Answer-c Sulfa drugs will interact with warfarin (increases the blood level), which results in an elevation of the INR and the risk of bleeding. The following drugs are potent inhibitors of the CYP450 system except: a. Erythromycin (Erythrocin) b. Cimetidine (Tagamet) c. Ceftazidime (Taz...

A nurse practitioner working in a community health clinic sees a male patient who expresses concern about starting a homosexual relationship with a new partner. Which of the following is the best plan to follow during this visit? (Select all that apply.) Contact the patient's partner to schedule HIV testing Educate the patient about using barrier devices during sex Prescribe daily oral PrEP Draw a blood sample for a combination HIV antigen/antibody test Schedule a follow-up appointment in ...

An 18yr old is being followed up for acne by the NP. The facial eat reveals that papule and pustules are present mostly on the forehead and the chin area. The patient has been using prescription topical and OTC medicated soap daily for 6 moths without much improvement. What would you recommend? - Answer-Tetracycline (Sumycin) The following statements are true regarding herpes - Answer-D/T reactivation of latent varicella virus It is more severe in immunocompromised people Infection of the t...