ANCC FNP BOARD QUESTIONS AND WELL
IDENTIFIED ANSWERS [GRADED A+]
ACTUAL 100% [REAL EXAM !!! REAL EXAM!!]
A middle-age female patient presents to the clinic with a recurrence of
mild hidradenitis suppurativa after topical therapies failed. Which firstline treatment is recommended? - ANS✔✔---Tetracycline
Twelve weeks of oral tetracycline (Sumycin) is the recommended firstline treatment for hidradenitis suppurat
Hidradenitis suppurativa is a disorder of the terminal follicular
epithelium in apocrine gland-bearing skin. It is a chronic, disabling
disorder that progresses, often causing keloids, contractures, and
immobility. It is characterized by comedone-like follicular occlusion,
chronic and relapsing inflammation, mucopurulent discharge, and
progressive scarring.
Arthropathy associated with hidradenitis may be present. Typical
presentation includes nodules and sinus tracts (inflamed or
noninflamed), abscesses, and scarring found in the axilla,
genitofemoral area, perineum, gluteal area, and inframammary area in
women.
Recommended treatments include antibiotics, steroids, retinoids,
dapsone, and anti-tumor necrosis factor agents. A dermatology
consultation should also be considered.
First-line treatment is a 12‑week course of an oral tetracycline
(Sumycin) such as doxycycline. For patients who do not respond to
doxycycline, the next recommended step is a combination of twice-daily
clindamycin (Cleocin) and rifampicin (Rifadin) for 10-12 weeks. If
treatment fails, acitretin (Soriatane, for males and nonfertile females) or
dapsone (Aczone) may be considered by a dermatologist. In patients
with moderate to severe hidradenitis suppurativa, adalimumab (Humira)
may possibly be considered.
When providing culturally competent health care services to an
American Indian elder, the nurse practitioner understands which is
traditionally true? - ANS✔✔---The "Medicine Wheel" is used by
many for the purpose of health and healing
The "Medicine Wheel
NURSE PRACTITIONER
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