FAMILY NURSE PRACTITIONER FAMILY EXAM

FAMILY NURSE PRACTITIONER FAMILY
EXAM
Sensitivity
- ANSWER-defined as the ability of a test to detect a person who has the disease. Specificity
- ANSWER-defined 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
- ANSWER-will result in an anterior nosebleed
The diagnostic or gold standard test for sickle cell anemia, G6PD anemia, and
alpha or beta thalassemia
- ANSWER-hemoglobin electrophoresis
questions asking for "action"
- ANSWER-the initial action might be to interview and gather subjective data or the
history
erythromycin "allergy" vs adverse reaction
- ANSWER-adverse reactio-symptoms of nausea or GI upset
allergy -hives, angioedema
acute mononucleosis
- ANSWER-the patient will most likely be a teen presenting with the classic triad of sore
throat, prolonged fatigue, and enlarged cervical nodes. Alpha thalassemia
- ANSWER-more common among Southeast Asians such as filipinos
Lupus – ANSWER-present with malar rash(butterfly rash)Pts need to avoid or to minimize
sunlight exposure(photosensitivity)
treatment for polymyalgic rheumatica(PMR)
- ANSWER-first 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
- ANSWER-biopsy of the temporal artery. refer pt to opthalmologist for mgt
Finkelstein's
- ANSWER-Positive in De Quervains tenosynovitis
FAMILY NURSE PRACTITIONER FAMILY
EXAM
Anterior Drawer maneuver and Lachman maneuver
- ANSWER-Positive if anterior cruciate ligament (ACL) of knee damaged. The knee
may also be unstable
McMurray's sign
- ANSWER-Positive in meniscus injuries of the knee
Damaged Joints
- ANSWER-order X-ray first, but MRI is the Gold Standard
Diabetic retinopathy
- ANSWER-neovascularization, hard exudates, cotton wool spots, and micoaneurysms
Hypertensive retinopathy
- ANSWER-AV nicking, silver and or copper wire arterioles
Checking deep tendon reflexes
- ANSWER-absent(0), hypoactive (1)
normal(2)
hyperactive(3)
clonus(4)
define clonus
- 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