AANP-FNP Exam Questions and Answers (Graded A)

Document Content and Description Below

Hegar's sign - ANSWER-Softening of lower uterine segment Chadwick's sign - ANSWER-Bluish color of cervix and vagina at 6-8 weeks Goodell's sign - ANSWER-Softening of cervix at 4+ weeks Lipids... in chronic inactivity - ANSWER-Low HDL Lipids in under- or untreated hypothyroidism - ANSWER-Elevated total cholesterol, TG, and LDL Lipids in chronic renal insufficiency - ANSWER-Elevated total cholesterol and TG Lipids in alcohol abuse - ANSWER-Elevated TG, HDL, and LDL Vaccines with live attenuated viruses - ANSWER-MMR, varicella, flu-mist(intranasal), Zostavax Drugs of choice for abdominal infection - ANSWER-Beta lactams + metronidazole (most common); fluoroquinolones Drugs of choice for urinary tract infection - ANSWER-Fluoroquinolones (except moxi), TMP-SMX, fluconazole, b-lactams, nitrofurantoin, fosfomycin if pt has many allergies Drugs of choice for pulmonary infections - ANSWER-Macrolides, resp fluoroquinolones, b-lactams, doxycycline (MRSA, atypical coverage) Drugs of choice for skin and soft tissue infections - ANSWER-MRSA: TMP-SMZ, doxycycline, clindamycin; b-lactams Drugs of choice for MRSA - ANSWER-Vancomycin, daptomycin , linezolid, TMP-SMZ, doxycycline, ceftaroline Macrolide drugs - ANSWER-Erythromycin, clarithromycin, azithromycin Macrolide AEs - ANSWER-GI, QT prolongation Tetracycline uses - ANSWER-MRSA, rocky mtn spotted fever, atypicals (mycoplasma pneumonia, chlamydia), spirochetes (Lyme), h.pylori Tetracycline AEs - ANSWER-GI, teeth, hepatic dysfunction, photosensitivity Fluoroquinolone drugs - ANSWER-Ciprofloxacin, levofloxacin, moxifloxacin Fluoroquinolone uses - ANSWER-UTI (cipro or levo), atypicals (mycoplasma, legionella) Fluoroquinolones and dairy or vitamins - ANSWER-Take 2 hrs before or 4 hours after (decrease concentrations) Metronidazole (Flagyl) uses - ANSWER-C. Diff, vaginitis Metronidazole AEs - ANSWER-GI, peripheral neuropathy, disulfiram reaction Nitrofurantoin uses - ANSWER-UTI -not pyelonephritis due to no systemic absorption Nitrofurantoin AEs, contraindications - ANSWER-Pulmonary fibrosis, contraindicated in CrCl <60 (excludes many elderly) Aminoglycoside drugs - ANSWER-Gentamycin, tobramycin Aminoglycoside uses - ANSWER-Atypical coverage, resistant infections, tobramycin for CF only Aminoglycoside AEs - ANSWER-Ototoxicity (irreversible), nephrotoxicity (reversible) Aminoglycoside monitoring - ANSWER-Renal dose adjust, hearing test, drug level monitoring Antifungals (azoles) - ANSWER-Fluconazole, itraconazole Itraconazole interactions - ANSWER-Acid suppressive therapies Fluconazole dose adjust - ANSWER-Renal Antifungal AEs - ANSWER-GI, QTc prolongation (fluconazole) Antifungal drug interactions - ANSWER-QT prolongation meds, warfarin Anti-infectives not for pregnant - ANSWER-Tetracyclines, TMP-SMZ TMP-SMZ coverage - ANSWER-G+, G-, MRSA, Protozoa (toxoplasma gondii), fungus (pneumocystis jirovecii), poor anaerobic activity [Show More]

Last updated: 1 year ago

Preview 1 out of 6 pages