AANP-FNP lightning round review-2

AANP-FNP lightning round review-#2 1.How many sets of Kegels should be done each day to help with urinary incontinence?-Three sets of 10 a day

• What is the first line treatment for allergic rhinitis?

- intranasal corticosteroid—ie: Flonase.

• What is the term used for the loss of high-pitched tones in geriatrics?

-Presbycusis

• What type of hearing loss does cerumen impaction cause?
• Conductive hearing loss
• You see an older woman bending over leaving on her shopping cart at the grocery store. What is

the likely diagnosis?-Spinal stenosis

• Multiple myeloma is disease of what?

-Plasma cells

• What test in the office can you use to help diagnose sciatica?
• Straight leg test (Always pick the cheapest, most noninvasive tests first!!)
• I have heel pain that is worse in the morning. What is my likely diagnosis?
• Plantar fasciitis
• The Lachman test is used to help diagnose what?
• ACL
• Other tests for acl include

-anterior and posterior drawer tests

• What is the treatment for gout and what would be the medication instructions for a flare?
• Colchicine and take 1.2 mg at the first sign of flare, followed in 1 hour with a single dose of 0.6

mg.

• What is a sign of colchicine toxicity?
• Diarrhea
• What is a common cause of posterior knee pain?

-Baker’s cyst

• Cotton wool spots, neovascularization and microaneurysms are all Eye exam findings in what

condition? -Diabetes

• And what about AV nicking and what it is?
• HTN, when an artery crosses over a vein
• What is the treatment for bacterial sinusitis?

-Augmentin

• I’m tired, have a sore throat and swollen posterior cervical nodes on exam. What is the likely

diagnosis? -Mono--The best thing I can say to help differentiate those two for memory is that P in posterior is closer to M in mono in the alphabet so that’s how I remember!

• Recall that swollen ANTERIOR cervical nodes are seen in
• strep.
• What is a common side effect of Pyridium, an anti-spasmodic for dysuria?

-Orange colored urine

• What would be included in your list of differentials for hematuria?

-Bladder cancer, kidney stones, exercise induced, trauma, medications, infection, and BPH are the most common reasons

• What is the medication treatment for MRSA?

Bactrim

• What are some symptoms a patient with lupus would complain of?
• Fatigue, malar rash aka butterfly rash, and joint aches.

23.And what is the lab that you would order it to confirm it?-ANA

• What is the term used to describe dry, itching skin?

-Xerosis

• What is the most common kind of skin cancer?
• Basal cell carcinoma reminder that this cancer presents as a pearly domed nodule, pink or flesh

colored and usually has telangiectasia present

• What medication is used to treat a cat or dog bite?

-Augmentin (dogmantin)

• What do you think of when you hear a bright beefy red rash and what is the treatment?
• Candidiasis and treatment is topical anti-fungal (e.g diaper rash)
• How would you describe the prostate in BPH?
• Firm, rubbery, smooth and symmetrically enlarged. NB that prostate cancer on the other hand is

asymmetrical

• A1C> what is considered T2DM? >6.5%
• My A1C is >10, what would be the medication of choice? Insulin (also first choice medication if

fasting glucose is >300!)

• Hypothyroidism is most common in what population?
• Women >50yrs
• Your pediatric pt has bloody discharge in his ear, what’s the likely dx?
• Ruptured TM
• Your patient presents with a burn and blisters are present. What degree burn is this?

-2 nd degree 34 What is the treatment for pertussis?

• Macrolide (Azithromycin)
• What bug causes the greatest mortality in community acquired pneumonia? Strep pneumo
• What would be seen on xray of a pt with TB? A black circle usually in the upper lobes
• Most common side effect of long-term inhaled corticosteroid use?

-Osteopenia and cataracts

• S3 heart sound is a sign of what?

-Congestive heart failure (keep in mind they’re normal during pregnancy)

• What medication do use to treat a fib?