FNP Exam Tips to help you pass your exam on the first try! AANP/ANCC

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• Capsaicin cream can be used to treat trigeminal neuralgia • Maximum number of days for Toradol can be used is 5 days • The max dose of Tylenol ranges from 3g – 4g/day. • Aspirin irreve... rsibly suppressed platelet function for up to 7 days (due to irreversible acetylation). Lifespan of platelets is about 7 to 10 days. • D/C ASA if patient complains of tinnitus (possible aspirin toxicity). • The Weber and Rinne tests results are complete opposites of each other. For example, in sensorineural hearing loss, Rinne is AC greater than BC. In conductive hearing loss, it is Rinne BC greater than AC. During the exam, you could write this on your scratch paper. • Seasonal allergic rhinitis: Topical steroid nasal spray (Flonase) is first line treatment • New onset urticaria: Benadryl or Zyrtec work well. Benadryl causes sedation and effects last several hours. Zyrtec is non-sedating and lasts 24 hours. • Acute or reactivated mononucleosis can present with a generalized maculopapular rash, enlarged cervical nodes that are tender to touch, enlarged tonsils with cryptic exudate (white or darker color), sore throat. • Treatment for otitis externa is Cortisporin otic drops (topical antibiotic combined with a steroid). • Common bacterial pathogen in otitis externa is pseudomonas aeruginosa. • Ruptured spleen in a catastrophic event. Avoid contact sports (4 weeks) until ultrasound documents resolution. • Betimol (timolol) ophthalmic drops have the same contraindications as oral beta blockers. • Cholesteatoma presents in affected ear with hearing loss, no TM, purulent exudate with odor, and yellowish to whitish cauliflower-like mass inside the middle ear. • PCN allergic patients use macrolides, gram positive coverage quinolones (avoid cephalosporins if had class I reaction or anaphylaxis from PCNS) [Show More]

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