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FNP Exam # 1 Review Questions and Correct Answers (Complete Solution) Graded A+

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FNP Exam # 1 Review Questions and Correct Answers (Complete Solution) Graded A+ A three year child presents with hematuria, petechiae, and a platelet count of 50000 (normal=150,000 - 450,000) the rest of his CBC is normal. He had an upper respiratory infection about 2 weeks ago. on exam today, he is found to have petechiae and bruises. the most likely diagnosis is: ✔✔ Idiopathic thrombocytopenia purpura (ITP) this child's platetet coun is below normal. the term used to describe this is thrombocytopenia. ITP most common in between 2-4 years. nosebleeds and bleeding gums, especially with bruising of teeth ✔✔ are common in ITP (idiopathic thrombocytopenia purpura) underlying cause is unknown, a common historical finding is an upper respiratory infection within the previous 4 weeks of the onset of ITP. the internal inguinal ring is the most common site ✔✔ for development of an indirect inguinal hernia Direct inguinal hernia occur through ✔✔ Hesseelbach's triangle HIV testing during pregnancy: ✔✔ Is recommended by many learned authorities, CDC, ACOC recomends an "opt-out" approach to HIV screening in pregnant patients. Drugs that target the renin-angiotensin-aldosteron system are particularly beneficial in patients with ✔✔ Diabetic nephropathy ACEI and ARB target the renin-angiotensin-aldosterone system. these drugs prevent and treat Diabetic nephropathy as well as decrease BP. Babies up to one year of age called ✔✔ Infant (1=I) newborns = upto 1 month toddlers = 2-3years old subacute bacterial epididymitis (25 yo male) should be treated initially with ✔✔ doxycycline 100 mg BID for 10 - 14 days or longer (likely organism = Chlamydia) a patient who is at high risk for skin cancer should ✔✔ examine his skin monthly for changes which of the following symptoms is typical of GERD? chest pain cough sore throat Pyrosis ✔✔ Pyrosis (heartburn) typical symptoms for GERD is Pyrosis (heartburn). other symptoms are atypical. patient who present with atypical symptoms of GERD, especially if older than 50 years, should be considered for endoscopy. A side effect of Dtap that should be reported is: ✔✔ Temperature of 103F. a 70 year-old African American male complains of pain in his back and trunk. Cardiovascular disease is rule out. He has a normocytic normochromic anemia with hypercalcemia. A likely diagnosis is: ✔✔ Multiple myeloma Multiple myeloma is a neoplastic proliferation in the bone marrow which results in sketetal destruction. it is more common in older adult (avg. 66yo) common clinical findings of Multiple myeloma are ✔✔ pain in the long bones, especially those of the trunk and back. accompanying findings are anemia usually normocytic/normochromic, hypercalcemia, and renal insufficiency. A patient with testicular torsion will have ✔✔ a negative cremasteric reflex on the affected site. testicular swelling and pain. Contraindication on giving MMR is ✔✔ Encephalopathy within 7 days after immunization An elderly adult with an appendicitis is unlikely to exhibit ✔✔ initial WBC elevation Very young children and elderly are not likely to have initial WBC elevation. Consequenlty appendicitis can be easily missed in these populations. which medication listed below could potentially exacerbate CHF in a susceptible individual? Naproxen HCTZ Lovastatin Loratadine ✔✔ Naproxen Naproxen is an NSAIDs. NSAIDs cause sodium retention and thus, water retention. The pneumococcal immunization in infants has ✔✔ shifted the pathogenesis to fewer cases of S. Pneumoniae

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