Acute Care Nurse Practitioner

Front 1

CN IX

CN X

Back 1

Glossopharyngeal
- tongue, throat

Vagus
-parasympathetic

Front 2

CN XI

Back 2

Spinal Assessory
- sternocleidomastoid
- trapezious muscle

Front 3

CN XII

Back 3

Hypoglossal
- speech, chewing, swallowing

Front 4

1st Line tx Prostatitis

Back 4

Bactrim

Front 5

gonococcal conjunctivits

Back 5

tx. with ceftriaxone 1 gram IM and topical antibitotic solution

Front 6

indication of intubation of asthmatic

Back 6

hypercapnea pCO2 > 45

or

FEV1 or PEFR <40cc

Front 7

When to admit asthmatic to inpatient care?

Back 7

If FEV1 or PEFR <70cc after 1 hour of ER tx

Front 8

CAP tx for previously healthy pt, no recent antibiotic use

Back 8

Macrolide
(erythromicin, clarythromycin, azithromycin)

OR

Tetracycline
(Doxycycline)

Front 9

CAP for pt w/ comorbidities

Back 9

Respiratory flouroquinolone
(Levofloxacin, moxifloxacin, gemifloxican)
OR

Macrolide
(erythromycin, clarithromycin, azithromycin)
PLUS
Aminopenicillin
(amoxicillin)
beta-lactamase inhib combo
(amoxixillin-clavulanate)
Ceftriaxone, Cefpodoxime, Cefuroxime

Front 10

CAP tx for inpatient in ICU

Back 10

Beta Lactam + Macrolide

OR

Respiratory floroquinilone
(Levofloxacin, moxifloxacin, gemifloxican)

--> PCN allergy use fluoroquinolone & aztreonam

Front 11

Tx for ICU pt w/ pseudomonas

Back 11

Anti-pseudomonal PCN
(Piperacillin, Ticarcillin, Piperacillin/tazobactam, Ticarcillin/clavulanate)

PLUS

Ciprofloxacin or Levofloxacin
Or
Aminoglycoside
(Gentamicin, tobramycin, amikacin, streptomycin, neomycin- PO only)

OR

Azithromycin (Macrolide)

OR aminoglycoside and
antiseudomonal flouroquinolone (Ciprofloxacin, levofloxacin)

Front 12

Drugs and states that cause digitalis toxicity

Back 12

1) Quinidine
2) NSAIDS
3) ASA
4) Verapamil
5) Hypokalemia

Front 13

Drug used to treat organophosphate poisoning.

Back 13

Pralidoxime

Front 14

Normal FEV1
Normal FVC
Normal FEV1/FVC

Back 14

FEV1 = 4.150
FVC = 5.2
FEV1/FVC = 80%

Front 15

Someone who is Immune to Hep B secondary to natural infection

Back 15

Neg - HBsAg
Pos - anti-HBc
Pos - anit-HBs

Front 16

Immune to Hep B 2 vaccination

Back 16

Neg - HBsAg
Neg - anti-HBc
Pos - anti-HBs

Front 17

Acutely infected with Hep B

Back 17

Pos- HBsAG
Pos- anti-HBc
Pos - IgM anti-HBc
Neg - anti-HBs

Front 18

Chronically infected with HBV

Back 18

Pos - HBsAg
Pos - anti- HBc
Neg- IgM anti-HBc
Neg - anti-HBs

Front 19

Location
Cause
of Brown-Sequard's Syndrome

Back 19

location--> spinal cord

cause--> penetrating trauma

Front 20

Treatment of Brown-Sequard' Syndrome

Back 20

Immobilization

Steroids

Front 21

Location
Cause
of
Central Cord Syndrome

Back 21

location --> cervical spinal cord

cause--> hyperextension injury

Front 22

Symptoms of Central Cord Syndrome

Back 22

- upper and lower extremity weakness
- sensory loss
- impaired pain, temp, light touch, proprioception below the level of the injury

Front 23

Treatmento of Central Cord Syndrome

Back 23

ICU monitor for 24 hrs
steroids
monitor for autonomic dysreflexia

Front 24

Mitral valve prolapse is associated with what type of murmur?

Back 24

late systolic murmur with a click heard best at the apex. Murmur is enhanced with squatting.

Front 25

GI parasite related to eating undercooked pork

S/S
Dx

Back 25

Trichinella spiralis
--> GI upset
fever
periorbital edema
general malaise

DX: muscle biospy and eiosinophillia

Front 26

S/S of impetigo....

Diseases it is associated with....

Back 26

Honey colored scabs formed from dried serum on arms, legs, face.
Highly contagious, flu like symptoms:
fever, H/A, myalgia, vomiting

poststreptococcal glomerulonephritis

Front 27

Which disease may produce chronic monoarticular arthritis

Back 27

Osteoarthritis

Front 28

Which disease classically produces a migratory pattern of arthritis?

Back 28

Gonoccoccal arthritis

Front 29

Major Jones Criteria for the diagnosis of

Acute Rheumatic Fever?

Back 29

SPACE

S: Subcutaneous nodules
P: Pancarditis
A: Arthritis
C: Chorea
E: Erythema marginatum

Front 30

Tx of acute rheumatic fever

Back 30

- decreasing inflammation with NSAIDs/ corticosteroids

- antibiotics for strep -->
PCN or erythromycin

Front 31

Tumor lysis syndrome is usually associated with which electrolyte abnormilty?

Back 31

hypocalcemia

Front 32

Prophylaxisis for malaria....

Back 32

Doxycylcine

Front 33

What may a high AFP level be seen in?

Back 33

Spina bifida

Front 34

Tx of neutropenic fever includes...

Back 34

- Two Beta lactams

or

- Beta Lactam AND aminoglycoside

- Imepenum as a single agent

Front 35

Lab findings in mescenteric ischemia


PE

Back 35

Leukocytosis
metabolic acidosis
elevated amylase and transaminases

PE:
- occult blood
- abdominal bruit (chronic)
- tenderness to palpation

Front 36

Triad of Symptoms associated with mescenteric ischemia:

Back 36

1) weight loss
2) interstinal angina
3) presence of atherosclerotic occlusive disease elsewhere

Front 37

Tx of pt who is HBeAg +

Back 37

interferon alpha

Front 38

Charcot's Triad

Back 38

Seen in Choledocholothiasis
- bile duct obstruction associated with a history of biliary colic or prior jaundice.

1) RUQ Pain
2) Fever/Chills
3) Jaundice

Front 39

Courvoiser's sign

Back 39

A gallbladder that is palpable, distended, and nontender.

Front 40

What is the normal opening pressure in an LP?

Back 40

50- 180 mmHg in the lateral ducubitus position

Front 41

Therapeutic level of Gentamycin?

Back 41

5-10 ug/mL

Front 42

Therapeutic level of Amikacin?

Back 42

> 20 u/mL

Front 43

First line tx for bronchitis

Back 43

Aminopenicillin (ampicillin or amoxicillin)

Front 44

Cushings Reflex indicates....

Back 44

direct brain stem compression and it indicates that cerebral perfusion pressure is not sufficient to meet oxygen needs of the brain.

Front 45

Pneumococcal pneumonia treatment is for a minimum of how many days?

Back 45

10 days

Front 46

What is caude equina syndrome?

Back 46

Compression of the lower lumbar and sacral roots.
--> lower extremity paralysis, sensory loss, bladder and rectal dysfunction

Front 47

Describe herniate disc pain.

Back 47

Radicular
Virtually always traveling to the buttocks or beyond.
- Pain is NOT affected by position changes or rest.

** There is almost always PARASTHESIA distributed along dermatome affected**

Front 48

Central cord syndrome occurs from-->

TX

Back 48

Hyperextension injury (injury to the centrally located spinal cord tracts)

Management--> steroid administration and monitoring for
autonomic dysreflexia (like HTN)

Front 49

A patient got hit in the forehead, now he has upper and lower extremity weakness.

Impaired pain perception and loss of proprioception.

What type of injury is this?

Back 49

Central Cord Syndrome

Front 50

What should be given to an asthamtic during permissive hypercapnia if their pH < 7.25?

Back 50

A buffering agent--> Sodium bicarbinate

Front 51

This is a febrile illness noted in AIDS patients sometimes following the initiation of antiretroviral therapy

Back 51

Immune reconstitution syndrome

Front 52

How is the noncardioselective beta blocker dose prescribed to prevent esophageal varicces?

Back 52

Dose is determined by:

1) a decrease in the resting HR by 25%
2) decrease of Hr to 55 bpm
3) or development of adverse effects

Front 53

What is the treatment of choice for esophageal varices if discovered before GI bleeding has occured?

Back 53

noncardioselective beta blockade

There is a 45 % reduction is risk of bleeding.