Adult Nurse Practitioner

Front 1

Symptoms of asthma

Back 1

wheeze, cough (worse at night)
difficulty breathing, chest tightness, PEF deviation 20% diurnelly or pbronchodilator

Front 2

What does cxr reveal?

Back 2

normal or hyperinflation

Front 3

What is goal of asthma treatment?

Back 3

tx symptoms, stop exacerbations, decrease damage

Front 4

How is dx TB made

Back 4

sputum
cxr shows only old exposure

Front 5

What is the fundamental advantage of the helicopter over conventional aircraft?
A. Its ability to hover low
B. its ability to hover over water
C. its movement independent of foward speed
D. none of the above

Back 5

C-its movment independent of foward speed

Front 6

Define fever w/o source

Back 6

unexp. fever >100.4 x5-7days

Front 7

Define hyperthermia

Back 7

increase in body temp w/o increase altered hypothalmic set point.

Front 8

what is the parameter of increased hr w/fever

Back 8

10-15 bpm w/ea. 1 deg C

Front 9

Pt pesents w/fever and petchial chgs soft palate what is the dx

Back 9

bacterial endocarditis

Front 10

How do you determine ideal body wt?

Back 10

100lbs for 1st 5'. Then 5lbs for eac inch female, 6lbs per inche male. Then dtrm frame by wrist:s,m, lg

Front 11

Do elderly patients experienced increase appetite or decreased appetite if hyperthyroid disease?

Back 11

decreased appetite, and weakness

Front 12

Does serum calcium increase or decrease w/wt loss

Back 12

increase

Front 13

Is this metastic or a reactive node? hard, painless, matted, fixed, >2-3cm

Back 13

metastic

Front 14

Is this reactive or metastic node? discrete,mobile, rubbery, mildly tender

Back 14

reactive

Front 15

What is mcburneys sign

Back 15

pt pain over appendix

Front 16

What is psoas sign?

Back 16

pain lifting flexed rt thigh against resistance could indicate inflamed appendix

Front 17

What is obturator sign

Back 17

pain w/internal rotation of rt thigh

Front 18

Rovsings sign?

Back 18

RLQ pain palpated on LLQ

Front 19

Kernigs sign?

Back 19

legs flexed can not lower leg
mengingitis

Front 20

brudzinski

Back 20

passive mvmt on leg causes similar mvmt in opposite
mengingitis

Front 21

what is the triad of signs indicative meningitis?

Back 21

nuchal ridgity, kernigs, and brudzinski signs.

Front 22

What is the length of time for acute cough?

Back 22

<3weeks

Front 23

What is length of time for chronic cough ?

Back 23

>3-6wks and do cxr if unexplained

Front 24

What is the most common pathogen for pneumonia?

Back 24

Strep. pneumonia

Front 25

What is are the lipid goals for someone w/2+risk factors?

Back 25

LDO <130, 130-159 lifestyle chgs, >160 statin

Front 26

When providing care for someone on HMG-CoA what should be monitored?

Back 26

. aspartate aminotransferase

Front 27

should resins (cholestyramine be prescribed w/high tri's

Back 27

no

Front 28

What is the action of ezetimibe?

Back 28

blocks absorption of cholesterol

Front 29

What is BMD measurement for increase in fx

Back 29

>2.5

Front 30

how many of dx criteria do you need for RA dx

Back 30

4

Front 31

What is the single recommended dose of prednisone for migraine?

Back 31

100mg

Front 32

What is recommended dose of inderal for DM or Asthmatic?
may hide signs of hypoglycemia

Back 32

start and 10mg and titrate up

Front 33

Which triptan has longest 1/2 life and slowest onset?

Back 33

Frovatriptan-24 1/2 life and 2hr onset

Front 34

What would a pts platelet count be to not give tpa after stroke?

Back 34

<100,000

Front 35

Which cranial nerve is affected in Bells Palsey?

Back 35

7th

Front 36

Assessming vision and visual fields involve which cranial nerve?

Back 36

CN2

Front 37

Paralysis of extraocular mvmts is what cn?

Back 37

CN3

Front 38

Loss of corneal reflex is seen w/what cn?

Back 38

cn 3

Front 39

Loss of corneal reflex is seen in dysfunction of?

Back 39

CN5

Front 40

What is murphys sign and what could it inidicate?

Back 40

Pain on inspiration when the examiner's fingers are under right costal margin next to the rectus abdominalis, associated with acute cholecystitis

Front 41

aspartate aminotransferase-AST is indicative of ?

Back 41

liver, cardiac, skeletal muscle, kidney

Front 42

ALT?

Back 42

more specific for liver-tylenol toxicity, alcohol

Front 43

glutamyltransferase in eoth

Back 43

2x's normal w/ast:alt ratio 2:1

Front 44

Dietary guidelines for DM

Back 44

15 cals/ideal body wt
20 if active
25 if heavy phy labor

Front 45

what does metformin do?

Back 45

decrease hepatic glucose output

Front 46

what do sulfonylureas do?

Back 46

insulin secretagogues (stim beta cells)_ glimepiride, glyburide, and tolazamide

Front 47

a-glucosidase inhibitors do?

Back 47

delay carb absorption acarbose (brand name Precose and glycet

Front 48

ADA recommendations for BP and lipids

Back 48

BP <130/80
LDL <70, Tri <150, HDL men >40 woman >50

Front 49

How often should synthroid be chgd?

Back 49

q6-8wks

Front 50

What is recommended dose for initiatiaiton synthroid

Back 50

25-100mcgs. Older w/cad 25mcg.
1.6mcg/kgday avg maintenance

Front 51

Common cause otitis externa?

Back 51

swimming, allergies
It is inflammation of extenal aud canal

Front 52

Otitis media

Back 52

inflammation of eustachian tubes
TM red and bulging

Front 53

Treatment for otitis media

Back 53

amoxicillin 500mg tid x10days

Front 54

What is atb treatment for sinusitis?

Back 54

Amoxicillin 500mg tid

Front 55

what distinguishing factor does cervical cancer have?

Back 55

postcoidal bleed