FNP Board review questions and answers already passed

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FNP Board review questions and answers already passed A 24-year old, otherwise healthy college student presents with c/o cough x 6 weeks. She has tried several OTC cough meds with no improvement. W... hat is the most important information to consider when building your differential diagnoses? A) Her age B) Family hx C) Ineffectiveness of OTC cough medicines D) Length of time she has been coughing ✔✔D) Length of time she has been coughing Why? This information helps you build your ddx Acute cough < 3 weeks: bronchitis, sinusitis, PND, exacerbation of COPD/asthma, pneumonia, pulmonary embolism Chronic cough (>8 weeks) GERD and Asthma are most common causes, also consider infection (e.g. pertussis, atypical pneumonia), ACE inhibitors, chronic bronchitis, bronchiectasis, lung ca) According to the CDC, what drug class is considered first-line treatment for pertussis? A) Sulfonamide B) Tetracycline C) Macrolide D) Beta-lactam ✔✔C) Macrolide antiobitic (e.g. Azithromycin, clarithromycin Sulfonamides are second-line Match the antibiotics with the correct drug class: 1. Sulfonamide 2. Tetracycline 3. Macrolide 4. Beta-lactam A. Doxycyline B. Azithromycin C. Penicillins D.Trimethoprim-Sulfamethoxazole E. Cephalosporin F. Clarithromycin ✔✔1. Sulfonamide - D.Trimethoprim-Sulfamethoxazole (Bactrim) 2. Tetracycline - A. Doxycycline 3. Macrolide - B & F, Azithromycin and Clarithromycin 4. Beta-lactam - C & E, PCN and cephalosporins What are the three most common bugs in community-acquired pneumonia? ✔✔Streptococcus pneumoniae Mycoplasma pneuomiae (atypical pathogen) Chlamydophila pneumoniae (atypical pathogen) What is the treatment for CAP caused by Strep pneumo? ✔✔Respiratory quinolone (e.g. Levofloxacin, moxifloxacin, gemifloxacin) OR high-dose amoxicillin OR amoxicillin with clavulanate What antibiotics are avoided in CAP caused by Strep pneumo due to high rates of resistance? ✔✔Macrolides [Show More]

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