Family Nurse Practitioner Knowledge Flashcards
7 cards from real Family Nurse Practitioner Test practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 7 Family Nurse Practitioner Knowledge flashcards as text
A 45-year-old with newly diagnosed hypertension also has chronic kidney disease (eGFR 42). Which antihypertensive is the first-line choice?
Answer: Lisinopril
ACE inhibitors (e.g., lisinopril) are first-line in CKD with hypertension due to their nephroprotective effects and reduction of proteinuria.
Which vaccine is contraindicated in a pregnant woman at 20 weeks gestation?
Answer: MMR
MMR is a live-attenuated vaccine and is contraindicated during pregnancy due to theoretical risk of fetal infection.
A 7-year-old child is brought in with a rash that started on the face and moved to the trunk, along with low-grade fever and Koplik spots. What is the diagnosis?
Answer: Measles
Koplik spots (white spots on the buccal mucosa) are pathognomonic for measles (rubeola), which presents with cephalocaudal rash spread.
A patient with rheumatoid arthritis on methotrexate develops oral ulcers and fatigue. Which supplement should be routinely recommended?
Answer: Folic acid
Folic acid supplementation reduces methotrexate-related adverse effects including mucositis, GI upset, and cytopenias.
A 72-year-old presents with sudden onset of painless vision loss in one eye described as a 'curtain coming down.' What is the most likely diagnosis?
Answer: Retinal detachment
Painless, sudden vision loss described as a descending curtain is the classic presentation of retinal detachment, an ophthalmologic emergency.
Which parameter is used to calculate the CURB-65 score for pneumonia severity?
Answer: Blood urea nitrogen >19 mg/dL
CURB-65 includes Confusion, Urea >7 mmol/L (BUN >19 mg/dL), Respiratory rate ≥30, Blood pressure <90/60, and age ≥65 to assess pneumonia severity.
A 16-year-old athlete presents with anterior knee pain worsened by stairs and prolonged sitting. Examination reveals tenderness at the inferior pole of the patella. What is the most likely diagnosis?
Answer: Sinding-Larsen-Johansson syndrome
Sinding-Larsen-Johansson syndrome involves traction apophysitis at the inferior pole of the patella, distinct from Osgood-Schlatter which affects the tibial tuberosity.