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 28-year-old woman presents with a painless, indurated genital ulcer with a clean base and no exudate. Inguinal lymphadenopathy is non-tender. What is the most likely diagnosis?
Answer: Primary syphilis
A clean, painless, indurated ulcer (chancre) with non-tender lymphadenopathy is the hallmark of primary syphilis caused by Treponema pallidum.
An adult patient on lithium therapy presents with coarse tremor, confusion, and GI upset. Serum lithium level is 2.4 mEq/L. What is the immediate priority?
Answer: Discontinue lithium and provide supportive care with hydration
Lithium toxicity at levels >2.0 mEq/L with symptoms requires immediate discontinuation, volume resuscitation, and possibly hemodialysis for severe cases.
Which physical exam finding is most consistent with aortic stenosis?
Answer: Harsh systolic crescendo-decrescendo murmur at the right upper sternal border
Aortic stenosis produces a harsh systolic ejection (crescendo-decrescendo) murmur best heard at the right upper sternal border, radiating to the carotids.
A 40-year-old woman with fatigue, weight gain, cold intolerance, and constipation has a TSH of 9.2 mIU/L and free T4 of 0.6 ng/dL. What is the treatment?
Answer: Levothyroxine therapy
Primary hypothyroidism with elevated TSH and low free T4 is treated with synthetic levothyroxine (T4) replacement therapy.
A 5-year-old presents with periorbital edema, frothy urine, and abdominal pain. Urinalysis shows 4+ protein. Which condition is the most common cause in this age group?
Answer: Minimal change disease
Minimal change disease is the most common cause of nephrotic syndrome in children aged 1–8 years and typically responds well to corticosteroids.
A 60-year-old man with a 40 pack-year history undergoes low-dose CT lung cancer screening. What are the eligibility criteria per USPSTF guidelines?
Answer: Ages 50–80, 20 pack-year history, current or former smoker quit within 15 years
USPSTF 2021 guidelines recommend annual low-dose CT for adults aged 50–80 with a 20 pack-year history who currently smoke or quit within the past 15 years.
Which intervention is recommended for a 70-year-old woman with a DEXA scan T-score of -2.7 at the lumbar spine?
Answer: Initiate pharmacologic therapy with a bisphosphonate
A T-score of ≤-2.5 meets the diagnostic criteria for osteoporosis and warrants pharmacologic treatment, typically with a bisphosphonate, along with calcium and vitamin D.