Heath promotion: "Trust your Gut & don't skip a Beat"
HENT & Resp
Pharm Meds
Game of CROHNS
"Under my skin"
100
Name a healthy habit to prevent Obesity and the Tool NP utilize to calculate and evaluate CVD
What is exercise, QUIT smoking, healthy diet, low sodium, low cholesterol diet, Framingham Risk calculator
100
A pt presents with complaints of a burning sensation in the left eye. A physical examination reveals redness and watery, Non purulent discharge. The pt presents with no other physical symptoms or sensations. Based on the pt's s/s , which type of conjunctivitis is the most likely diagnosis?
a. Bacterial conjunctivitis
b. Gonococcal conjunctivitis
c. Allergic conjunctivitis
d. Viral conjunctivitis
What is d.,Viral conjunctivitis (watery eyes no itch) Tx= cool compresses and artificial tears
100
Nursing Practitioner Education: Pt is to temporarily HOLD these medications prior to colonoscopy
What is HOLD NSAIDS, Blood thinners (Anticoagulants), diuretics
100
Name this lower GI diagnostic study to diagnose Crohn's disease
What is Barium enema; that uses fluoroscopy and contrast media to visualize Large intestine
100
You are treating a 50 yr old pt dx :DM type II you know that the pt's blood glucose level tend to surge following consumption of a meal. Which of the following agents would help decrease hepatic glucose production and intestinal absorption of glucose, while improving sensitivity by increasing peripheral glucose utilization and uptake?
a. Metformin,
b. Acarbose
c, Glyburide
d. Insulin Lispro?
What is a., Metformin first line treatment by suppressing hepatic glucose production and internal absorption of glucose, while increasing insulin sensitivity and enhancing peripheral glucose uptake
200
"Locking of the knee usually indicates loose bodies in the affected area. What other type of knee injury would this presentation most likely suggest?
a. Ligament tear
b. Knee sprain
c. soft tissue injury
d. Meniscal tear
What d.Meniscal tear ligament tears more often present with increased translational movement on Lachman's test rather than "locking" of the knee, locking would NOT typically indicate either a soft tissue injury or knee sprain.
200
A pt presents with the following abscess and reports that it appeared suddenly, presenting with pain in the surrounding area. Of the following, which condition is the pt most likely experiencing? 
a. Conjunctivitis
b. Hordeolum
c. Chalazion
d. Blepharitis
What is b.Hordeolum -pt with painful abscess on the upper eyelid or lower eyelid is experiencing hordeolum Chalazion may present as an abscess but does NOT typically present with pain.
200
Name the treatment medications for H.Pylori
200
True or False: you have the following in Crohn's
Cramping, Colicky abdominal pain
Diarrhea (can be bloody) worse with fatty
foods/spices/dairy, Weight GAIN, Low grade fever
False: you will have Weight LOSS
200
What is Herpes Zoster pt will present with pain along the Dermatome
300
Name a risk factor for GERD
Any agent that lowers lower esophageal sphincter pressure:
o Acidic and fatty foods
o Alcohol
o Cigarette smoking or tobacco chewing
o Other drugs ie: nonsteroidal anti-inflammatory drugs
Obesity
Connective tissue disorders
Asthma and other respiratory disorders
Pregnancy
300
Which of the following findings typically distinguishes a viral form of pharyngitis from a bacterial form of the condition?
a. Fever
b. Erythematous pharynx
c. painful throat
d. Rhinorrhea
What is d., rhinorrhea as it does not typically produce in cases of bacterial pharyngitis.
300
Name a PPI for tx Gastric or Duodenal Ulcers
What is
Proton pump inhibitors, such as omeprazole
300
Diagnostic test Upper endoscopy and colonoscopy will show– patchy inflammation and cobblestone appearance
True or False?
True
300
______ is the most frequent cause of acute
abdomen in the United States and the _____ is the classic sign to test for this
What is Appendicitis 
Appendix becomes inflamed and edematous as a result of becoming kinked or occluded by a fecalith or lymphoid hyperplasia The inflammatory process increases intraluminal pressure, causing edema and obstruction of the orifice. Once obstructed, the appendix becomes ischemic,bacterial overgrowth occurs,and eventually gangrene or perforation occurs. S/S: Vague periumbilical pain progressing to sharp Right Lower
Quadrant pain, nausea, loss of appetite, rebound tenderness,constipation, fever, Rovsing’s sign
400
Name this viral Hepatitis that is
• Transmitted through blood, saliva, semen, and vaginal secretions; sexually transmitted; transmitted to infant at the time of birth
• A major worldwide cause of cirrhosis and liver cancer
What is Hepatitis B
400
An examination and series of lab panels for an elderly patient with pneumonia is most likely to show which finding?
a. Low WBC
b. Increased hematocrit
c. Decreased fremitus
d. Rigid chest wall
What is a.,low WBC in elderly, due to natural decreased immune function
increased fremitus rather than decreased fremitus is common in pt's with pneumonia
400
Name the First line medication treatment for pt with gonococcal pharyngitis
a. Levofloxacin
b. Penicillin V
c. Prednisone taper
d. Ceftriaxone
What is d, Ceftriaxone 
400
What are the medications used for Crohn's
Medications: Sulfasalazine or mesalamine,
corticosteroids, immune modulators
400
Name this Oncologic manifestations of HIV
Kaposi sarcoma
Cutaneous lesions, but may involve multiple organ systems
Lesions cause discomfort, disfigurement, ulceration, and potential for infection
most common sites: lymph nodes, gastrointestinal tract, and lungs. Involvement
of internal organs may eventually lead to organ failure, hemorrhage, infection,
and death.
500
Name the most common cause of Pancreatitis and the Mnemonic tool NP use in clinical practice
What is ETOH abuse and Gallstones, NPs use the "CAGE " questionnaire
500
An otherwise healthy 45-yr old pt with atypical pneumonia would best be treated with which medication?
a. Macrolide
b. Antileukotriene
c. Short acting Beta 2adrenergic agonist
d. Fluroquinolone
What is a. Macrolide such as Azithromycin
500
Name an Antacid for the Tx of GERD
Mylanta (Mg, simethicone, aluminum hydroxide)Tums (Calcium chew)
500
Nurse education: give examples of a diet plan for a pt with Crohn's Disease
Diet: Avoidance of foods that worsen diarrhea/raw fruits and vegetables/ adequate caloric, protein, and vitamin intake/Parenteral nutrition only if necessary / Soft, bland foods during flareups
500
A pt comes to your office with asymmetrical skin lesions that are elevated and larger than 6mm. The color of the lesions varies from brown to purple, and the borders are irregular. Which of the following is the most likely diagnosis?
a. Malignant melanoma
b. Squamous cell carcinoma
c. Basal cell Carcinoma
d. Kaposi's sarcoma
a. Malignant Melanoma Asymmetrical, elevated, >6mm, Squamous cell carcinoma typically presents with scaly patches and a sharp margins larger than 1 cm, Basal cell carcinoma usually presents as papule and then generally progresses into red ulcer with rounded borders. Kaposi's sarcoma is characterized by patches, lesions, or papules that are pink, violet, or brown. See below: