HTN & T2DM

NP Certification Q&A

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הוסף לפני two שנים

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The Sarah Fraser Show

1
SISTER WIVES: The Brown Family Plans Garrison's Funeral, Gives NEW Details About His Passing. Justin Baldoni v Blake Lively UPDATES, First Pictures Of Micah Plath’s Broken Nose Have Surfaced!… 36:16

לפני 7 ימים36:16

הפעל מאוחר יותר

רשימות

לייק

אהבתי

36:16

DANMMMMM…Have I got a show for you! First, a lot of Sister Wives tea - new rumors have surfaced Janelle Brown is leaving the show. Plus, Gabe Brown gives a life update after losing and tragically finding his brother Garrison dead. Sadly, Garrison took his own life in March 2024. Then we head over to discuss the new Welcome To Plathville tea. The first pictures of Micah Plath have surfaced after being beat up by his brother Issac and it doesn’t look good for the future of his modeling career. Lastly, we discuss the latest in the Justin Baldoni v Blake Lively case, Justin is back on social media and it was the perfect social media return. Timestamps: 00:00:00 - Open and new Sister Wives news 00:05:43 - Janelle Brown leaving the show? Sister Wives Closet is officially closed 00:12:45 - A new pic of Micah Plath’s broken nose has surfaced 00:18:18 - Justin Baldoni back on social media and Taylor Swifts team is pissed at Justin Baldoni MY Go Big Podcasting Courses Are Here! Purchase Go Big Podcasting and learn to start, monetize, and grow your own podcast. USE CODE: MOM15 for 15% OFF (code expires May 11th, 2025) **SHOP my Amazon Marketplace - especially if you're looking to get geared-up to start your own Podcast!!!** https://www.amazon.com/shop/thesarahfrasershow Show is sponsored by: Download Cash App & sign up! Use our exclusive referral code TSFS in your profile, send $5 to a friend within 14 days, and you’ll get $10 dropped right into your account. Terms apply Horizonfibroids.com get rid of those nasty fibroids Gopurebeauty.com science backed skincare from head to toe, use code TSFS at checkout for 25% OFF your order Nutrafol.com use code TSFS for FREE shipping and $10 off your subscription Rula.com/tsfs to get started today. That’s R-U-L-A dot com slash tsfs for convenient therapy that’s covered by insurance. SkylightCal.com/tsfs for $30 OFF your 15 inch calendar Quince.com/tsfs for FREE shipping on your order and 365 day returns Warbyparker.com/tsfs make an appointment at one of their 270 store locations and head to the website to try on endless pairs of glasses virtually and buy your perfect pair Follow me on Instagram/Tiktok: @thesarahfrasershow ***Visit our Sub-Reddit: reddit.com/r/thesarahfrasershow for ALL things The Sarah Fraser Show!!!*** Advertise on The Sarah Fraser Show: thesarahfrasershow@gmail.com Got a juicy gossip TIP from your favorite TLC or Bravo show? Email: thesarahfrasershow@gmail.com Learn more about your ad choices. Visit megaphone.fm/adchoices…

לפני שנה 7:58

MP3•בית הפרקים

A 49-year-old woman with type 2 diabetes mellitus was started on a standard dose of an ARB daily 6 weeks ago for the management of hypertension. Today her blood pressure is 128/78 mm Hg, stating she is taking the medication without difficulty and is feeling well. The appropriate action at this time would be to:
A. Order a white blood cell count to assess for neutropenia.
B. Continue her current medication regimen.
C. Add HCTZ to enhance HTN control.
D. Obtain a 12-lead ECG
---
YouTube: https://www.youtube.com/watch?v=7Qai4U4zO5o&list=PLf0PFEPBXfq592b5zCthlxSNIEM-H-EtD&index=74

Visit fhea.com to learn more!

115 פרקים

#Higher Education #Podcasting Education #Fitzgerald Health Education Associates #Nurse Practitioners #Np Certification Exam #Test Prep

HTN & T2DM

NP Certification Q&A

published לפני שנה

שתפו

MP3•בית הפרקים

Visit fhea.com to learn more!

115 פרקים

#Higher Education #Podcasting Education #Fitzgerald Health Education Associates #Nurse Practitioners #Np Certification Exam #Test Prep

Alle afleveringen

1
Cancer Screening Recommendation 11:30

לפני 1 day11:30

11:30

A 52-year-old man presents for an initial primary care visit at the nurse practitioners practice period he has not seen any health care providers since age 38, stating that he has been in good health. Social history, drinking approximately 2 beers per night over the weekend, two nights per week, has a 5 pack year cigarette smoking history, having taken up smoking when he was in college, and quit at age 22. He reports feeling well and without chief complaint or chronic health problems. He asks about what kind of cancer screening he should have. The NP advisors which of the following? A. Colonoscopy B. Prostate specific antigen (PSA) C. Low dose chest CT D. Given his history, no routine cancer screening is advised. Visit fhea.com to learn more!…

1
Adolescent Anemia Evaluation 8:29

לפני 8 ימים8:29

8:29

A 10-year-old of Middle Eastern ancestry , assigned female at birth, is seen for routine well child care. She is generally healthy and plays soccer, reporting excellent exercise tolerance, stating, “I’m the fastest midfield on the team.” Physical examination is within normal limits with Tanner stage 2. Height and weight are at 40% tile, consistent with previous measures. Laboratory evaluation reveals a mild microcytic hypochromic anemia with a NL RDW. This likely represents which of the following? A. Vitamin B 12 deficiency B. G6PD deficiency C. Iron deficiency D. Beta thalassemia minor --- YouTube: https://www.youtube.com/watch?v=ch5dbCqkPTM&list=PLf0PFEPBXfq592b5zCthlxSNIEM-H-EtD&index=114 Visit fhea.com to learn more!…

1
Clinical Findings in Heart Failure 11:30

לפני 8 weeks11:30

11:30

A 70 year old man with a 35 year history of hypertension, dyslipidemia, and a 20 year history of type 2 diabetes presents. He was recently diagnosed with systolic heart failure, presenting with dyspnea on exertion and orthopnea. Prior clinical assessment revealed the murmur of mitral regurgitation. Which of the following would the NP anticipate finding on today’s physical exam? A. A mid to late systolic murmur that follows a mid systolic click. B. In early to mid systolic murmur harsh in quality, that radiates to the neck. C. A holosystolic murmur that radiates to the axilla. D. A localized mid to late diastolic murmur. --- YouTube: https://www.youtube.com/watch?v=jN29-on3tn8&list=PLf0PFEPBXfq592b5zCthlxSNIEM-H-EtD&index=113 Visit fhea.com to learn more!…

1
Funduscopic Exam Findings 9:09

לפני 9 weeks9:09

9:09

Which of the two following findings would be anticipated in the normal funduscopic exam of a healthy 40-year-old woman who is normotensive, generally in good health and without ocular complaint? A. Arteriovenous nicking B. Optic cup to disc ratio < .0.5 C. Retinal arteries are brighter and narrower than veins D. Slight bulging of the optic disk --- YouTube: https://www.youtube.com/watch?v=VchTtrKTmfw&list=PLf0PFEPBXfq592b5zCthlxSNIEM-H-EtD&index=112 Visit fhea.com to learn more!…

1
Common Clinical Presentation 14:12

לפני 10 weeks14:12

14:12

Which of the following is most consistent with the clinical presentation of a person with folate-deficiency anemia? A. A 45-year-old woman with uterine fibroids, menorrhagia and a microcytic, hypochromic anemia with elevated RDW B. A 35-year-old woman with newly diagnosed systemic lupus and a normocytic, normochromic anemia with NL RDW C. A 40-year-old woman with alcohol use disorder who drinks 5-6 glasses of wine per day and a macrocytic normocytic anemia with an elevated RDW D. A 65 yo woman with a 20 year-history of hypothyroidism presenting with a 6-month history of stocking-glove neuropathy and a macrocytic, normochromic anemia with an elevated RDW. --- YouTube: https://www.youtube.com/watch?v=VsxbJMBLd4U&list=PLf0PFEPBXfq592b5zCthlxSNIEM-H-EtD&index=111 Visit fhea.com to learn more!…

1
Acute Bacterial Prostatitis Treatment 11:37

לפני 11 weeks11:37

11:37

A 70 year old man with a history of BPH, HTN and dyslipidemia presents with a 3-day history of perineal pain, intermittent fever, dysuria, and difficulty initiating urine stream. He denies GI upset and is taking fluids without difficulty. He denies sexual activity with others for the past three years. He is alert, oriented and appears slightly uncomfortable while seated. Abdominal and scrotal exam are WNL, there is no penile discharge and digital rectal exam reveals a tender, enlarged prostate. UA reveals positive leukocyte esterase and > 10 WBCs per HPF. With a working diagnosis of acute bacterial prostatitis, which of the following is the most appropriate antimicrobial option in this clinical scenario? A. Ciprofloxacin PO x 10 days B. IM Ceftriaxone as a one-time dose with doxycycline PO BID X 10 days C. IV piperacillin with tazobactam for 5 days D. Nitrofurantoin PO BID x 5 days. --- YouTube: https://www.youtube.com/watch?v=gS2EITYZ1ps&list=PLf0PFEPBXfq592b5zCthlxSNIEM-H-EtD&index=110 Visit fhea.com to learn more!…

1
Diagnosing Acute Bacterial Prostatitis 14:35

לפני 12 weeks14:35

14:35

Which of the following clinical scenarios is most consistent with an older adult presenting with acute bacterial prostatitis? A. A 65 year old male who presents with a 6 month history of urinary frequency, occasional difficulty initiating urine stream, without dysuria or fever. GU exam within normal limits with the exception of prostate enlargement. B. A 50-year-old male with a 4 day history of increased urinary frequency, end-void dysuria, and intermittent fever. GU exam reveals suprapubic tenderness, without prostatic enlargement or scrotal abnormalities. C. A 70 year old man with a 3-day history of perineal pain, intermittent fever, dysuria, and difficulty initiating urine stream. Scrotal exam WNL and digital rectal exam reveals a tender, enlarged prostate. D. A 78 year old man with a 3 month history of intermittent gross hematuria and urinary frequency without dysuria. GU exam is WNL with the exam of a nontender enlarged prostate with multiple nodular lesions. --- YouTube: https://www.youtube.com/watch?v=tHiLger_l68&list=PLf0PFEPBXfq592b5zCthlxSNIEM-H-EtD&index=109 Visit fhea.com to learn more!…

1
Managing Type 2 Diabetes 14:01

לפני 13 weeks14:01

14:01

The NP sees a 74-year-old woman with a BMI=30 kg/m2 who has a 30-year history of type 2 diabetes, HTN, and dyslipidemia. Pertinent social history includes the following: a retired elementary school teacher who lives in a 1-story home with her spouse and adult child, nonsmoker, drinks approximately 2, 5 oz glasses of wine per month, and walks approximately 2 miles per day. Her current medications include telmisartan, HCTZ, rosuvastatin, metformin, semaglutide and canagliflozin at optimized doses, and current A1c=9.2%. Her current A1c= 9.2% and is at HTN and lipid goal. Prior mediations have included sitagliptin, with patient stating, “That medication did not help my sugar at all.” She states she is adherent to her medications and dietary advice. Her eGFR is within acceptable parameters and she is feeling well. Physical exams are unremarkable. Which of the following is the most appropriate next step? A. Advise that her A1c is at an age-acceptable level. B. Add post-meal sliding scale rapid acting insulin C. Prescribe basal and pre meal insulin. D. Add oral glipizide. --- YouTube: https://www.youtube.com/watch?v=uZqb0nZpa8k&list=PLf0PFEPBXfq592b5zCthlxSNIEM-H-EtD&index=108 Visit fhea.com to learn more!…

1
Evaluation Of Glycemic Control 14:11

לפני 14 weeks14:11

14:11

Mrs. Mahem is a 68-year-old patient with a 25-year history of type 2 diabetes mellitus. In the past year, her A1c remains at around 8.5% with the use of the following medications: metformin, sitagliptin, and canagliflozin, at optimized doses and with adherence. She states, “ I haven’t changed the way I eat and I walk about ½ h a day, just like I have for years”. Additional health issues include HTN and dyslipidemia, treated with medications and at therapeutic goal, and obesity with a BMI= 33. Her eGFR is 65. Which of the following is the most appropriate next step in the pharmacologic management of her diabetes? A. Add glyburide to enhance glycemic control. B. Consider discontinuing metformin due to age and renal function. C. Advise that her glycemic control is adequate for an older adult. D. Prescribe semaglutide to help her achieve A1c goal. --- YouTube: https://www.youtube.com/watch?v=CBH6MbYUIBQ&list=PLf0PFEPBXfq592b5zCthlxSNIEM-H-EtD&index=107 Visit fhea.com to learn more!…

1
Vision Changes 9:11

לפני 15 weeks9:11

9:11

A patient presents with a chief complaint of a gradual onset vision change, present for the past 6 months, while denying eye pain, redness or trauma. The funduscopic exam, extraocular movements and pupillary reactions are within normal limits. When considering a diagnosis of presbyopia, which of the following best describes patient presentation? A. A 50-year-old who states, "I need to hold what I'm reading really far away in order to see it clearly". B. A 75-year-old who states,"When I look at a bright light, I see a colored halo around it". C. An 80-year-old who states, "I have a blurry spot in the middle of my eyesight". D. A 17-year-old who states, "I went to get my driver’s license, but failed the distance vision exam". --- YouTube: https://www.youtube.com/watch?v=KYfi3O-ZMEc&list=PLf0PFEPBXfq592b5zCthlxSNIEM-H-EtD&index=106 Visit fhea.com to learn more!…

1
Murmur Evaluation 12:49

לפני 16 weeks12:49

12:49

A 27-year-old woman presents as a new patient to your practice. She is without chief complaint. She asks to, “get a refill on my birth control pills” , having used combined oral contraceptives for the past 12 years without adverse effects. Social history reveals she is a nonsmoker, without recreational drug use, drinks approximately 1-2 mixed drinks per week, and runs 2-3 miles 5 days a week with reported excellent activity tolerance. Her health history is generally unremarkable, but with patient report of a “mild heart murmur that was picked up when I was a teenager during a physical I needed so I could run track. I was told not to worry about it.” Physical exam is unremarkable with the exception of a mid-systolic click followed by a grade II mid to late systolic murmur without radiation. The remainder of the cardiac exam is within normal limits. These findings most likely represent which type of murmur? A. Physiologic B. Aortic stenosis C. Mitral regurgitation D. Mitral valve prolapse --- YouTube: https://www.youtube.com/watch?v=wmGI7v_DPMY&list=PLf0PFEPBXfq592b5zCthlxSNIEM-H-EtD&index=105 Visit fhea.com to learn more!…

1
Managing N&V in Pregnancy 11:30

לפני 17 weeks11:30

11:30

A 29-year-old who is 8 weeks pregnant presents with a chief complaint of nausea and vomiting. She states, “I’ve been like this for three weeks. I don’t know why this is called morning sickness since I feel sick to my stomach almost all the time”, reporting that she vomits 2-3 times nearly every day, stating, “I was worse 2-3 weeks ago, when I was throwing up 4-5 times a day. I figured out what food really bothers my stomach and cut those out.” A 24-h dietary recall reveals frequent low-fat meals and consistent sipping of liquids. She denies thirst or infrequent urination, and reports, “I’m just tired of feeling this way. I’ve missed so much work and can hardly keep up with my 3-year-old.” Physical exam reveals the following; Alert, appears fatigued, with moist mucous membranes, a 1 lb. weight loss since last visit 4 weeks ago, and minimal epigastric tenderness without rebound. The NP considers advising on the following: A. Initiate therapy with an oral 5HT-3 antagonist such as ondansetron (Zofran®). B. Referral to high-risk for advise on further management. C. Advise on the use of daily dose of oral vitamin B6 with doxylamine. D. Increase fluid and fiber intake. --- YouTube: https://www.youtube.com/watch?v=bh8EQsz8QnI&list=PLf0PFEPBXfq592b5zCthlxSNIEM-H-EtD&index=104 Visit fhea.com to learn more!…

1
Medication management in T2DM 13:02

לפני 18 weeks13:02

13:02

The NP sees a 44-year-old male of African ancestry with a BMI=34 kg/m2 and recently diagnosed type 2 diabetes mellitus. He works on a rotating shift in healthcare and reports eating irregularly. He was started on metformin therapy 4 months ago, is at maximum recommended dose, and states he is tolerating the medication well. His initial A1c was 9.8%, with today’s A1c=8.7%. eGFR is within acceptable parameters and he is feeling well, stating, “I was so thirsty and needed to urinate all the time before I started that pill”. Physical exam reveals extensive acanthosis nigricans. He mentions that his health insurance. “Does not pay for all that much. I’m OK with paying for the pill I am taking now, but really cannot afford expensive medicines. “ Which of the following is the most appropriate next step? A. Prescribe weekly injectable semaglutide. B. Adding post-meal sliding scale rapid acting insulin. C. Add a daily dose of pioglitazone. D. Add glipizide on days when his eating schedule is predictable. --- YouTube: https://www.youtube.com/watch?v=xyh0ld2l9_M&list=PLf0PFEPBXfq592b5zCthlxSNIEM-H-EtD&index=103 Visit fhea.com to learn more!…

1
[Fan Favorite] Cardiac 6:33

לפני 19 weeks6:33

6:33

1
[Fan Favorite] COPD Exacerbation 15:20

לפני 20 weeks15:20

15:20

As we step away for a holiday break, we’re excited to revisit some of the most popular episodes of the FNP Certification Q & A Podcast . These listener favorites have informed, inspired, and empowered aspiring NPs on their journey to certification success. Enjoy some of our favorites. We'll catch you in 2025 with fresh questions from Dr. Fitzgerald! A 72-year-old woman with severe COPD, who uses an inhaled LAMA/ LAMA daily on a set schedule and SABA via MDI as needed for symptom relief, presents with a 4-day history of URI symptoms, starting with sore throat and clear nasal discharge, without fever. She denies N, V, or other GI upset. She now reports a 2-day history of increasing shortness of breath and production of clear to white sputum. SaO2= 97% and she is no acute distress. In considering the diagnosis of COPD exacerbation, which of the following best describes the role of imaging in the evaluation of COPD exacerbation? A. A chest x-ray should be ordered in COPD exacerbation in the patient with fever and/or low SaO2 to help rule out concomitant pneumonia. B. A chest x-ray should be ordered routinely in the evaluation of a person with COPD exacerbation. C. Given the frequency of COPD exacerbations that typically occur in a person with COPD, chest x-ray use should be limited due to radiation exposure risk. D. A thoracic ultrasound is the preferred imaging study to order in a COPD exacerbation. --- YouTube: https://www.youtube.com/watch?v=B3LrB-m6Q7g&list=PLf0PFEPBXfq592b5zCthlxSNIEM-H-EtD&index=101 Visit fhea.com to learn more!…

NP Certification Q&A

1
Teenage LLQ Abdominal Pain 11:49

לפני 36 weeks11:49

11:49

A 14 yo presents with a 4 h history of sudden onset LLQ abdominal and scrotal pain, described as a pulling, burning sensation. He denies vomiting, diarrhea or constipation, and reports mild nausea and is taking fluids without difficulty. HPI is negative for recent trauma to the region, dysuria, penile discharge, genital lesions or fever. He reports milder, similar episodes during the past 3 months, “that just went away.” Physical exam reveals loss of the cremasteric reflex, negative Blumberg sign and a high riding left testicle. A. Testicular Neoplasia B. Acute Epididymitis C. Incarcerated Inguinal Hernia D. Testicular Torsion --- YouTube: https://www.youtube.com/watch?v=cGczKmYTdVU&list=PLf0PFEPBXfq592b5zCthlxSNIEM-H-EtD&index=85 Visit fhea.com to learn more!…

NP Certification Q&A

1
Pelvic Inflammatory Treatment 9:25

לפני 37 weeks9:25

9:25

A 24-year-old woman presents to your practice with a diagnosis of pelvic inflammatory disease, suitable for outpatient treatment. Which of the following is recommended? Chose two that apply. A. A single dose of IM ceftriaxone B. A two-week course of oral doxycycline and oral metronidazole C. A five-day course of oral azithromycin with a one-week course of oral ciprofloxacin D. A single dose of IM penicillin --- YouTube: https://www.youtube.com/watch?v=yZg1jA7SkAc&list=PLf0PFEPBXfq592b5zCthlxSNIEM-H-EtD&index=84 Visit fhea.com to learn more!…

NP Certification Q&A

1
Antimicrobial Treatment 11:52

לפני 38 weeks11:52

11:52

A 72-year-old man presents to primary care for a sick visit, with the chief complaint of a one-day history of fever, projective cough with yellow sputum and increasing shortness of breath. He denies GI distress but states his appetite is not what it usually is. He has a history of hypertension, type 2 diabetes, and dyslipidemia at guideline-based goals. He is a former smoker, quitting about 10 years ago with approximately a 35-pack-year history and was diagnosed 5 years ago with COPD. Clinical assessment confirms the diagnosis of community-acquired pneumonia, suitable for outpatient treatment. Which of the following represents the most appropriate antimicrobial option? A. Oral levofloxacin B. Injectable ceftriaxone C. Oral azithromycin D. Oral amoxicillin --- YouTube: https://www.youtube.com/watch?v=Sh1cpNy59A0&list=PLf0PFEPBXfq592b5zCthlxSNIEM-H-EtD&index=84 Visit fhea.com to learn more!…

NP Certification Q&A

1
Pediatric Physical Exam 10:00

לפני 39 weeks10:00

10:00

A 9-year-old female presents for well child care with her parent. She is in the 4th grade, doing well academically, plays soccer on a local team, and reports, “I have 3 best friends”. Health history per parent and child reveals no concerns. On physical exam the clinician's notes the child is at about 40th percentile height and weight for age, and has breast budding and downy, straight, slightly pigmented pubic hair long the labia majora. These physical findings are consistent with: A. Precocious puberty B. Early onset normative puberty C. Age-appropriate pubertal findings D. Concern for a GNrH producing lesion --- YouTube: https://www.youtube.com/watch?v=mD3dYdIPWmg&list=PLf0PFEPBXfq592b5zCthlxSNIEM-H-EtD&index=82 Visit fhea.com to learn more!…

NP Certification Q&A

1
Back Assessment 8:47

לפני 40 weeks8:47

8:47

A 40-year-old computer programmer presents for a sick visit with the chief complaint of a two-day history of low back pain. He reports the pain started after many hour stretch of doing yard work. The pain is described as a dull constant ache, worse with activity, better with rest, across the lower back, without radiation to the legs. He denies leg weakness, tingling, or numbness, and states he had similar pain in the past after doing extensive lifting. In considering the diagnosis of lumbar sacral strain, which of the following would most likely be noted on clinical assessment in this patient? A. Diminished to absent lower extremity DTRs B. Patient report of new-onset difficulty with voiding. C. Paraspinal muscle tenderness D. Positive straight leg raise test --- YouTube: https://www.youtube.com/watch?v=DNBqP0V2m2A&list=PLf0PFEPBXfq592b5zCthlxSNIEM-H-EtD&index=81 Visit fhea.com to learn more!…

NP Certification Q&A

1
STI & Pregnancy 8:42

לפני 41 weeks8:42

8:42

A 22-year-old woman who is 20-weeks pregnant was treated for C. trachomatis 4 weeks ago with an appropriate antimicrobial. She presents today for a follow-up visit and reports she is currently without symptoms, that her partner was also treated, “And we both took the medicine just as we were advised.” Which of the following represents next steps in this patient’s care? Choose two that apply. A. Testing for C. trachomatis should be obtained at today’s visit. B. A repeat of C. trachomatis testing should be conducted at 1 month postpartum. C. Given she is without symptoms and her partner was also treated, no further C. trachomatis testing is advised. D. In the absence of new clinical findings, follow-up test is advised at around 28-32 weeks gestation. Visit fhea.com to learn more!…

NP Certification Q&A

1
Back Pain Diagnosis 8:42

לפני 42 weeks8:42

8:42

A 55-year-old man with a BMI of 40%, with the chief complaint of low back pain for the past two weeks. He describes the pain as originating in the lumbar sacral region, with radiation across the left buttock associated with numbness and tingling sensation in his left leg. The pain is worse with sitting and somewhat better with standing. He denies lower extremity weakness or a change in bowel or bladder function. He states, “I've tried ice, heat and ibuprofen and these just take the edge off. I've had back pain like this in the past. Usually just lasts a couple of days and it's not that bad. I'm going to try that again and it's not this bad.” This history of present illness is most consistent with: A. Lumbar Radiculopathy B. Spinal Stenosis C. Vertebral Fracture D. Lumbar Sacral Strain --- YouTube: https://www.youtube.com/watch?v=RayHhiD23iU&list=PLf0PFEPBXfq592b5zCthlxSNIEM-H-EtD&index=79 Visit fhea.com to learn more!…

NP Certification Q&A

1
Low Back Pain 8:13

לפני 43 weeks8:13

8:13

A 45-year-old adult presents for a sick visit, with the chief complaint of three-day history of low back pain. Clinical assessment is consistent with lumbar sacral strain. Which of the following represents the most appropriate next step in this person's care? A. Advised three days of bed rest on a firm surface. B. Apply ice or heat to the affected area based on clinical response. C. Refer to neurology for further advice. D. Order a lumbar sacral x ray to help confirm the diagnosis. --- YouTube: https://www.youtube.com/watch?v=bNQp-Vq4jds&list=PLf0PFEPBXfq592b5zCthlxSNIEM-H-EtD&index=78 Visit fhea.com to learn more!…

NP Certification Q&A

1
Anemic Lab Findings 9:09

לפני 44 weeks9:09

9:09

You see a 44-year-old woman with a 6-month history of increasing fatigue despite adequate opportunity for sleep and rest. Laboratory results reveal a microcytic, hypochromic anemia with elevated RDW as well as TSH within normal limits. You expect to find which of the following upon review of the patient’s health history? A. Report that she has been consuming a plant-based diet since age 18 B. Report of menorrhagia C. A history of alcohol use disorder D. A diagnosis of rheumatoid arthritis --- YouTube: https://www.youtube.com/watch?v=fSmpWW2doHE&list=PLf0PFEPBXfq592b5zCthlxSNIEM-H-EtD&index=77 Visit fhea.com to learn more!…

NP Certification Q&A

1
HIPAA 8:34

לפני 45 weeks8:34

8:34

A 48-year-old woman presents for follow up on T2DM and HTN. As part of today’s visit, routine labs are ordered. Which of the following is an appropriate form of electronic communication for sharing these results with the patient? A. Private message through Facebook® or similar social media website with patient permission B. Electronic fax or scan uploaded to the patient’s personal account for a third-party file sharing service (e.g., DropBox®) C. Using encrypted email or other messaging service that is part of the patient’s electronic medical record (EMR) system D. Text message using the patient’s personal mobile phone number --- YouTube: https://www.youtube.com/watch?v=MH2-1Wi0NWQ&list=PLf0PFEPBXfq592b5zCthlxSNIEM-H-EtD&index=76 Visit fhea.com to learn more!…

NP Certification Q&A

1
Pneumonia Treatment 15:15

לפני 46 weeks15:15

15:15

A 72-year-old man presents to primary care for a sick visit, with the chief complaint of a one day history of fever, productive cough with yellow sputum and increasing shortness of breath. His vital signs are as follows, temp 99.8 °F (37.6 °C) , BP 140/85, heart rate 98 beats per minute, and respiratory rate 22 at rest period O2 saturation is 94% on room air. He has a history hypertension and type 2 diabetes, at guideline-based goals. He is a former smoker, quitting about 35 years ago with approximately a 25-pack year history. On physical exam, he has crackles in his right lower lung fields, no wheezing, and can speak in complete sentences. He answers questions appropriately, has moist mucous membranes, and reports voiding approximately 1 hour ago. He denies GI distress but states his appetite’s not what it usually is. He lives in a single-story home with his spouse and adult child, both of whom are with him for today's visit. His laboratory results include a mild leukocytosis and renal function is within normal limits. There is no evidence of anemia, and chest X-ray confirms a right lower lobe infiltrate consisted with pneumonia. Which of the following is the most appropriate treatment location for this patient? A. Intensive care unit B. At home with careful follow up C. Inpatient medical ward D. Long-term care facility --- YouTube: https://www.youtube.com/watch?v=4tM6zLePTkM&list=PLf0PFEPBXfq592b5zCthlxSNIEM-H-EtD&index=75 Visit fhea.com to learn more!…

NP Certification Q&A

1
HTN & T2DM 7:58

לפני 47 weeks7:58

7:58

A 49-year-old woman with type 2 diabetes mellitus was started on a standard dose of an ARB daily 6 weeks ago for the management of hypertension. Today her blood pressure is 128/78 mm Hg, stating she is taking the medication without difficulty and is feeling well. The appropriate action at this time would be to: A. Order a white blood cell count to assess for neutropenia. B. Continue her current medication regimen. C. Add HCTZ to enhance HTN control. D. Obtain a 12-lead ECG --- YouTube: https://www.youtube.com/watch?v=7Qai4U4zO5o&list=PLf0PFEPBXfq592b5zCthlxSNIEM-H-EtD&index=74 Visit fhea.com to learn more!…

NP Certification Q&A

1
Treating AOM in toddler 10:58

לפני 48 weeks10:58

10:58

Esteban is an 18-month-old child who presents with his father for a sick visit. The child, who is typically healthy and UTD with immunizations and has no drug allergies, has had URI-like symptoms for the past 6 days with congested cough and clear to yellow nasal discharge. Per parental report, Esteban is drinking fluids without difficulty and has a slightly reduced appetite and had a single episode of post tussive vomiting 3 days ago. For the past 36 hours, his father reports increased crankiness and intermittent fever to 102.6 °F (39.2 °C), with father stating, “This is how he acted a few months ago when he had an ear infection.” Physical exam confirms the diagnosis of bilateral AOM. When prescribing an antimicrobial for this child, which of the following represents the first-line treatment option? A. Oral azithromycin B. Oral cefpodoxime C. IM ceftriaxone D. Oral amoxicillin --- YouTube: https://www.youtube.com/watch?v=PRQHo531djY&list=PLf0PFEPBXfq592b5zCthlxSNIEM-H-EtD&index=73 Visit fhea.com to learn more!…

NP Certification Q&A

1
Diagnosing AOM In Toddler 13:05

לפני 49 weeks13:05

13:05

An 18-month-old toddler, Estaban, presents with his father for a sick visit. The child, who is typically healthy and UTD with immunizations, has had URI-like symptoms for the past 6 days with congested cough and clear to yellow nasal discharge. Per parental report, Esteban is drinking fluids without difficulty and has a slightly reduced appetite and had a single episode of post tussive vomiting 3 days ago. For the past 36 hours, his father reports increased crankiness and intermittent fever to 102.6°F (39.2°C), with the father stating, “This is how he acted a few months ago when he had an ear infection.” Which of the two following findings are most suggestive in the diagnosis of acute otitis media in a toddler? A. Bulging tympanic membrane B. Cough C. Evidence of ear discomfort D. Bilateral cervical lymphadenopathy --- YouTube: https://www.youtube.com/watch?v=IrdfBpjYODQ&list=PLf0PFEPBXfq592b5zCthlxSNIEM-H-EtD&index=72 Visit fhea.com to learn more!…

NP Certification Q&A

1
Lab & Physical Findings In Older Male 11:39

לפני 50 weeks11:39

11:39

A 60 year old man presents with a chief complaint of a 6 month history of increasing fatigue despite adequate rest and sleep. He denies chest pain or difficulty breathing, and reports he is a non smoker. Concurrent history includes a 25 year history of alcohol used disorder, with daily intake of 5-7, occasionally more, 1.5 oz shots of whiskey, and chronic poor nutrition, reporting, “I eat chips and crackers a lot, I do not have the time to make a meal and I cannot afford to eat out. He is currently employed as a warehouse working, and states, “I get to work every day. The booze is really not problem.” On physical exam, mild pharyngeal redness without exudate, conjunctival pallor, and epigastric tenderness are present. The following lab results are noted. Hgb = 9 g/dL (normal 14 to 16 g/dL) Hct = 28.5% (normal 42% to 48%) RBC = 3.4 million mm3 (normal 4.7 to 6.1 million mm3) MCV = 108 fL (normal 81 to 96 fL) MCHC = 33.2 g/dL (normal 31 to 37 g/dL) RDW = 18.4% (normal 11-15%) These findings are most likely caused by: A. iron deficiency anemia B. Vitamin B12 deficiency anemia C. Folic acid deficiency anemia D. Anemia of chronic disease. --- YouTube: https://www.youtube.com/watch?v=vU-JuuCQT18&list=PLf0PFEPBXfq592b5zCthlxSNIEM-H-EtD&index=71 Visit fhea.com to learn more!…

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