Laboratory Data Interpretation

NP Certification Q&A

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הוסף לפני three שנים

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What Should I Do With My Money?

1
Can We Afford a Wedding, a Home and IVF? 26:12

לפני 22 ימים26:12

הפעל מאוחר יותר

רשימות

לייק

אהבתי

26:12

As a newly engaged couple, Jules and Shay have a lot to look forward to: a destination wedding, starting fertility treatments and the potential of buying a home. But their goals have a short horizon, are they able to save enough to accomplish three large milestones within a five-year period? In this episode, Jules and Shay sit down with Carolina, a Morgan Stanley Financial Advisor to discuss short- and long-term savings strategies, utilizing company benefits and how their families can help them save for a down payment . For more information about this episode and the topics covered, check out our episode page and explore how you can connect with a Morgan Stanley Financial Advisor . Important information about your relationship with your Financial Advisor and Morgan Stanley Smith Barney LLC when using a Financial Planning tool. When your Financial Advisor prepares a Financial Plan, they will be acting in an investment advisory capacity with respect to the delivery of your Financial Plan. To understand the differences between brokerage and advisory relationships, you should consult your Financial Advisor, or review our Understanding Your Brokerage and Investment Advisory Relationships brochure available at https://www.morganstanley.com/wealth-relationshipwithms/pdfs/understandingyourrelationship.pdf You have sole responsibility for making all investment decisions with respect to the implementation of a Financial Plan. You may implement the Financial Plan at Morgan Stanley Smith Barney LLC or at another firm. If you engage or have engaged Morgan Stanley, it will act as your broker, unless you ask it, in writing, to act as your investment adviser on any particular account. 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Morgan Stanley Smith Barney LLC (“Morgan Stanley”) recommends that investors independently evaluate particular investments and strategies, and encourages investors to seek the advice of a Morgan Stanley Financial Advisor. The appropriateness of a particular investment or strategy will depend on an investor’s individual circumstances and objectives. Important Risk Information for Securities Based Lending : Clients must be aware that: (1) Sufficient collateral must be maintained to support the loan and to take future advances; (2) Clients may have to deposit additional cash or eligible securities on short notice; (3) Some or all of the pledged securities may be sold without prior notice in order to maintain account equity at required collateral maintenance levels. Clients will not be entitled to choose the securities that will be sold. These actions may interrupt long-term investment strategy and may result in adverse tax consequences or in additional fees being assessed; (4) Morgan Stanley Bank, N.A., Morgan Stanley Private Bank, National Association or Morgan Stanley Smith Barney LLC (collectively referred to as "Morgan Stanley") reserve the right not to fund any advance request due to insufficient collateral or for any other reason except for any portion of a securities based loan that is identified as a committed facility; (5) Morgan Stanley reserves the right to increase the collateral maintenance requirements at any time without notice; and (6) Morgan Stanley reserves the right to call securities based loans at any time and for any reason. Morgan Stanley Smith Barney LLC, its affiliates and their employees are not in the business of providing tax or legal advice. These materials and any statements contained herein should not be construed as tax or legal advice. Individuals should consult their personal tax advisor or attorney for matters involving taxation and tax planning and their attorney for matters involving personal trusts and estate planning With the exception of a margin loan, the proceeds from securities based loan products may not be used to purchase, trade, or carry margin stock (or securities, with respect to Express CreditLine); repay margin debt that was used to purchase, trade or carry margin stock (or securities, with respect to Express CreditLine); and cannot be deposited into a Morgan Stanley Smith Barney LLC or other brokerage account. To be eligible for a securities based loan, a client must have a brokerage account at Morgan Stanley Smith Barney LLC that contains eligible securities, which shall serve as collateral for the securities based loan. Securities based loans are provided by Morgan Stanley Smith Barney LLC, Morgan Stanley Private Bank, National Association or Morgan Stanley Bank, N.A, as applicable. Morgan Stanley Wealth Management is a business of Morgan Stanley Smith Barney LLC. Morgan Stanley Smith Barney LLC is a registered Broker/Dealer, and not a bank. Where appropriate, Morgan Stanley Smith Barney LLC has entered into arrangements with banks and other third parties to assist in offering certain banking related products and services. Investment, insurance and annuity products offered through Morgan Stanley Smith Barney LLC are: NOT FDIC INSURED | MAY LOSE VALUE | NOT BANK GUARANTEED | NOT A BANK DEPOSIT | NOT INSURED BY ANY FEDERAL GOVERNMENT AGENCY © 2025 Morgan Stanley Smith Barney LLC. Member SIPC. CRC# 4766848 (09/2025)…

לפני 3 שנים 8:50

MP3•בית הפרקים

A 45-year-old woman with no chronic health problems presents a 6-month history increasing fatigue despite adequate opportunity for rest , worsening dry skin and increased menstrual flow volume. In analyzing the laboratory data below, which is most consistent with the diagnosis of hypothyroidism?
A. TSH <0.15 mIU/L (0.4–4.0 mIU/L), free T4=79 pmol/L (10–27 pmol/L)
B. TSH=8.9 mIU/L (0.4–4.0 mIU/L), free T4=15 pmol/L (10–27 pmol/L)
C. TSH=1.9 mIU/L (0.4–4.0 mIU/L), free T4=22 pmol/L (10–27 pmol/L)
D. TSH=64 mIU/L (0.4–4.0 mIU/L), free T4=3 pmol/L (10–27 pmol/L)
---
YouTube: https://www.youtube.com/watch?v=GRTO-JwQiQs&list=PLf0PFEPBXfq592b5zCthlxSNIEM-H-EtD&index=5

Visit fhea.com to learn more!

123 פרקים

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

Laboratory Data Interpretation

NP Certification Q&A

published לפני 3 שנים

שתפו

MP3•בית הפרקים

Visit fhea.com to learn more!

123 פרקים

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

כל הפרקים

1
Exertional Syncope Evaluation 16:37

לפני 7 weeks16:37

16:37

A 17 yo male presents for follow up on a “fainting” episode that occurred during football practice at the end of a running exercise. He states, “I do not know what happened. We finished a set of running sprints and next thing I knew, I was on the ground.” He denies injury from the event and history of prior episodes. His physical examination reveals a crescendo-decrescendo systolic murmur heart best at the apex, increasing in intensity with position change from supine to standing position. This most likely represents: A. Mitral regurgitation B. Physiologic murmur C. Hypertrophic cardiomyopathy D. Aortic stenosis Visit fhea.com to learn more!…

1
Measles Exposure Assessment 13:28

לפני 8 weeks13:28

13:28

A 40 year-old accountant presents for advice on measles prevention. He reports disembarking from an airplane approximately 40 hours ago, and now being notified that one of the passengers on the plane has been diagnosed with measles today. He denies any chronic health problems, states he received “all the shots I should have” when he was a child. However, he is unable to produce documentation of childhood vaccinations. Which of the following represents the most appropriate action? A. This is an example of a low risk rubeola exposure without need for specific prophylactic action. B. Obtain rubeola IgG titers and provide appropriate prophylaxis based on results. C. Administer a single dose of MMR vaccine now with advice to contact the practice if there are concerning signs and symptoms. D. Order a dose of immunoglobulin and arrange for MMR vaccination update. --- YouTube: https://www.youtube.com/watch?v=C-y2Ihr76nY&list=PLf0PFEPBXfq592b5zCthlxSNIEM-H-EtD&index=122 Visit fhea.com to learn more!…

1
Antimicrobial Therapy Request 14:31

לפני 9 weeks14:31

14:31

A nurse practitioner receives a message from a neighbor, a 35-year-old woman who is asking for a prescription to treat a “urine infection”. The neighbor states she's had this condition occur in the past and does quite well if she gets on an antimicrobial quickly. The neighbor also mentions that she's going out of town on a business trip the next day and is unable to contact her personal healthcare provider nor get to urgent care. The NP considers the following in prescribing a medication to her neighbor. A. Given this is a request for a prescription that is not a controlled substance, the NP can provide the prescription as long as the patient can advise on what antimicrobials she has taken in the past. B. Providing this prescription would be a violation of federal law. C. In suspected UTI, an antimicrobial prescription should not be initiated until urine culture results are available. D. Since the NP does not have a patient provider relationship established with her neighbor, the request for an antimicrobial should be declined. --- YouTube: https://www.youtube.com/watch?v=G1IN08Ioh74&list=PLf0PFEPBXfq592b5zCthlxSNIEM-H-EtD&index=121 Visit fhea.com to learn more!…

1
Reportable Illness Protocol 11:09

לפני 10 weeks11:09

11:09

Which of the following best describes a disease that should be reported to the local or regional public health department? A. Diseases where public health intervention is needed to help prevent spread to the region or community. B. Diseases with significant rates of mortality and morbidity. C. Diseases that are most often noted among individuals with significant immunocompromise. D. Diseases where intervention in early life helps lead to improved health in adulthood. --- YouTube: https://www.youtube.com/watch?v=oBvF5QT9RQE&list=PLf0PFEPBXfq592b5zCthlxSNIEM-H-EtD&index=120 Visit fhea.com to learn more!…

1
Scarlet Fever Intervention 12:01

לפני 16 weeks12:01

12:01

A 6-year-old presents with his parents, with a chief complaint of a 3 day history of sore throat, intermittent frontal headache and fever with a 1 day history of a non pruritic fine, raised rash, without N, V, D or C. He is able to take fluids without difficulty but has diminished appetite. The parents report that other children in their son’s kindergarten class have been sick with similar signs and symptoms. A rapid strep screen is positive. Clinical evaluation is consistent with scarlet fever. The child has no drug allergies. Which of the following is the most appropriate intervention? A. IM penicillin B. Oralamoxicillin C. Topical triamcinolone D. No specific therapy is needed. --- YouTube: https://www.youtube.com/watch?v=udyt2WeaoJo&list=PLf0PFEPBXfq592b5zCthlxSNIEM-H-EtD&index=119 Visit fhea.com to learn more!…

1
RUQ Abdominal Pain Treatment 9:29

לפני 17 weeks9:29

9:29

A 50 yo woman presents with a 6-month history of intermittent RUQ abdominal pain, bloating and nausea, particularly after eating fatty food, describing the discomfort as sharp, occasionally radiating to the right shoulder, usually lasting around 45 mins, and accompanied by eructation. She is currently without distress, stating that, “I cut back on food that I know bothers my stomach. Physical exam reveals, BMI=35, no jaundice, mild RUQ abdominal tenderness and negative Murphy’s sign. Which of the following is the next step in her care? A. Provide a 1-month trial of proton pump inhibitor (PPI) therapy. B. Refer to surgery for further evaluation. C. Order a RUQ ab for abdominal ultrasound and hepatic enzymes. D. Obtain serum H. pylori testing. --- YouTube: https://www.youtube.com/watch?v=qZSVLmpbTEA&list=PLf0PFEPBXfq592b5zCthlxSNIEM-H-EtD&index=118 Visit fhea.com to learn more!…

1
Measles Presentation in a Toddler 15:11

לפני 18 weeks15:11

15:11

An 18-month-old toddler presents for a sick visit with a chief complaint of recent onset of fever and skin lesions. Which of the following is most consistent with the presentation of measles (rubeola)? A. A 3-day history of anterior cervical lymphadenopathy, significant sore throat, fever with a 1-day history of a fine erythematous skin eruption. B. A 3-day history of fever, mild nasal congestion, and crankiness followed by resolution of elevated temperature and eruption of a fine pink rash C. A 3-day history of cough, conjunctivitis with clear eye discharge, mild sore throat without exudate, diffuse lymphadenopathy and fever, followed by a new onset diffuse maculopapular rash D. A 2-day history of fever, mild sore throat, posterior cervical lymphadenopathy, and maculopapular skin lesions. --- YouTube: https://www.youtube.com/watch?v=IWRqAkns1MQ&list=PLf0PFEPBXfq592b5zCthlxSNIEM-H-EtD&index=117 Visit fhea.com to learn more!…

1
Primary Syphilis Evaluation 11:57

לפני 19 weeks11:57

11:57

A 28 year old assigned male at birth presents with the chief complaint of a "new problem in my private parts” He states he feels well otherwise. Which of the following would be most consistent with the clinical presentation of primary syphilis? A. A three day history of purulent penile discharge with dysuria. B. A one week history of a painless genital ulcer on the penile shaft. C. A 5 day history of painful vesicular lesions over the penile glands, with some lesions now crusting over. D. A one week history of N void dysuria without penile discharge. --- YouTube: https://www.youtube.com/watch?v=Jp-dk0BZ37o&list=PLf0PFEPBXfq592b5zCthlxSNIEM-H-EtD&index=116 Visit fhea.com to learn more!…

1
Cancer Screening Recommendation 11:30

לפני 20 weeks11:30

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. --- YouTube: https://www.youtube.com/watch?v=qnKPe2EHgl4&list=PLf0PFEPBXfq592b5zCthlxSNIEM-H-EtD&index=115 Visit fhea.com to learn more!…

1
Adolescent Anemia Evaluation 8:29

לפני 21 weeks8:29

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 28 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 29 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 30 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 31 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 32 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!…

NP Certification Q&A

1
Managing Type 2 Diabetes 14:01

לפני 33 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!…

NP Certification Q&A

1
Evaluation Of Glycemic Control 14:11

לפני 34 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!…

NP Certification Q&A

1
Vision Changes 9:11

לפני 35 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!…

NP Certification Q&A

1
Murmur Evaluation 12:49

לפני 36 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!…

NP Certification Q&A

1
Managing N&V in Pregnancy 11:30

לפני 37 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!…

NP Certification Q&A

1
Medication management in T2DM 13:02

לפני 38 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!…

NP Certification Q&A

1
[Fan Favorite] Cardiac 6:33

לפני 39 weeks6:33

6:33

NP Certification Q&A

1
[Fan Favorite] COPD Exacerbation 15:20

לפני 40 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
[Fan Favorite] Laboratory Data Interpretation 8:50

לפני 41 weeks8:50

8:50

NP Certification Q&A

1
[Fan Favorite] Hypertension Therapy 9:23

לפני 42 weeks9:23

9:23

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! Saundra is a 72-year-old with hypertension who is on an appropriate dose of an ACE inhibitor with adherence. Today’s BP= 152/96 and is without HTN-related complaint. Physical exam is unremarkable.She has a history of well-controlled asthma and is using ICS/LABA therapy. Due to osteoarthritis, she reports, “I get up slowly. Sometimes I do not get the bathroom on time and I lose my urine control.” Which of the following represents the next best step in Saundra’s HTN therapy? A.Advise that her BP is in an acceptable range B. Thiazide diuretic therapy should be initiated C. Add a CCB to her current therapy D. A beta blocker represents the optimal additional therapy --- YouTube: https://www.youtube.com/watch?v=JRjErXhuqpY&list=PLf0PFEPBXfq592b5zCthlxSNIEM-H-EtD&index=99 Visit fhea.com to learn more!…

NP Certification Q&A

1
[Fan Favorite] Antimicrobial Therapy 8:59

לפני 43 weeks8:59

8:59

NP Certification Q&A

1
[Fan Favorite] Differential Diagnosis 9:17

לפני 44 weeks9:17

9:17

NP Certification Q&A

1
[Fan Favorite] Anemia Assessment 6:56

לפני 45 weeks6:56

6:56

NP Certification Q&A

1
NP Scope Of Practice 8:35

לפני 46 weeks8:35

8:35

Which of the following is most accurate about nurse practitioner’s scope of practice? A. The organization that grants NP certification dictates a profession scope of practice. B. The employer is able to require the NP to provide services that are beyond what regulatory bodies outline. C. The law of the state where the NP practices provides regulatory guidance on scope of practice. D. Federal law advises on NP scope of practice. --- YouTube: https://www.youtube.com/watch?v=jNdOys7R_Qs&list=PLf0PFEPBXfq592b5zCthlxSNIEM-H-EtD&index=95 Visit fhea.com to learn more!…

NP Certification Q&A

1
Vomiting In A Neonate 13:23

לפני 47 weeks13:23

13:23

A four-week-old infant born at 39 weeks’ gestation, exclusively breast fed and has been healthy was brought in for an evaluation following a 2 day history of projectile vomiting that occurs after each feeding without with increased fussiness. The child's father mentioned that the baby appears to be without distress after vomiting and wants to feed immediately afterwards. Parents deny the infant has had fever, diarrhea or skin lesion; in addition, has not had exposure to individuals with similar symptoms. His last BM was about 18 hours ago, described as small and firm. Physical exam reveals an alert, active infant with a small palpable mask that is appreciated in the right upper quadrant of the abdomen. The most likely diagnosis is: A. Viral gastroenteritis B. Pyloric stenosis C. Intussusception D. Gastroesophageal reflux --- YouTube: https://www.youtube.com/watch?v=dBwlvf6QtXc&list=PLf0PFEPBXfq592b5zCthlxSNIEM-H-EtD&index=94 Visit fhea.com to learn more!…

NP Certification Q&A

1
Elevated BP In Pregnancy 8:51

לפני 48 weeks8:51

8:51

A 25-year-old woman gravida 2, para 1 is 24 weeks pregnant and is being seen for an urgent care visit. She reports a constant headache over the past two days along with ankle swelling. Her BP today is 162/86 in, which is a significant elevation from her pre pregnancy blood pressure of 122/68.Laboratory results indicate 2 plus proteinuria as well as elevated ALT and AST. Platelets and LDH are within normal limits, as is fundoscopic and neurological exams. The most likely diagnosis is: A. Health syndrome B. Gestational hypertension C. Preeclampsia D. Hypertensive emergency --- YouTube: https://www.youtube.com/watch?v=-HSR0zonmZA&list=PLf0PFEPBXfq592b5zCthlxSNIEM-H-EtD&index=93 Visit fhea.com to learn more!…

NP Certification Q&A

1
Medication Considerations 15:03

לפני 49 weeks15:03

15:03

A 77-year-old man is in for a routine follow up visit. He has its twenty-year history of type 2 diabetes and hypertension as well as a 5-year history of stage 3B chronic kidney disease, or CKB. At this visit, his A1C is 8.4% and his estimated GFR is 42 mL per minute. His BP is 128/76. He states he's feeling well and denies headache, visual changes, dizziness and hypoglycemic episodes. His medications include metformin, amlodipine, lisinopril and rosuvastatin. In reviewing his current medication, the NP considers which of the following options? A. Prescribe glipizide B. Add pioglitazone C. Continue on his current medication without adjustment D. Initiate therapy with Canagliflozin --- YouTube: https://www.youtube.com/watch?v=rOuR7ATNdMQ&list=PLf0PFEPBXfq592b5zCthlxSNIEM-H-EtD&index=92 Visit fhea.com to learn more!…

NP Certification Q&A

1
EBP Aspirin goals 10:47

לפני 50 weeks10:47

10:47

A 72-year-old woman with a 20-year history of hypertension and dyslipidemia-- both at EBP goals with appropriate drug therapy, as well as a remote history of peptic ulcer disease-- presents for follow up. She is a nonsmoker, drinks about 1- 2 glasses of wine per week and denies the use of other substances. Her daily routine includes a 2- 3 mile walk and she denies history of acute coronary syndrome or other ASCVD related conditions. She mentions that one of her friends takes an aspirin a day to “prevent a heart attack or a stroke”, and further states, “I live alone, and I need to maintain my independence.” According to the latest recommendations from US Preventative Services Task Force, which of the following is the most appropriate advice regarding low dose aspirin use in this patient? A. Start low dose aspirin therapy 81 mg daily as the vascular benefits outweigh the risk. B. Best evidence for primary prevention of ASCBT event is with higher dose aspirin at 325 mg a day. C. The risks associated with aspirin therapy in this patient outweigh the potential benefits. D. Start aspirin therapy only if the patient has a family history of heart disease and 1st degree relatives. --- YouTube: https://www.youtube.com/watch?v=9uK3CINTFOg&list=PLf0PFEPBXfq592b5zCthlxSNIEM-H-EtD&index=91 Visit fhea.com to learn more!…

NP Certification Q&A

1
Anticipated Lab Results 10:07

לפני 51 weeks10:07

10:07

A 57-year-old man presents for a routine physical exam during history taking. He reports that he drinks approximately 7-to-8 12-ounce beers nightly and denies other substance use, including tobacco. His physical examination is unremarkable except for mild pharyngeal erythema without exudate. In consideration of his health history, which of the following lab results would be anticipated? A. Elevated platelets B. Macrocytosis C. Lymphocytosis D. Elevated sed rate --- YouTube: https://www.youtube.com/watch?v=57EyxtFcUUY&list=PLf0PFEPBXfq592b5zCthlxSNIEM-H-EtD&index=90 Visit fhea.com to learn more!…

NP Certification Q&A

1
Tinea Pedis Assessment 6:58

לפני 1 year6:58

6:58

Which of the following are the most common features of skin changes noted in areas of the feet affected by tinea pedis? A. Widely distributed with consistently raised with areas of hyperpigmentation. B. Localized to the dorsal aspect with central clearing and a raised border C. Involving plantar crusting and interdigital fissures D. Remains stable in size over time with lateral lichenification. --- YouTube: https://www.youtube.com/watch?v=D70UTIMym6w&list=PLf0PFEPBXfq592b5zCthlxSNIEM-H-EtD&index=89 Visit fhea.com to learn more!…

NP Certification Q&A

1
T2DM Evaluation 9:56

לפני 1 year9:56

9:56

Mrs. Martinez is a 64-year-old woman with 10 year-history of type 2 diabetes mellitus, HTN, and dyslipidemia. Her current medications include metformin, an SGLT-2 inhibitor, statin, ARB and thiazide diuretic. She is at EBP-advised goals including recent A1c=6.9%. Today, she reports she is feeling well. Her history and physical examination are unremarkable. She mentions that, for the past year, in addition to her prescribed medications, she drinks a special tea blend that her sister makes, taking this each day to help “draw out the sugar” in her blood. She states, “I feel much better when I take it.” Your most appropriate response is: A. “I don’t believe the tea is helpful in controlling your blood sugar.” B. "Please stop using the tea until I can look into its contents." C. "Homemade teas might interact with your medicines” D. “Tell me more about how the tea draws out the sugar.” --- YouTube: https://www.youtube.com/watch?v=5GGHqGo59LQ&list=PLf0PFEPBXfq592b5zCthlxSNIEM-H-EtD&index=88 Visit fhea.com to learn more!…

NP Certification Q&A

1
Older Adult Assessment 9:42

לפני 1 year9:42

9:42

A 76-year-old woman with presbycusis presents for a follow-up visit on HTN and dyslipidemia, treated with an ARB, thiazide diuretic and a statin, and at treatment goal. Which of the following is she likely to report? A. Occasional difficulty with speech discrimination B. Need to use her prescription eyeglasses to read C. Altered sense of smell D. Diminished sense of touch --- YouTube: https://www.youtube.com/watch?v=cj_Qj5hOvS4&list=PLf0PFEPBXfq592b5zCthlxSNIEM-H-EtD&index=87 Visit fhea.com to learn more!…

NP Certification Q&A

1
Pelvic Inflammatory Disease 12:26

לפני 1 year12:26

12:26

A 24-year-old adult, assigned female at birth, presents to your practice chief complaint of bilateral lower abdominal pain for the past three days, worsening over this time frame. She describes the pain as a heavy pressure like feeling, accompanied by intermittent fever , mild dysuria, yellow vaginal discharge, as well as nausea without vomiting nausea without vomiting. She is tolerating fluids well and has a markedly decreased appetite. Additional history of present illness includes recent LMP, ending about three days ago with normal timing and normal flow, she is sexually active with two male partners, and describes that the last episode of coitus six days ago was painful for deep pelvic discomfort. The physical exam reveals a temp of 100.4 Fahrenheit, rest of vital signs within normal limits, mild lower abdominal discomfort to light and deep palpation without rebound, yellow vaginal discharge and cervical motion tenderness without palpable pelvic mass. This clinical presentation is most consistent with: A. Acute Appendicitis B. Pelvic Inflammatory Disease C. Ovarian Cyst D. Ectopic Pregnancy --- YouTube: https://www.youtube.com/watch?v=hS0zWLA9b_A&list=PLf0PFEPBXfq592b5zCthlxSNIEM-H-EtD&index=86 Visit fhea.com to learn more!…

NP Certification Q&A

1
Teenage LLQ Abdominal Pain 11:49

לפני 1 year11:49

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 1 year9:25

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 1 year11:52

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 1 year10:00

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 1 year8:47

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 1 year8:42

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 1 year8:42

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!…

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