Aanp-Fnp Exam With Latest Updates

Nitrofurantoin uses {Ans: UTI -not pyelonephritis due to no systemic absorption}Genital herpes (HSV 2) tx {Ans: Acyclovir}Drugs of choice for MRSA {Ans: Vancomycin, daptomycin , linezolid, TMP-SMZ, doxycycline, ceftaroline}Hegar's sign {Ans: Softening of lower uterine segment}1st gen antihistamines {Ans: Diphenhydramine, chlorpheniramine}Metronidazole (Flagyl) uses {Ans: C. Diff, vaginitis}Gonococcal urethritis/cervicitis tx {Ans: Cefixime or ceftriaxone, add azithromycin or doxy if chlamydia not ruled out}Head growth 0-3mo {Ans: 6cm}Antifungals (azoles) {Ans: Fluconazole, itraconazole}Tetracycline AEs {Ans: GI, teeth, hepatic dysfunction, photosensitivity}Head growth 8-12yo {Ans: 0.3cm/yr}Metronidazole AEs {Ans: GI, peripheral neuropathy, disulfiram reaction}TMP-SMZ coverage {Ans: G+, G-, MRSA, Protozoa (toxoplasma gondii), fungus (pneumocystis jirovecii), poor anaerobic activity}Itraconazole interactions {Ans: Acid suppressive therapies}Macrolide AEs {Ans: GI, QT prolongation}Head growth 6-12mo {Ans: 3cm}Scarlet fever presentation {Ans: Sandpaper-like rash, exudative pharyngitis, localized anterior cervical lymphadenopathy, rash 2 days after pharyngitis then peels later}Nitrofurantoin AEs, contraindications {Ans: Pulmonary fibrosis, contraindicated in CrCl <60 (excludes many elderly)}Aminoglycoside AEs {Ans: Ototoxicity (irreversible), nephrotoxicity (reversible)}Myocardial ischemia EKG changes {Ans: Inverted T wave, T wave depression}