Family Nurse Practitioner Certification Flashcards

A 55-year-old patient has a BP reading of 148/94 mmHg on two separate visits. According to JNC guidelines, this is classified as:

Answer: Stage 1 hypertension

Stage 1 hypertension is defined as systolic 130–139 mmHg or diastolic 80–89 mmHg; 148/94 meets Stage 2 criteria (≥140/90).

Which vaccine is recommended annually for all persons aged 6 months and older in the United States?

Answer: Influenza vaccine

The CDC recommends annual influenza vaccination for all individuals 6 months and older.

A 45-year-old male presents with fatigue, cold intolerance, weight gain, and constipation. The most likely diagnosis is:

Answer: Hypothyroidism

The classic constellation of fatigue, cold intolerance, weight gain, and constipation is characteristic of hypothyroidism.

When screening for colorectal cancer, at what age should average-risk patients begin colonoscopy screening?

Answer: 45 years

The USPSTF updated its recommendation in 2021 to begin colorectal cancer screening at age 45 for average-risk adults.

A child presents with a strawberry tongue, sandpaper-like rash, and positive rapid strep test. Which treatment is indicated?

Answer: Amoxicillin for 10 days

Scarlet fever (Group A Streptococcus) is treated with amoxicillin for 10 days to prevent rheumatic fever.

Which physical exam finding is most associated with appendicitis?

Answer: Both B and C

Both McBurney's point tenderness and a positive Rovsing's sign are classic physical exam findings in appendicitis.