Episodes
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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 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)
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YouTube: https://www.youtube.com/watch?v=vPaY65eXMwU&list=PLf0PFEPBXfq592b5zCthlxSNIEM-H-EtD&index=100Visit fhea.com to learn more!
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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
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YouTube: https://www.youtube.com/watch?v=JRjErXhuqpY&list=PLf0PFEPBXfq592b5zCthlxSNIEM-H-EtD&index=99Visit fhea.com to learn more!
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Missing episodes?
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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!
Josh is a well 16-year-old male who presents with a reporting a 4-day history of moderate left-sided otalgia with intermittent fever. Clinical assessment is consistent with acute otitis media (AOM). No drug allergy or recent (within the past month) antimicrobial use is reported. Which of the following represents the most appropriate first-line antimicrobial therapy?
A. Oral moxifloxacin
B. Oral amoxicillin
C. Oral trimethoprim-sulfamethoxazole
D. Oral azithromycin
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YouTube: https://www.youtube.com/watch?v=8qSpIir5ht4&list=PLf0PFEPBXfq592b5zCthlxSNIEM-H-EtD&index=98Visit fhea.com to learn more!
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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 35-year-old w presents complaining of a 15+ year history of recurrent cramping abdominal pain that is often relieved with defecation that occurs intermittently. Symptom onset is often accompanied by bloating and a change in stool frequency and form, particularly when “I eat certain foods.” She denies bloody or tarry stools, nausea, vomiting or fever. The NP notes the patient’s weight is stable, and there is no evidence of anemia. The most likely diagnosis is?
A. Irritable bowel syndrome
B. Paralytic ileus
C. Peptic ulcer disease
D. Ulcerative colitis
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YouTube: https://www.youtube.com/watch?v=2exovTbGVvI&list=PLf0PFEPBXfq592b5zCthlxSNIEM-H-EtD&index=97Visit fhea.com to learn more!
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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!
The NP sees a 34-year-old woman with a chief complaint of 6-month history of increasing fatigue despite adequate opportunity to sleep and rest. Laboratory results reveal a microcytic, hypochromic anemia with elevated RDW. You expect to find which of the following upon review of the patient’s health history?
A. Report that she has been eaten a plant-based diet since age 18
B. History of prolonged menses with the need for =8 pads per day
C. Report of drinking 5 or more 5 oz glasses of wine daily
D. A prior diagnosis of rheumatoid arthritis
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YouTube: https://www.youtube.com/watch?v=bXell7YIQKE&list=PLf0PFEPBXfq592b5zCthlxSNIEM-H-EtD&index=96Visit fhea.com to learn more!
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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.
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YouTube: https://www.youtube.com/watch?v=jNdOys7R_Qs&list=PLf0PFEPBXfq592b5zCthlxSNIEM-H-EtD&index=95Visit fhea.com to learn more!
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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
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YouTube: https://www.youtube.com/watch?v=dBwlvf6QtXc&list=PLf0PFEPBXfq592b5zCthlxSNIEM-H-EtD&index=94Visit fhea.com to learn more!
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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
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YouTube: https://www.youtube.com/watch?v=-HSR0zonmZA&list=PLf0PFEPBXfq592b5zCthlxSNIEM-H-EtD&index=93Visit fhea.com to learn more!
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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
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YouTube: https://www.youtube.com/watch?v=rOuR7ATNdMQ&list=PLf0PFEPBXfq592b5zCthlxSNIEM-H-EtD&index=92Visit fhea.com to learn more!
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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.
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YouTube: https://www.youtube.com/watch?v=9uK3CINTFOg&list=PLf0PFEPBXfq592b5zCthlxSNIEM-H-EtD&index=91Visit fhea.com to learn more!
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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
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YouTube: https://www.youtube.com/watch?v=57EyxtFcUUY&list=PLf0PFEPBXfq592b5zCthlxSNIEM-H-EtD&index=90Visit fhea.com to learn more!
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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.
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YouTube: https://www.youtube.com/watch?v=D70UTIMym6w&list=PLf0PFEPBXfq592b5zCthlxSNIEM-H-EtD&index=89Visit fhea.com to learn more!
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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.”
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YouTube: https://www.youtube.com/watch?v=5GGHqGo59LQ&list=PLf0PFEPBXfq592b5zCthlxSNIEM-H-EtD&index=88Visit fhea.com to learn more!
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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
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YouTube: https://www.youtube.com/watch?v=cj_Qj5hOvS4&list=PLf0PFEPBXfq592b5zCthlxSNIEM-H-EtD&index=87Visit fhea.com to learn more!
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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
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YouTube: https://www.youtube.com/watch?v=hS0zWLA9b_A&list=PLf0PFEPBXfq592b5zCthlxSNIEM-H-EtD&index=86Visit fhea.com to learn more!
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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
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YouTube: https://www.youtube.com/watch?v=cGczKmYTdVU&list=PLf0PFEPBXfq592b5zCthlxSNIEM-H-EtD&index=85Visit fhea.com to learn more!
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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
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YouTube: https://www.youtube.com/watch?v=yZg1jA7SkAc&list=PLf0PFEPBXfq592b5zCthlxSNIEM-H-EtD&index=84Visit fhea.com to learn more!
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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
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YouTube: https://www.youtube.com/watch?v=Sh1cpNy59A0&list=PLf0PFEPBXfq592b5zCthlxSNIEM-H-EtD&index=84Visit fhea.com to learn more!
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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
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YouTube: https://www.youtube.com/watch?v=mD3dYdIPWmg&list=PLf0PFEPBXfq592b5zCthlxSNIEM-H-EtD&index=82Visit fhea.com to learn more!
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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
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YouTube: https://www.youtube.com/watch?v=DNBqP0V2m2A&list=PLf0PFEPBXfq592b5zCthlxSNIEM-H-EtD&index=81Visit fhea.com to learn more!
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