Nurse Practitioner Certification Examination and Practice Preparation 4th Edition, Fitzgerald, 2015 | Nurse Practitioner (NP) School Study Aid
Contraception
- Preventing Unplanned Pregnancy
- Spermicides
- Diaphragm
- Cervical Cap
- Contraceptive Sponge
- Male Condom
- Oral Contraceptive
- Intrauterine Device (IUD)
- Injectable Progestins
Phenobarbital (Barbiturates)
- Barbiturate
- Seizures
- Ataxia
- Paradoxical Excitement
- Fatigue/Drowsiness
- Monitor Plasma Levels
- High Potential for Abuse
Phenytoin
- Status Epilepticus
- Tonic-Clonic Seizures
- Blocks Na+ Channel Activation
- Inhibition of Glutamate Release
- Class IB Antiarrhythmic
- Teratogenic
- Macrocytic Megaloblastic Anemia
- Induce Cytochrome P450
- Drug-induced Lupus
- Neuropathy
- Hirsutism
- Gingival Hyperplasia
Carbamazepine
- First-line Seizure Medication
- First Line for Trigeminal Neuralgia
- Stabilizes Inactive State of Na+ Channels
- Stevens-Johnson Syndrome
- Induce Cytochrome P450
- Teratogen
- Hepatotoxicity
- Blood Dyscrasias
Menopause Symptoms
- HAVOCS Mnemonic
- Hot Flashes
- Atrophy of Vagina
- Osteoporosis
- Coronary Artery Disease (CAD)
- Sleep disturbances
Selective Serotonin Reuptake Inhibitor (SSRI) Overview
- Depression
- Anxiety
- Selective Serotonin Reuptake Inhibitors
- Paroxetine
- Sertraline
- Escitalopram
- Fluoxetine
- Sexual Dysfunction
- Serotonin Syndrome
- Treat with Cyproheptadine
Serotonin Norepinephrine Reuptake Inhibitors (SNRIs)
- Depression
- Diabetic Peripheral Neuropathy
- Duloxetine
- Panic and Anxiety
- Venlafaxine
- Inhibits Reuptake of Serotonin and NE
- Hypertension
- Insomnia
- Nausea and Vomiting
- Decreased Libido
Gabapentin
- Seizure Treatment
- Peripheral Neuropathy
- Postherpetic Neuralgia
- Bipolar Disorder
- Migraine Prophylaxis
- Inhibits Voltage-Gated Ca2+ channels
- Designed as a GABA Analog
- Ataxia
- Sedation
Chlamydia Characteristics
- Cannot Make ATP
- Elementary body infects
- Intraepithelial
- Reticulate Body Replicates
- Cell Wall Lacks Muramic Acid
- Giemsa Stain
- Inclusion Bodies
- Azithromycin (Preferred)
- Doxycycline
Chlamydia
- Chlamydia trachomatis
- May Be Asymptomatic
- Dysuria
- Epididymitis
- Discharge
- Dyspareunia
- Doxycycline
- Azithromycin
- No Intercourse for 1 Week
- Treat Partners
Vaginitis
- Infection
- Postmenopausal Atrophy
- Vaginal Discharge
- Pruritus
- Antifungals (Miconazole, Clotrimazole)
- Antibiotics
- Estrogen Hormones
- Abstinence
- Good Hygiene
- Recurrent Vaginitis
Genital Herpes
- Herpes Simplex Virus 1 and 2 (HSV)
- May Be Asymptomatic
- Oral or Genital Lesions
- Vesicles in Clusters
- Pain
- Flu-like Symptoms
- Acyclovir
- Valacyclovir
- Famciclovir
- Infectious During Recurrences
Clindamycin
- Bacteriostatic
- Binds 50S Ribosomal Subunit
- Blocks Translocation
- Anaerobic Infections above the Diaphragm
- Aspiration Pneumonia
- Lung Abscess
- Can Cause Pseudomembranous Colitis
Metronidazole
- Bactericidal
- Forms Free Radical Toxic Metabolites
- Damages DNA
- Giardia lamblia
- Entamoeba Histolytica
- Trichomonas
- Gardnerella
- Anaerobes
- Metallic taste
- Disulfiram like Reaction with Alcohol
Pelvic Inflammatory Disease (PID)
- Neisseria gonorrhoeae
- Chlamydia Trachomatis
- Cervical Motion Tenderness
- Chandelier Sign
- Salpingitis
- Tubo-ovarian abscess
- Hydrosalpinx
- Ectopic Pregnancy
- Infertility
- Adhesions
- Fitz-Hugh-Curtis Syndrome
Pelvic Inflammatory Disease (PID) Interventions
- Antibiotics
- No Intercourse for 3 Weeks
- Semi-Fowler's Position
- Analgesics
- Monitor Temperature
- Treat Partners
Chronic Mucocutaneous Candidiasis
- T Cell Dysfunction
- Candida Albicans
- Infections of Skin
- Infections of Mucous Membrane
- Susceptible to HPV Infections like Condyloma Acuminatum
Genital Warts - Condylomata Acuminata
- Human Papillomavirus (HPV)
- Papillary Cauliflower Like Growths
- Bleeding
- Vaginal Discharge
- Wart Removal
- Trichloroacetic acid (TCA)
- Podophyllin resin
- Cryotherapy
- HPV Vaccine
- Cervical Cancer
Trichomonas vaginalis
- Protozoa
- Vaginitis
- Pruritus
- Foul-smelling Greenish Frothy Discharge
- Strawberry Cervix
- Corkscrew Motility on Wet Prep
- Metronidazole
Gonorrhea
- Neisseria gonorrhoeae
- Dysuria
- Yellowish-Green Discharge
- Increased Urinary Frequency
- Women Often Asymptomatic
- Ceftriaxone (IM)
- Doxycycline
- Azithromycin
- Treat Partners
Herpes Simplex Virus (HSV)
- Enveloped
- Double Stranded DNA
- Linear
- Type 1 HSV
- Gingivostomatitis
- Keratoconjunctivitis
- Encephalitis of Temporal Lobes
- Latent in Trigeminal Ganglia
- Type 2 HSV
- Genital Vesicles
- Neonatal Herpes
- TORCHES
- Latent in Sacral Ganglia
- Tzanck Test
- Multinucleated Giant Cells
- Cowdry A Inclusions
- Acyclovir
Human Papillomavirus (HPV)
- Non-enveloped
- Circular
- Double Stranded DNA
- Warts 1, 2, 6, 11
- Condyloma acuminata
- Type 16, 18
- Cervical Carcinoma
- Penile Carcinoma
- AIDS/Immunocompromised
- Worsened by Smoking
- Koilocytic change in squamous epithelium
- Pyknotic Nuclei Surrounded by Clear Halo
- Vaccine Available
Syphilis
- Treponema pallidum
- Spirochete with characteristic motility
- Painless chancre
- Condylomata lata
- Generalized lymphadenopathy
- Rash on palms and soles
- Aortitis
- Gummas
- Neurosyphilis
- Argyll Robertson pupils
- Vasa vasorum
- Tabes dorsalis
- Penicillin
- Jarisch-Herxheimer reaction
Syphilis TORCH
- Nonspecific TORCH Symptoms
- Often Results in Stillbirth
- Hydrops Fetalis
- Saber Shins
- Notched Teeth
- Saddle Nose
- Blindness
- Deafness
- Hepatitis
Cancer Warning Signs (CAUTION)
- Change in Bowel or Bladder Habits
- A Sore That Does Not Heal
- Unusual Bleeding or Discharge
- Thickening or Lump in the Breast or Elsewhere
- Dyspepsia (Indigestion)
- Obvious Change to Warts or Moles
- Nagging Cough
Cervical Cancer Assessment
- Human Papillomavirus (HPV)
- Metrorrhagia
- Leukorrhea
- Pain
- Abnormal Pap Test
- May Be Asymptomatic
- HPV Vaccine