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Fitzgerald Review CH 1-2 Question and
answers already passed 2025
ADPIE - correct answer ✔Assessment - Diagnosis Plan Implementation Evaluate Assessment - - correct answer ✔* Collect subjective (history including HPI) and objective (Physical examination, available diagnostic results)data Diagnosis - correct answer ✔* analyze assessment data to determine a (working) diagnosis, keeping in mind common health problems seen in primary care Plan - correct answer ✔Develop a plan of care and prescribe intervention to attain expected outcome. Implementation - correct answer ✔Actualizing the plan of care, the application portion of the (Plan) Evaluation - correct answer ✔Performed post diagnosis plan and intervention. Evaluate patients attainment of treatment goals, keeping in mind the ongoing need to adjust the plan of care based on patient response Key Word "First" - correct answer ✔Remeber the ABC's (airway, breathing, and circulation)
Key word "Initially" - correct answer ✔Assess before diagnosing, working diagnosis before plan, plan before intervention, intervention prior to evaluating response Key words "Most Appropriate" - correct answer ✔Evidence based practice guidelines the choice of diagnostics, intervention, and follow up therefore dictates the correct answer. Leadership defined - correct answer ✔A process by which a person influences a group of individuals to achieve a common goal regardless of setting. Look for the leader to direct activities that have the most wide reaching influence. NP Input - correct answer ✔The sum of the NP's academic, clinical, personal, and professional background NP Output - correct answer ✔The evidence of the impact of NP practice on a patient population health outcomes Evidence Hierarchy - Level 1 - correct answer ✔Systematic review (Meta - Analysis) Evidence Hierarchy - Level II - correct answer ✔Randomized Controlled Trial Evidence Hierarchy - Level III - correct answer ✔Cohort study Evidence Hierarchy - Level IV - correct answer ✔Case control study
Case series - correct answer ✔A retrospective study examining the experience of a group of patients affected by a specific illness or treated with a specific medication or procedure. Case report - correct answer ✔A clinical narrative describing a single patient with a particular condition or illness, including presentation, history and physical findings, diagnostic test results, course of treatment and the patients, outcome and/or prognosis. Editorial - correct answer ✔An essay, authored by a journal editor or a qualified clinician or group of clinicians, that addresses a specific clinical topic; it often accompanies one or more related clinical studies or other research published in the same issue of a publication. Expert Opinion - correct answer ✔Essay by a qualified author on a clinical topic of current concern, often citing relevant research and/or personal observation. OLD CHARTS - correct answer ✔mnemonic for symptom analysis Onset, Location/radiation, Duration, Character, aggravating factors, Relieving factors, Timing and Severity Levels of prevention: - correct answer ✔Primary, secondary, tertiary Primary Prevention - correct answer ✔Preventing the health problem, the most cost effective form of health care Immunizations, counseling about safety, injury, and disease prevention
Secondary Prevention - correct answer ✔Detecting disease in early, asymptomatic, or preclinical state to minimize its impact. Screening tests, such as BP check, mammography, colonoscopy Tertiary Prevention - correct answer ✔Minimizing negative disease induced outcomes In established disease, adjusting therapy to avoid further target organ damage. Potentially viewed as a failure of primary prevention Community (Herd) Immunity - correct answer ✔Describes the state in which a sufficient proportion of a population is immune to an infectious disease (through vaccination and/or prior illness) to make its spread from person to person unlikely. Even individuals not immunized (including newborns, individuals not vaccine-eligible, and those who decline vaccines) are offered some protection because the disease has little opportunity to spread within the community. Vaccine - correct answer ✔A product that produces immunity, therefore protecting the body from the disease Immunization - correct answer ✔The process by which a person becomes protected against a disease via receiving a vaccine. This term is often used interchangeably with vaccination or inoculation. Active Immunity - correct answer ✔Resistance developed in response to an antigen (infecting agent or vaccine) and usually characterized by the presence of an antibody produced by the host.
Contraindication for Hepatitis B - correct answer ✔Bakers yeast Contraindication for Varicella Zoster - correct answer ✔Gelatin, Neomycin Pregnancy HIV Contraindication for MMR - correct answer ✔Gelatin Pregnancy HIV Anaphylaxis - correct answer ✔an acute, life threatening systemic reaction with varied mechanisms, clinical presentations, and severity that results from the sudden system release of mediators from mast cells and basophils. While urticaria (hives), angioedema (tissue edema from vascular leak in the dermis, subcutaneous, mucosal, submucosal tissues most often involving the head and neck) and respiratory compromise are most consistently reported, the clinical presentation of anaphylaxis can be quite variable. Immediate Interventions in anaphylaxis: - correct answer ✔1. Assess airway, breathing, circulation
- IM epinephrine (anterior lateral thigh) if not contraindicated
- IV access, oxygen, monitoring
- supine position Other Interventions Airway
Rapid Fluid infusion Repeat IM epinephrine bronchodilators systemic corticosteriods benadryl ranitidine What temperature should hot water heaters be set at for children and elderly - correct answer ✔120F or (48.9C) Health Belief Model - correct answer ✔Modifying variables, perceived seriousness, perceived susceptibility. Health belief Model Modifying Variables - correct answer ✔Perceived Benefits vs. Perceived Barriers, Perceived Threat, Self-Efficacy =Likelihood of Engaging in Health- Promoting Behavior Health belief Model Perceived Seriousness - correct answer ✔Perceived Threat =Likelihood of Engaging in Health-Promoting Behavior Health belief Model Perceived Susceptibility - correct answer ✔Perceived threat, cues to action =Likelihood of Engaging in Health-Promoting Behavior Immunizations - Hepatitis B - correct answer ✔Birth, 1-2months, 6months
Immunizations - HPV - correct answer ✔11-12yrs 3 dose series 0-1to2- 6months Immunizations - Meningococcal - correct answer ✔11-12yrs, 18yrs Immunizations - Pneumococcal Polysaccharide - correct answer ✔1yr after PPSV
65yrs or immunocompromised DMII, COPD, Heart Ds.
