Emergency Nurse Practitioner

Septic Arthritis Patient will be complaining of fever, monoarticular pain with decreased ROM Labs will show WBC > 50,000 with > 75% PMNs Diagnosis is made by arthrocentesis Most commonly caused by: Age < 35: N. gonorrhea, S. aureus overall Treatment is IV ABX, surgical washout Sample question: A 23-year-old man with a history of intravenous heroin use presents to the emergency department with a read more…

Sample question: Which muscle is most commonly involved with rotator cuff injuries?

Megaloblastic Anemia Patient will be a vegan or alcoholic Complaining of fatigue, weakness PE will show pallor, glossitis Labs will show MCV > 100 and hypersegmented neutrophils Most commonly caused by vitamin B12 (Cobalamin) or folate deficiency Comments: only vitamin B12 deficiency results in neurological symptoms Sample question: A middle-aged patient in the ED has a hemoglobin of 8.1 g/dL with an MCV of 112 fL. Which of read more…

Coarctation of the Aorta PE will show higher blood pressure in the arms than in the legs EKG will show LVH CXR will show notching of ribs Diagnosis is made by echo Treatment is balloon angioplasty with stent placement or surgical correction Comments: associated with Turner syndrome Sample question: A 5-year-old girl with Turner syndrome is found to have systolic hypertension. Further examination read more…

The American Academy of Nurse Practitioners (AANPCB) established eligibility for the Emergency Nurse Practitioner (ENP) Certification Exam, which includes three options. Option 1 requires you to complete 30 CE hours of Emergency Care Procedural skills. To make your life simpler, Rosh Review created an Emergency Care Skills and Procedures CE module derived from AANPCB’s curriculum. read more…

Sample question: A 71-year-old man presents to the emergency department after falling on ice outside his home. He complains of neck pain. He has an abrasion to his chin and decreased strength in his bilateral upper extremities. Strength is intact in his lower extremities. Which mechanism of trauma is most consistent with the suspected diagnosis?

Sample question: In children under 8 years of age, which of the following is the most common fracture involving the elbow?

Scabies Patient will be complaining of severe pruritus that is worse at night PE will show small papules, vesicles and burrows in the webbed spaces of the fingers and toes Diagnosis is made by microscopic visualization Most commonly caused by Sarcoptes scabiei hominis Treatment is permethrin 5% Sample question: A 15-year-old boy presents with an itchy rash on his hands and wrists. read more…

This article is going to show two very easy ways to help increase your Emergency Nurse Practitioner Certification Exam Score by 100 points. If you are not familiar with the ENP Certification exam, please refer to this comprehensive post titled “What You Need to Know to Receive Your Emergency Nurse Practitioner Certification (ENP-C).”

While there is no magic pill or wand to significantly increase your exam score, these two techniques are the most useful, easy to implement and only requires a little of your time. This means anyone can take advantage of them. The first tactic is to use a system over a couple of months to identify what you don’t know. Sounds easy, right? The key is to go through a curriculum and identify what you don’t know – not what you are weak at – but what you don’t know. The second strategy is to take advantage of human error. Tests are written by humans, of course, and humans make errors. This article will show you 5 very easy techniques to narrow down an answer choice to either the correct answer or to a 50/50 probability – even without knowing anything about the topic. By combining these two strategies, you’ll be able to increase your Family Medicine certification score by 100 points – which could be the difference between passing or failing. Let’s get started.

Ectopic Pregnancy Patient will be a woman With a history of prior ectopic, PID, tubal surgery, IUD Complaining of vaginal bleeding, abdominal pain, amenorrhea PE will show adnexal tenderness or unexplained hypotension Labs will show positive pregnancy test and lower than expected serum beta-hCG levels Diagnosis is made by ultrasound Most commonly located in a fallopian tube Treatment is MTX or surgery Sample question: A 44-year-old woman with read more…

Polycythemia Vera Patient will be complaining of headache, dizziness, pruritus after showering PE will show hypertension, splenomegaly Labs will show increased RBC mass, overproduction of all cell lines, increased Hgb Most commonly caused by mutation of the Janus kinase 2 gene (JAK2) Treatment is phlebotomy, hydroxyurea, aspirin Sample question: A 60-year-old man presents to your office complaining of generalized pruritus following warm showers. He also read more…

Retinal Detachment Patient will be complaining of painless loss of vision, floaters, flashing lights, curtain lowering sensation PE will show retina appears hazy gray with white folds Treatment is stat ophthalmology consult Sample question: A 67-year-old man presents to the emergency department complaining of vision changes for the last few hours. He describes a painless decrease in the vision read more…

Pterygium Patient with a history of excessive sunlight exposure Complaining of something in the eye PE will show triangular-shaped growth on the medial side Sample question: A 62-year-old man presents with complaints of right eye irritation for the past three days. He is a landscaper and he is often outside. Physical examination reveals a fleshy, triangular growth from the read more…

Pyloric Stenosis Patient will be 2–6 weeks old Non-bilious projectile vomiting after feeding and early satiety PE will show RUQ olive-like mass (hypertrophied pylorus) Labs will show hypochloremic hypokalemic metabolic alkalosis Diagnosis is made by ultrasound or UGI series (string sign) Treatment is surgical Sample question: A 3-week-old boy presents with two days of non-bilious projectile vomiting. Examination reveals a mass in the infant’s right upper quadrant. read more…

Wolff-Parkinson-White (WPW) Syndrome ECG will show short PR interval, delta wave, wide QRS Most commonly caused by an accessory pathway (bundle of Kent) connects atria to ventricles, bypassing AV node Definitive treatment is radiofrequency ablation Sample question: A 23-year-old previously healthy man presents to your clinic with complaints of chest discomfort, heart palpitations and decreased exercise tolerance. Physical exam read more…

Sample question: A 2-year-old boy is brought by his parents to the clinic because of opacity and hyperpigmentation of both eyes. His skin is noted to be dry and scaly, especially on the arms, legs, shoulders, and buttocks. He also gets sick frequently. Physical examination reveals an afebrile and weak-looking child. There is a note read more…