MEDCERTNP.COM is different. It's run by working clinicians who want to embrace our new NP colleagues. We see patients and work together, so we can all succeed. That is why MedcertNP gives you so much study material for such a LOW cost.

In MedcertNP, we share our study tips for remembering medical facts, clinical indications, and contraindications. There are unique study approaches that actually quiz the member on frequently tested material and show time-tested techniques to passing any certification exam! You can add comments, ask questions, improve existing questions, add review material, suggest a video, and the entire MedcertNP community benefits!

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MedCertNP.com Study Aids

MEDCERTNP members receive access to an ever-increasing library of study aids created specifically for passing NP certification exams.

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Practice Questions

Over 650 review questions covering over 15 disciplines. Here are some sample questions:

This is an un-timed exam for practice.

MedCertNP Flashcards

Over 200 flashcards to test your memory of important topics.

 

From your mobile phone or tablet you can log on and review on the go MEDCERTNP flashcards...

Test for diagnosing

Cystic Fibrosis?

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Sweat chloride levels

(greater than 80mEq/L in adults)

iridis

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Iridis

Best screen for diabetic nephropathy?

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Check urine for microalbumin

(Microalbuminuria)

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Glaucoma

Open-angle glaucoma accounts for 90% of glaucoma cases in the United States. It is painless and does not have acute attacks. The only signs are gradually progressive visual field loss, and optic nerve changes manifested as increased cup-to-disc ratio on fundoscopic examination.

What are the criteria for diagnosing

diabetes mellitus (type 2)?

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What are the features of

Raynaud Phenomenon?

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What is the classic TRIAD for

Mononucleosis?

 

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Sore Throat (Pharyngitis)

Fever

Lymph node enlargement (Lymphadenopathy)

A healthy patient presents with a sore throat. What are the indications for antibiotic treatment?

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Fever

Absence of cough

Tonsilar exudates

Tender anterior cervical lymph nodes

2 out of 3 criteria warrants a "rapid strep" and if positive, 10 days therapy.

Calcium Daily Requirements?

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What medications have significant interactions with grapefruits or its juice.

 

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Statins (simvastatin, lovastatin, etc.)

Antihistamines (fexofenadine)

Calcium Channel Blockers

Psychiatric Meds (buspirone, carbamazepine, diazepine, sertraline)

Viagra

What should NOT be prescribed in patients with Mononucleosis?

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Amoxicillin

and other penicillin derivatives can cause a generalized rash through an interaction with the Epstein Barr virus.

How do you determine the initial dose for thyroid replacement?

 

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The initial dose is based on the weight of the patient.

Weight (Kg) x 1.6 = Approximate daily dose

What are the top 3 side effects of

ACE Inhibitors?

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  1. Cough

  2. Elevated K+ levels

  3. Low blood pressure / dizziness

Elderly patient with diabetes presents with a long-standing ear infection, and an elevated ESR.

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Malignant external otitis

The causative organism is usually Pseudomonas aeruginosa.

"Continuous machinery murmur"

Is associated with what?

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Patent ductus arteriosus

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"Short QT"

Due to Hypercalcemia

Digoxin toxicity

Hyperthermia

What tests should be drawn?

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Ferritin

All patients with symptoms of restless legs syndrome should be tested for iron deficiency. At a minimum, a ferritin level should be obtained. A complete iron panel, including iron levels, ferritin, transferrin saturation, and total iron binding capacity, is preferable, since ferritin can be falsely elevated in acute inflammatory states.

What is the latest warning regarding

CIPROFLOXICIN

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Peripheral Neuropathy that can be severe and irreversible. This "class effect" involves all fluoroquinolones . 

An "Opening Snap"

Is associated with what disorder?

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Mitral Stenosis

"a snapping S1"

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Heberden Node

Consistent with Osteoarthritis

Treatment for

Travelers Diarrhea

(Enterotoxigenic diarrhea)

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Treat with antibiotics only if they

have a fever (Ciprofloxin)

What are the LDL Cholesterol goals in

patients with diabetes?

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Age > 40 years with a total cholesterol greater than 135, without overt cardiovascular disease, statin therapy should reduce LDL-C levels by 30% to 40% regardless of the baseline LDL-C levels, with a goal of  LDL-C less that 100.

Diabetic patients with cardiovascular disease should aim for a LDL-C level of less than 70.

Smooth Tongue

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Glossitis

Associated with nutritional deficiencies usually

Vitamin B-12 Deficiency

Atrophic glossitis, also known as bald tongue, smooth tongue, Hunter glossitis, Moeller glossitis, or Möller-Hunter glossitis, is a condition characterized by a smooth glossy tongue that is often tender/painful, caused by complete atrophy of the lingual papillae.

atrialflutter
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Atrial Flutter

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Greater than 5mm for high risk patients (HIV, close contact, etc)
Greater than 10mm for "at risk" patients (healthcare workers, nursing home residents, etc.)
Greater than 15mm for "no-risk" patients

"Bifid Pulse"

Is associated with what condition?

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Hypertrophic Cardiomyopathy

(from mid-systolic obstruction)

Clinical Presentations

MedcertNP's Clinical Presentations includes a unique approach to learning in which a specific patient is presented with "classic" signs and symptoms associated with a disorder. No unrelated, rare or misleading information is included. MedcertNP offers over 250 clinical presentations with diagnoses and treatments.

Symptoms, Signs and Studies:

  • 43 male patient presents with easy bruising or bleeding
  • night sweats, weakness, and fatigue
  • fever, and recurrent infections with gram positive & negative bacteria
  • normochromic-normocytic anemia
  • neutropenia and monocytopenia
  • and thrombocytopenia (so basically pancytopenia)
  • bone marrow aspirate brought a "dry tap."
  • massive splenomegaly

Diagnosis:

Hairy cell leukemia

Treatment:

The first-line therapy is 2-chlorodeoxyadenosine (2-CdA) 0.1 mg/kg/d (Cladribine, Leustatin). With one course of therapy of 2-CdA, 80% of patients obtain a complete remission.

Medicine Mnemonics

MedcertNP offers dozens of useful mnemonics to help you pass the exam. Here are a few samples:

A-B-C-D

  • Acute blood loss
  • Bone marrow failure
  • Chronic disease
  • Destruction (hemolysis)

FACADE

Flushing
Asthma
Cor pulmonale
Ascites
Diarrhea
Endocardial fibrosis

SHE PANTS

Stress, anxiety
Heart disease
Emboli
Pulmonary disease
Anemia
Neuromuscular disease
Tracheal obstruction
Sleep disorder

PARK:

Pregnancy
Allergy
Renal artery stenosis
K increase (hyperkalemia)

Think of Fatigued

Fat/ Food (poor diet)
Anemia
Tumor
Infection (HIV, endocarditis)
General joint or liver disease
Uremia
Endocrine (Addison's, myxedema)
Diabetes/ Depression/ Drugs

Genetic Gender disorder (Klinefelter)
Young boy (pubertal)
Neonate
Estrogen
Cirrhosis/ Cimetidine/ CChannel blockers
Old age
Marijuana
Alcoholism
Spironolactone
Tumors (Testicular & adrenal)
Isoniazid/ Inhibition of testosterone
Antineoplastics (Alkylating Agents)/ Antifungal(ketoconazole)

Board Simulation Exam

To fully benefit from the Board Certification Simulated Exam, you should have completely exhausted all other review areas contained within MedcertNP.com. Two hours of uninterrupted study time should be set aside for proper administration of the exam. This approach will give you an accurate feel for time, and therefore aid you in developing a pace during the actual exam.

Upon completion of the exam, you will be given a score as a percentage of the total number of questions. A score of less than 70% indicates that a significant amount of review is still needed.

MedCert Virtual Tour

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