AANP FNP certification Exam 2023 Questions with correct Answers

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All diastolic murmurs are pathological. Murmurs Grades I-barely II-audible III- clearly audible. IV- first time thrill V-Steth edge VI-entire steth. EXAM - ANSWER-III first time audible, IV first time... thrill Fundal height 12 weeks - ANSWER-Fundal Height 12 weeks above symphysis pubis. EXAM Fundus 16 weeks between symphysis pubis and umbilicus. Fundus at 20 weeks is at umbilicus. 2 cm more of less from # of wk gestation is normal if more or less order US 3 month old infant with down syndrome, due to milk intolerance, mom started on goats milk; now has pale conjunctiva but otherwise healthy. Low HCT. What additional test would you order? - ANSWER-Iron, TIBC 3 months of synthroid, TSH increased, T4 normal, what do you do? - ANSWER-Increase Medication 3 ways to assess cognitive function in patient with signs/symptoms of memory loss - ANSWER-Mini mental exam 4 month old with strabismus, mom is worried...... - ANSWER-tell her it is normal. 4 month old wont keep anything down, what is the main thing you look at? - ANSWER-Growth chart 6 month old closed anterior fontanel. - ANSWER-XRAY Abnormal cells on PAP, what do you do next? - ANSWER-Refer for Colposcopy CAGE ACRONYM - ANSWER-Cut down Annoyed by criticism Guilty about drinking Eye opener drink Causes of tachycardia - ANSWER-Fever Anemia Hypotension Cranial nerves responsible for extraocular eye movements - ANSWER-CN 3,4,6 Definition of metabolic syndrome - ANSWER-cluster of conditions that increase risk of heart disease, stroke, diabetes. diagnose trichomoniasis - ANSWER-wet prep Elderly presents with atrophic vaginitis, small uterus, palpable 4x5 ovary, what do you do next? - ANSWER-Pelvic US Epistaxis is most common in the area of the nose known as kiesselbachs triangle, where is this located? - ANSWER-Anterior septum Definitive diagnosis of acute bacterial prostatitis - ANSWER-urinalysis and culture GERD treatment - ANSWER-H2 is first line, give hs Grade 3 cells on Pap, treatment? - ANSWER-LEEP excision Fingernail hematoma treatment? - ANSWER-drill hole and drain blood? Increased risk of ectopic pregnancy - ANSWER-Salpingitis, or history of abortion, PID, Koplick spots - ANSWER-Measles (rubeola). Grains of salt lesions inside mouth in Measles Koplick spots - ANSWER-Measles (rubeola). Grains of salt lesions inside mouth in Measles Legg-Calve-Perthes Disease - ANSWER-Avascular necrosis of the proximal femoral head Lipid level of 1500, increased risk for? - ANSWER-Pancreatitis Low HGB, Low HCT, High MCV indicates what? - ANSWER-Macrocytic anemia, B12 Def Man with BPH, prostate feels on digital exam? - ANSWER-Enlarged, symmetrical, smooth Man with HTN, CAD, present femoral pulses but absent pedal - ANSWER-Arterial Insufficiency McMurray's Sign (+) palpable or audible click while extending with varus stress - ANSWER-Meniscus tears Lachman's Test - ANSWER-pivot shift test (ACL tear) Newborn with foot turned in, what do you do? - ANSWER-refer to orthopedist Osgood-Schlatter disease - ANSWER-Knee pain. inflammation or irritation of the tibia at its point of attachment with the patellar tendon Patient forgot to start Thanksgiving dinner and husband states she has trouble remembering tasks and trouble with organization. What is this indicative of? - ANSWER-Alzheimer's Pt has Barretts Esophagus, insurance no longer covers GI who was treating condition. Pt at FNP office wanting refill prescriptions. What do you do? - ANSWER-Refer to oncologist Pt presents with rash on shoulder, erythematous maculopapular rash with center clearing and scaling? - ANSWER-Tinea Corporis Pt presents with "bag of worms:, indicates? - ANSWER-Varicocele Pt with atopic dermatitis, look for what other diseases? - ANSWER-Asthma Pt with bleeding after menopause - ANSWER-endometrial biopsy, need to screen for cancer Pt with hx of PID, increased rick for? - ANSWER-Infertility Pt with HIV took high potency anti viral treatments and CD4 is >400, what does this indicate? - ANSWER-This is good. Want higher than 350 Pt with hx of htn and stroke, now having memory loss. What does this indicate? - ANSWER-Vascular dementia Pregnant teacher with exposure to 5ths disease (SLAP CHEEK), what risk is there to the fetus? - ANSWER-slap cheek, PVB19, rash hands / feet Fetal death and birth defects Quick assessment of patients fall risk? Timed Get up and Go - ANSWER-Timed Get up and Go Red beefy tongue? - ANSWER-pernicious anemia Rotator cuff injury presentation - ANSWER-disturbs sleep, arm weakness, dull ache Shingles near eye - ANSWER-immediate referral to ophthalmology Signs and symptoms of Roseola (6ths disease) ? - ANSWER-Viral infection Can result in a maculopapular rash, but up to 70% of cases proceed without the rash stage -Usually accompanied by a high fever (41°C or 105°F) that comes on quickly and lasts up to 3 days followed by rash -Seizures may occur during this period. -On the fourth day, the fever disappears and the rash appears, first on chest and trunk, then less prominently on the face and limbs. -High fever, pink flat or raised rash Treatment for chronic alcoholism: - ANSWER-12 step program Treatment for Gonorrhea? - ANSWER-Rocephin 250mg IMx1 plus Azithromycin 1 gm orally x1 to cover chlamydia. , or doxy 100 mg BID x7d. Green colored vaginal discharge, friable cervix. EXAM Report to health department Young female want birth control, forgets to take pills, does not want to get pregnant for at least 5 years: - ANSWER-IUD Basal cell cancer - ANSWER-Waxy, pearly, telangiectasia, ulcer center lesion -most common type of skin cancer caused by UV exposure. Metastatic is rare Actinic Keratosis - ANSWER-Scaly red to yellow located in sun exposed area -a precancerous skin growth that occurs on sun-damaged skin Actinic Keratosis - ANSWER-Numerous round dry pink to red areas. Scaly red to yellow located in sun exposed area -a pre squamous cell carcinoma occurs on sun-damaged skin biopsy cryo or 5fu cream subungual hematoma tx - ANSWER-Make a hole and drain the blood Moderate acne treatment - ANSWER-Without inflammation: Topical retinoid Moderate inflammation: Topical Retinoid or benzoyl peroxide or Azaleic acic ( very expensive and hard to get covered) PLUS ADD Oral antibiotics: doxycycline or tetracycline or minocycline- (tetracyclines has been proven most affective for inflammatory acne) Minocycline- long term use has been linked with pseudotumor cerebri Oral contraceptives for hormone related Spironolactone heart murmur with holosystolic or pan systolic Heart mumur with mid systolic - ANSWER-MR - radiate axilla, 5th ICS MCL, apex, AS - radiate neck, 2ICS right sternal border MR ASSH Coarctation of Aorta - ANSWER-COA: bounding radial and weak femoral pulse increase blood pressure in arms, and lower pressure in lower legs. -congenital cardiac condition characterized by a narrowing of the aorta - Murmur Grade III - VI - ANSWER-Loud murmur easily heard JVD caused by - ANSWE [Show More]

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