AANP FNP certification
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 4×5 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
AANP Practice Questions
A 65-year-old woman presents for a follow-up examination after a new patient
visit. She has not seen a healthcare provider for several years. She is a smoker and
her hypertension is now adequately controlled with medication. Her mother died
at age 40 from a heart attack. The fasting lipid profile shows cholesterol = 240
mg/dL, HDL = 30, and LDL = 200. In addition to starting Therapeutic Lifestyle
Changes, the nurse practitioner should start the patient on:
1.bile acid sequestrant.
- a statin drug.
- a cholesterol absorption inhibitor.
- low-dose aspirin. – ANSWER A statin drug
The most commonly prescribed medication for mild systemic lupus
erythematosus (SLE) is: - azathioprine (AZA).
- belimumab (Benlysta).
- ibuprofen (Advil).
- cyclophosphamide (Cytoxan). – ANSWER ibuprofen
(advil)
The most common sign of cervical cancer is:
- postcoital bleeding.
- strong odor from vaginal discharge.
- itching in the vaginal area.
- molluscum contagiosum. – ANSWER postcoital
bleeding
The nurse practitioner prescribes amitriptyline (Elavil) for a patient with
neuropathic pain secondary to diabetes mellitus. On follow-up, the patient
complains of urine retention and dry mouth. The practitioner would: - discontinue amitriptyline and begin ibuprofen (Motrin).
- refer to physical therapy.
- start methocarbamol (Robaxin).
- discontinue amitriptyline and begin gabapentin (Neurontin). – ANSWER
discontinue amitriptyline and begin gabapentin (neurontin)
A 17-year-old male with rheumatoid arthritis is being treated with an NSAID and
omeprazole (Prilosec). The patient complains of headache, abdominal pain, and
gas. These symptoms are most likely: - associated with the omeprazole.
- related to the underlying condition.
- the result of the NSAID.
- caused by viral gastroenteritis. – ANSWER associated
with the omeprazole
The medication of choice for the initial treatment of juvenile rheumatoid arthritis
is:
- acetaminophen.
- prednisone.
- aspirin.
- ibuprofen. – ANSWER ibuprofen
A 12-year-old with sickle cell anemia has recently experienced a sickle cell crisis
and presents for a follow-up examination after a recent hospitalization. It is most
important to continue monitoring growth, development, and: - white blood cell levels.
- fecal occult blood test.
- hemoglobin levels.
- urine dipsticks. – ANSWER hemoglobin levels
A 90-year-old female is brought to the clinic by her neighbor. She states that
everything is fine, but the nurse practitioner notes that she has poor hygiene and
bruises on her trunk. The neighbor is concerned that the patient often has no
money to buy food, despite income from social security and a coal miner’s
pension. The nurse practitioner suspects abuse. Which of the following is the
nurse practitioner obligated to do next? - Report the case to the proper authorities.
- Tell the neighbor to check on the woman daily and report back.
- Document the data and report the information to risk management.