{"id":132298,"date":"2024-03-19T04:34:43","date_gmt":"2024-03-19T04:34:43","guid":{"rendered":"https:\/\/learnexams.com\/blog\/?p=132298"},"modified":"2024-03-19T04:34:45","modified_gmt":"2024-03-19T04:34:45","slug":"ancc-fnp-exam-study-questions-and-answers-latest-update-2024","status":"publish","type":"post","link":"https:\/\/www.learnexams.com\/blog\/2024\/03\/19\/ancc-fnp-exam-study-questions-and-answers-latest-update-2024\/","title":{"rendered":"ANCC FNP Exam Study Questions and Answers Latest Update 2024"},"content":{"rendered":"\n

ANCC FNP Exam<\/p>\n\n\n\n

Treatment for mild allergic conjunctivits
Topical antihistamines\/mast cell stabilizer
NSAIDs and topical corticosteroids are not first line
Pt with allergic conjunctivitis often produce inadequate amount of tears (oral antihistamines may induce dry eye syndrome)<\/p>\n\n\n\n

Oral hairy leukoplakia
elongated papilla of the lateral aspect on the tongue<\/p>\n\n\n\n

What causes oral hairy leukoplakia?
EBV<\/p>\n\n\n\n

Koplik’s spot
clusters of small red papules with white centers located on the buccal mucosa by the lower molars (o = kopliks)
Prodromic viral of measles appears 2-3 days before the rash<\/p>\n\n\n\n

Geographic tongue
inflammatory disorder that usually appears on top and side of the tongue
multiple fissures and irreregular smoother areas on its surface that make it look like a topographic map<\/p>\n\n\n\n

Cheilosis
painful inflammation and cracking of the corners of the mouth<\/p>\n\n\n\n

Peritonsillar abscess
severe sore throat, difficulty swallowing, trismus, and muffled “hot potato” voice
abscess displaces the uvula<\/p>\n\n\n\n

pterygium
yellow, triangular thickening of the conjunctiva that extends across the cornea on the nasal side<\/p>\n\n\n\n

\"\"<\/figure>\n\n\n\n

Pinguecula<\/p>\n\n\n\n

yellowish, raised growth on the conjunctiva next to the cornea<\/p>\n\n\n\n

\"\"<\/figure>\n\n\n\n

Chalazion<\/p>\n\n\n\n

chronic inflammation of the meibomian gland<\/p>\n\n\n\n

\"\"<\/figure>\n\n\n\n

Normal intraocular pressure
8-21mm Hg<\/p>\n\n\n\n

Intermittent Esotropia
common in infants younger than 20 weeks
resolves spontaneously
refer if present after 20 weeks<\/p>\n\n\n\n

Kawasaki Disease
high fever, enlarged lymph nodes, conjunctivitis, dry, cracked lips
strawberry tongue
most cases under 5 years of age<\/p>\n\n\n\n

pharyngitis
acute infection of the pharynx
stuffy nose, rhinitis with clear mucus, and watery eyes<\/p>\n\n\n\n

allergic rhinitis
inflammatory changes of the nasal mucosa due to an allergy response
most common sign: transverse nasal crease (allergic salute)<\/p>\n\n\n\n

tonsillitis
inflammation of the tonsils
sore throat, difficulty swallowing, tender lymph nodes<\/p>\n\n\n\n

Treatment for otitis externa
Use aluminum acetate solution PRN (provides soothing, effective relief of minor skin irritations and inflammation)
keep water out of the ear
Polymyxin B-neomycin-hydrocortisone suspension drops QID x 7 days and\/or ofloxacin drops<\/p>\n\n\n\n

Bullous Myringitis
small, fluid-filled blisters form on the eardrum<\/p>\n\n\n\n

First permanent teeth to erupt
first molars at about 6 years of age<\/p>\n\n\n\n

viral keratoconjunctivitis
pink eye
treatment- symptomatic
cold compresses and slightly chilled artificial tears
avoid touching eyes, haring towels, frequent eye washing
children should not attend school until symptoms resolve<\/p>\n\n\n\n

what causes viral keratoconjunctivits?
adenovirus
contagious for 10-12 days
self limiting<\/p>\n\n\n\n

Transmission of sound through the ear<\/p>\n\n\n\n

    \n
  1. sound waves are collected in the pinna<\/li>\n\n\n\n
  2. transmission of vibrations through the hammer, anvil and stirrup
    3.nerve impulses stimulate in the inner ear<\/li>\n\n\n\n
  3. vibrations are transmitted of the cerebral cortex auditory center
    5.sound is interpreted by the cerebral cortex<\/li>\n<\/ol>\n\n\n\n

    Ishihara chart
    screening a patient for colour blindness<\/p>\n\n\n\n

    Tx for otitis media
    1st line- amoxicillin<\/p>\n\n\n\n

    blepharitis
    chronic condition caused by inflammation of the eyelids<\/p>\n\n\n\n

    contact lens keratitis
    eye pain, redness, excessive tearing, lesion on the cornea
    1st line- topical abx<\/p>\n\n\n\n

    primary angle-closure glaucoma
    sudden blockage of the aqueous humor
    increased intraocular pressure<\/p>\n\n\n\n

    Acute Rhinosinusitis
    inflammation of the mucosal lining of nasal passages, lasting up to 4 weeks, caused by allergens<\/p>\n\n\n\n

    Acute Bacterial Rhinosinusitis
    secondary bacterial infection, usually following viral URI<\/p>\n\n\n\n

    Diseases caused by S. pneumoniae
    COMPS
    Conjunctivitis
    Otitis media
    Meningitis
    Pneumonia
    Sinusitis<\/p>\n\n\n\n

    Diseases caused by H. influenza
    COMPS
    Conjunctivitis
    Otitis media
    Meningitis
    Pneumonia
    Sinusitis<\/p>\n\n\n\n

    Common features of ABRS
    fever and symptoms duration of more than 10 days
    maxillary toothache
    initial symptom improvement and then worsening of symptoms (double sickening)
    cacosmia (sense of bad odor in the nose)
    unilateral facial pain
    7 day tx is the best<\/p>\n\n\n\n

    Tx for ABRS in adults
    Initial therapy: amoxicillin or amox-clav
    Beta-lactam allergy:
    No anaphylaxis (cefdinir, cefpodoxime, cefuroxime)
    anaphylaxis (levo, moxi, doxycycline)<\/p>\n\n\n\n

    *macrolide abx (azithro, clarithro, erythro) and TMX-SMX (Bactrim) not recommended in ABRS tx<\/p>\n\n\n\n

    Doxycycline
    pregnancy risk: Cat D<\/p>\n\n\n\n

    Resp fluroquinolones
    pregnancy risk: Cat C<\/p>\n\n\n\n

    Normal hearing
    no lateralization
    AC>BC<\/p>\n\n\n\n

    Sensorineural hearing loss
    lateralization to good ear (sound is heard louder in the normal ear)
    AC>BC<\/p>\n\n\n\n

    Conductive hearing loss
    lateralization to bad ear (sound is heard louder in the bad ear)
    BC>AC<\/p>\n\n\n\n

    Allergic rhinitis
    inflammatory, IgE mediated disease due to genetic and environmental interactions and characterized by nasal congestion, rhinorrhea, sneezing, intraocular and\/or nasal itching<\/p>\n\n\n\n

    Allergic rhinitis treatment
    1st line- avoid allergen
    controller<\/p>\n\n\n\n