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AANP Board Exam 2023 Questions and Answers (Verified Answers) 1.INR values below increase stroke risk sixfold. ANS 2 2.What allergy contradicts the use of thiazide diuretics? ANS Sulfa 3.Why should ACE-Is be avoided with renal stenosis? ANS Leads to ARF 4.Adverse effects of aldosterone antagonists (Aldactone) ANS Galactorrhea and hyperkalemia 5.What are beta blocker indications? ANS HTN, post-MI< angina, arrhythmias, mi- graine prophylaxis, hyperthyroidism 6.1st line BP med for DM? ANS ACE or ARB 7.Grapefruit juice should be avoided in what 1st line antihypertensive med- ication? ANS CCB 8.Alternative antibiotic treatment for patients with gram positive baterial infections that are allergic to PCN ANS macrolides 1 / 3
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9.Initial treatment of COPD ANS Ipratropium bromide (anticholinergic) 10.1st line treatment for gonorrheal infections ANS Rocephin IM 11.Treatment of anthrax ANS Cipro 500mg BID 7-10 days 12.Treatment of traveler's diarrhea ANS Cipro 500mg BID 3 days 13.What can increase the risk of tendon rupture when on a quinolone?ANS age and steroids 14.How long does ASA suppress platelet function? ANS up to 7 days 15.What is the FDA category and dose of finasteride? ANS 5mg PO QD and category X 16.What drug category should not be given with warfarin? ANS sulfa drugs 17.When should routine screening for breast cancer start? ANS 40 18.If a patient had only one dose of the hep B vaccine what is recommend- ed? ANS Do not restart series; Start with 2nd dose 19.What is done if a patient has a tetanus-prone wound and an unknown vac- cination status? ANS Administer immediate dose of Td and the teatnus immunoglob- ulin injection 20.If a person is vaccinated with pneumovax prior to 65 what is 2 / 3
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recommend- ed? ANS Give a booster dose of pneumovax 5 years after initial dose 21.When should Zostavax be given? ANS age 60 22.How far apart should the varicella vaccines be given? ANS 4 weeks