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AANP BOARD EXAM NEWEST / ACTUAL
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In terms of liver function tests, which of the following test has a normal reference range of 5 - 50 u/L?Alkaline Phosphatase Serum GGT Serum ALT
Serum AST - Correct answer: Serum AST
Serum AST is normal at 5 to 50 u/L. It is present in the liver, heart muscle, skeletal muscle, kidney and lung. It is not specific for liver injury because it is also elevated in other conditions such as acute MI.
Which of the following would not be considered a body change related to menopause?palpable ovaries labia and vagina become atrophic and thinner urinary incontinence
atrophied ovaries - Correct Answer: palpable ovaries
Palpable ovaries are considered an abnormal finding in menopausal women. After several years of menopause, the ovaries are atrophied and a smaller size. Ovarian cancer must be ruled out when a palpable ovary is found. 1 / 4
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pg. 2 What is the two-hour (2-hour) blood glucose value indicating diabetes mellitus?≥126 mg/dL.≥150 mg/dL.≥176 mg/dL.
≥200 mg/dL. - Correct answer: ≥200 mg/dL
Two-hour blood glucose is a diagnostic measurement for diabetes. A value of ≥200 mg/dL indicates diabetes mellitus.
Mrs. Layden is a 56-year-old female patient who is complaining of facial pain that she says begins on the side of her mouth and then shoots up toward her ear. You suspect which of the following?cluster headaches facial migraine herpes zoster
trigeminal neuralgia - Correct Answer: trigeminal neuralgia
Trigeminal neuralgia is a recurrent unilateral facial pain syndrome. It most often affects the maxillary division of the trigeminal nerve. Patients complain of pain on one side of the face and may have a small degree of numbness.
What is the recommended level for LDL for healthy adults?<100 mg/dL.<130 mg/dL.>40 mg/dL. 2 / 4
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<200 mg/dL. - Correct answer: <100 mg/dL
Expert panels have established several limits for lipid levels. For low density lipoprotein (LDL), the level is <100 mg/dL for adults. More that this amount places the individual at risk for cardiovascular disease.
Your patient complains of constipation. Your examination reveals no flatus, abdominal distention, and an absence of bowel sounds. Which of the following is the most likely cause?bowel ischemia volvulus diverticular disease
bowel obstruction - Correct Answer: bowel obstruction
Of the choices given, the most likely cause would be bowel obstruction.The client may also be experiencing vomiting. An abdominal radiograph would show free air.
Upon your examination of a patient you find bony nodules on the proximal interphalangeal joints. These are known as which of the following?Heberden's nodes degenerative joint nodes Bouchard's nodes
meniscus tears - Correct answer: Bouchard's nodes
Bouchard's nodes are bony nodules on the proximal interphalangeal joints. Heberden's nodes are bony nodules on the distal interphalangeal joints. 3 / 4
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pg. 4 Over twenty different scales have been proposed to define and measure the syndrome of frailty. The majority of these tools include a measure of at least one each of the five domains that make up the frailty phenotype.
Each of the following is one of these EXCEPT:
slowness intellectual decline weakness
low physical activity - Correct Answer: intellectual decline
Intellectual decline is not one of the five domains that make up the frailty phenotype. Besides the other three choices, the remaining domains are exhaustion and decreased muscle mass.
Which of the following is true of milk consumption on the ADA diet?Only nonfat milk should be consumed.Low or nonfat milk should be consumed.Full, low, or nonfat milk can be consumed.Nonfat milk should be avoided. - Correct Answer Low or nonfat milk should be consumed Milk is a key part of the ADA diet, though servings should be limited. Low fat and nonfat varieties of milk and yogurt should be consumed by people on the ADA diet. Full fat milk products can raise blood cholesterol levels.
Older adults often have visual problems. Which of the following is the term for decreased ability of the eye to accommodate to close work?glaucoma presbyopia
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