AANP CLINICAL SCENARIOS ACTUAL EXAM NEWEST VERSION

AANP CLINICAL SCENARIOS ACTUAL EXAM |NEWEST VERSION

• What is the most frequently observed side effect of oral ribavirin

when treating hepatitis C?Weight loss Hemolytic anemia Depression Hypothyroidism

• A 28-year-old patient presents with profuse yellow vaginal

discharge, odor, and local irritation. She reports completing a 7-day course of oral metronidazole (Flagyl), 500 mg b.i.d. 4 weeks ago.She has had multiple recurrences over the last 18 months.Microscopic examination reveals presence of clue cells. What is the most appropriate treatment intervention?Oral metronidazole (Flagyl), 500 mg b.i.d., plus metronidazole vaginal gel (MetroGel), for 5 days Treat both patient and partner(s) with oral metronidazole (Flagyl), 500 mg b.i.d., for 7 days Metronidazole vaginal gel (MetroGel) twice weekly for

• to 6 months

Treat patient with metronidazole vaginal gel (MetroGel) b.i.d.and partner(s) with tetracycline, 250 mg q.i.d., for 7 days 1 / 3

• Explain why a second PPD test may be necessary for frail elderly

patients after an initial negative result. What factors contribute to this recommendation?To confirm the absence of tuberculosis due to potential false negatives in this population.To monitor the patient's overall health status over time. 2 / 3

To assess the effectiveness of previous tuberculosis treatments. To evaluate the patient's immune response to the initial test.

• Which data cause the nurse to provide the parents of an infant

with education regarding colic?Abdominal pain accompanied by crying 3 days per week No weight gain since the last well-child visit Muscle mass that has decreased Frequent emesis

• A 70-year-old male patient with a history of hypertension and

diabetes is advised to increase his physical activity. If he currently exercises for 20 minutes twice a week, which of the following plans would best align with AHA guidelines for improving his cardiac health?Increase to 30 minutes daily, for a minimum of 5 days a week Continue with 20 minutes twice a week, but add strength training Exercise for 60 minutes daily, 7 days a week Exercise for 30 minutes daily, 3 days a week

• A 19-year-old female presents to the outpatient OB/GYN clinic for

her yearly exam and expresses concern about a breast lump. She notes it was found incidentally by her boyfriend. It's not painful but she is scared about cancer. She denies nipple discharge or overlying skin

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