AANP Exam Review - 1. A 64 year old with HTN and DM presents with ...

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16 AANP Exam Review Expected Questions and Answers (Verified Answers)

• A 64 year old with HTN and DM presents with productive cough, fever, body

aches. What diagnosis is most likely?a.Acute bronchitis b.Chronic bronchitis c.Pneumonia

d.Pertussis: c. Pneumonia

1st clue: 64 year old

2nd clue: multiple comorbidities 3rd

clue: cough, fever

what was the stem of the question? 1 / 4

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16 2.Indications for a chest xray with acute cough: abnormal vital signs (increased RR or HR, temp >38c, 100.4F rales, consolidation > or equal 75 years of age with cough*** ***Pneumonia in older patient: tachypnea, decreased O2 sat, OR change in mental status or behavior 3.A 75 year old patient wo smokes and has COPD presents with a worsening cough, weight loss, fatigue, and an enlarged right supraclavicular node. Which finding is most indicative of a right lung tumor?

1.worsening cough 2.weight loss 3.fatigue

4.supraclavicular node: 4. supraclavicular node

most important stem clue because this lymph node drains the chest and breast. It's a BIG 2 / 4

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16 deal!If the stem gives a unilateral finding, look for a unilateral diagnosis

• What symptoms most commonly accompany acute bronchitis?

1.Fever, runny nose 2.Cough, fever 3.Cough and URI symptoms

4.Cough, URI, and headache: 3. Cough and URI symptoms

Remember that bronchitis is an inflammation of the bronchioles, bronchi, and trachea; usually follows an upper respiratory infection 3 / 4

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16 Starts above the shoulders and drops down into chest.

• A 35 year old patient with acute bronchitis has no underlying lung disease. He asks,

"How long before my cough goes aways?" The NP responds:

1.<1 week 2.about 1 week 3.1-3 weeks

4.>3 weeks: 3. 1-3 weeks

The patient with bronchitis will have evidence of upper AND lower airway symptoms.COUGH, COUGH, COUGH, usually worse at night!

6.What is the management of bronchitis?: Treat symptoms! Time

is the only thing for bronchitis ABX usually prescribed, but usually not necessary

7.Differential Diagnosis for Acute Bronchitis: PND

Asthma

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