AANP Review Questions and Answers 2023

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AANP Review Questions and Answers 2023 (Verified Answers) 1.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?

2.Indications for a chest xray with acute cough: abnormal vital signs

(in- creased RR or HR, temp >38c, 100.4F rales, consolidation > or equal 75 years of age with cough*** 1 / 4

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***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 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 2 / 4

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trachea; usually follows an upper respiratory infection Starts above the shoulders and drops down into chest.

5.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 symp- toms.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 PNA Pertussi s TB

8.Supraclavicular nodes: associated with high rates of malignancy.

What organs are on the right vs left?: RT: Lungs, mediastinum, esophagus 3 / 4

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LT: Abdominal malignancy: stomach GB liver pancreas ovaries prostate 9.Pneumonia Vaccine Who?Who else?When is it given again?: Who-Prevention: Pneumococcal polysaccharide vacci- nation (PPSV) given once in a lifetime to immunocompetent adults > or equal 65 years Who else-Adults 19-64 with --chronic CV, lung, liver disease --smokers, DM, ETOH, or asplenic --chronic care facilities --immunocompromising conditions When again-one time 5 years after for CRF, nephrotic syndrome, asplenia, sickle cell, immunocompromising conditions

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