Expected Questions and Answers Verified Answers

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AANP EXAM

Expected Questions and Answers (Verified Answers)

• A 65-year-old woman presents for a follow-up examination

after a new patient visit. She has not seen a healthcare provider for several years. She is a smoker and her hypertension is now adequately controlled with medication. Her mother died at age 40 from a heart attack. The fasting lipid profile shows cholesterol = 240 mg/dL, HDL = 30, and LDL = 200. In addition to starting Therapeutic Lifestyle Changes, the nurse practitioner should

start the patient on:

1.bile acid sequestrant.

2.a statin drug.

3.a cholesterol absorption inhibitor.

4.low-dose aspirin

ANS: A statin drug

• The most commonly prescribed medication for mild systemic 1 / 4

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lupus erythe- matosus (SLE) is:

1.azathioprine (AZA).

2.belimumab (Benlysta).

3.ibuprofen (Advil).

4.cyclophosphamide (Cytoxan)

ANS: ibuprofen (advil)

3. The most common sign of cervical cancer is:

1.postcoital bleeding.

2.strong odor from vaginal discharge.

3.itching in the vaginal area.

4.molluscum contagiosum

ANS: postcoital bleeding

• The nurse practitioner prescribes amitriptyline (Elavil) for a

patient with neuropathic pain secondary to diabetes mellitus.On follow-up, the patient complains of urine retention and

dry mouth. The practitioner would:

• discontinue amitriptyline and begin ibuprofen (Motrin).

2.refer to physical therapy.

3.start methocarbamol (Robaxin).

4.discontinue amitriptyline and begin gabapentin (Neurontin) 2 / 4

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ANS: discontinue amitriptyline and begin gabapentin (neurontin)

• A 17-year-old male with rheumatoid arthritis is being treated

with an NSAID and omeprazole (Prilosec). The patient complains of headache, abdominal pain, and gas. These

symptoms are most likely:

1.associated with the omeprazole. 3 / 4

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18 2.related to the underlying condition.

3.the result of the NSAID.

4.caused by viral gastroenteritis

ANS: associated with the omeprazole

• The medication of choice for the initial treatment of juvenile

rheumatoid arthritis is:

1.acetaminophen.

2.prednisone.

3.aspirin.

4.ibuprofen

ANS: ibuprofen

• A 12-year-old with sickle cell anemia has recently

experienced a sickle cell crisis and presents for a follow-up examination after a recent hospitalization. It is most important

to continue monitoring growth, development, and:

1.white blood cell levels.

2.fecal occult blood test.

3.hemoglobin levels.

4.urine dipsticks

ANS: hemoglobin levels

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