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AANP FNP BOARD EXAM
Actual Qs and Ans - Expert-Verified Explanation -Guaranteed passing score -98 Questions and Answers
-Format: Multiple-choice / Flashcard
Question 1: Early signs of autism and when to begin screening
Answer:
Begin screening at age 18 months -Des not point/wave/grasp/reach by 12 mo -No babbling by 12 mo -Does not say single words by 16 mo -Does not say 2 word phrases on their own by 24 mo -Loss of language or social skills at any age
Question 2: USPSTF skin cancer screening recommendations (2016)
Answer:
Educate fair-skinned persons to avoid sunlight (10 am - 3 pm) and use sunblock > SPF 15 *insufficient evidence for visual skin exam
Question 3: Emancipated minor
Answer:
legally married active duty in armed forces Question 4: Down syndrome: atlantoaxial instability
Answer:
require medical clearance for sports need cervical spine xrays; restrict contact sports and high risk activities such as trampoline jumping.
Question 5: Developmental dysplasia of the hip
Answer:
asymmetry of thigh/gluteal folds positive barlow and ortolani test order hip ultrasound and refer to orthopedic specialist
Question 6: USPSTF fall prevention in community-dwelling older adults (2018)
Answer:
Exercise interventions to prevent falls in adults at increased risk > 65 years old
Question 7: Mongolian spots
Answer:
bluish purple spots of pigmentation usually lumbosacral area usually fades by 2-3 years
Question 8: Dehydration in an infant
Answer:
weak, rapid pulse, tachypnea, parched mucous membranes, anterior fontanelle markedly sunken, skin tenting, cool skin, acrocyanosis, anuria, change in LOC Refer to ED for IV hydration
Question 9: Coarctation of the aorta
Answer:
neonate is pale, irritable, dyspneic, diaphoretic. Absence or delay of femoral pulse compared with brachial pulse Order echo EKG, cxr
Question 10: car safety, toddlers
Answer:
Toddlers placed in back seat in a forward facing safety seat with harness until height and weight limits outgrown Children < 12 years should be restrained in the back seat
Question 11: Developmental milestones 4 years
Answer:
Copies a cross Draws person with 3 body parts Plays mom and dad
Hops and stands on one foot up to 2 seconds *Cooperates with other children Names some colors and numbers Can dress self Abnormal - unable to speak in full sentences, inability to skip, run, hop. Cannot put on clothes without help. Unable to play with other kids
Question 12: Still's murmur
Answer:
benign systolic murmur having vibratory or musical quality, louder in supine position or with fever, minimal radiation grade 1-2 intensity, most common in school age, resolves in adolescence
Question 13: Developmental milestones neonate
Normal vs abnormal
Answer:
Strong reflexes 6-8 bm per day urinates x8 day Abnormal - jaundice, high-pitched cry, irritable, hypotonic, poor reflexes
Question 14: Septic arthritis in children
Answer:
Most commonly from S. aureus Abrupt onset of unilateral hip or knee pain, with swelling, warmth.Antalgic limp or inability to bear weight.Emergent joint aspiration and IV abx
Question 15: varicella rash
Answer:
generalized rash in different stages - papules - vesicles - pustules- crusts
Question 16: Wilms Tumor (nephroblastoma) presentation and diagnosis
Answer:
Asympomatic abdominal mass rarely crosses midline Sometimes accompanied by abdominal pain, hematuria, hypertension.High incidence in black female children.Palpate the abdomen gently to avoid rupturing renal capsule.Use abdominal ultrasound and refer to nephrologist
Question 17: USPSTF statin use for primary prevention of CVD in adults
Answer:
Prescribe statin for primary prevention of CVD for adults Age 40 - 75 yrs old w/ 1 or more risk factors -dyslipidemia
-DM II
-HTN -smoking -10 year ASCVD risk score > 10%
Question 18: Epiglottitis
Answer:
*Medical emergency Acute, rapid onset of fever, chills, toxicity c/o severe sore throat, drooling saliva, will not eat or drink; Muffled voice and anxiety (hot potato voice) Tripod sitting with hyperextended neck and open mouth breathing Stridor, tachycardia, and tachypnea on exam Most cases were due to Hib. (importance of Hib vaccine) Rifampin for prophylaxis in close contacts (4 days)
Question 19: Cryptorchidism
Answer:
undescended testicles Exam - warm room, massage inguinal canal Increased risk of testicular ca if testicles not removed from abdomen Surgical correction necessary w/in 1st year of life
Question 20: Erythema toxicum neonatorum
Answer:
small 1-3 mm white pustules surrounded by red base, usually on face, chest, back, extremities.Lasts 1-2 weeks and resoles spontaneously
Question 21: Scoliosis treatment parameters
Answer:
Adams foward bend test asymmetry of spine, scapula, thoracic, and lumbar curvature <20 degrees - monitor 20-40 degrees - bracing >40 degrees - surgical correction
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