AANP FNP BOARD EXAM - -Guaranteed passing score -98 Questions and Ans...

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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: 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 2: Neuroblastoma presentation and diagnosis

Answer:

presentation - abdominal mass that is fixed, firm, irregular, and frequently crosses the midline usually adrenal medulla May be accompanied by weight loss, fever, subcutaneous nodules Ultrasound is initial imaging choice Refer to pediatric surgeon

Question 3: 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 4: 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 5: USPSTF prediabetes and DM II (2021)

Answer:

Screen for prediabetes and DM II in adults age 35 - 70 years old w/ overweight or obesity

Question 6: Measles

Answer:

Koplick's spots (small white papules) inside cheeks by rear molars.Erythematous maculopapular rash beginning on face, and spreads from head to feet, spares palms and soles

Question 7: 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

Question 8: USPSTF tobacco smoking recommendations (2020)

Answer:

Ask ALL adults about tobacco use, advise to stop smoking, provide smoking cessation

Question 9: 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 10: HPV vaccine

Answer:

can start as early as age 9 -14 years with two doses if after 15 years - 3 doses needed

Question 11: What is considered excessive newborn weight loss

Answer:

Beyond 10% Most lose 5-7% and should be regained within 10 - 14 days.

Question 12: Gonococcal ophtlamia neonatorum

Answer:

s/s 2- 5 days after birth, with infection spreading rapidly leading to blindness.injected red conjunctiva w/ profuse purulent discharge and swllen eyelids Also test for chlamydia, gonorrhea, herpes simplex Tx - high dose IV or IM cefotaxime Prophylaxis - 0.5% erythromycin ointment

Question 13: Periorbital cellulitis

Answer:

More common than orbital cellulitis. Infection of anterior portion of eyelid that does not involve the orbit or eyes.Young child c/o red, swollen, eyelids and eye pain. eye movements do not cause pain, EOM exam normal.Refer to ED

Question 14: USPSTF abdominal aortic aneurysm screening recommendations (2019)

Answer:

Age 65- 75 years old for men who have ever smoked One time screening (US abd)

Question 15: Developmental milestones 3 mo

Answer:

Smiles Coos Gurgling sounds Holds head up when prone Starts to recognize parents Abnormal - avoids eye contact, hypotonic, inability to hold head up

Question 16: Developmental milestones 12 mo

Answer:

Supports own weight Walks with hands held Parallel play Separation anxiety Can crawl up or down stairs Starts to cruise (moves from one furniture to other) Abnormal - Unable to support own weight, lack of babbling, No response to smiles, poor eye contact, loss of previously learned skills

Question 17: Turner syndrome

Answer:

A chromosomal disorder in females in which either an X chromosome is missing, making the person XO instead of XX, or part of one X chromosome is deleted.Congenital lymphedema of hands and feet, webbed neck, high arched palate, short fourth metacarpal.short stature, ovarian failure, cardiovascular and renal issues, ear malformations, amenorrhea

Question 18: 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 19: Kawasaki Disease

Answer:

High fever up to 104.0 for 5 or more days

At least four of following:

-enlarged lymph nodes on neck -Bright red rash -Bilateral conjuncitivits -Oral mucosal changes -Swollen hands and feet Treat w/ high dose aspirin and IV gamma globulin Resolves w/in 1-3 weeks - requires close followup with pediatric cardiologist d/t risk of coronary artery aneurysms, aortic dissection