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AANP FNP CERTIFICATION EXAM 2025| 238 REAL
EXAM QUESTIONS WITH CORRECT ANSWERS|100%
PASS
All diastolic murmurs are pathological. Murmurs Grades I-barely II- audible III- clearly audible. IV- first time thrill V-Steth edge VI-entire steth. EXAM III first time audible, IV first time thrill Fundal height 12 weeks Fundal Height 12 weeks above symphysis pubis. EXAM Fundus 16 weeks between symphysis pubis and umbilicus. Fundus at 20 weeks is at umbilicus. 2 cm more of less from # of wk gestation is normal if more or less order US 3 month old infant with down syndrome, due to milk intolerance, mom started on goats milk; now has pale conjunctiva but otherwise healthy. Low HCT. What additional test would you order? Iron, TIBC
3 months of synthroid, TSH increased, T4 normal, what do you do? Increase Medication 3 ways to assess cognitive function in patient with signs/symptoms of memory loss Mini mental exam 4 month old with strabismus, mom is worried...... tell her it is normal. 4 month old wont keep anything down, what is the main thing you look at? Growth chart 6 month old closed anterior fontanel.
Definition of metabolic syndrome cluster of conditions that increase risk of heart disease, stroke, diabetes. diagnose trichomoniasis wet prep Elderly presents with atrophic vaginitis, small uterus, palpable 4x ovary, what do you do next? Pelvic US Epistaxis is most common in the area of the nose known as kiesselbachs triangle, where is this located? Anterior septum Definitive diagnosis of acute bacterial prostatitis
urinalysis and culture GERD treatment H2 is first line, give hs Grade 3 cells on Pap, treatment? LEEP excision Fingernail hematoma treatment? drill hole and drain blood? Increased risk of ectopic pregnancy Salpingitis, or history of abortion, PID, Koplick spots Measles (rubeola). Grains of salt lesions inside mouth in Measles
Man with HTN, CAD, present femoral pulses but absent pedal Arterial Insufficiency McMurray's Sign (+) palpable or audible click while extending with varus stress Meniscus tears Lachman's Test pivot shift test (ACL tear) Newborn with foot turned in, what do you do? refer to orthopedist Osgood-Schlatter disease Knee pain. inflammation or irritation of the tibia at its point of attachment with the patellar tendon
Patient forgot to start Thanksgiving dinner and husband states she has trouble remembering tasks and trouble with organization. What is this indicative of? Alzheimer's Pt has Barretts Esophagus, insurance no longer covers GI who was treating condition. Pt at FNP office wanting refill prescriptions. What do you do? Refer to oncologist Pt presents with rash on shoulder, erythematous maculopapular rash with center clearing and scaling? Tinea Corporis Pt presents with "bag of worms:, indicates? Varicocele
Pregnant teacher with exposure to 5ths disease (SLAP CHEEK), what risk is there to the fetus? slap cheek, PVB19, rash hands / feet Fetal death and birth defects Quick assessment of patients fall risk? Timed Get up and Go Timed Get up and Go Red beefy tongue? pernicious anemia Rotator cuff injury presentation disturbs sleep, arm weakness, dull ache Shingles near eye immediate referral to ophthalmology Signs and symptoms of Roseola (6ths disease)?
Viral infection Can result in a maculopapular rash, but up to 70% of cases proceed without the rash stage -Usually accompanied by a high fever (41°C or 105°F) that comes on quickly and lasts up to 3 days followed by rash -Seizures may occur during this period. -On the fourth day, the fever disappears and the rash appears, first on chest and trunk, then less prominently on the face and limbs. -High fever, pink flat or raised rash Treatment for chronic alcoholism: 12 step program Treatment for Gonorrhea? Rocephin 250mg IMx1 plus Azithromycin 1 gm orally x1 to cover chlamydia. , or doxy 100 mg BID x7d. Green colored vaginal discharge, friable cervix. EXAM Report to health department
subungual hematoma tx Make a hole and drain the blood Moderate acne treatment Without inflammation: Topical retinoid Moderate inflammation: Topical Retinoid or benzoyl peroxide or Azaleic acic ( very expensive and hard to get covered) PLUS ADD Oral antibiotics: doxycycline or tetracycline or minocycline- (tetracyclines has been proven most affective for inflammatory acne) Minocycline- long term use has been linked with pseudotumor cerebri Oral contraceptives for hormone related Spironolactone
heart murmur with holosystolic or pan systolic Heart mumur with mid systolic MR - radiate axilla, 5th ICS MCL, apex, AS - radiate neck, 2ICS right sternal border MR ASSH Coarctation of Aorta COA: bounding radial and weak femoral pulse increase blood pressure in arms, and lower pressure in lower legs. -congenital cardiac condition characterized by a narrowing of the aorta
Murmur Grade III - VI Loud murmur easily heard
Chronic Bronchitis Treatment Smoking cessation Pulmonary rehabilitation Pharmacologic therapy Supplemental oxygen TB... PPD is positive if area of induration is:
5 mm in an immunocompromised patient or close contact 10 mm in immigrant, health care workers, drug user 15 mm in a patient who lives in an area where TB is very rare. what condition would make you order Lateral X-ray of the neck. Options include: Drooling, Unable to do ROM of the neck / stiff neck. Croup/Epiglottitis AV nicking (Arterioles pressing on vein of the eye) HTN retinopathy
intraocular pressure (IOP) Fluid pressure inside the eye; measured with tonometry Rovsing sign pain in the RLQ when the LLQ is palpated (indicative of appendicitis) Pencil-like stools occur in an obstruction of what Sigmoid descending colon It's a thin narrow stool and possible causes include colon cancer, diarrhea, IBS. Refer for GI colonoscopy headache after trauma SDH migraine headache
treatment and it was 28. Normal range is from something to 25. How would you treat the pt. be changed to NSAID, SED rate is a sign of inflammation Which medication causes low sperm count for a patient SSRI grandiosity Exaggerated belief in or claims about one's importance or identity. Bipolor ADHD A behavioral problem characterized by short attention span, restless movement, and impaired learning capacity. pt. pap's smear noted with Low Grade Squamous Intraepithelial Lesions and High Grade Squamous Epithelia Lesion noted on the report, what should NP do? HPV test if not done. Refer for colposcopy
Chlamydia trachomatis Doxycycline (+ ceftriaxone for gonorrhea coinfection) Genital warts treatment Cryotherapy OR Podophyllotoxin cream - OR Imiquimod (Aldara cream) HIV pt. with antiviral and CD4 count still less than 200. What should NP tell the pt. tell the pt. that he is qualified to be diagnosed with AIDS according to CDC Most common cause of death in children motor vehicle
