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AANP FNP CERTIFICATION EXAM QUESTIONS WITH COMPLETE SOLUTIONS GUARANTEED 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 - ANSWER - >III first time audible, IV first time thrill Fundal height 12 weeks - ANSWER - >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? - ANSWER - >Iron, TIBC
3 months of synthroid, TSH increased, T4 normal, what do you do? - ANSWER - >Increase Medication 3 ways to assess cognitive function in patient with signs/symptoms of memory loss - ANSWER - >Mini mental exam 4 month old with strabismus, mom is worried......
- ANSWER - >tell her it is normal. 4 month old wont keep anything down, what is the main thing you look at? - ANSWER - >Growth chart 6 month old closed anterior fontanel. - ANSWER
XRAY Abnormal cells on PAP, what do you do next? - ANSWER - >Refer for Colposcopy CAGE ACRONYM - ANSWER - >Cut down Annoyed by criticism
located? - ANSWER - >Anterior septum Definitive diagnosis of acute bacterial prostatitis - ANSWER - >urinalysis and culture GERD treatment - ANSWER - >H2 is first line, give hs Grade 3 cells on Pap, treatment? - ANSWER - >LEEP excision Fingernail hematoma treatment? - ANSWER - >drill hole and drain blood? Increased risk of ectopic pregnancy - ANSWER
Salpingitis, or history of abortion, PID, Koplick spots - ANSWER - >Measles (rubeola). Grains of salt lesions inside mouth in Measles Koplick spots - ANSWER - >Measles (rubeola). Grains of salt lesions inside mouth in Measles
Legg-Calve-Perthes Disease - ANSWER - >Avascular necrosis of the proximal femoral head Lipid level of 1500, increased risk for? - ANSWER -
Pancreatitis Low HGB, Low HCT, High MCV indicates what? - ANSWER - >Macrocytic anemia, B12 Def Man with BPH, prostate feels on digital exam? - ANSWER - >Enlarged, symmetrical, smooth Man with HTN, CAD, present femoral pulses but absent pedal - ANSWER - >Arterial Insufficiency McMurray's Sign (+) palpable or audible click while extending with varus stress - ANSWER - >Meniscus tears Lachman's Test - ANSWER - >pivot shift test (ACL tear)
Pt presents with "bag of worms:, indicates? - ANSWER - >Varicocele Pt with atopic dermatitis, look for what other diseases? - ANSWER - >Asthma Pt with bleeding after menopause - ANSWER
endometrial biopsy, need to screen for cancer Pt with hx of PID, increased rick for? - ANSWER Infertility Pt with HIV took high potency anti viral treatments and CD4 is >400, what does this indicate? - ANSWER
This is good. Want higher than 350 Pt with hx of htn and stroke, now having memory loss. What does this indicate? - ANSWER - >Vascular dementia
Pregnant teacher with exposure to 5ths disease (SLAP CHEEK), what risk is there to the fetus? - ANSWER - >slap cheek, PVB19, rash hands / feet Fetal death and birth defects Quick assessment of patients fall risk? Timed Get up and Go - ANSWER - >Timed Get up and Go Red beefy tongue? - ANSWER - >pernicious anemia Rotator cuff injury presentation - ANSWER -
disturbs sleep, arm weakness, dull ache Shingles near eye - ANSWER - >immediate referral to ophthalmology Signs and symptoms of Roseola (6ths disease)? - ANSWER - >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
- most common type of skin cancer caused by UV exposure. Metastatic is rare Actinic Keratosis - ANSWER - >Scaly red to yellow located in sun exposed area
- a precancerous skin growth that occurs on sundamaged skin Actinic Keratosis - ANSWER - >Numerous round dry pink to red areas. Scaly red to yellow located in sun exposed area
- a pre squamous cell carcinoma occurs on sundamaged skin biopsy cryo or 5fu cream subungual hematoma tx - ANSWER - >Make a hole and drain the blood Moderate acne treatment - ANSWER - >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 - ANSWER - >MR - radiate axilla, 5th ICS MCL, apex, AS - radiate neck, 2ICS right sternal border
ANSWER - >endocarditis , painful red spots on fingers olser's nodes, janeway legions rash on palms and soles. Know the difference between Peripheral Arterial Disease and Chronic Venous Insufficiency or PVD. There was question about PAD. - ANSWER - >PAD: Absence of pulse, decrease blow flowing down, PAIN, Dx doppler or ABI<0.9, TX exercise by walking or antiplatelet, PVD: Volume, edema, discoloration, decrease blood going up, Chronic Bronchitis Treatment - ANSWER - >Smoking cessation Pulmonary rehabilitation Pharmacologic therapy Supplemental oxygen TB... PPD is positive if area of induration is: -
ANSWER - >>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. - ANSWER Croup/Epiglottitis AV nicking (Arterioles pressing on vein of the eye) - ANSWER - >HTN retinopathy intraocular pressure (IOP) - ANSWER - >Fluid pressure inside the eye; measured with tonometry Rovsing sign - ANSWER - >pain in the RLQ when the LLQ is palpated (indicative of appendicitis) Pencil-like stools occur in an obstruction of what - ANSWER - >Sigmoid descending colon
Vitamin B12 - ANSWER - >Cognitive deficits, glossitis, pernicious anemia, Folate shares a close relationship with this other B Vitamin. 88/yr. old patient in for follow up secondary. She's been treated with Tylenol for Joint arthritis. Her SED rate was checked after 6 weeks of treatment and it was 28. Normal range is from something to 25. How would you treat the pt. - ANSWER - >be changed to NSAID, SED rate is a sign of inflammation Which medication causes low sperm count for a patient - ANSWER - >SSRI grandiosity - ANSWER - >Exaggerated belief in or claims about one's importance or identity. Bipolor ADHD - ANSWER - >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? - ANSWER - >HPV test if not done. Refer for colposcopy Chlamydia trachomatis - ANSWER - >Doxycycline (+ ceftriaxone for gonorrhea coinfection) Genital warts treatment - ANSWER - >Cryotherapy OR Podophyllotoxin cream - OR Imiquimod (Aldara cream) HIV pt. with antiviral and CD4 count still less than
- What should NP tell the pt. - ANSWER - >tell the pt. that he is qualified to be diagnosed with AIDS according to CDC Most common cause of death in children - ANSWER
What should be done - ANSWER - >Ultrasound Romberg test - ANSWER - >cerebellar - ask client to stand with feet at comfortable distance apart, arms at sides, and eyes closed - expected finding: client should be able to stand with minimal swaying for at least 5 seconds Direct Coombs test - ANSWER - >r/o bilirubin preeclampsia treatment - ANSWER - >bed rest, laying on her side Molluscum contagiosum treatment - ANSWER
Currettage, liquid nitrogen pyloric stenosis - ANSWER - >non bilious vomiting, olive like firm mass palpated on right upper quadrant horizontal nystagmus that stops when eye is close to midline in a college student - ANSWER Ménière's disease?
Nystagmus test - ANSWER - >the involuntary jerking of the eyes as a person gazes to the side eating, painful lump noted on the jaw that comes and go. - ANSWER - >sialolithiasis). Etopic Pregnancy: Risk Factors - ANSWER - >Previous ectopic pregnancy Prior fallopian tube surgery Previous pelvic or abdominal surgery Certain sexually transmitted infections (STIs) Pelvic inflammatory disease Endometriosis cigarette smoking age older than 35 years history of infertility use of assisted reproductive technology, such as in vitro fertilization (IVF)
