Download AANP FNP Latest Terms 2025-2026 With Correct Verified Answers and more Exams Nursing in PDF only on Docsity!
AANP FNP Latest Terms 2025 - 2026 With Correct
Verified Answers
Koilonychia - correct answer>>spoon shaped nails class of abx to treat pertussis - correct answer>>macrolide how to diagnose thalassemia - correct answer>>hemoglobin electrophoresis absent red reflex on fundoscopy of an older adult indicative - correct answer>>cataracts cup to disc ratio >0.5 indicative - correct answer>>glaucoma absent venous pulsations on fundoscopy indicative of - correct answer>>papilledema blood in centre of optic disc on fundoscopy indicative - correct answer>>SAH HIV and sulfa drug reaction - correct answer>>morbilliform rash fitz hugh curtis syndrome - correct answer>>complication of PID (usually chlamydia) - inflammation of liver capsule normal intraocular pressure - correct answer>> 10 - 22 mm Hg chadwicks sign - correct answer>>change in COLOUR- bluish of vagina and cervix (probable sign of pregnancy) thiazide diuretics side effects (hyper/hypo): - correct answer>>hyperglycemia, hyperuricemia, hypertriglyceridemia, hyPOmagnesemia, hyponatremia, hypokalemia side effects of aldosterone antagonist/ mineralocorticoid receptor antagonist - correct answer>>hyperkalemia, gynecomastia, GI, ED diverticulitis treatment - correct answer>>cipro/flagyl diagnostics for cholecystitis: - correct answer>>U/S if inconclusive-HYDA scan abdo pain +elevated triglycerides ddx: - correct answer>>pancreatitis best agents for lowering triglycerides - correct answer>>niacin, fibrates
Oslers nodes and Janeway lesions sign of - correct answer>>bacterial endocarditis metabolic syndrome criteria - correct answer>>- Men waist >40 inches - women > inches
- HTN
- TG >150 / FPG>100 / HDL <40 (men) - <50 (women) CAP tx (no comorbidity): - correct answer>>azithromycin/clarithromycin or if abx in past 3 months: doxycycline or levofloxacin or macrolide + amox or amox/clav CAP with comorbidity tx: - correct answer>>moxi or another resp fluoroquinolone or beta lactam +macrolide criteria for hospitalization pneumonia - correct answer>>confusion, BUN>19.6, R>30, BP>90/60, age> Tb may show + for those who've had - correct answer>>BCG vaccine (bacillus calmette guerin) active TB treatment: - correct answer>>RIPE (rifampin, isoniazid, pyrazinamide, ethambutol)
- TB test fpr 1. no known risk factors, 2. recent contact with infectious TB/immunocompromised, 3. new immigrant from high prevalent country - correct answer>>1. >15mm 2. >5mm, 3. >10mm severe persistent asthma FEV1 - correct answer>><60% predicted intermittent asthma FEV1 - correct answer>>>80% predicted intermittent asthma night time awakenings - correct answer>>less than twice per month DM diagnosis: - correct answer>>A1C: >/6.5% FPG >/ 2 hour PP glucose >/200 during OGTT Random: >/200 with sx pre-DM diagnosis - correct answer>>FBG 100-125 or
at what grade can a thrill be palpated - correct answer>>grade 4 and up calorie content of breast milk - correct answer>>20kcal/30mL bronchiolitis symptoms - correct answer>>fever, insp/exp wheeze, clear nasal d/c thyroid screen indicated - correct answer>>woman >50yr normal creatinine - correct answer>>0.6-1.2 mg/dL RhoGAM mechanism of action - correct answer>>destroy Rh+ fetal cells in maternal circulation severe persistent asthma FEV1 - correct answer>><60% removing psoriasis plaques causes - correct answer>>bleeding (Auspitz sign) tx for localized impetigo - correct answer>>topical mupirocin NPH onset duration - correct answer>>onset 1.5-3hrs peak 4-12 hr duration 18-24 hr contraindications for CCBs - correct answer>>bradycardia, 2nd or 3rd AV block, CHF corneal reflex cranial nerve - correct answer>>V distance vision cranial nerve - correct answer>>II objective measure of OM - correct answer>>tympanogram - flat (decreased movement) anthrax prophylaxis - correct answer>>cipro 2nd line: levofloxacin max dose of metformin - correct answer>>1g BID start basal insulin if A1C > - correct answer>>9% hypertensive retinopathy findings - correct answer>>AV nicking, silver wire copper wire arterioles
TZDs contraindicated in - correct answer>>heart failure, NYHA class III or IV (causes water retention) missing outer eyebrow sign of - correct answer>>hypothyroid acute diverticulitis S&S - correct answer>>LLQ pain, + rovsings sign Grey-turners sign - correct answer>>discoloration over the flanks suggesting intra- abdominal bleeding (may be pancreatitis) zollinger ellis syndrome - correct answer>>Combination of peptic ulcers, hypersecretion of gastric acid, and gastrin secreting tumors (check serum gastrin level) markle test - correct answer>>drop onto heels- positive if pain elicited long term PPIs associated with - correct answer>>hip fracture, pneumonia, Cdiff agent preferred for fertility in PCOS - correct answer>>letrozole preferred approach for pap screening >30yrs - correct answer>>pap +HPV every 5 years pap tests age 21-29 every - correct answer>>3 years When to stop pap screening? - correct answer>>>65 y.o. with no history of abnormal papx 10 yrs ASCUS >24yrs - correct answer>>reflex HPV if positive, colpo ASCUS 21-24yrs - correct answer>>rpt pap in 12 months, if + colpo clue cells - correct answer>>bacterial vaginosis Osteopenia T score - correct answer>>between - 1 and - 2. Hep B e antigen - correct answer>>indicates chronic HepB infection HBsAg + - correct answer>>ongoing infection hyaline casts - correct answer>>normal unless associated with proteinuria
which kidney is lower - correct answer>>right % of neutrophils in WBC sample - correct answer>> 50 - 75% long term nitrofurantoin risk - correct answer>>lung disease, chronic hepatitis, neuropathy highest sensitivity imaging for nephrolithiasis - correct answer>>CT (non contrast) risk factor for temporal arteritis - correct answer>>polymyalgia rheumatica stereognosis - correct answer>>ability to recognize objects through feel not sight components of neuro exam - correct answer>>LOC, mental status, cognitive function, cranial nerves, motor, sensory, coordination (cerebellar testing) and reflexes most common causes of bacterial meningitis - correct answer>>s. pneumo neisseria meningitidis Hflu (haemophilus influenzae) avoid triptans for migraine abortive therapy if: - correct answer>>cardiovascular disease, HTN, MAOI use scotoma - correct answer>>blind spot in vision (may be migraine aura) grade 1 sprain - correct answer>>stretch ligament, stable joint grade 2 sprain - correct answer>>partial tear, stable joint grade 3 sprain - correct answer>>complete tear of ligament Tinel's sign - correct answer>>"pins and needles" sensation felt when an injured nerve site is tapped (carpal tunnel test) Phalen's test - correct answer>>flex at wrist for 60 seconds, tingling + (carpal tunnel) neutropenia count - correct answer>><1500 neutrophils/mm reed sternberg cells - correct answer>>present in Hodgkin's lymphoma
multiple myeloma affects - correct answer>>plasma cells bence jones proteins - correct answer>>Multiple myeloma Hgb normals - correct answer>>M: 14- 18 F: 12- 16 Hct normals - correct answer>>M 42-52 F 37- 47 reticuloycytosis - correct answer>>>2.5% of total RBC count - acute blood loss, supplementation (iron, folate, b12 after deficiency) to assess for meniscal tear - correct answer>>McMurray's test test for morton's neuroma - correct answer>>MTP squeeze test De Quervain's Tenosynovitis test - correct answer>>Finkelsteins (thumb in fist, anterior flex), dorsal thumb pain Baker's cyst - correct answer>>posterior knee pain - fluid filled bursa behind knee fracture secondary to illness called: - correct answer>>pathologic fractures treatment for scabies - correct answer>>permethrin posterior knee pain - correct answer>>-Popliteal cyst (Baker's cyst)
- Posterior cruciate ligament injury wrist fracture tx - correct answer>>thumb spica cast blood alcohol level illegal for driving - correct answer>>>0.08% standard drinks: beer, wine, liquor - correct answer>>beer: 12 oz, wine: 5 oz, liquor 1.5oz balanitis causative agent - correct answer>>candida albicans founder of NP movement in states - correct answer>>Loretta ford
- TUIP
prostatitis tx - correct answer>>TMP-SMX x 4-6 weeks (or fluoroquinolone) which type of ulcer most common - correct answer>>duodenal MVP sounds like: - correct answer>>midsystolic click mini cog score of <2 - correct answer>>probable dementia precocious puberty age - correct answer>><8 in girls <9 in boys MMR first given at: - correct answer>>12 months trimethobenzamide - correct answer>>anti-emetic presbycusis: - correct answer>>loss of high frequency sounds medication monitoring for lithium - correct answer>>kidneys and thyroid antipsychotics side effects - correct answer>>increase QT interval, anticholinergic fluoroquinolones risk of: - correct answer>>tendon rupture tx PAD - correct answer>>cilostazol finasteride class: - correct answer>> 5 - alpha reductase inhibitor tx for chronic bacterial prostatitis - correct answer>>bactrim x 4-6 weeks acute prostatitis tx: - correct answer>>>35 cipro x 4-6 weeks <35 ceftriaxone+doxy SSRI with highest risk of ED - correct answer>>paroxetine +Prehns sign: - correct answer>>decreased pain with scrotal elevation PDE 5 inhibitors contraindicated with: - correct answer>>nitrates
phases of menstrual cycle: - correct answer>>follicular, ovulatory, luteal, menstruation LSIL >25 yrs - correct answer>>refer - excisional treatment tzanck smear - correct answer>>herpes- appears as large abnormal nuclei in squamous epithelial cells Yaz risk of: - correct answer>>DVT, hyperkalemia how long do you have to wait after given a live attenuated immunization before giving another? - correct answer>>4 weeks child asthmatics more likely to respond to which medication class: - correct answer>>LTRA (montelukast) treating bacterial pneumonia in child: - correct answer>>amox 90mg/kg/day tx croup - correct answer>>single dose dexamethasone pancytopenia in a child ddx - correct answer>>leukemia sentinel nodes (virchows nodes) - correct answer>>supraclavicular area- first lymph nodes cancer will spread to pulsus paradoxus - correct answer>>drop in BP with inspiration sandpaper rash characteristic of - correct answer>>scarlatina lung breath sounds top to bottom - correct answer>>tracheal, bronchial, vesicular candida under microscope (wet smear): - correct answer>>pseudohyphae and spores first permanent teeth to erupt - correct answer>>first molars lab test for pernicious anemia - correct answer>>anti-parietal antibodies tx mild acne: - correct answer>>retin-A 0.25%, benzoyl peroxide + erythromycin, clindamycin topical
pyloric stenosis usually appears - correct answer>> 4 - 6 weeks how to diagnose pyloric stenosis - correct answer>>U/S when should cryptorchidism be referred? - correct answer>>6 months hydrocele should resolve by - correct answer>>1 year nurse maids elbow - correct answer>>annular ligament slips over head of radius bisphosphonates side effects - correct answer>>gastric & esophageal irritation, risk of femoral fractures (atypical, subtrochanteric and diaphyseal breaks), osteonecrosis of jaw teriparatide class - correct answer>>PTH analog - for osteoporosis strawberry cervix associated with: - correct answer>>trichomonas BV pH - correct answer>>>4. trichomonas pH tx: - correct answer>>> metro 2g one dose (treat sexual partner too (STI)) mefenamic acid used for: - correct answer>>NSAID for menstrual pain HIV antibodies develop ______ after exposure - correct answer>>3 months (initial symptoms may still show negative antibodies in first few weeks) if HIV+ , test annually for - correct answer>>syphilis, chlamydia, gonorrhea after treating chlamydia/gonorrhea retest in: - correct answer>>3 months to check for reinfection when to perform test of cure for gonorrhea/chlamydia - correct answer>> 3 - 4 weeks after treatment, in pregnant women Legg-Calve-Perthes Disease diagnosis: - correct answer>>avascular necrosis of the femoral head
trendelenberg- stand on one foot (pelvic tilt +) PID tx: - correct answer>>Ceftriaxone 250 IM plus Doxy bid x 14 days with or without flagyl x 14 days syphilis stages: - correct answer>>primary: chancre sore secondary: rash (brown/red, flat) tertiary: systemic (CNS, aorta) screening and confirmatory test for syphilis - correct answer>>1. VDRL or RPR
- fluorescent-treponemal antiody absorption (FTA-ABS) tx primary and latent syphilis - correct answer>>primary: benzathine penicillin G 2.4 mil units x latent: benzathine penicillin G 2.4 mil units qweekly x Jarisch-Herxheimer reaction - correct answer>>Flu-like syndrome (fever, chills, headache, myalgia) after antibiotics are started; due to killed bacteria (usually spirochetes) releasing endotoxins. HIV treatment for pregnant women and infants: - correct answer>>zidovudine topical treatment of acuminata: - correct answer>>podofilox, imiquimod or sinecatechins (contraindicated in pregnancy) HSV antiviral treatment length for primary infection and breakouts - correct answer>>primary: 7-10 days, breakouts 5 days (acyclovir/famciclovir/valacylclovir) URTI followed by hip pain think: - correct answer>>transient synovitis of the hip coxsackie virus causes - correct answer>>hand foot and mouth and herpangina lacy macular rash think: - correct answer>>fifths disease high fever x2-4 days then maculopapular rash think: - correct answer>>roseola (human herpes virus6) when can kids go back to daycare after most viral exanthems - correct answer>> 24 hours with no fever
ACEi preg category - correct answer>>D use of sulfa drugs in pregnancy can cause: - correct answer>>hyperbilirubinemia preload and afterload in pregnancy: - correct answer>>preload increases, afterload decreases (decrease in PVR) best HTN meds for pregnancy: - correct answer>>methyldopa, labetalol diagnostic OGTT for GDM (fasting, 1 hr, 2 hr) - correct answer>>fasting> 1 hour > 2 hour> macrobid can be used in pregnancy in trimesters: - correct answer>>1+ tx lactational mastitis: (low risk mrsa/high risk) - correct answer>>low risk: dicloxacillin/keflex high risk: bactrim/clindamycin Hgb at lowest level at age: - correct answer>> 6 - 8 weeks rolls from front to back and vice versa age: - correct answer>>6 months wilms tumor - correct answer>>nephroblastoma (most common renal malignancy in childhood) most common type of childhood leukemia: - correct answer>>acute lymphocytic leukemia still's murmur becomes louder with: - correct answer>>supine position minimum age for influenza vaccine: - correct answer>>6 months Moro reflex disappears at: - correct answer>> 3 - 4 months hyperactive behaviour, long face with prominent jaw and large ears typical of: - correct answer>>fragile X syndrome rubeola symptoms: - correct answer>>(MEASLES) - Prodrome of URI with high fever
- Cough
- Coryza
- Conjunctivitis
- Koplik spots (blue spots on bucal mucosa)
- Mobiliform rash = bright red macule/papule beginning on forehead and spreading down, including palms and soles high fever then maculopapular rash: - correct answer>>roseola trauma to kiesselbach's triangle: - correct answer>>anterior nosebleeds Human parvovirus B19 - correct answer>>Fifth disease tx for enterobiasis - correct answer>>albendazole tx for raynaud's - correct answer>>CCBs high intensity statins: - correct answer>>Atorvastatin 40-80 mg Rosuvastatin 20-40 mg cdiff tx for mild cases, for severe cases - correct answer>>mild: metronidazole severe: vanco avulsion fracture: - correct answer>>Tendon or ligament pulls bone away at site of attachment. delayed puberty: - correct answer>>no secondary sex characteristics in female by age 13, male by 14 primary amenorrhea: - correct answer>>no menarche by 15 cause of edema in anorexia: - correct answer>>low albumin Prophylaxis for gonoccocal or chlamydial opthalmia neonatorum - correct answer>>Erythromycin topical Mongolian spots usually fade by: - correct answer>> 2 - 3 yrs Erythema toxicum neonatorum - correct answer>>Small pustules on red base- resolve in 1 - 2 weeks
colorectal cancer screening: - correct answer>>>50yo
- Colonoscopy Q7-10yrs OR
- Flex sig Q5yrs OR
- FOBT Annually OR
