AANP FNP EXAM/ AANP STUDY GUIDE RECENT
VERSION ALL QUESTIONS AND CORRECT
ANSWERS/ BEST GRADED| Verified 100% Correct
,The expected outcomes of the preceding medications are as follows: Lipitor: LDL: 20-60% decrease HDL:
5-15% increase Triglyceride: 10-40% decrease
Gemfibrozil: LDL: 5-15% decrease HDL: 14-20% increase Triglyceride: 20-50%
decrease Nicotinic acid: LDL: 10-25% decrease HDL: 15-35% increase
Triglyceride: 20-50% decrease Colestipol: LDL: 10-20% decrease HDL: 3-5%
increase Triglyceride: May increase
Trochanteric Bursitis
I. Definition
A. Inflammation of bursa overlying hip greater trochanter
II. Symptoms
A. Pain overlying greater trochanter
B. May radiate into knee or ankle or into buttock
C. Night pain occurs if lying on affected side
D. Palliative and provocative factors
1. Worse when standing from seated or lying position
2. Improves initially on walking
3. Worse again after walking for >30 minutes
III. Signs
A. Point tenderness over lateral greater trochanter of hip
B. Symptoms reproduced on hip adduction
C. Adduction and internal rotation may also provoke
IV. Management
A. NSAIDs
B. Modify activity
C. Trochanteric Bursa Injection
,Page 10 of 79
Marfan Syndrome
I. Etiology
A. Defect in gene coding for fibrillin structure
B. Connective tissue defect affecting multiple systems
1. Musculoskeletal disease
2. Ocular disease
3. Cardiac disease
II. Signs
A. Body habitus
1. Tall (Height exceeds 95th percentile for age)
2. Extremely slender build
B. Cardiovascular signs and conditions
1. Mitral Valve Prolapse
2. Aortic root dilatation
3. Myocardial Infarction
4. Aortic Insufficiency
5. Congestive Heart Failure
6. Subacute Bacterial Endocarditis
7. Aortic Dissection
C. Musculoskeletal signs and conditions
1. Arachnodactyly (Spider fingers)
2. Pectus deformity (Pigeon Breast or Funnel Breast)
3. High narrow Palate
4. Arm Span exceeds height
5. Leg length exceeds trunk length
6. Hyperextensible joints and ligaments
7. Pes planus
8. Hammer toes
9. Vertebral Column deformities (e.g. Kyphoscoliosis)
10. Inguinal Hernia
11. Striae Distensae
, Page 11 of 79
D. Ocular signs and conditions
1. Upward ectopia lentis
2. Myopia
3. Iridodonesis
4. Glaucoma
5. Retinal Detachment
III. Labs
A. Homocystinuria
IV. Radiology
A. Echocardiogram
1. Enlarged aortic root
B. Chest XRay
1. Deformed aorta and pulmonary artery
Korsakoff's Syndrome
I. Causes
A. Untreated Thiamine deficiency from Alcoholism
II. Pathophysiology
A. Follows Wernicke's Encephalopathy
B. Lesions develop in mammillary bodies and Thalamus
III. Signs
A. Severe Short Term Memory loss
B. Intact Immediate Memory
C. Confabulation
IV. Management
A. Thiamine (See Wernicke's Encephalopathy)
VERSION ALL QUESTIONS AND CORRECT
ANSWERS/ BEST GRADED| Verified 100% Correct
,The expected outcomes of the preceding medications are as follows: Lipitor: LDL: 20-60% decrease HDL:
5-15% increase Triglyceride: 10-40% decrease
Gemfibrozil: LDL: 5-15% decrease HDL: 14-20% increase Triglyceride: 20-50%
decrease Nicotinic acid: LDL: 10-25% decrease HDL: 15-35% increase
Triglyceride: 20-50% decrease Colestipol: LDL: 10-20% decrease HDL: 3-5%
increase Triglyceride: May increase
Trochanteric Bursitis
I. Definition
A. Inflammation of bursa overlying hip greater trochanter
II. Symptoms
A. Pain overlying greater trochanter
B. May radiate into knee or ankle or into buttock
C. Night pain occurs if lying on affected side
D. Palliative and provocative factors
1. Worse when standing from seated or lying position
2. Improves initially on walking
3. Worse again after walking for >30 minutes
III. Signs
A. Point tenderness over lateral greater trochanter of hip
B. Symptoms reproduced on hip adduction
C. Adduction and internal rotation may also provoke
IV. Management
A. NSAIDs
B. Modify activity
C. Trochanteric Bursa Injection
,Page 10 of 79
Marfan Syndrome
I. Etiology
A. Defect in gene coding for fibrillin structure
B. Connective tissue defect affecting multiple systems
1. Musculoskeletal disease
2. Ocular disease
3. Cardiac disease
II. Signs
A. Body habitus
1. Tall (Height exceeds 95th percentile for age)
2. Extremely slender build
B. Cardiovascular signs and conditions
1. Mitral Valve Prolapse
2. Aortic root dilatation
3. Myocardial Infarction
4. Aortic Insufficiency
5. Congestive Heart Failure
6. Subacute Bacterial Endocarditis
7. Aortic Dissection
C. Musculoskeletal signs and conditions
1. Arachnodactyly (Spider fingers)
2. Pectus deformity (Pigeon Breast or Funnel Breast)
3. High narrow Palate
4. Arm Span exceeds height
5. Leg length exceeds trunk length
6. Hyperextensible joints and ligaments
7. Pes planus
8. Hammer toes
9. Vertebral Column deformities (e.g. Kyphoscoliosis)
10. Inguinal Hernia
11. Striae Distensae
, Page 11 of 79
D. Ocular signs and conditions
1. Upward ectopia lentis
2. Myopia
3. Iridodonesis
4. Glaucoma
5. Retinal Detachment
III. Labs
A. Homocystinuria
IV. Radiology
A. Echocardiogram
1. Enlarged aortic root
B. Chest XRay
1. Deformed aorta and pulmonary artery
Korsakoff's Syndrome
I. Causes
A. Untreated Thiamine deficiency from Alcoholism
II. Pathophysiology
A. Follows Wernicke's Encephalopathy
B. Lesions develop in mammillary bodies and Thalamus
III. Signs
A. Severe Short Term Memory loss
B. Intact Immediate Memory
C. Confabulation
IV. Management
A. Thiamine (See Wernicke's Encephalopathy)
