AANP FNP Study test in depth Examination and 100%
correctly verified Solutions Latest version
2025/20262026/2027
During an employment physical examination of a 21-year-old female, bruising around
the areolae on the breasts is noted. An appropriate health history for these findings
should include all of the following EXCEPT: - correct answer socioeconomic status
Chvostek sign - correct answer tap the facial nerve in front of the tragus and the
ipsilateral muscles of face contract - indicative of hypocalcemia
pernicious anemia is B12 deficiency - correct answer ...
True or false, a benign S4 heart sound may be auscultated in some elderly patients -
correct answer True
Dacrocystitis - correct answer inflammation of the lacrimal sac. Symptoms includes
thick eye discharge, pain, redness/swelling/warmth of lower eyelid. Tx includes lacrimal
sac massage downward toward mouth 2-3 times daily and systemic antibiotics if
needed.
Epididymoorchitis usually e-coli - correct answer Age ⬆️
35 or insertive partner in anal
intercourse
Causative organisms: Enterobacteriaceae (coliforms)
Presentation: irritative voiding symptoms, fever, painful swelling of epididymis and
scrotum. Infertility is possible post infection.
Treatment: Levofloxacin 500 mg PO QD or ofloxacin 300 mg PO BID x 10 days
Scabies - correct answer Severely itchy rash of scattered red bumps, usually between
the fingers, around the wrists, in the armpits and diaper area, and around the elbows.
May also show up on the kneecaps, palms, soles, scalp, or face. May leave curvy white
or thin red lines or little blisters on nearby skin. Itching is most intense after a hot bath or
at night and may keep the child awake. May occur at any age.
,VVC - correct answer Candidia Vaginitis- wet smear= pseudohyphae / spores w/ lrg
wbc.
Cheese curd like pruritis, itching, swelling, redness. TREAT: Diflucan 100 mgx1. Or
OTC= Monistat, clotrimazole
Hydrocele - correct answer Common in newborns and is a collection of fluid in the
scrotum. Usually resolves before 12 months of age.
most appropriate dx tests for PCOS are - correct answer testosterone, LH, prolactin,
TSH
The most common side effect of the oral ribavirin used in the treatment of hepatitis C is:
1.
hemolytic anemia.
2.
weight loss.
3.
depression.
4.
hypothyroidism. - correct answer hemolytic anemia
Which of the following findings is typically a sign of acute appendicitis? - correct
answer Rebound tenderness at McBurney's point
Dix-Hallpike or Nylen-Barany maneuver - correct answer + = Vertigo & nystagmus
when quickly move pt to supine position with head 30 degrees lower than table and to
turned to the side at 45 degree
,What is a rare but life threatening reaction to ace-inhibitors? What is a common side
effect? - correct answer Angioedema
-cough
Lyme Disease tx - correct answer Doxycycline, amoxicillin, or azithromycin
Erysipeals - correct answer Skin infection involving upper dermis and superficial
lympahtics. Strep A and has clear demarcated boarder, tx includes PCN such as
dicloxacillin qid x 10 days, Cephalexin, clindamycin for PCN allergic do Azithromycin.
Acute bacterial prostatitis - correct answer Age ⬇️
35
Causative organisms: N. gonorrhoeae, C. trachomatis
"it hurts when my bottom hits the chair."
Presentation: irritative voiding symptoms, suprapubic, perineal pain, fever, a tender,
boggy prostate, leukocytosis increased white count
Treatment: ceftriaxone 250 mg IM as 1 x dose w/doxycycline 100 mg PO BID x 10 days
Scarlet fever - correct answer The rash begins as a mass of tiny red bumps in the
armpits, neck, chest, and groin and rapidly spreads over the entire body. The bumps
feel like fine sandpaper and may itch. Child may have a fever and a red sore throat.
Early in the infection, the tongue may have a white or yellowish coating that later turns
red. The bumps on the tongue may appear larger than normal, a condition called
strawberry tongue. Tonsils may be swollen and red. As the rash fades, the skin may
peel, especially on the hands and feet and in the groin. Uncommon before age 2.
BV : s/s, microscopy, test, tx, - correct answer fishy, smelly vaginal discharge, wet
smear reveals epithelial cells with bacterial coating, KOH to cotton swab - whiff test,
flagyl cream x 7 days, clindamycin cream, flagyl PO
UTI - correct answer *Causes: Bowel and bladder dysfunction (withholding,
incontinence, constipation), anatomic abnormalities, vesicoureteral reflux.
*Treatment: 2nd or 3rd generation cephalosporin (cefixime, cefdinir, ceftibuten) for 3-5
days if afebrile, 10 days if febrile.
, *Renal and bladder US for all infants 2 to 24 months with 1st febrile UTI.
*Voiding cystourethrogram for vesicoureteral reflux.
*Get US in any child with recurrent febrile UTIs and UTI with family hx of renal or
urologic disease, poor growth or HTN
Lupus tx - correct answer Topical and oral steroids
weight loss, shoulder and pelvic pain, pain with ROM, no weakness, elevated ESR -
correct answer polymyalgia rheumatica!!!!
An 86-year-old patient presents with pinguecula, a yellow triangular degenerative tissue
thickening of the bulbar conjunctiva. This condition is:
1.
cured by eye drops.
2.
a genetic process.
3.
a malignant growth.
4.
a solar-induced lesion - correct answer a solar-induced lesion
The best laboratory test to distinguish iron deficiency anemia from other anemias is: -
correct answer serum ferritin level
McBurney's Point - correct answer RLQ of abdomen that is one-third of the distance
from the anterior superior iliac spine to the umbilicus (location of appendix)
Acute bacterial prostatitis (uncomplicated disease in men with low risk for STI) - correct
answer Causative organisms: Enterobacteriaceae (coliforms)
correctly verified Solutions Latest version
2025/20262026/2027
During an employment physical examination of a 21-year-old female, bruising around
the areolae on the breasts is noted. An appropriate health history for these findings
should include all of the following EXCEPT: - correct answer socioeconomic status
Chvostek sign - correct answer tap the facial nerve in front of the tragus and the
ipsilateral muscles of face contract - indicative of hypocalcemia
pernicious anemia is B12 deficiency - correct answer ...
True or false, a benign S4 heart sound may be auscultated in some elderly patients -
correct answer True
Dacrocystitis - correct answer inflammation of the lacrimal sac. Symptoms includes
thick eye discharge, pain, redness/swelling/warmth of lower eyelid. Tx includes lacrimal
sac massage downward toward mouth 2-3 times daily and systemic antibiotics if
needed.
Epididymoorchitis usually e-coli - correct answer Age ⬆️
35 or insertive partner in anal
intercourse
Causative organisms: Enterobacteriaceae (coliforms)
Presentation: irritative voiding symptoms, fever, painful swelling of epididymis and
scrotum. Infertility is possible post infection.
Treatment: Levofloxacin 500 mg PO QD or ofloxacin 300 mg PO BID x 10 days
Scabies - correct answer Severely itchy rash of scattered red bumps, usually between
the fingers, around the wrists, in the armpits and diaper area, and around the elbows.
May also show up on the kneecaps, palms, soles, scalp, or face. May leave curvy white
or thin red lines or little blisters on nearby skin. Itching is most intense after a hot bath or
at night and may keep the child awake. May occur at any age.
,VVC - correct answer Candidia Vaginitis- wet smear= pseudohyphae / spores w/ lrg
wbc.
Cheese curd like pruritis, itching, swelling, redness. TREAT: Diflucan 100 mgx1. Or
OTC= Monistat, clotrimazole
Hydrocele - correct answer Common in newborns and is a collection of fluid in the
scrotum. Usually resolves before 12 months of age.
most appropriate dx tests for PCOS are - correct answer testosterone, LH, prolactin,
TSH
The most common side effect of the oral ribavirin used in the treatment of hepatitis C is:
1.
hemolytic anemia.
2.
weight loss.
3.
depression.
4.
hypothyroidism. - correct answer hemolytic anemia
Which of the following findings is typically a sign of acute appendicitis? - correct
answer Rebound tenderness at McBurney's point
Dix-Hallpike or Nylen-Barany maneuver - correct answer + = Vertigo & nystagmus
when quickly move pt to supine position with head 30 degrees lower than table and to
turned to the side at 45 degree
,What is a rare but life threatening reaction to ace-inhibitors? What is a common side
effect? - correct answer Angioedema
-cough
Lyme Disease tx - correct answer Doxycycline, amoxicillin, or azithromycin
Erysipeals - correct answer Skin infection involving upper dermis and superficial
lympahtics. Strep A and has clear demarcated boarder, tx includes PCN such as
dicloxacillin qid x 10 days, Cephalexin, clindamycin for PCN allergic do Azithromycin.
Acute bacterial prostatitis - correct answer Age ⬇️
35
Causative organisms: N. gonorrhoeae, C. trachomatis
"it hurts when my bottom hits the chair."
Presentation: irritative voiding symptoms, suprapubic, perineal pain, fever, a tender,
boggy prostate, leukocytosis increased white count
Treatment: ceftriaxone 250 mg IM as 1 x dose w/doxycycline 100 mg PO BID x 10 days
Scarlet fever - correct answer The rash begins as a mass of tiny red bumps in the
armpits, neck, chest, and groin and rapidly spreads over the entire body. The bumps
feel like fine sandpaper and may itch. Child may have a fever and a red sore throat.
Early in the infection, the tongue may have a white or yellowish coating that later turns
red. The bumps on the tongue may appear larger than normal, a condition called
strawberry tongue. Tonsils may be swollen and red. As the rash fades, the skin may
peel, especially on the hands and feet and in the groin. Uncommon before age 2.
BV : s/s, microscopy, test, tx, - correct answer fishy, smelly vaginal discharge, wet
smear reveals epithelial cells with bacterial coating, KOH to cotton swab - whiff test,
flagyl cream x 7 days, clindamycin cream, flagyl PO
UTI - correct answer *Causes: Bowel and bladder dysfunction (withholding,
incontinence, constipation), anatomic abnormalities, vesicoureteral reflux.
*Treatment: 2nd or 3rd generation cephalosporin (cefixime, cefdinir, ceftibuten) for 3-5
days if afebrile, 10 days if febrile.
, *Renal and bladder US for all infants 2 to 24 months with 1st febrile UTI.
*Voiding cystourethrogram for vesicoureteral reflux.
*Get US in any child with recurrent febrile UTIs and UTI with family hx of renal or
urologic disease, poor growth or HTN
Lupus tx - correct answer Topical and oral steroids
weight loss, shoulder and pelvic pain, pain with ROM, no weakness, elevated ESR -
correct answer polymyalgia rheumatica!!!!
An 86-year-old patient presents with pinguecula, a yellow triangular degenerative tissue
thickening of the bulbar conjunctiva. This condition is:
1.
cured by eye drops.
2.
a genetic process.
3.
a malignant growth.
4.
a solar-induced lesion - correct answer a solar-induced lesion
The best laboratory test to distinguish iron deficiency anemia from other anemias is: -
correct answer serum ferritin level
McBurney's Point - correct answer RLQ of abdomen that is one-third of the distance
from the anterior superior iliac spine to the umbilicus (location of appendix)
Acute bacterial prostatitis (uncomplicated disease in men with low risk for STI) - correct
answer Causative organisms: Enterobacteriaceae (coliforms)
