AANP FNP Certification Exam FNP certification
Exam Review | Verified study | A+ Graded | Actual
Questions and Answers | 2027 Updates
Murphy's sign (how to) - ANSWER- ⬛on deep inspiration (pt), palpate firmly RUQ
below the costovertebral angel
Murphy's sign (diagnostic of?) - ANSWER- ⬛
biliary disorders gallbladder comes in contact w/fingers
and may elect pain (+) to be positive, same maneuver must not elicit pain on left side
-breath in, diaphragm moves down, abd contents move down, -hold breath, gallbladder
comes by fingers
antihypertensive to avoid in emphysema - ANSWER- ⬛Beta-blockers
-reduction in forced expiratory volume
-increased airway hyperresponsiveness
-inhibition of bronchodilator response to beta agonists
threatened abortion (definition) - ANSWER- ⬛ vaginal bleeding and cramping
present, but cervix remains closed
milky white discharge (increased)
alkaline pH
cells with blurred margins (microscope) - ANSWER- ⬛
BV also: fishy odor,
adherent discharge
pos whiff (when discharge mixed w/ KOH) = fishy odor
low levels of alpha fetoprotein and estriol w/ high levels of hcg
(what to order and what does it mean?) - ANSWER- ⬛
ultrasound down syndrome or fetal demise
messages.downloaded_
,normally elevated lab in someone expecting twins - ANSWER- ⬛ alpha
fetoprotein AFP produced by fetal (and mother's) liver, common to be higher if
having twins
"Triple Screen" (prenatal screening)
vs. Quad screen - ANSWER- ⬛ between 15 - 22 weeks:
AFP (high in NTD, low in Downs)
Estradiol (abnormal in Downs)
HCG (abnormal in Downs)
w/ inhibin A (hormone released by placenta)
why doesn't Chlamydia affect the labia or vagina? - ANSWER- ⬛ typically
affects cervix, endometrial lining, fallopian tubes and pelvic cavity
positive obturator sign (definition)
if positive - ANSWER- ⬛ acute appendicitis
pain evicted by internal rotation of the right hip from 90degrees flexion
psoas sign (definition)
if positive - ANSWER- ⬛ acute appendicitis
pain w/ passive extension of the thigh while pt is lying on side w/ bent knees -or- knee moves
posterior (behind the patient) causing tightness in abd cavity
treatment for mild preeclampsia - ANSWER- ⬛ best rest w/ BR
privileges monitor wight and bp
monitor urinary protein
serum creatine and plts
messages.downloaded_
,pap (cytology) comes back normal but there is "inflammation" noted - what to do? - ANSWER-
⬛ pt needs
STI testing may have
cervicitis TORCH
what is this acronym stand for? - ANSWER- ⬛ fetal
abnormalities T: toxoplasmosis
O: other
R: rubella
C: cytomegalovirus
H: herpes
T/F
HPV of the larynx can cause laryngeal cancer - ANSWER- ⬛true
what are Heberden's nodes - ANSWER- ⬛ bony
overgrowth
classic sign of osteoarthritis
hard nontender nodules at distal interphalangeal joints
enlarged middle phalangeal joints are called Bouchard's node
What do order if fundal height is more than 3cm off the weeks of gestation age - ANSWER-
⬛ order an ultrasound
more than 2cm either way is abnormal
anhedonia - definition - ANSWER- ⬛ loss of interest in activities that the
patient finds pleasurable
apraxia - definition - ANSWER- ⬛loss of ability to execute purposeful movements
despite desire to perform them
-disorder of motor planning from cerebrum not a sign of depression
messages.downloaded_
, apathy - definition - ANSWER- ⬛ lack of interest, enthusiasm, or concern
Signs of an ectopic pregnancy - ANSWER- ⬛
amenorrhea w/ new onset of bloody spotting
with: adnexal tenderness and cervical motion tenderness
* need UPT and send to the ED
T/F
presence of amenorrhea should be treated as a pregnancy until proven otherwise - ANSWER-
⬛ TRUE
what is a positive Coombs test - ANSWER- ⬛ on an Rh-neg pregnant woman
- the mother's antibodies can attack the fetus's Rh-pos blood cells and destroy them
need anti-RhD immunoglobulin or Rho[D]* give at 28 weeks gestation and after
birth what are the neural tube defects from low folic acid during pregnancy -
ANSWER-
⬛ anencephaly (absence of portion of the brain) and spina bifida (spinal cord
doesn't form properly, causing leg paralysis, orthopedic abnormalities, bladder and bowel
problems)
complications of severe pre-eclampsia - ANSWER- ⬛ hypertensive
encephalopathy liver failure
kidney failure
pulmonary edema
placental abruption - seperation
seizures
retinal detachment
DIC........and death
how to measure IOP of eye for glaucoma - ANSWER- ⬛
Tonometry normal IOP is 10-22 mmHg
messages.downloaded_
Exam Review | Verified study | A+ Graded | Actual
Questions and Answers | 2027 Updates
Murphy's sign (how to) - ANSWER- ⬛on deep inspiration (pt), palpate firmly RUQ
below the costovertebral angel
Murphy's sign (diagnostic of?) - ANSWER- ⬛
biliary disorders gallbladder comes in contact w/fingers
and may elect pain (+) to be positive, same maneuver must not elicit pain on left side
-breath in, diaphragm moves down, abd contents move down, -hold breath, gallbladder
comes by fingers
antihypertensive to avoid in emphysema - ANSWER- ⬛Beta-blockers
-reduction in forced expiratory volume
-increased airway hyperresponsiveness
-inhibition of bronchodilator response to beta agonists
threatened abortion (definition) - ANSWER- ⬛ vaginal bleeding and cramping
present, but cervix remains closed
milky white discharge (increased)
alkaline pH
cells with blurred margins (microscope) - ANSWER- ⬛
BV also: fishy odor,
adherent discharge
pos whiff (when discharge mixed w/ KOH) = fishy odor
low levels of alpha fetoprotein and estriol w/ high levels of hcg
(what to order and what does it mean?) - ANSWER- ⬛
ultrasound down syndrome or fetal demise
messages.downloaded_
,normally elevated lab in someone expecting twins - ANSWER- ⬛ alpha
fetoprotein AFP produced by fetal (and mother's) liver, common to be higher if
having twins
"Triple Screen" (prenatal screening)
vs. Quad screen - ANSWER- ⬛ between 15 - 22 weeks:
AFP (high in NTD, low in Downs)
Estradiol (abnormal in Downs)
HCG (abnormal in Downs)
w/ inhibin A (hormone released by placenta)
why doesn't Chlamydia affect the labia or vagina? - ANSWER- ⬛ typically
affects cervix, endometrial lining, fallopian tubes and pelvic cavity
positive obturator sign (definition)
if positive - ANSWER- ⬛ acute appendicitis
pain evicted by internal rotation of the right hip from 90degrees flexion
psoas sign (definition)
if positive - ANSWER- ⬛ acute appendicitis
pain w/ passive extension of the thigh while pt is lying on side w/ bent knees -or- knee moves
posterior (behind the patient) causing tightness in abd cavity
treatment for mild preeclampsia - ANSWER- ⬛ best rest w/ BR
privileges monitor wight and bp
monitor urinary protein
serum creatine and plts
messages.downloaded_
,pap (cytology) comes back normal but there is "inflammation" noted - what to do? - ANSWER-
⬛ pt needs
STI testing may have
cervicitis TORCH
what is this acronym stand for? - ANSWER- ⬛ fetal
abnormalities T: toxoplasmosis
O: other
R: rubella
C: cytomegalovirus
H: herpes
T/F
HPV of the larynx can cause laryngeal cancer - ANSWER- ⬛true
what are Heberden's nodes - ANSWER- ⬛ bony
overgrowth
classic sign of osteoarthritis
hard nontender nodules at distal interphalangeal joints
enlarged middle phalangeal joints are called Bouchard's node
What do order if fundal height is more than 3cm off the weeks of gestation age - ANSWER-
⬛ order an ultrasound
more than 2cm either way is abnormal
anhedonia - definition - ANSWER- ⬛ loss of interest in activities that the
patient finds pleasurable
apraxia - definition - ANSWER- ⬛loss of ability to execute purposeful movements
despite desire to perform them
-disorder of motor planning from cerebrum not a sign of depression
messages.downloaded_
, apathy - definition - ANSWER- ⬛ lack of interest, enthusiasm, or concern
Signs of an ectopic pregnancy - ANSWER- ⬛
amenorrhea w/ new onset of bloody spotting
with: adnexal tenderness and cervical motion tenderness
* need UPT and send to the ED
T/F
presence of amenorrhea should be treated as a pregnancy until proven otherwise - ANSWER-
⬛ TRUE
what is a positive Coombs test - ANSWER- ⬛ on an Rh-neg pregnant woman
- the mother's antibodies can attack the fetus's Rh-pos blood cells and destroy them
need anti-RhD immunoglobulin or Rho[D]* give at 28 weeks gestation and after
birth what are the neural tube defects from low folic acid during pregnancy -
ANSWER-
⬛ anencephaly (absence of portion of the brain) and spina bifida (spinal cord
doesn't form properly, causing leg paralysis, orthopedic abnormalities, bladder and bowel
problems)
complications of severe pre-eclampsia - ANSWER- ⬛ hypertensive
encephalopathy liver failure
kidney failure
pulmonary edema
placental abruption - seperation
seizures
retinal detachment
DIC........and death
how to measure IOP of eye for glaucoma - ANSWER- ⬛
Tonometry normal IOP is 10-22 mmHg
messages.downloaded_
