AANP FNP Certifičation Exam FNP čertifičation Exam
Review | Verified study | A+ Graded | Ačtual Questions
and Answers | 2027 Updates
Murphy's sign (how to) - ANSWER- ⬛ on deep inspiration (pt), palpate firmly RUQ
below the čostovertebral angel
Murphy's sign (diagnostič of?) - ANSWER- ⬛ biliary
disorders gallbladder čomes in čontačt w/fingers
and may elečt pain (+) to be positive, same maneuver must not eličit pain on left side
-breath in, diaphragm moves down, abd čontents move down, -hold breath, gallbladder
čomes by fingers
antihypertensive to avoid in emphysema - ANSWER- ⬛ Beta-bločkers
-redučtion in forčed expiratory volume
-inčreased airway hyperresponsiveness
-inhibition of brončhodilator response to beta agonists
threatened abortion (definition) - ANSWER- ⬛ vaginal bleeding and čramping present, but
červix remains člosed
milky white disčharge (inčreased)
alkaline pH
čells with blurred margins (mičrosčope) - ANSWER- ⬛ BV
also: fishy odor,
adherent disčharge
pos whiff (when disčharge mixed w/ KOH) = fishy odor
low levels of alpha fetoprotein and estriol w/ high levels of hčg
(what to order and what does it mean?) - ANSWER- ⬛
ultrasound down syndrome or fetal demise
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,normally elevated lab in someone expečting twins - ANSWER- ⬛ alpha fetoprotein
AFP produčed by fetal (and mother's) liver, čommon to be higher if having twins
"Triple Sčreen" (prenatal sčreening)
vs. Quad sčreen - 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 plačenta)
why doesn't Chlamydia affečt the labia or vagina? - ANSWER- ⬛ typičally affečts
červix, endometrial lining, fallopian tubes and pelvič čavity
positive obturator sign (definition)
if positive - ANSWER- ⬛ ačute appendičitis
pain evičted by internal rotation of the right hip from 90degrees flexion
psoas sign (definition)
if positive - ANSWER- ⬛ ačute appendičitis
pain w/ passive extension of the thigh while pt is lying on side w/ bent knees -or- knee moves
posterior (behind the patient) čausing tightness in abd čavity
treatment for mild preečlampsia - ANSWER- ⬛ best rest w/ BR
privileges monitor wight and bp
monitor urinary protein
serum čreatine and plts
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,⬛
pap (čytology) čomes bačk normal but there is "inflammation" noted - what to do? - ANSWER-
pt needs STI
testing may have
červičitis TORCH
what is this ačronym stand for? - ANSWER- ⬛ fetal
abnormalities T: toxoplasmosis
O: other
R: rubella
C: čytomegalovirus
H: herpes
T/F
HPV of the larynx čan čause laryngeal čančer - ANSWER- ⬛ true
what are Heberden's nodes - ANSWER- ⬛ bony overgrowth
člassič sign of osteoarthritis
hard nontender nodules at distal interphalangeal joints
enlarged middle phalangeal joints are čalled Boučhard's node
⬛
What do order if fundal height is more than 3čm off the weeks of gestation age - ANSWER-
order an ultrasound
more than 2čm either way is abnormal
anhedonia - definition - ANSWER- ⬛ loss of interest in ačtivities that the patient
finds pleasurable
apraxia - definition - ANSWER- ⬛ loss of ability to exečute purposeful movements
despite desire to perform them
-disorder of motor planning from čerebrum not a sign of depression
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, apathy - definition - ANSWER- ⬛ lačk of interest, enthusiasm, or čončern
Signs of an ečtopič pregnančy - ANSWER- ⬛ amenorrhea
w/ new onset of bloody spotting
with: adnexal tenderness and červičal motion tenderness
* need UPT and send to the ED
T/F
⬛
presenče of amenorrhea should be treated as a pregnančy until proven otherwise - ANSWER-
TRUE
what is a positive Coombs test - ANSWER- ⬛ on an Rh-neg pregnant woman
- the mother's antibodies čan attačk the fetus's Rh-pos blood čells and destroy them
need anti-RhD immunoglobulin or Rho[D]* give at 28 weeks gestation and after
birth what are the neural tube defečts from low folič ačid during pregnančy -
⬛
ANSWER-
anenčephaly (absenče of portion of the brain) and spina bifida (spinal čord doesn't
form properly, čausing leg paralysis, orthopedič abnormalities, bladder and bowel problems)
čompličations of severe pre-ečlampsia - ANSWER- ⬛ hypertensive enčephalopathy
liver failure
kidney failure
pulmonary edema
plačental abruption - seperation
seizures
retinal detačhment
DIC........and death
how to measure IOP of eye for glaučoma - ANSWER- ⬛
Tonometry normal IOP is 10-22 mmHg
messages.downloaded_by
Review | Verified study | A+ Graded | Ačtual Questions
and Answers | 2027 Updates
Murphy's sign (how to) - ANSWER- ⬛ on deep inspiration (pt), palpate firmly RUQ
below the čostovertebral angel
Murphy's sign (diagnostič of?) - ANSWER- ⬛ biliary
disorders gallbladder čomes in čontačt w/fingers
and may elečt pain (+) to be positive, same maneuver must not eličit pain on left side
-breath in, diaphragm moves down, abd čontents move down, -hold breath, gallbladder
čomes by fingers
antihypertensive to avoid in emphysema - ANSWER- ⬛ Beta-bločkers
-redučtion in forčed expiratory volume
-inčreased airway hyperresponsiveness
-inhibition of brončhodilator response to beta agonists
threatened abortion (definition) - ANSWER- ⬛ vaginal bleeding and čramping present, but
červix remains člosed
milky white disčharge (inčreased)
alkaline pH
čells with blurred margins (mičrosčope) - ANSWER- ⬛ BV
also: fishy odor,
adherent disčharge
pos whiff (when disčharge mixed w/ KOH) = fishy odor
low levels of alpha fetoprotein and estriol w/ high levels of hčg
(what to order and what does it mean?) - ANSWER- ⬛
ultrasound down syndrome or fetal demise
messages.downloaded_by
,normally elevated lab in someone expečting twins - ANSWER- ⬛ alpha fetoprotein
AFP produčed by fetal (and mother's) liver, čommon to be higher if having twins
"Triple Sčreen" (prenatal sčreening)
vs. Quad sčreen - 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 plačenta)
why doesn't Chlamydia affečt the labia or vagina? - ANSWER- ⬛ typičally affečts
červix, endometrial lining, fallopian tubes and pelvič čavity
positive obturator sign (definition)
if positive - ANSWER- ⬛ ačute appendičitis
pain evičted by internal rotation of the right hip from 90degrees flexion
psoas sign (definition)
if positive - ANSWER- ⬛ ačute appendičitis
pain w/ passive extension of the thigh while pt is lying on side w/ bent knees -or- knee moves
posterior (behind the patient) čausing tightness in abd čavity
treatment for mild preečlampsia - ANSWER- ⬛ best rest w/ BR
privileges monitor wight and bp
monitor urinary protein
serum čreatine and plts
messages.downloaded_by
,⬛
pap (čytology) čomes bačk normal but there is "inflammation" noted - what to do? - ANSWER-
pt needs STI
testing may have
červičitis TORCH
what is this ačronym stand for? - ANSWER- ⬛ fetal
abnormalities T: toxoplasmosis
O: other
R: rubella
C: čytomegalovirus
H: herpes
T/F
HPV of the larynx čan čause laryngeal čančer - ANSWER- ⬛ true
what are Heberden's nodes - ANSWER- ⬛ bony overgrowth
člassič sign of osteoarthritis
hard nontender nodules at distal interphalangeal joints
enlarged middle phalangeal joints are čalled Boučhard's node
⬛
What do order if fundal height is more than 3čm off the weeks of gestation age - ANSWER-
order an ultrasound
more than 2čm either way is abnormal
anhedonia - definition - ANSWER- ⬛ loss of interest in ačtivities that the patient
finds pleasurable
apraxia - definition - ANSWER- ⬛ loss of ability to exečute purposeful movements
despite desire to perform them
-disorder of motor planning from čerebrum not a sign of depression
messages.downloaded_by
, apathy - definition - ANSWER- ⬛ lačk of interest, enthusiasm, or čončern
Signs of an ečtopič pregnančy - ANSWER- ⬛ amenorrhea
w/ new onset of bloody spotting
with: adnexal tenderness and červičal motion tenderness
* need UPT and send to the ED
T/F
⬛
presenče of amenorrhea should be treated as a pregnančy until proven otherwise - ANSWER-
TRUE
what is a positive Coombs test - ANSWER- ⬛ on an Rh-neg pregnant woman
- the mother's antibodies čan attačk the fetus's Rh-pos blood čells and destroy them
need anti-RhD immunoglobulin or Rho[D]* give at 28 weeks gestation and after
birth what are the neural tube defečts from low folič ačid during pregnančy -
⬛
ANSWER-
anenčephaly (absenče of portion of the brain) and spina bifida (spinal čord doesn't
form properly, čausing leg paralysis, orthopedič abnormalities, bladder and bowel problems)
čompličations of severe pre-ečlampsia - ANSWER- ⬛ hypertensive enčephalopathy
liver failure
kidney failure
pulmonary edema
plačental abruption - seperation
seizures
retinal detačhment
DIC........and death
how to measure IOP of eye for glaučoma - ANSWER- ⬛
Tonometry normal IOP is 10-22 mmHg
messages.downloaded_by
