AANP FNP TEST review
- ANS-
10 month old child with runny nose, rash, cough, with tiny white papules with red areola in
mouth what does this suggest? - ANS-Measles
12 weeks - ANS-uterine fundus first rises above the symphysis pubis.
14 days or longer - ANS-How long should a pt be treated with atb if he has prostatits secondary
to an STD?
16 weeks - ANS-UF is between symphysis pubis and the umbilicus
16-24 hours sexually active screen for chlamydia is reportable There is also EPT= expedited
partner therapy - ANS-additional testing= for STI risk reduction
GC/Chlamydia
HIV
syphilis
HAV
HBV
HCV
HSV-2
20 to 35 weeks - ANS-Measure the distance between upper edge of pubic symphysis and the
top of the uterine fundus using a tape measure. + or - 2 cm. 32 30-34 weeks
20 weeks - ANS-UF at level of umbilicus
28 week old pregnant patient has single episode of vaginal bleeding without other s/s: What to
do? - ANS-Ultrasound
3-4 weeks ago - ANS-A patient with a primary case of scabies was probably infected how long
ago?
3+ protein in urine, how do you follow up ? - ANS-do 24 hour urine for protein and creat clear
6 months hx of 39 year old pt who has daily swelling of wrists? - ANS-rheumatoid arthritis
60 yo - ANS-CDC recommends Zoster vaccine in what age of immunocompetent pt?
,A 10-month-old presents with a rash, runny nose, and cough. Examination reveals a cluster of
tiny white papules with an erythematous base on the buccal mucosa. What does this suggest? -
ANS-Measles
A 12-year-old with sickle cell anemia has recently experienced a sickle cell crisis and presents
for a follow-up examination after a recent hospitalization. It is most important to continue
monitoring growth, development, and:
1.
white blood cell levels.
2.
fecal occult blood test.
3.
hemoglobin levels.
4.
urine dipsticks. - ANS-hemoglobin levels
A 12-year-old with sickle cell anemia has recently experienced a sickle cell crisis and presents
for a follow-up examination after a recent hospitalization. It is most important to continue
monitoring growth, development, and:
1. white blood cell levels.
2. fecal occult blood test.
3. hemoglobin levels.
4. urine dipsticks. - ANS-hemoglobin levels
A 13-year-old is concerned because she has not yet begun to menstruate. Physical examination
indicates that the patient is at Tanner stage IV and is of average height and weight. Which of the
following would be the most appropriate response to this patient?
1.
"We'll need to refer you to an endocrinologist for a complete workup."
2.
"We'll need to do some tests to find out why you are not having periods."
3.
"I'll give you some pills that will make your periods start."
4.
"Your development is exactly as expected for your age; you'll probably begin to have periods
within a year." - ANS-"Your development is exactly as expected for your age; you'll probably
begin to have periods within a year."
A 13-year-old is concerned because she has not yet begun to menstruate. Physical examination
indicates that the patient is at Tanner stage IV and is of average height and weight. Which of the
following would be the most appropriate response to this patient?
,1. "We'll need to refer you to an endocrinologist for a complete workup."
2. "We'll need to do some tests to find out why you are not having periods."
3. "I'll give you some pills that will make your periods start."
4. "Your development is exactly as expected for your age; you'll probably begin to have periods
within a year." - ANS-"Your development is exactly as expected for your age; you'll probably
begin to have periods within a year."
A 14-year-old male with bronchitis is being treated with fluids and expectorants. He returns to
the clinic with a fever of 103°F (39.4°C), right pleuritic chest pain, and green sputum. Which of
the following examination results would be expected? - ANS-Right lower lobe crackles
A 14-year-old patient who fell on an outstretched hand complains of proximal forearm pain.
X-ray reveals a positive fat pad sign, and the patient is unable to fully extend the elbow. No
definitive bony changes are seen on X-ray. The most likely working diagnosis is: - ANS-radial
head fracture
A 15-year-old patient returns for contraceptive services 2 weeks after a diagnosis of
trichomonas vaginitis and treatment with 2 g of metronidazole (Flagyl). She reports that
discharge and itching are gone, but she is urinating frequently, accompanied with a lot of
burning. The patient has not resumed sexual activity and has menstruated since her last visit.
Examination reveals mild suprapubic tenderness, no leukorrhea, and a normal wet mount.
Gonococcal culture and chlamydia tests are negative. Which diagnostic test should be
performed immediately? - ANS-Microscopic examination of urine
A 16-year-old female adolescent is brought to the nurse practitioner's office by her mother, who
is concerned about her daughter's recent weight loss. History reveals that the daughter was
consistently in the 50th percentile for weight, but is now in the 10th percentile. The mother
states that she is concerned that her daughter is purging herself after meals since she often
goes to the restroom after eating and remains there for a long period of time. The daughter
denies any self-induced vomiting, starvation or excessive activity. She does state that she jogs
five miles a day and is in good condition. In addition to a complete blood count with differential,
which of the following laboratory tests will be most helpful for further assessment?
1.
Electrolytes, fasting blood sugar
2.
Creatine phosphokinase, follicle-stimulating hormone (FSH)
3.
Electrolytes, blood urea nitrogen (BUN)/creatinine, urinalysis
4.
Electr - ANS-electrolytes, blood urea nitrogen (BUN)/creatinine, urinalysis
, A 16-year-old female adolescent is brought to the nurse practitioner's office by her mother, who
is concerned about her daughter's recent weight loss. History reveals that the daughter was
consistently in the 50th percentile for weight, but is now in the 10th percentile. The mother
states that she is concerned that her daughter is purging herself after meals since she often
goes to the restroom after eating and remains there for a long period of time. The daughter
denies any self-induced vomiting, starvation or excessive activity. She does state that she jogs
five miles a day and is in good condition. In addition to a complete blood count with differential,
which of the following laboratory tests will be most helpful for further assessment?
1. Electrolytes, fasting blood sugar
2. Creatine phosphokinase, follicle-stimulating hormone (FSH)
3. Electrolytes, blood urea nitrogen (BUN)/creatinine, urinalysis
4. Electrolyt - ANS-electrolytes, blood urea nitrogen (BUN)/creatinine, urinalysis
A 16-year-old female in the first month of taking Ortho-Novum 7/7/7 complains of midcycle
spotting. She has not missed any doses and uses no other medication. Which of the following is
appropriate? - ANS-Providing reassurance
A 17-year-old female has never had her menses. She is at Tanner stage III of sexual
development. Her physical examination is completely normal, and her weight is appropriate for
her age and height. What is the most likely diagnosis? - ANS-Primary amenorrhea
A 17-year-old female is suspected of having polycystic ovary syndrome. In addition to
testosterone, the most appropriate diagnostic tests to order would be: - ANS-follicle-stimulating
hormone (FSH), luteinizing hormone (LH), prolactin, and thyroid-stimulating hormone (TSH).
A 17-year-old male with rheumatoid arthritis is being treated with an NSAID and omeprazole
(Prilosec). The patient complains of headache, abdominal pain, and gas. These symptoms are
most likely:
1.
associated with the omeprazole.
2.
related to the underlying condition.
3.
the result of the NSAID.
4.
caused by viral gastroenteritis. - ANS-associated with the omeprazole
A 17-year-old male with rheumatoid arthritis is being treated with an NSAID and omeprazole
(Prilosec). The patient complains of headache, abdominal pain, and gas. These symptoms are
most likely:
1. associated with the omeprazole.
- ANS-
10 month old child with runny nose, rash, cough, with tiny white papules with red areola in
mouth what does this suggest? - ANS-Measles
12 weeks - ANS-uterine fundus first rises above the symphysis pubis.
14 days or longer - ANS-How long should a pt be treated with atb if he has prostatits secondary
to an STD?
16 weeks - ANS-UF is between symphysis pubis and the umbilicus
16-24 hours sexually active screen for chlamydia is reportable There is also EPT= expedited
partner therapy - ANS-additional testing= for STI risk reduction
GC/Chlamydia
HIV
syphilis
HAV
HBV
HCV
HSV-2
20 to 35 weeks - ANS-Measure the distance between upper edge of pubic symphysis and the
top of the uterine fundus using a tape measure. + or - 2 cm. 32 30-34 weeks
20 weeks - ANS-UF at level of umbilicus
28 week old pregnant patient has single episode of vaginal bleeding without other s/s: What to
do? - ANS-Ultrasound
3-4 weeks ago - ANS-A patient with a primary case of scabies was probably infected how long
ago?
3+ protein in urine, how do you follow up ? - ANS-do 24 hour urine for protein and creat clear
6 months hx of 39 year old pt who has daily swelling of wrists? - ANS-rheumatoid arthritis
60 yo - ANS-CDC recommends Zoster vaccine in what age of immunocompetent pt?
,A 10-month-old presents with a rash, runny nose, and cough. Examination reveals a cluster of
tiny white papules with an erythematous base on the buccal mucosa. What does this suggest? -
ANS-Measles
A 12-year-old with sickle cell anemia has recently experienced a sickle cell crisis and presents
for a follow-up examination after a recent hospitalization. It is most important to continue
monitoring growth, development, and:
1.
white blood cell levels.
2.
fecal occult blood test.
3.
hemoglobin levels.
4.
urine dipsticks. - ANS-hemoglobin levels
A 12-year-old with sickle cell anemia has recently experienced a sickle cell crisis and presents
for a follow-up examination after a recent hospitalization. It is most important to continue
monitoring growth, development, and:
1. white blood cell levels.
2. fecal occult blood test.
3. hemoglobin levels.
4. urine dipsticks. - ANS-hemoglobin levels
A 13-year-old is concerned because she has not yet begun to menstruate. Physical examination
indicates that the patient is at Tanner stage IV and is of average height and weight. Which of the
following would be the most appropriate response to this patient?
1.
"We'll need to refer you to an endocrinologist for a complete workup."
2.
"We'll need to do some tests to find out why you are not having periods."
3.
"I'll give you some pills that will make your periods start."
4.
"Your development is exactly as expected for your age; you'll probably begin to have periods
within a year." - ANS-"Your development is exactly as expected for your age; you'll probably
begin to have periods within a year."
A 13-year-old is concerned because she has not yet begun to menstruate. Physical examination
indicates that the patient is at Tanner stage IV and is of average height and weight. Which of the
following would be the most appropriate response to this patient?
,1. "We'll need to refer you to an endocrinologist for a complete workup."
2. "We'll need to do some tests to find out why you are not having periods."
3. "I'll give you some pills that will make your periods start."
4. "Your development is exactly as expected for your age; you'll probably begin to have periods
within a year." - ANS-"Your development is exactly as expected for your age; you'll probably
begin to have periods within a year."
A 14-year-old male with bronchitis is being treated with fluids and expectorants. He returns to
the clinic with a fever of 103°F (39.4°C), right pleuritic chest pain, and green sputum. Which of
the following examination results would be expected? - ANS-Right lower lobe crackles
A 14-year-old patient who fell on an outstretched hand complains of proximal forearm pain.
X-ray reveals a positive fat pad sign, and the patient is unable to fully extend the elbow. No
definitive bony changes are seen on X-ray. The most likely working diagnosis is: - ANS-radial
head fracture
A 15-year-old patient returns for contraceptive services 2 weeks after a diagnosis of
trichomonas vaginitis and treatment with 2 g of metronidazole (Flagyl). She reports that
discharge and itching are gone, but she is urinating frequently, accompanied with a lot of
burning. The patient has not resumed sexual activity and has menstruated since her last visit.
Examination reveals mild suprapubic tenderness, no leukorrhea, and a normal wet mount.
Gonococcal culture and chlamydia tests are negative. Which diagnostic test should be
performed immediately? - ANS-Microscopic examination of urine
A 16-year-old female adolescent is brought to the nurse practitioner's office by her mother, who
is concerned about her daughter's recent weight loss. History reveals that the daughter was
consistently in the 50th percentile for weight, but is now in the 10th percentile. The mother
states that she is concerned that her daughter is purging herself after meals since she often
goes to the restroom after eating and remains there for a long period of time. The daughter
denies any self-induced vomiting, starvation or excessive activity. She does state that she jogs
five miles a day and is in good condition. In addition to a complete blood count with differential,
which of the following laboratory tests will be most helpful for further assessment?
1.
Electrolytes, fasting blood sugar
2.
Creatine phosphokinase, follicle-stimulating hormone (FSH)
3.
Electrolytes, blood urea nitrogen (BUN)/creatinine, urinalysis
4.
Electr - ANS-electrolytes, blood urea nitrogen (BUN)/creatinine, urinalysis
, A 16-year-old female adolescent is brought to the nurse practitioner's office by her mother, who
is concerned about her daughter's recent weight loss. History reveals that the daughter was
consistently in the 50th percentile for weight, but is now in the 10th percentile. The mother
states that she is concerned that her daughter is purging herself after meals since she often
goes to the restroom after eating and remains there for a long period of time. The daughter
denies any self-induced vomiting, starvation or excessive activity. She does state that she jogs
five miles a day and is in good condition. In addition to a complete blood count with differential,
which of the following laboratory tests will be most helpful for further assessment?
1. Electrolytes, fasting blood sugar
2. Creatine phosphokinase, follicle-stimulating hormone (FSH)
3. Electrolytes, blood urea nitrogen (BUN)/creatinine, urinalysis
4. Electrolyt - ANS-electrolytes, blood urea nitrogen (BUN)/creatinine, urinalysis
A 16-year-old female in the first month of taking Ortho-Novum 7/7/7 complains of midcycle
spotting. She has not missed any doses and uses no other medication. Which of the following is
appropriate? - ANS-Providing reassurance
A 17-year-old female has never had her menses. She is at Tanner stage III of sexual
development. Her physical examination is completely normal, and her weight is appropriate for
her age and height. What is the most likely diagnosis? - ANS-Primary amenorrhea
A 17-year-old female is suspected of having polycystic ovary syndrome. In addition to
testosterone, the most appropriate diagnostic tests to order would be: - ANS-follicle-stimulating
hormone (FSH), luteinizing hormone (LH), prolactin, and thyroid-stimulating hormone (TSH).
A 17-year-old male with rheumatoid arthritis is being treated with an NSAID and omeprazole
(Prilosec). The patient complains of headache, abdominal pain, and gas. These symptoms are
most likely:
1.
associated with the omeprazole.
2.
related to the underlying condition.
3.
the result of the NSAID.
4.
caused by viral gastroenteritis. - ANS-associated with the omeprazole
A 17-year-old male with rheumatoid arthritis is being treated with an NSAID and omeprazole
(Prilosec). The patient complains of headache, abdominal pain, and gas. These symptoms are
most likely:
1. associated with the omeprazole.
