Family Nurse Practitioner Exam AANP
1st line tx depression in elderly - ANS-Celexa
1st line tx for anxiety - ANS-Benzos, ativan or buspar
1st line tx insomnia elderly - ANS-Ambien
2-3 INR - ANS-Management of AFIB
3 types of hand rashes - ANS-FHand mouth, sypillis, RMSD
4 month growth chart - ANS-
a regurgitant murmur heard throughout systole, due to blood flow between two chambers
normally of very different pressures in systole; the most common causes are mitral regurgitation,
tricuspid regurgitation, and ventricular septal defects. - ANS-pansystolic murmur
AAA - ANS-diagnosed with US
Absent P wave - ANS-AFIB
absent seizure - ANS-
Acanthosis nigricans - ANS-is usually the result of obesity. This is known as obesity-associated
acanthosis nigricans. It occurs because obesity can cause insulin resistance (when the body is
unable to properly use the hormone insulin), which may lead to high levels of insulin in the
blood, affecting the skin cells.
Acne Roscaca - ANS-"adult acne." most often in adults (30-50 years of age). Unlike acne
vulgaris, rosacea is devoid of blackheads and characteristically does not resolve after puberty.
Rosacea strikes both sexes and potentially all ages. It tends to be more frequent in women but
more severe in men. It is very uncommon in children, and it is less frequent in people with dark
skin. Tx with Flagyl
Actinic keratosis - ANS-flat scaly rash, precurser to SCC
Acute dacryocystitis - ANS-with orbital cellulitis necessitates hospitalization with intravenous (IV)
antibiotics. ... Patients with chronic dacryocystitis caused by a partial or intermittent nasolacrimal
duct obstruction may benefit from topical steroid drop treatmen
Acute External Ottitis - ANS-chief pathogen Pseudo monas Augina
,tx w/ 1st Cipro, 2nd cephlosporin
ACute OM - ANS-1st line tx Penicillin- Amoxicillin- if allergic PCN reaction go to Macrolide.
("Mycin") If nausea etc change to different Macrolide ie. Azith, Errith, Clarithomycin
Acute prostitis presentation - ANS-
Acute prostitis tx - ANS-Doxy 100mg BID and Rocephin 250mg
Addison Disease - ANS-Cortisol is low, hyperkalemia, low sodium, cravings thirsty
primary adrenal insufficiency and hypocortisolism, is a long-term endocrine disorder in which the
adrenal glands do not produce enough steroid hormones. Symptoms generally come on slowly
and may include abdominal pain, weakness, and weight loss.
Causes: Problems with the adrenal gland
Treatment: Corticosteroid such as hydrocortiso...
Symptoms: Abdominal pain, weakness, weight
Adolescent with friable nasal turbinates - ANS-Cocaine use
AFIb shows what on a EKG? - ANS-dimininished P waves
alleric rhinitis - ANS-no fever
Alpha Blockers are used for what conditions? - ANS-BPH, HTN
Hydrin
Terazosin
American People Enjoy Time magazine - ANS-Aortic Right 2ndICS
Pulmonic Left 2nd ICS
Erbs point S1, S2, 3rd ICS
Tricuspid 4th ICS Sternal border
Mitral 5th ICS medial to mid clavicular line
ankle sprain grade I - ANS-I: partial tear of a ligament
Mild tenderness and swelling
Slight or no functional loss (i.e., patient is able to bear weight and ambulate with minimal pain)
No mechanical instability (negative clinical stress examination)
anterioral lymp nodes - ANS-strep
,Antibiotic for pregnant woman with UTI? - ANS-Macrobid/Nitrofuritin
Anticholinergic reactions - ANS-Hot as a hare: increased body temperature
Blind as a bat: mydriasis (dilated pupils)
Dry as a bone: dry mouth, dry eyes, decreased sweat
Red as a beet: flushed face
Mad as a hatter: delirium
Cant see cant pee, cant spit cant shit
Aortic Murmurs - ANS-to neck, aortic stenosis
Aphthous stomatitis - ANS-can be one or a cluster of small pits or ulcers in the cheeks, gums,
the inside of the lips, or on the tongue. ... Aphthous stomatitis is not caused by a virus and is not
contagious.
Aphthous ulcer - ANS-a recurrent round or oval sore or ulcer inside the mouth on an area where
the skin is not tightly bound to the underlying bone, such as on the inside of the lips and cheeks
or underneath the tongue. Aphthous ulcers can also affect the genitalia in males and females.
Apical Murmurs - ANS-systolic at base, Mitral Regurgitation
apraxia - ANS-Apraxia is a motor disorder caused by damage to the brain (specifically the
posterior parietal cortex) in which the individual has difficulty with the motor planning to perform
tasks or movements when asked, provided that the request or command is understood and
he/she is willing to perform the task
Arcus senilis - ANS-is an old age syndrome where there is a white, grey, or blue opaque ring in
the corneal margin (peripheral corneal opacity), or white ring in front of the periphery of the iris.
It is present at birth but then fades; however, it is quite commonly present in the elderly
ARMS - ANS-Dystolic
Aortic regurgitation to neck
Mitral stenosis to axilla
Arterial insufficiency, Peripheral vascular disease - ANS-lack pedal pulses, pain in calf, red feet,
common in elderly, blood cant go down. DX w/ brachial index test, encourage exercise
ASA - ANS-81mg chronic use
tertiary prevention of stroke
TIA post MI
dont use in children under 16 with viral infections
tinitis dc
acetylation irreversible effect on platelet formation x 7 days
, ase's of HCTZ - ANS-hyperuremia
hypertrycemia
hyper calcemia
Asthma first line tx - ANS-ICS
atopic dermatitis - ANS-Atopic dermatitis (AD), also known as atopic eczema, is a type of
inflammation of the skin (dermatitis). It results in itchy, red, swollen, and cracked skin. Clear fluid
may come from the affected areas, which often thicken over time. The condition typically starts
in childhood with changing severity over the years.
Atrophic vaginitis - ANS-Atrophic vaginitis is the chronic and progressive inflammation of the
vagina (and the lower urinary tract) due to the thinning and shrinking of the vaginal tissues and
is often accompanied by vulvar and urinary pathologies. These symptoms are due to a lack of
the reproductive hormone estrogen.
Treatment can focus on symptoms or the underlying cause. Over-the-counter moisturizers or
water-based lubricants can help treat dryness. If symptoms are severe, your doctor may
recommend estrogen replacement therapy. Estrogen improves vaginal elasticity and natural
moisture.
auspitz sign - ANS-koebner phenomia
autism - ANS-
AV nicking - ANS-HTN
AV Nicking - ANS-HTN, arteries crossing veins
Avoid CCB and NSAIDS in CHF patients, why? - ANS-CCB = fluid buildup
NSAIDS will increase fluids
B12 anemia symptoms - ANS-
bacterial bronchitis - ANS-Antibiotics are not used to treat bronchitis except for people whose
infection is caused by bacteria (for example, during an outbreak). When an antibiotic is used, a
drug such as azithromycin or clarithromycin is most often given. Antibiotics do not help people
with viral bronchitis.
bacterial endocarditis FROM JANE - ANS-Fever
Roth's spots
Osler's nodes
Murmur
Janeway lesions
Anemia
1st line tx depression in elderly - ANS-Celexa
1st line tx for anxiety - ANS-Benzos, ativan or buspar
1st line tx insomnia elderly - ANS-Ambien
2-3 INR - ANS-Management of AFIB
3 types of hand rashes - ANS-FHand mouth, sypillis, RMSD
4 month growth chart - ANS-
a regurgitant murmur heard throughout systole, due to blood flow between two chambers
normally of very different pressures in systole; the most common causes are mitral regurgitation,
tricuspid regurgitation, and ventricular septal defects. - ANS-pansystolic murmur
AAA - ANS-diagnosed with US
Absent P wave - ANS-AFIB
absent seizure - ANS-
Acanthosis nigricans - ANS-is usually the result of obesity. This is known as obesity-associated
acanthosis nigricans. It occurs because obesity can cause insulin resistance (when the body is
unable to properly use the hormone insulin), which may lead to high levels of insulin in the
blood, affecting the skin cells.
Acne Roscaca - ANS-"adult acne." most often in adults (30-50 years of age). Unlike acne
vulgaris, rosacea is devoid of blackheads and characteristically does not resolve after puberty.
Rosacea strikes both sexes and potentially all ages. It tends to be more frequent in women but
more severe in men. It is very uncommon in children, and it is less frequent in people with dark
skin. Tx with Flagyl
Actinic keratosis - ANS-flat scaly rash, precurser to SCC
Acute dacryocystitis - ANS-with orbital cellulitis necessitates hospitalization with intravenous (IV)
antibiotics. ... Patients with chronic dacryocystitis caused by a partial or intermittent nasolacrimal
duct obstruction may benefit from topical steroid drop treatmen
Acute External Ottitis - ANS-chief pathogen Pseudo monas Augina
,tx w/ 1st Cipro, 2nd cephlosporin
ACute OM - ANS-1st line tx Penicillin- Amoxicillin- if allergic PCN reaction go to Macrolide.
("Mycin") If nausea etc change to different Macrolide ie. Azith, Errith, Clarithomycin
Acute prostitis presentation - ANS-
Acute prostitis tx - ANS-Doxy 100mg BID and Rocephin 250mg
Addison Disease - ANS-Cortisol is low, hyperkalemia, low sodium, cravings thirsty
primary adrenal insufficiency and hypocortisolism, is a long-term endocrine disorder in which the
adrenal glands do not produce enough steroid hormones. Symptoms generally come on slowly
and may include abdominal pain, weakness, and weight loss.
Causes: Problems with the adrenal gland
Treatment: Corticosteroid such as hydrocortiso...
Symptoms: Abdominal pain, weakness, weight
Adolescent with friable nasal turbinates - ANS-Cocaine use
AFIb shows what on a EKG? - ANS-dimininished P waves
alleric rhinitis - ANS-no fever
Alpha Blockers are used for what conditions? - ANS-BPH, HTN
Hydrin
Terazosin
American People Enjoy Time magazine - ANS-Aortic Right 2ndICS
Pulmonic Left 2nd ICS
Erbs point S1, S2, 3rd ICS
Tricuspid 4th ICS Sternal border
Mitral 5th ICS medial to mid clavicular line
ankle sprain grade I - ANS-I: partial tear of a ligament
Mild tenderness and swelling
Slight or no functional loss (i.e., patient is able to bear weight and ambulate with minimal pain)
No mechanical instability (negative clinical stress examination)
anterioral lymp nodes - ANS-strep
,Antibiotic for pregnant woman with UTI? - ANS-Macrobid/Nitrofuritin
Anticholinergic reactions - ANS-Hot as a hare: increased body temperature
Blind as a bat: mydriasis (dilated pupils)
Dry as a bone: dry mouth, dry eyes, decreased sweat
Red as a beet: flushed face
Mad as a hatter: delirium
Cant see cant pee, cant spit cant shit
Aortic Murmurs - ANS-to neck, aortic stenosis
Aphthous stomatitis - ANS-can be one or a cluster of small pits or ulcers in the cheeks, gums,
the inside of the lips, or on the tongue. ... Aphthous stomatitis is not caused by a virus and is not
contagious.
Aphthous ulcer - ANS-a recurrent round or oval sore or ulcer inside the mouth on an area where
the skin is not tightly bound to the underlying bone, such as on the inside of the lips and cheeks
or underneath the tongue. Aphthous ulcers can also affect the genitalia in males and females.
Apical Murmurs - ANS-systolic at base, Mitral Regurgitation
apraxia - ANS-Apraxia is a motor disorder caused by damage to the brain (specifically the
posterior parietal cortex) in which the individual has difficulty with the motor planning to perform
tasks or movements when asked, provided that the request or command is understood and
he/she is willing to perform the task
Arcus senilis - ANS-is an old age syndrome where there is a white, grey, or blue opaque ring in
the corneal margin (peripheral corneal opacity), or white ring in front of the periphery of the iris.
It is present at birth but then fades; however, it is quite commonly present in the elderly
ARMS - ANS-Dystolic
Aortic regurgitation to neck
Mitral stenosis to axilla
Arterial insufficiency, Peripheral vascular disease - ANS-lack pedal pulses, pain in calf, red feet,
common in elderly, blood cant go down. DX w/ brachial index test, encourage exercise
ASA - ANS-81mg chronic use
tertiary prevention of stroke
TIA post MI
dont use in children under 16 with viral infections
tinitis dc
acetylation irreversible effect on platelet formation x 7 days
, ase's of HCTZ - ANS-hyperuremia
hypertrycemia
hyper calcemia
Asthma first line tx - ANS-ICS
atopic dermatitis - ANS-Atopic dermatitis (AD), also known as atopic eczema, is a type of
inflammation of the skin (dermatitis). It results in itchy, red, swollen, and cracked skin. Clear fluid
may come from the affected areas, which often thicken over time. The condition typically starts
in childhood with changing severity over the years.
Atrophic vaginitis - ANS-Atrophic vaginitis is the chronic and progressive inflammation of the
vagina (and the lower urinary tract) due to the thinning and shrinking of the vaginal tissues and
is often accompanied by vulvar and urinary pathologies. These symptoms are due to a lack of
the reproductive hormone estrogen.
Treatment can focus on symptoms or the underlying cause. Over-the-counter moisturizers or
water-based lubricants can help treat dryness. If symptoms are severe, your doctor may
recommend estrogen replacement therapy. Estrogen improves vaginal elasticity and natural
moisture.
auspitz sign - ANS-koebner phenomia
autism - ANS-
AV nicking - ANS-HTN
AV Nicking - ANS-HTN, arteries crossing veins
Avoid CCB and NSAIDS in CHF patients, why? - ANS-CCB = fluid buildup
NSAIDS will increase fluids
B12 anemia symptoms - ANS-
bacterial bronchitis - ANS-Antibiotics are not used to treat bronchitis except for people whose
infection is caused by bacteria (for example, during an outbreak). When an antibiotic is used, a
drug such as azithromycin or clarithromycin is most often given. Antibiotics do not help people
with viral bronchitis.
bacterial endocarditis FROM JANE - ANS-Fever
Roth's spots
Osler's nodes
Murmur
Janeway lesions
Anemia
