AANP FNP certification
All diastolic murmurs are pathological. Murmurs Grades I-barely II-audible III-
clearly audible. IV- first time thrill V-Steth edge VI-entire steth. EXAM -
CORRECT ANSWER-III first time audible, IV first time thrill
Fundal height 12 weeks - CORRECT ANSWER-Fundal Height 12 weeks above
symphysis pubis. EXAM
Fundus 16 weeks between symphysis pubis and umbilicus.
Fundus at 20 weeks is at umbilicus.
2 cm more of less from # of wk gestation is normal if more or less order US
3 month old infant with down syndrome, due to milk intolerance, mom started on
goats milk; now has pale conjunctiva but otherwise healthy. Low HCT. What
additional test would you order? - CORRECT ANSWER-Iron, TIBC
3 months of synthroid, TSH increased, T4 normal, what do you do? - CORRECT
ANSWER-Increase Medication
3 ways to assess cognitive function in patient with signs/symptoms of memory
loss - CORRECT ANSWER-Mini mental exam
4 month old with strabismus, mom is worried...... - CORRECT ANSWER-tell her it
is normal.
4 month old wont keep anything down, what is the main thing you look at? -
CORRECT ANSWER-Growth chart
6 month old closed anterior fontanel. - CORRECT ANSWER-XRAY
Abnormal cells on PAP, what do you do next? - CORRECT ANSWER-Refer for
Colposcopy
CAGE ACRONYM - CORRECT ANSWER-Cut down
Annoyed by criticism
,Guilty about drinking
Eye opener drink
Causes of tachycardia - CORRECT ANSWER-Fever
Anemia
Hypotension
Cranial nerves responsible for extraocular eye movements - CORRECT
ANSWER-CN 3,4,6
Definition of metabolic syndrome - CORRECT ANSWER-cluster of conditions
that increase risk of heart disease, stroke, diabetes.
diagnose trichomoniasis - CORRECT ANSWER-wet prep
Elderly presents with atrophic vaginitis, small uterus, palpable 4x5 ovary, what do
you do next? - CORRECT ANSWER-Pelvic US
Epistaxis is most common in the area of the nose known as kiesselbachs
triangle, where is this located? - CORRECT ANSWER-Anterior septum
Definitive diagnosis of acute bacterial prostatitis - CORRECT
ANSWER-urinalysis and culture
GERD treatment - CORRECT ANSWER-H2 is first line, give hs
Grade 3 cells on Pap, treatment? - CORRECT ANSWER-LEEP
excision
Fingernail hematoma treatment? - CORRECT ANSWER-drill hole and drain
blood?
Increased risk of ectopic pregnancy - CORRECT ANSWER-Salpingitis, or history
of abortion, PID,
Koplick spots - CORRECT ANSWER-Measles (rubeola). Grains of salt lesions
inside mouth in Measles
,Koplick spots - CORRECT ANSWER-Measles (rubeola). Grains of salt lesions
inside mouth in Measles
Legg-Calve-Perthes Disease - CORRECT ANSWER-Avascular necrosis of the
proximal femoral head
Lipid level of 1500, increased risk for? - CORRECT ANSWER-Pancreatitis
Low HGB, Low HCT, High MCV indicates what? - CORRECT
ANSWER-Macrocytic anemia, B12 Def
Man with BPH, prostate feels on digital exam? - CORRECT ANSWER-Enlarged,
symmetrical, smooth
Man with HTN, CAD, present femoral pulses but absent pedal - CORRECT
ANSWER-Arterial Insufficiency
McMurray's Sign
(+) palpable or audible click while extending with varus stress - CORRECT
ANSWER-Meniscus tears
Lachman's Test - CORRECT ANSWER-pivot shift test (ACL tear)
Newborn with foot turned in, what do you do? - CORRECT ANSWER-refer to
orthopedist
Osgood-Schlatter disease - CORRECT ANSWER-Knee pain.
inflammation or irritation of the tibia at its point of attachment with the patellar
tendon
Patient forgot to start Thanksgiving dinner and husband states she has trouble
remembering tasks and trouble with organization. What is this indicative of? -
CORRECT ANSWER-Alzheimer's
, Pt has Barretts Esophagus, insurance no longer covers GI who was treating
condition. Pt at FNP office wanting refill prescriptions. What do you do? -
CORRECT ANSWER-Refer to oncologist
Pt presents with rash on shoulder, erythematous maculopapular rash with center
clearing and scaling? - CORRECT ANSWER-Tinea Corporis
Pt presents with "bag of worms:, indicates? - CORRECT ANSWER-Varicocele
Pt with atopic dermatitis, look for what other diseases? - CORRECT
ANSWER-Asthma
Pt with bleeding after menopause - CORRECT ANSWER-endometrial biopsy,
need to screen for cancer
Pt with hx of PID, increased rick for? - CORRECT ANSWER-Infertility
Pt with HIV took high potency anti viral treatments and CD4 is >400, what does
this indicate? - CORRECT ANSWER-This is good. Want higher than 350
Pt with hx of htn and stroke, now having memory loss. What does this indicate? -
CORRECT ANSWER-Vascular dementia
Pregnant teacher with exposure to 5ths disease (SLAP CHEEK), what risk is
there to the fetus? - CORRECT ANSWER-slap cheek, PVB19, rash hands / feet
Fetal death and birth defects
Quick assessment of patients fall risk? Timed Get up and Go - CORRECT
ANSWER-Timed Get up and Go
Red beefy tongue? - CORRECT ANSWER-pernicious anemia
Rotator cuff injury presentation - CORRECT ANSWER-disturbs sleep, arm
weakness, dull ache
Shingles near eye - CORRECT ANSWER-immediate referral to ophthalmology
All diastolic murmurs are pathological. Murmurs Grades I-barely II-audible III-
clearly audible. IV- first time thrill V-Steth edge VI-entire steth. EXAM -
CORRECT ANSWER-III first time audible, IV first time thrill
Fundal height 12 weeks - CORRECT ANSWER-Fundal Height 12 weeks above
symphysis pubis. EXAM
Fundus 16 weeks between symphysis pubis and umbilicus.
Fundus at 20 weeks is at umbilicus.
2 cm more of less from # of wk gestation is normal if more or less order US
3 month old infant with down syndrome, due to milk intolerance, mom started on
goats milk; now has pale conjunctiva but otherwise healthy. Low HCT. What
additional test would you order? - CORRECT ANSWER-Iron, TIBC
3 months of synthroid, TSH increased, T4 normal, what do you do? - CORRECT
ANSWER-Increase Medication
3 ways to assess cognitive function in patient with signs/symptoms of memory
loss - CORRECT ANSWER-Mini mental exam
4 month old with strabismus, mom is worried...... - CORRECT ANSWER-tell her it
is normal.
4 month old wont keep anything down, what is the main thing you look at? -
CORRECT ANSWER-Growth chart
6 month old closed anterior fontanel. - CORRECT ANSWER-XRAY
Abnormal cells on PAP, what do you do next? - CORRECT ANSWER-Refer for
Colposcopy
CAGE ACRONYM - CORRECT ANSWER-Cut down
Annoyed by criticism
,Guilty about drinking
Eye opener drink
Causes of tachycardia - CORRECT ANSWER-Fever
Anemia
Hypotension
Cranial nerves responsible for extraocular eye movements - CORRECT
ANSWER-CN 3,4,6
Definition of metabolic syndrome - CORRECT ANSWER-cluster of conditions
that increase risk of heart disease, stroke, diabetes.
diagnose trichomoniasis - CORRECT ANSWER-wet prep
Elderly presents with atrophic vaginitis, small uterus, palpable 4x5 ovary, what do
you do next? - CORRECT ANSWER-Pelvic US
Epistaxis is most common in the area of the nose known as kiesselbachs
triangle, where is this located? - CORRECT ANSWER-Anterior septum
Definitive diagnosis of acute bacterial prostatitis - CORRECT
ANSWER-urinalysis and culture
GERD treatment - CORRECT ANSWER-H2 is first line, give hs
Grade 3 cells on Pap, treatment? - CORRECT ANSWER-LEEP
excision
Fingernail hematoma treatment? - CORRECT ANSWER-drill hole and drain
blood?
Increased risk of ectopic pregnancy - CORRECT ANSWER-Salpingitis, or history
of abortion, PID,
Koplick spots - CORRECT ANSWER-Measles (rubeola). Grains of salt lesions
inside mouth in Measles
,Koplick spots - CORRECT ANSWER-Measles (rubeola). Grains of salt lesions
inside mouth in Measles
Legg-Calve-Perthes Disease - CORRECT ANSWER-Avascular necrosis of the
proximal femoral head
Lipid level of 1500, increased risk for? - CORRECT ANSWER-Pancreatitis
Low HGB, Low HCT, High MCV indicates what? - CORRECT
ANSWER-Macrocytic anemia, B12 Def
Man with BPH, prostate feels on digital exam? - CORRECT ANSWER-Enlarged,
symmetrical, smooth
Man with HTN, CAD, present femoral pulses but absent pedal - CORRECT
ANSWER-Arterial Insufficiency
McMurray's Sign
(+) palpable or audible click while extending with varus stress - CORRECT
ANSWER-Meniscus tears
Lachman's Test - CORRECT ANSWER-pivot shift test (ACL tear)
Newborn with foot turned in, what do you do? - CORRECT ANSWER-refer to
orthopedist
Osgood-Schlatter disease - CORRECT ANSWER-Knee pain.
inflammation or irritation of the tibia at its point of attachment with the patellar
tendon
Patient forgot to start Thanksgiving dinner and husband states she has trouble
remembering tasks and trouble with organization. What is this indicative of? -
CORRECT ANSWER-Alzheimer's
, Pt has Barretts Esophagus, insurance no longer covers GI who was treating
condition. Pt at FNP office wanting refill prescriptions. What do you do? -
CORRECT ANSWER-Refer to oncologist
Pt presents with rash on shoulder, erythematous maculopapular rash with center
clearing and scaling? - CORRECT ANSWER-Tinea Corporis
Pt presents with "bag of worms:, indicates? - CORRECT ANSWER-Varicocele
Pt with atopic dermatitis, look for what other diseases? - CORRECT
ANSWER-Asthma
Pt with bleeding after menopause - CORRECT ANSWER-endometrial biopsy,
need to screen for cancer
Pt with hx of PID, increased rick for? - CORRECT ANSWER-Infertility
Pt with HIV took high potency anti viral treatments and CD4 is >400, what does
this indicate? - CORRECT ANSWER-This is good. Want higher than 350
Pt with hx of htn and stroke, now having memory loss. What does this indicate? -
CORRECT ANSWER-Vascular dementia
Pregnant teacher with exposure to 5ths disease (SLAP CHEEK), what risk is
there to the fetus? - CORRECT ANSWER-slap cheek, PVB19, rash hands / feet
Fetal death and birth defects
Quick assessment of patients fall risk? Timed Get up and Go - CORRECT
ANSWER-Timed Get up and Go
Red beefy tongue? - CORRECT ANSWER-pernicious anemia
Rotator cuff injury presentation - CORRECT ANSWER-disturbs sleep, arm
weakness, dull ache
Shingles near eye - CORRECT ANSWER-immediate referral to ophthalmology
