AANP BOARD CERTIFICATION EXAM

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AANP BOARD CERTIFICATION EXAM

QUESTIONS AND ANSWERS


• What are characteristics of COPD

ANS midlife onset, symptoms slowly progres- sive, exposure to lung irritant,

DOE is progressive, chronic cough and chronic sputum production

• what are characteristics of asthma

ANS onset early in life, symptoms vary widely from day to day, symptoms worse

at nighttime/early AM, allergic rhinitis, eczema, family history, obesity

• what are characteristics of heart failure (when evaluating diff dx of

COPD)-



ANS chest xray with dilated heart, pulmonary edema

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• what are characteristics of tuberculosis when ruling out for COPD

patient-



ANS onset all ages, chest xray with lung infiltrate, microbiologic confirmation

• what are the characteristics of bronchiectasis

ANS LOTS OF PURULENT SPU- TUM, chest xray shows bronchial wall thickening and

bronchial dilation

• What intervention has the greatest influence on slowing

progression of a COPD patient?

ANS smoking cessation!!

• what are first line smoking cessation drugs? (3)

ANS varenicline (chantix), nico- tine patch, buproprion extended release

(zyban)

• what is second line smoking cessation drug?

ANS sertraline (zoloft)

• what smoking cessation drug would you give to someone with a

history of a suicide attempt?

ANS nicotine patch-- NOT CHANTIX OR ZYBAN