AANP CERTIFICATION EVALUATION Questions with Correct
Answers (Grade A+)
Question 1: to prevent fracture in a pt. with low vitamin d hydroxyl, high TSH and low Hct.
Answer: VITAMIN D 600-800, CALCIUM 1000-1200. OSTEOPOROSIS BONE ABSORPTION
EXCEED BONE FORMATION. LOW TSH= Hyperthyroidism- BONE DEMINERALIZATION. NEED
CALCIUM for BONE GROWTH
Question 2: Carotid bruit.
Answer: abnormal flow of blood through the carotid artery
Question 3: Carotid bruit.
Answer: abnormal flow of blood through the carotid artery due to atherosclerotic disease
Question 4: Common causes of GERD.
Answer:
1. risk factors- alcohol
2. anticholinergic
3. CCB
4. chocolate peppermint
5. fatty
6. spicy
7. citrus foods
8. hormones
9. obesity
10. pregnancy
11. smoking
12. theophylline
13. exacerbated by CCB verapamil
Page 1
,Question 5: Common causes of GERD.
Answer:
1. risk factors- alcohol
2. anticholinergic
3. CCB
4. BB chocolate peppermint
5. fatty
6. spicy
7. citrus foods
8. hormones
9. obesity
10. pregnancy
11. smoking
12. theophylline
Question 6: Zeprexa. What lab and intervention to put in place.
Answer:
1. CAUSES ELEVATED LIPDS
2. GLUCOSE
3. WEIGHT monitor CBC for low WBC weight- BMI q 3m b/p
4. mental status
5. lips
6. prolactin
7. glucose
Question 7: Weber test.
Answer:
1. Sensorineural loss Weber test(top of head) no laterization
2. normal finding
3. does not lateralize to either ear
4. bilateral hearing loss
5. if hear better in left ear
6. right sensorineural loss
Question 8: Weber test.
Answer: Sensorineural loss Weber test (top of head) no laterization- normal, does not lateralize to either
ear- bilateral hearing loss, if hear better in left ear, right sensorineural loss. SUN- sensorial lateralize
unaffected ear CAFFE- Conductive lateralize to affected ear
Question 9: Assessment on patient with ascites.
Answer: Dullness
Page 2
, Question 10: Assessment on patient with ascites.
Answer: Dullness to percussion
Question 11: Varus Stress Test.
Answer: application of a lateral force to the medial aspect of a joint in an attempt to create a gap in the
lateral joint line, thereby testing the stability of the lateral aspect of the joint LCL
Question 12: Varus Stress Test.
Answer: TEST LCL (lateral-vaRus) McMurrays- Meniscus CLICK application of a lateral force to the
medial aspect of a joint in an attempt to create a gap in the lateral joint line, thereby testing the stability of
the lateral aspect of the joint LCL
Question 13: German Measles (Rubella).
Answer: Pink, papular rash (similar to measles but paler) first appears on face, then spreads. Distinguished
from measles by presence of neck lymphadenopathy and absence of Koplik spots.
Question 14: patient with IOP of 32mmHg, what do you expect during fundoscopic exam.
Answer:
1. increase cup-to-disc ratio
2. retinal hemorrhage
3. optic nerve asymmetry and pallor
4. measured w tonometry
Question 15: BPH and urge incontinence.
Answer:
1. anticholinergics/oxybutynin
2. impamine/tricyclic/antidepressant Anticholinergic- can't think or blink
3. can't see (Increase eye pressure) or pee
4. can't spit or shit
5. SADCCUB sedation
6. anorexia
7. dry mouth confusion
8. constipation
9. urinary retention
10. BPH
Question 16: BPH and urge incontinence.
Answer: TX anticholinergics/oxybutynin, impamine/tricyclic antidepressant
Page 3
Answers (Grade A+)
Question 1: to prevent fracture in a pt. with low vitamin d hydroxyl, high TSH and low Hct.
Answer: VITAMIN D 600-800, CALCIUM 1000-1200. OSTEOPOROSIS BONE ABSORPTION
EXCEED BONE FORMATION. LOW TSH= Hyperthyroidism- BONE DEMINERALIZATION. NEED
CALCIUM for BONE GROWTH
Question 2: Carotid bruit.
Answer: abnormal flow of blood through the carotid artery
Question 3: Carotid bruit.
Answer: abnormal flow of blood through the carotid artery due to atherosclerotic disease
Question 4: Common causes of GERD.
Answer:
1. risk factors- alcohol
2. anticholinergic
3. CCB
4. chocolate peppermint
5. fatty
6. spicy
7. citrus foods
8. hormones
9. obesity
10. pregnancy
11. smoking
12. theophylline
13. exacerbated by CCB verapamil
Page 1
,Question 5: Common causes of GERD.
Answer:
1. risk factors- alcohol
2. anticholinergic
3. CCB
4. BB chocolate peppermint
5. fatty
6. spicy
7. citrus foods
8. hormones
9. obesity
10. pregnancy
11. smoking
12. theophylline
Question 6: Zeprexa. What lab and intervention to put in place.
Answer:
1. CAUSES ELEVATED LIPDS
2. GLUCOSE
3. WEIGHT monitor CBC for low WBC weight- BMI q 3m b/p
4. mental status
5. lips
6. prolactin
7. glucose
Question 7: Weber test.
Answer:
1. Sensorineural loss Weber test(top of head) no laterization
2. normal finding
3. does not lateralize to either ear
4. bilateral hearing loss
5. if hear better in left ear
6. right sensorineural loss
Question 8: Weber test.
Answer: Sensorineural loss Weber test (top of head) no laterization- normal, does not lateralize to either
ear- bilateral hearing loss, if hear better in left ear, right sensorineural loss. SUN- sensorial lateralize
unaffected ear CAFFE- Conductive lateralize to affected ear
Question 9: Assessment on patient with ascites.
Answer: Dullness
Page 2
, Question 10: Assessment on patient with ascites.
Answer: Dullness to percussion
Question 11: Varus Stress Test.
Answer: application of a lateral force to the medial aspect of a joint in an attempt to create a gap in the
lateral joint line, thereby testing the stability of the lateral aspect of the joint LCL
Question 12: Varus Stress Test.
Answer: TEST LCL (lateral-vaRus) McMurrays- Meniscus CLICK application of a lateral force to the
medial aspect of a joint in an attempt to create a gap in the lateral joint line, thereby testing the stability of
the lateral aspect of the joint LCL
Question 13: German Measles (Rubella).
Answer: Pink, papular rash (similar to measles but paler) first appears on face, then spreads. Distinguished
from measles by presence of neck lymphadenopathy and absence of Koplik spots.
Question 14: patient with IOP of 32mmHg, what do you expect during fundoscopic exam.
Answer:
1. increase cup-to-disc ratio
2. retinal hemorrhage
3. optic nerve asymmetry and pallor
4. measured w tonometry
Question 15: BPH and urge incontinence.
Answer:
1. anticholinergics/oxybutynin
2. impamine/tricyclic/antidepressant Anticholinergic- can't think or blink
3. can't see (Increase eye pressure) or pee
4. can't spit or shit
5. SADCCUB sedation
6. anorexia
7. dry mouth confusion
8. constipation
9. urinary retention
10. BPH
Question 16: BPH and urge incontinence.
Answer: TX anticholinergics/oxybutynin, impamine/tricyclic antidepressant
Page 3
