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
Signs and symptoms of Roseola (6ths disease) ? Correct Answer: Viral infection
Can result in a maculopapular rash, but up to 70% of cases proceed without the rash stage
-Usually accompanied by a high fever (41°C or 105°F) that comes on quickly and lasts up to 3 days
followed by rash
-Seizures may occur during this period.
-On the fourth day, the fever disappears and the rash appears, first on chest and trunk, then less
prominently on the face and limbs.
-High fever, pink flat or raised rash
Treatment for chronic alcoholism: Correct Answer: 12 step program
Treatment for Gonorrhea? Correct Answer: Rocephin 250mg IMx1 plus
Azithromycin 1 gm orally x1 to cover chlamydia. , or doxy 100 mg BID x7d. Green colored vaginal
discharge, friable cervix. EXAM
Report to health department
Young female want birth control, forgets to take pills, does not want to get pregnant for at least 5 years:
Correct Answer: IUD
Basal cell cancer Correct Answer: Waxy, pearly, telangiectasia, ulcer center lesion
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
Signs and symptoms of Roseola (6ths disease) ? Correct Answer: Viral infection
Can result in a maculopapular rash, but up to 70% of cases proceed without the rash stage
-Usually accompanied by a high fever (41°C or 105°F) that comes on quickly and lasts up to 3 days
followed by rash
-Seizures may occur during this period.
-On the fourth day, the fever disappears and the rash appears, first on chest and trunk, then less
prominently on the face and limbs.
-High fever, pink flat or raised rash
Treatment for chronic alcoholism: Correct Answer: 12 step program
Treatment for Gonorrhea? Correct Answer: Rocephin 250mg IMx1 plus
Azithromycin 1 gm orally x1 to cover chlamydia. , or doxy 100 mg BID x7d. Green colored vaginal
discharge, friable cervix. EXAM
Report to health department
Young female want birth control, forgets to take pills, does not want to get pregnant for at least 5 years:
Correct Answer: IUD
Basal cell cancer Correct Answer: Waxy, pearly, telangiectasia, ulcer center lesion
