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AGPCNP Board Review questions with completed answers.

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Lesions often begin as small, firm, dome-shaped growths on genitals or other parts of the body (armpits, neck, face, hands); have a surface that feels smooth, waxy, or pearly; are flesh-colored or pink; have a dimple in the center (may be filled with a thick, white substance that is cheesy or waxy); and are painless but itch. Scratching or picking can spread the virus. Molluscum contagiosum Thayer-Martin Selective Agar is an enriched medium for the selective isolation of Neisseria species. N. gonorrhoeae 00:03 01:17 Trauma to Kiesselbach's plexus will result in an anterior nosebleed The diagnostic or gold-standard test for sickle cell anemia glucose- 6-phosphate dehydrogenase (G6PD) anemia the test is positive in De Quervain's tenosynovitis Finkelstein's test—positive in De Quervain's tenosynovitis Anterior drawer maneuver and Lachman maneuvers are positive when: anterior cruciate ligament (ACL) of the knee is damaged positive in meniscus injuries of the knee McMurray's sign neovascularization, cotton wool spots, and microaneurysms are suggestive off diabetic retinopathy atrioventricular [AV] nicking, silver and/or copper wire arterioles on fundal exam are suggestive of hypertensive retinopathy A S4 heart sound is auscultated in an elderly patients, suggesting: S4 heart sounds absent other symptoms in the elderly are often a benign finding For pain relief during pregnancy use: For pain relief, pick acetaminophen (Tylenol) instead of NSAIDs such as ibuprofen (Advil) or naproxen (Aleve, Anaprox) which hand should the ophthalmoscope be held in to examine a patient's eye should be held in the same hand as the eye being examined

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AGPCNP Board Review
Lesions often begin as small, firm, dome-shaped growths on genitals or other parts of
the body (armpits, neck, face, hands); have a surface that feels smooth, waxy, or
pearly; are flesh-colored or pink; have a dimple in the center (may be filled with a thick,
white substance that is cheesy or waxy); and are painless but itch. Scratching or picking
can spread the virus. - Answer Molluscum contagiosum

Thayer-Martin Selective Agar is an enriched medium for the selective isolation of -
Answer Neisseria species. N. gonorrhoeae

Trauma to Kiesselbach's plexus will result in an - Answer anterior nosebleed

The diagnostic or gold-standard test for sickle cell anemia - Answer glucose- 6-
phosphate dehydrogenase (G6PD) anemia

the test is positive in De Quervain's tenosynovitis - Answer Finkelstein's test—positive in
De Quervain's tenosynovitis

Anterior drawer maneuver and Lachman maneuvers are positive when: - Answer
anterior cruciate ligament (ACL) of the knee is damaged

positive in meniscus injuries of the knee - Answer McMurray's sign

neovascularization, cotton wool spots, and microaneurysms are suggestive off - Answer
diabetic retinopathy

atrioventricular [AV] nicking, silver and/or copper wire arterioles on fundal exam are
suggestive of - Answer hypertensive retinopathy

A S4 heart sound is auscultated in an elderly patients, suggesting: - Answer S4 heart
sounds absent other symptoms in the elderly are often a benign finding

For pain relief during pregnancy use: - Answer For pain relief, pick acetaminophen
(Tylenol) instead of NSAIDs such as ibuprofen (Advil) or naproxen (Aleve, Anaprox)

which hand should the ophthalmoscope be held in to examine a patient's eye - Answer
should be held in the same hand as the eye being examined

the cut to disc ratio of a normal fundal exam should not exceed - Answer 1:2, e.g. the
cup should not be more than half the size of the disc diameter

if the provider is having trouble visualizing the macula on fundoscopic exam, the patient
should be asked to look: - Answer directly into the light of the ophthalmoscope

clinical term used to described patient who have trouble seeing items that are far away
(nearsightedness) - Answer myopia

, AGPCNP Board Review
clinical term for farsightedness - Answer hyperopia

difficulty in maintaining a clear focus at a new distance due to lessening of flexibility of
the crystalline lens and weakening of ciliary muscles - common after 40 years - Answer
presbyopia

raised, wedge-shaped growth of noncancerous tissue over the conjunctiva exacerbated
by sun, wind and dust - Answer pterygium

acute inflammatory process affecting the eyelid usually caused by staphylococcus
aureus - Answer hordeolum (stye)

hordeolum (stye) is most commonly caused by what organism - Answer staphylococcus
aureus

hordeolum is commonly managed with: - Answer 1. warm compresses
2. topical bacitracin or erythromycin ointment
3. refer to an ophthalmologist if not resolved in ~ 2 days

beady nodule on the eye lid that is usually painless apart from the tenderness caused
by swelling - Answer chalazion

seborrheic dermatitis of the LID EDGE, often presents with red, scaly, greasy flakes -
Answer blepharitis

tends to be the most irritating clinical symptoms of blepharitis - Answer itching

TX for blepharitis - Answer 1. hot compress
2. topical abx: bacitracin or erythromycin
3. Vigorously scrub lashes and lid margins with eyes closed and follow with thorough
rinsing

organism most commonly responsible for blepharitis - Answer staphylococcus

most common inflammatory eye disorder with itching, burning, increases tearing,
blurred vision (possible), sensation of foreign body in the eye which may be caused by
allergies, chemical irritation, bacterial, viral or gonococcal/chlamydial infection - Answer
conjunctivitis (pink-eye)

results from an increased intraocular pressure - Answer glaucoma

acute increase in IOP, opthalmic emergency - Answer closed-angle glaucoma

a patient who presents with extreme eye pain, blurred vision, pupils that are dilated or
fixed and HALOS AROUND LIGHTS should be: - Answer referred to opthlamology for
emergent suspicion of closed-angel glaucoma

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