AANP Practice Exam 30 Questions with Answers,100% CORRECT

AANP Practice Exam 30 Questions with Answers wet-mount results confirms a preliminary diagnosis of bacterial vaginosis - CORRECT ANSWER Squamous epithelial cells with stippling appearance and indistinct borders, no lactobacillus rods, and many white blood cells explanation: microscopically detectable change in vaginal microflora from the Lactobacillus morphotype, with or without the Gardnerella morphotype (normal), to a mixed flora with few or no Lactobacillus morphotypes (BV) can be used in the diagnosis of BV "some herb" she bought at a health food store for migraines and menstrual cramps - CORRECT ANSWER Feverfew polycystic ovary syndrome tests - CORRECT ANSWER testosterone follicle-stimulating hormone (FSH), luteinizing hormone (LH), prolactin, and thyroid-stimulating hormone (TSH). A patient with macular degeneration has difficulty seeing objects - CORRECT ANSWER in the center of the visual field. acute appendicitis - CORRECT ANSWER Rebound tenderness at McBurney's point headaches due to an intracranial tumor - CORRECT ANSWER Pain worse in supine position; focal neurological signs fat pad sign - CORRECT ANSWER potential finding on elbow radiography which suggests a fracture of one or more bones at the elbow. It is may indicate an occult fracture that is not directly visible. (also known as the sail sign) macrocytic anemia - CORRECT ANSWER larger than 100 B12 (intrinsic factor) = pernicious anemia Folate def anemia Drugs & Alcohol Trigeminal neuralgia (tic douloureux) - CORRECT ANSWER electric-shock-like unilateral facial pain recurring episodes of intense stabbing pain in trigeminal nerve area (near mouth or nose) pain triggered by touch, drinking, washing face treatment may require cutting nerve Polymyalgia rheumatica - CORRECT ANSWER geriatric inflammatory disorder of the muscles and joints characterized by pain and stiffness in the neck, shoulders, upper arms, and hips and thighs shoulder and pelvic girdle pain for the past 6 months. She reports recent unintentional weight loss. On physical examination, there is pain on ROM, with no weakness noted. Laboratory studies show a low hemoglobin and an elevated sedimentation rate. 10-month-old presents with a rash, runny nose, and cough. Examination reveals a cluster of tiny white papules with an erythematous base on the buccal mucosa - CORRECT ANSWER Measles 20-year-old male presents with a 1-month history of a "bump on my testicle." - CORRECT ANSWER Cancer of the testicles newest standard for determining the presence of diabetes mellitus based on fasting plasma sugar level is a value equal to or greater than - CORRECT ANSWER 126 sudden loss of vision in the right eye characterized by "a bunch of lights" and a feeling that "a curtain came down." - CORRECT ANSWER retinal detachment administer to a patient who has a corneal abrasion - CORRECT ANSWER Gentamicin ophthalmic (Genoptic) Topical antibiotics Bacitracin (AK-Tracin) Chloramphenicol (Chloroptic) Ciprofloxacin (Ciloxan) Erythromycin Gentamycin Ofloxacin class of antihypertensive agents has been associated with acute renal failure and is contraindicated in patients with bilateral renal artery stenosis - CORRECT ANSWER Angiotensin-converting enzyme (ACE) inhibitors "renal protective" except with renal stenosis or heart failure antihypertensives for heart failure - CORRECT ANSWER β-blockers, angiotensin-converting enzyme inhibitiors, angiotensin receptor blockers, aldosterone receptor blockers, hydralazine and nitrates patient with a diagnosis of diverticulosis presents with localized left lower quadrant discomfort, a palpable mass, mild leukocytosis, and T = 100°F (37.8°C). The patient does not appear toxic and can tolerate fluids. An appropriate plan should include - CORRECT ANSWER clear liquids and oral antibiotics alternative to erythromycin - CORRECT ANSWER Mycoplasma pneumoniae - CORRECT ANSWER "atypical" mild infections of the respiratory system. "walking pneumonia" since symptoms tend to be milder than pneumonia caused by other germs. improve the longevity of a patient who has COPD - CORRECT ANSWER oxygen camping trip, an 11-year-old is seen for a target lesion with central clearing, located in the inguinal area. The patient has had a severe headache, malaise, fatigue, and generalized musculoskeletal pain for several days. Pharmacologic management - CORRECT ANSWER doxycycline psyllium (Metamucil), polycarbophil (FiberCon), and methylcellulose (Citrucel) - CORRECT ANSWER bulk-forming laxatives rectal pain and itching. He reports a past history of constipation and finding spots of bright red blood on toilet paper several times a week. Rectal examination reveals a tender, swollen, bluish, ovoid mass. The stool guaiac test is negative. - CORRECT ANSWER bulk-forming agents and hydrocortisone suppositories maxillary facial pain and yellow nasal discharge for 14 days - CORRECT ANSWER Amoxicillin-Clavulanate (Augmentin) polymyalgia rheumatica tx - CORRECT ANSWER prednisone treatment plan for an 84-year-old patient with hypothyroidism, the nurse practitioner must keep in mind the possibility of the worsening of - CORRECT ANSWER osteoporosis acute bronchitis tx (bacterial) - CORRECT ANSWER Start with macrolides eg clarithromycin, azithromycin, erythromycin then doxycycline trim/sulf bugs = Mycoplasma pneumoniae, Chlamydia pneumoniae, Bordetella pertussis, Moraxella catarrhalis digoxin, 0.25 mg daily; hydrochlorothiazide, 25 mg daily; metformin, 500 mg daily; glipizide, 10 mg daily; and atorvastatin (Lipitor), 20 mg - CORRECT ANSWER The hydrochlorothiazide will predispose the patient to digoxin toxicity. classic appendicitis signs - CORRECT ANSWER Psoas - pain R thigh extension Obturator - pain with internal rotation Rovsing's sign - RLQ pain when press on LLQ