AANP FNP Knowledge Check with Approved Answers | Latest 2023/2024

AANP FNP Knowledge Check with Approved Answers | Latest 2023/2024 Tanner Stage 2 Increased rugae of scrotum, testes enlarge. Breast bud. Straight sparse hair. Tanner Stage 3 Penis elongates. Pencil penis. Scrotal color darkens. Breast tissue and areola are one mound. Darkened hair, starts to curl. Tanner 4 Penis thickens and increases in size. Areola/nipple separate for secondary mound. Curly hair, not on medial thigh. When does menarche begin? After Tanner stage 2, within 1-2 years. Delayed puberty if no secondary sexual characteristics by 12-13 in girls and 14 in boys. Trisomy 21 Down Syndrome. Risk with advanced maternal age. Microcephaly, flat nose, hypotonia, simian crease. Marfan's Syndrome Pectus excavatum. Tall, wide arm span. Risk of MVP, aneurysm, aortic regurgitation. Do not clear for sports. Turner's Syndrome FEMALE. Lymphedema in utero, webbed neck, LD, widely spaced nipples, HTN coarctation of aorta. Klienfelter's Syndrome Extra X in males. More feminine. Will see in puberty. Infertile, hypogonadism, low testosterone. Tall, lanky, underdeveloped sexually. Caput succadeum Sutures cross midline, spreads. Caphalohematoma Sutures do not cross midline, more significant. When does anterior fontanelle close? 18 months When does posterior fontanelle close? 2-3 months Abrnomal red reflex Black or white. Retinoblastoma, cataracts, osteogenesis perfecta. White specks in down syndrome. Edward's Syndrome Trisomy 18. Small mouth. High pitched cry. Newborn screening tests PKU (phenylalanine), can lead to hyperactivity and mental retardation. Hypothyroid. If not treated, mental retardation. Sickle cell. Galactessemia, maple smell to urine, septic. Hordeolum Stye. Pain, edema. Bacitracin ophthalmic ointment. STD conjunctivitis. Emergency. Rocephin for gonorrhea. Gonococcola Ophthamlia Neonatorum 2-4 days after birth. Red eye, purulent discharge, swollen eyelids. GC culture, Thayer Martin, ROCEPHIN. Chalmydial Ophthalmia Trachoma 4-10 days after birth. Edematous, red, profuse WATERY discharge that becomes purulent. Azithromycin, erythmocycin. Otitis externa Fungal. Odor, black specks. Clotramizole. Pain with tragus/pinna. Corticosporin Sensorineuro hearing loss in PEDS Syphilis, acoustic neuroma, aminoglycoside (gentamycin) Epiglottitis Bacterial. Thumb sign on x-ray. Croup Viral. Steeple sign on x-ray. Bronchioloitis RSV, adenovirus. Under 3. Lower respi. URI, fever, nasal flaring, stridor.If a preemie, synegis. Intermittent Asthma peds SABA, 2 puffs q 4-6 hours. Peak 30 min-2 hours, lasts 4-6. S. pneumonia (CAP) peds Lobar consolidation. Tx with penicillin. H. influenza pneumonia peds Lobar consolidation. Amoxicillin or cephalosporin. M. cataralis or mycoplasma Linear. Azithromycin. Neurofibromatosis Cafe au lait spots. Neurofibromas. Eye nodules. Freckling. Peds IDA Slow GI loss, too much whole milk. PICA. Flat shaped nails. Ferritin low. 6- 9 month treatments. 3-6 mg/kg day of iron Thalassemia peds Asymptomatic. Enlarged spleen, tachypnea, tachycardia, prominence in facial bones. TIBC not increased . Electrophoresis.