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AANP Review questions and answers 100% verified.

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AANP Review questions and answers 100% verified. What are asthma triggers? - correct answers.Smoking, dirty/dusty house, odors/sprays, furred or feathered pets, cover nose w/scarf on cold windy days, and avoid pollen/mold. Will you have a decreased PFT in welder's lung or pneumoconiosis? - correct answers.No What is the treatment for acute bronchitis? - correct answers.Supportive treatment (OTC pain meds, antitussives, mucolytics, hydration, expectorants, humidifier) Do you need to taper the dose of prednisone if only given 3-5 days? - correct answers.No What is the first line treatment for chronic bronchitis? - correct answers.SABA and inhaled anticholinergic What is the gold standard for diagnosing tuberculosis? - correct answers.Sputum cultures What is the first line treatment for COPD? - correct answers.SABA (albuterol) or inhaled anticholinergic (ipratropium) uncontrolled COPD- LABA with anticholinergic If you have a patient complaining of allergic rhinitis and uses Afrin nasal spray more than 3 days in a week, what can they develop? - correct answers.Metacamentosa (rebound stuffiness) How will the patient's nasal passages present if they have a diagnosis of allergic rhinitis? - correct answers.Blue and boggy You have a mail carrier that presents with flu like symptoms and has delivered mail today. Symptoms presented suddenly. What are we concerned about? - correct answers.Anthrax What is the treatment for anthrax? - correct answers.Cipro 500mg for 60 days What is the bacteria that causes atypical pneumonias (young healthy population)? - correct answers.Mycoplasma (walking pneumonia) Signs and symptoms of atypical pneumonia - correct answers.Fever, headache, productive or nonproductive cough What is the appropriate induration on a Mantoux test that is considered positive and in what population? - correct answers.<5mm immunocompromised, <10mm in healthcare workers and immigrants, <15mm in everyone else If you have a nursing home patient who shares a room with someone who has confirmed TB, what duration should he be? - correct answers.<5mm (elderly and recent exposure) What do we consider a positive reading for the Mantoux test? - correct answers.With no induration the test is negative If a toddler comes in with a severe persistent cough, vomiting with cough, afebrile for 2-3 months, what should be ruled out? - correct answers.Pertussis If a patient is having recurrent asthma exacerbations, what could we add to their regimen? Currently taking inhaled corticosteroid and LABA? - correct answers.PO steroid would be appropriate • What is the severity of the asthma if using an inhaler every day and FEV1 60-80%? - correct answers.Moderate persistent; PRN SABA and low or medium dose ICS • FEV1 <60% and symptoms last all day, what is the severity? - correct answers.Severe persistent; high dose ICS, LABA, oral steroid daily, SABA PRN • Every asthma patient regardless of severity receives what medication? - correct answers.SABA What is used for long term asthma control? - correct answers.LABA • FEV1 >80% and symptoms are 1-2 days per week, what is the severity? - correct answers.Mild intermittent; controlled on SABA • What is the treatment and education for a patient with exercise induced asthma? - correct answers.2 puffs of SABA 10-15 minutes prior to exercise; Treatment will last 4 hours • If a patient is waking every night with asthma symptoms, currently taking SABA, LABA, med. Dose ICS, what should be done at this point? - correct answers.Refer to pulmonology • Patient complains of sleeping on three pillows to be able to breath, SOB and cough at night, gained 5 pounds in 1 week, what could be causing symptoms? - correct answers.Worsening CHF; left sided heart failure L= lung • What are the symptoms of right sided heart failure? - correct answers.Peripheral edema and JVD • What are we concerned with in patients with left sided heart failure taking NSAIDs? - correct answers.NSAIDs will exacerbate CHF symptoms, NO NSAIDs • If a patient has emphysema or asthma or COPD, what cardiac medication should be avoided? - correct answers.Beta blocker; can cause bronchospasms

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