AANP FNP CERTIFICATION LATEST UPDATE ALREADY GRADED A

AANP FNP CERTIFICATION LATEST 2023- 2024 UPDATE ALREADY GRADED A Fundal height 12 weeks - CORRECT ANSWER-Fundal Height 12 weeks above symphysis pubis. 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 ANSWERIncrease 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 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 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? 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 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