AANP FNP EXAM
HTN treatment for ________________
1. THiazide-type
2. CCB
3. ACEI
4. ARB - ANSWER HTN treatment for Non-African American
HTN treatment for _______________
1. Thiazide
2. CCB - ANSWER HTN treatment for African-American
HTN treatment for adults with _____
1. ACEI
2. ARB
regardless of race/other medical conditions - ANSWER HTN treatment for adults
with CKD
Lisinopril, captopril, enalipril
SE= dry cough, rash, hyperkalemia
NOT used in pregnancy
(Block production of angiotensin II, which releases aldosterone and norepinephrine,
allowing blood vessels to relax and dilate. Block sodium and water retention) -
ANSWER ACE Inhibitors
losartan, valsartan, irbesartan
SE= Hyperkalemia, angioedema
(Block action of angiotensin II allowing blood vessels to widen) - ANSWER ARBs
amlodipine, diltizem, verapimil
SE= constipation, palpitation, H/A, flushing LE edema
(Prevent calcium from entering the cells of the heart and blood vessel walls, resulting
in lower BP) - ANSWER CCBs
atenolol, propanolol, metoprolol
SE= dizziness, bradycardia, fatigue
(Directly relax the heart)
**Avoid use in COPD/asthma - ANSWER Beta blockers
,Toddlers: Onlookers and parallel play
Preschoolers: Associative, cooperative, dramatic, physical play - ANSWER Play
(psychosocial development for toddlers and preschoolers)
Utensils/spoon introduction @ - ANSWER 15-17 months: introduce what obeject
blue sclera - ANSWER osteogenesis imperfecta
Primary influencer on the teenager - ANSWER Parents (not peers)
Tanner Stage:
Penis elongates - ANSWER Tanner stage 3 (boys)
Tanner Stage:
Breast enlargement without separate nipple contour - ANSWER Tanner stage 3
(girls)
Nutritional requirements for teenagers (higher than adults) - ANSWER 45 kcals/day
Strawberry tongue
Acute febrile syndrome causing vasculitis
Treat with high dose ASPIRIN (the only time we use aspirin) - ANSWER Kawasaki
disease
projectile vomiting after eating
palpable mass (olive) after vomiting
non-bilious vomit
-U/S: "string sign" (narrowed pyloric channel)
surgery - ANSWER Pyloric stenosis
- ANSWER Intusussception
- ANSWER
Tumor arising from neural tissue (adrenal gland)
enlarged abdominal mass
sweating
tachycardia - ANSWER Neuroblastoma
- ANSWER Hepatitis
- ANSWER Meds used for angina
INR normal vs. INR on coumadin - ANSWER INR: 0.8-1.3 seconds
Coumadin: 2-3
,Which culture believes health is a gift from god (God's will/evil influences--AA)
(reward for good behavior-H) - ANSWER African American & Hispanic cultural
considerations
Highest incidence of prostate cancer is seen in - ANSWER Jamaican ancestry
Hot and cold illnesses/opposite treatment - ANSWER Hispanic and Chinese
cultural considerations
Which culture believes: Eye contact may be sign of disrespect/ Use herbal remedies
- ANSWER Asians cultural considerations
Prefer female health provider, not male (same with other Asian cultures) - ANSWER
Japanese cultural consideration
Which culture believes Yin (cold) and yang (hot) are forces that rule the world -
ANSWER Chinese cultural considerations
Which culture believes Illness=imbalance between spiritual, mental, physical, &
social interactions b/t the individual and his family/clan - ANSWER Native American
cultural considerations
Intolerant to pain
Eye contact= interest & honesty
Males are dominant force/decision maker
Meds used to cure/manage disease - ANSWER Caucasians cultural consideration
Diarrhea= cold illness-tx with hot foods
HTN= hot illness- tx with cold foods
PCN=hot...not used with hot illness - ANSWER Cold/hot illnesses and treatment
(Chinese/Hispanic)
Touch is important to this culture - ANSWER African American cultural
considerations
Which culture relies on minister's advice/religious rituals - ANSWER African
American cultural considerations
Which culture may d/c meds once symptoms subside - ANSWER African American
cultural considerations
Mal de Ojo (evil eye) - ANSWER Hispanic cultural considerations
Grandmother from husband is primary decision-maker of health issues - ANSWER
Hispanic cultural considerations
Which culture is concerned ab potential for addiction - ANSWER Hispanic cultural
considerations
, Which culture believes injections are necessary for effective treatment - ANSWER
Hispanic cultural considerations
Curanderas= holistic healer. Uses herbs, teas, shrines, medals, candles - ANSWER
Hispanic cultural considerations
Which culture believes evil is caused by an outside spirit - ANSWER Asians cultural
considerations
Elders' views wishes=authority/decision-making - ANSWER Asians cultural
considerations
Which culture values drug safety>effectiveness (may take lower doses than
prescribed) - ANSWER Japanese cultural consideration
Which culture believes illness diagnosed through pulse and color/texture of tongue -
ANSWER Chinese cultural considerations
Use American medicine for acute illnesses and surgery and Chines medicine for
long-term conditions - ANSWER Chinese cultural considerations
Healing=sacred work
Use "white" medicine to treat white disease (diabetes, cancer, cholelithiasis)
Use Native American medicine to treat NA problems (Pain, mental illness,
alcoholism) - ANSWER Native American cultural considerations
Tooth eruption- age for primary and permanent - ANSWER Primary: Central Incisor
@ 6 months...Second Molar by 24 mnonths
Permanent: Central Incisor @ 6 years...Second Molar by 12 years
Generalized assessment tool (Birth to 6years) that measures gross/fine motor
development, language, and personal-social development - ANSWER Denver II
Car seat rules:
Must face ___________ until at least 1 year
Separate restraint system from car seat until ___ years and ____lbs - ANSWER
Must face backwards until at least 1 year
Separate restraint system from car seat until 4 years and 40lbs
Starburst appearance in iris of eye (DS) - ANSWER Brushfield spots
- ANSWER Down Syndrome
_________ Syndrome common illness
Leukemia (4x more likely to get) - ANSWER Down Syndrome common illness
A chromosomal disorder in which males have an extra X chromosome, making them
XXY instead of XY.
Normal at birth-presents at puberty
infertility
HTN treatment for ________________
1. THiazide-type
2. CCB
3. ACEI
4. ARB - ANSWER HTN treatment for Non-African American
HTN treatment for _______________
1. Thiazide
2. CCB - ANSWER HTN treatment for African-American
HTN treatment for adults with _____
1. ACEI
2. ARB
regardless of race/other medical conditions - ANSWER HTN treatment for adults
with CKD
Lisinopril, captopril, enalipril
SE= dry cough, rash, hyperkalemia
NOT used in pregnancy
(Block production of angiotensin II, which releases aldosterone and norepinephrine,
allowing blood vessels to relax and dilate. Block sodium and water retention) -
ANSWER ACE Inhibitors
losartan, valsartan, irbesartan
SE= Hyperkalemia, angioedema
(Block action of angiotensin II allowing blood vessels to widen) - ANSWER ARBs
amlodipine, diltizem, verapimil
SE= constipation, palpitation, H/A, flushing LE edema
(Prevent calcium from entering the cells of the heart and blood vessel walls, resulting
in lower BP) - ANSWER CCBs
atenolol, propanolol, metoprolol
SE= dizziness, bradycardia, fatigue
(Directly relax the heart)
**Avoid use in COPD/asthma - ANSWER Beta blockers
,Toddlers: Onlookers and parallel play
Preschoolers: Associative, cooperative, dramatic, physical play - ANSWER Play
(psychosocial development for toddlers and preschoolers)
Utensils/spoon introduction @ - ANSWER 15-17 months: introduce what obeject
blue sclera - ANSWER osteogenesis imperfecta
Primary influencer on the teenager - ANSWER Parents (not peers)
Tanner Stage:
Penis elongates - ANSWER Tanner stage 3 (boys)
Tanner Stage:
Breast enlargement without separate nipple contour - ANSWER Tanner stage 3
(girls)
Nutritional requirements for teenagers (higher than adults) - ANSWER 45 kcals/day
Strawberry tongue
Acute febrile syndrome causing vasculitis
Treat with high dose ASPIRIN (the only time we use aspirin) - ANSWER Kawasaki
disease
projectile vomiting after eating
palpable mass (olive) after vomiting
non-bilious vomit
-U/S: "string sign" (narrowed pyloric channel)
surgery - ANSWER Pyloric stenosis
- ANSWER Intusussception
- ANSWER
Tumor arising from neural tissue (adrenal gland)
enlarged abdominal mass
sweating
tachycardia - ANSWER Neuroblastoma
- ANSWER Hepatitis
- ANSWER Meds used for angina
INR normal vs. INR on coumadin - ANSWER INR: 0.8-1.3 seconds
Coumadin: 2-3
,Which culture believes health is a gift from god (God's will/evil influences--AA)
(reward for good behavior-H) - ANSWER African American & Hispanic cultural
considerations
Highest incidence of prostate cancer is seen in - ANSWER Jamaican ancestry
Hot and cold illnesses/opposite treatment - ANSWER Hispanic and Chinese
cultural considerations
Which culture believes: Eye contact may be sign of disrespect/ Use herbal remedies
- ANSWER Asians cultural considerations
Prefer female health provider, not male (same with other Asian cultures) - ANSWER
Japanese cultural consideration
Which culture believes Yin (cold) and yang (hot) are forces that rule the world -
ANSWER Chinese cultural considerations
Which culture believes Illness=imbalance between spiritual, mental, physical, &
social interactions b/t the individual and his family/clan - ANSWER Native American
cultural considerations
Intolerant to pain
Eye contact= interest & honesty
Males are dominant force/decision maker
Meds used to cure/manage disease - ANSWER Caucasians cultural consideration
Diarrhea= cold illness-tx with hot foods
HTN= hot illness- tx with cold foods
PCN=hot...not used with hot illness - ANSWER Cold/hot illnesses and treatment
(Chinese/Hispanic)
Touch is important to this culture - ANSWER African American cultural
considerations
Which culture relies on minister's advice/religious rituals - ANSWER African
American cultural considerations
Which culture may d/c meds once symptoms subside - ANSWER African American
cultural considerations
Mal de Ojo (evil eye) - ANSWER Hispanic cultural considerations
Grandmother from husband is primary decision-maker of health issues - ANSWER
Hispanic cultural considerations
Which culture is concerned ab potential for addiction - ANSWER Hispanic cultural
considerations
, Which culture believes injections are necessary for effective treatment - ANSWER
Hispanic cultural considerations
Curanderas= holistic healer. Uses herbs, teas, shrines, medals, candles - ANSWER
Hispanic cultural considerations
Which culture believes evil is caused by an outside spirit - ANSWER Asians cultural
considerations
Elders' views wishes=authority/decision-making - ANSWER Asians cultural
considerations
Which culture values drug safety>effectiveness (may take lower doses than
prescribed) - ANSWER Japanese cultural consideration
Which culture believes illness diagnosed through pulse and color/texture of tongue -
ANSWER Chinese cultural considerations
Use American medicine for acute illnesses and surgery and Chines medicine for
long-term conditions - ANSWER Chinese cultural considerations
Healing=sacred work
Use "white" medicine to treat white disease (diabetes, cancer, cholelithiasis)
Use Native American medicine to treat NA problems (Pain, mental illness,
alcoholism) - ANSWER Native American cultural considerations
Tooth eruption- age for primary and permanent - ANSWER Primary: Central Incisor
@ 6 months...Second Molar by 24 mnonths
Permanent: Central Incisor @ 6 years...Second Molar by 12 years
Generalized assessment tool (Birth to 6years) that measures gross/fine motor
development, language, and personal-social development - ANSWER Denver II
Car seat rules:
Must face ___________ until at least 1 year
Separate restraint system from car seat until ___ years and ____lbs - ANSWER
Must face backwards until at least 1 year
Separate restraint system from car seat until 4 years and 40lbs
Starburst appearance in iris of eye (DS) - ANSWER Brushfield spots
- ANSWER Down Syndrome
_________ Syndrome common illness
Leukemia (4x more likely to get) - ANSWER Down Syndrome common illness
A chromosomal disorder in which males have an extra X chromosome, making them
XXY instead of XY.
Normal at birth-presents at puberty
infertility
