Family Nurse Practitioner Exam AANP-
Latest Update -Well Graded A+
Seasonal depressive disorder - CORRECT ANSWERS-Depression
no Tx due to symptomatic,
get a sun lamp
Effects of NSAIDS on cardiac - CORRECT ANSWERS-inhibits prostaglandins reaction
in blood vessels, makes BP increase
Synthroid - CORRECT ANSWERS-increased is hypo
decreased is hyper
parathyroid - CORRECT ANSWERS-calcium higher than 13 = hyper parathyroid
High triglyceride levels - CORRECT ANSWERS-normal 150
150-280 + lifestyle mods, diet wt loss
>350 + niacin plus diet
>900 fibrates
CYP40 w/ grapefruit - CORRECT ANSWERS-avoid if on statins
CCB
Flagyl aka - CORRECT ANSWERS-(Metronidazole)
Flagyl (Metronidazole) what to avoid when taking it? - CORRECT ANSWERS-ETOH d/t
metallic taste
TCA's with elderly - CORRECT ANSWERS-can cause arrythmias
1st line tx for anxiety - CORRECT ANSWERS-Benzos, Ativan or Buspar
can you give SSRI's to elderly - CORRECT ANSWERS-yes monitor for falls
Avoid CCB and NSAIDS in CHF patients, why? - CORRECT ANSWERS-CCB = fluid
buildup
NSAIDS will increase fluids
GERD - CORRECT ANSWERS-never give a ccb or a statin
Anticholinergic reactions - CORRECT ANSWERS-Hot as a hare: increased body
temperature
Blind as a bat: mydriasis (dilated pupils)
Dry as a bone: dry mouth, dry eyes, decreased sweat
,Red as a beet: flushed face
Mad as a hatter: delirium
Cant see cant pee, cant spit cant shit
Karposi Sarcoma - CORRECT ANSWERS-Characteristic purple areas on the nose in
an HIV-positive female. Kaposi's sarcoma (KS) is a type of cancer that can form in the
skin, lymph nodes, or other organs. The skin lesions are usually purple in color.
Malodorous single nare - CORRECT ANSWERS-Foreign body
Retinal Detachment - CORRECT ANSWERS-the retina separates from the layer
underneath. Symptoms include an increase in the number of floaters, flashes of light,
and worsening of the outer part of the visual field.
Adolescent with friable nasal turbinates - CORRECT ANSWERS-Cocaine use
Aphthous ulcer - CORRECT ANSWERS-a recurrent round or oval sore or ulcer inside
the mouth on an area where the skin is not tightly bound to the underlying bone, such
as on the inside of the lips and cheeks or underneath the tongue. Aphthous ulcers can
also affect the genitalia in males and females.
GERD first line tx - CORRECT ANSWERS-PPI
Maxillary Sinusitis - CORRECT ANSWERS-Dental pain
Kasmaul Triangle - CORRECT ANSWERS-Anterior epitaxis
Roseola infantum - CORRECT ANSWERS-H. fever => small pink dots pink or raised
body rash => arms
Acne Roscaca - CORRECT ANSWERS-"adult acne." most often in adults (30-50 years
of age). Unlike acne vulgaris, rosacea is devoid of blackheads and characteristically
does not resolve after puberty. Rosacea strikes both sexes and potentially all ages. It
tends to be more frequent in women but more severe in men. It is very uncommon in
children, and it is less frequent in people with dark skin. Tx with Flagyl
AV Nicking - CORRECT ANSWERS-HTN, arteries crossing veins
Blepharitis - CORRECT ANSWERS-commonly occurs when the tiny oil glands of the
inner eyelid become inflamed. It often occurs along with other skin conditions or
allergies.
Symptoms include red, itchy eyelids that may look greasy and crusted. Dry eyes also
are a symptom.
Treatments include cleaning the eyelids, antibiotic or steroid eye drops and treating
underlying conditions. However, blepharitis tends to come back.
,Hordelum - CORRECT ANSWERS-Painful stye it hurts
Chalazedium - CORRECT ANSWERS-Non painful lesion to eyelid
Cotton Wool - CORRECT ANSWERS-Cotton wool spots are an abnormal finding on
funduscopic exam of the retina of the eye. They appear as fluffy white patches on the
retina. They are caused by damage to nerve fibers and are a result of accumulations of
axoplasmic material within the nerve fiber layer. Systemic HTN, DM
Herpes Zoster - CORRECT ANSWERS-Early signs of shingles include a burning
sensation or stabbing pain and tingling or itching on the skin. After a few days, a rash or
blisters appear usually on one side of the body or face. When the rash is at its peak,
symptoms can range from mild itching to extreme and debilitating pain. Tx within 72
hours Aclovir
Retinoblastoma (Rb) - CORRECT ANSWERS-Absence of light reflex, it is a rare form of
cancer that rapidly develops from the immature cells of a retina, the light-detecting
tissue of the eye. It is the most common primary malignant intraocular cancer in
children, and it is almost exclusively found in young children.
Seborrheic dermatitis (Dandruff) - CORRECT ANSWERS-commonly involves portions
of the scalp, brows, mid-face, ears, mid-chest, and mid-back. It is not unusual for it to
affect the skin of infants and young children where it often involves the scalp (cradle
cap) and the diaper area. Seborrheic dermatitis is also known as seborrhea.
Seborrheic Keratosis - CORRECT ANSWERS-A seborrhoeic keratosis is a harmless
warty spot that appears during adult life as a common sign of skin aging. ... Seborrhoeic
keratosis (or seborrheic keratosis, using American spelling) is also called SK, basal cell
papilloma, senile wart, brown wart or barnacle.
Cupping of disc - CORRECT ANSWERS-Intracranial pressure
subconjunctival haemorrhage - CORRECT ANSWERS-is bleeding underneath the
conjunctiva. It can occur after a sudden or severe sneeze or cough, heavy lifting,
straining, vomiting or even rubbing one's eyes too roughly. It can also occur as a side
effect of eye surgery or blood thinners.
The main symptom is a bright red patch in the eye that may spread and then become
green or yellow, much like a bruise. Usually it disappears within two weeks.
In most cases, no treatment is required for this condition.
Sialolithiasis (also termed salivary calculi, or salivary stones) - CORRECT ANSWERS-A
condition where a calcified mass or sialolith forms within a salivary gland, usually in the
duct of the submandibular gland (also termed "Wharton's duct").
Honey Crusted lesions - CORRECT ANSWERS-Impetigo is a bacterial infection that
involves the superficial skin.The most common presentation is yellowish crusts on the
, face, arms, or legs.Less commonly there may be large blisters which affect the groin or
armpits. The lesions may be painful or itchy. Fever is uncommon.
It is typically due to either Staphylococcus aureus or Streptococcus pyogenes. Risk
factors include attending day care, crowding, poor nutrition, diabetes mellitus, contact
sports, and breaks in the skin such as from mosquito bites, eczema, scabies, or herpes.
With contact it can spread around or between people.Diagnosis is typically based on the
symptoms.
Prevention is by hand washing, avoiding people who are infected, and cleaning injuries.
Treatment is typically with antibiotic creams such as mupirocin or fusidic acid.
Antibiotics by mouth, such as cephalexin, may be used if large areas are affected.
Antibiotic-resistant forms have been found.
Mild acne - CORRECT ANSWERS-Skin wash retinol benzol
moderate acne - CORRECT ANSWERS-retinol plus tetracylines oral abo
Retinol reaction - CORRECT ANSWERS-decrease to 3 times a day
Well demarcated cellulitis - CORRECT ANSWERS-erysipelas affects the dermis, most
commonly on the legs, and tends to be sharply demarcated. Cellulitis, which typically
affects the lower legs, involves the subcutaneous fat and is often less well demarcated.
... The diagnosis of cellulitis or erysipelas is usually clinical.
polymyalgia rheumatica - CORRECT ANSWERS-you feel pain and stiffness in the
muscles in your shoulders and upper arms (shoulder girdle) and hips (pelvic girdle).
This feeling often comes after you've spent time resting, and is most severe upon
wakening from sleep.
Fibromyalgia - CORRECT ANSWERS-can also cause muscle pain in the same parts of
the body. But it's more wide-spread and the pain is more severe. People with
fibromyalgia tend to experience other symptoms as well, including:
tiredness
trouble sleeping
memory problems
bowel and bladder problems
Temporal arteritis - CORRECT ANSWERS-is a condition in which the temporal arteries,
which supply blood to the head and brain, become inflamed or damaged. It is also
known as cranial arteritis or giant cell arteritis. Although this condition usually occurs in
the temporal arteries, it can occur in almost any medium to large artery in the body.
Temporal arteritis - CORRECT ANSWERS-ESR CRP Biopsy
Latest Update -Well Graded A+
Seasonal depressive disorder - CORRECT ANSWERS-Depression
no Tx due to symptomatic,
get a sun lamp
Effects of NSAIDS on cardiac - CORRECT ANSWERS-inhibits prostaglandins reaction
in blood vessels, makes BP increase
Synthroid - CORRECT ANSWERS-increased is hypo
decreased is hyper
parathyroid - CORRECT ANSWERS-calcium higher than 13 = hyper parathyroid
High triglyceride levels - CORRECT ANSWERS-normal 150
150-280 + lifestyle mods, diet wt loss
>350 + niacin plus diet
>900 fibrates
CYP40 w/ grapefruit - CORRECT ANSWERS-avoid if on statins
CCB
Flagyl aka - CORRECT ANSWERS-(Metronidazole)
Flagyl (Metronidazole) what to avoid when taking it? - CORRECT ANSWERS-ETOH d/t
metallic taste
TCA's with elderly - CORRECT ANSWERS-can cause arrythmias
1st line tx for anxiety - CORRECT ANSWERS-Benzos, Ativan or Buspar
can you give SSRI's to elderly - CORRECT ANSWERS-yes monitor for falls
Avoid CCB and NSAIDS in CHF patients, why? - CORRECT ANSWERS-CCB = fluid
buildup
NSAIDS will increase fluids
GERD - CORRECT ANSWERS-never give a ccb or a statin
Anticholinergic reactions - CORRECT ANSWERS-Hot as a hare: increased body
temperature
Blind as a bat: mydriasis (dilated pupils)
Dry as a bone: dry mouth, dry eyes, decreased sweat
,Red as a beet: flushed face
Mad as a hatter: delirium
Cant see cant pee, cant spit cant shit
Karposi Sarcoma - CORRECT ANSWERS-Characteristic purple areas on the nose in
an HIV-positive female. Kaposi's sarcoma (KS) is a type of cancer that can form in the
skin, lymph nodes, or other organs. The skin lesions are usually purple in color.
Malodorous single nare - CORRECT ANSWERS-Foreign body
Retinal Detachment - CORRECT ANSWERS-the retina separates from the layer
underneath. Symptoms include an increase in the number of floaters, flashes of light,
and worsening of the outer part of the visual field.
Adolescent with friable nasal turbinates - CORRECT ANSWERS-Cocaine use
Aphthous ulcer - CORRECT ANSWERS-a recurrent round or oval sore or ulcer inside
the mouth on an area where the skin is not tightly bound to the underlying bone, such
as on the inside of the lips and cheeks or underneath the tongue. Aphthous ulcers can
also affect the genitalia in males and females.
GERD first line tx - CORRECT ANSWERS-PPI
Maxillary Sinusitis - CORRECT ANSWERS-Dental pain
Kasmaul Triangle - CORRECT ANSWERS-Anterior epitaxis
Roseola infantum - CORRECT ANSWERS-H. fever => small pink dots pink or raised
body rash => arms
Acne Roscaca - CORRECT ANSWERS-"adult acne." most often in adults (30-50 years
of age). Unlike acne vulgaris, rosacea is devoid of blackheads and characteristically
does not resolve after puberty. Rosacea strikes both sexes and potentially all ages. It
tends to be more frequent in women but more severe in men. It is very uncommon in
children, and it is less frequent in people with dark skin. Tx with Flagyl
AV Nicking - CORRECT ANSWERS-HTN, arteries crossing veins
Blepharitis - CORRECT ANSWERS-commonly occurs when the tiny oil glands of the
inner eyelid become inflamed. It often occurs along with other skin conditions or
allergies.
Symptoms include red, itchy eyelids that may look greasy and crusted. Dry eyes also
are a symptom.
Treatments include cleaning the eyelids, antibiotic or steroid eye drops and treating
underlying conditions. However, blepharitis tends to come back.
,Hordelum - CORRECT ANSWERS-Painful stye it hurts
Chalazedium - CORRECT ANSWERS-Non painful lesion to eyelid
Cotton Wool - CORRECT ANSWERS-Cotton wool spots are an abnormal finding on
funduscopic exam of the retina of the eye. They appear as fluffy white patches on the
retina. They are caused by damage to nerve fibers and are a result of accumulations of
axoplasmic material within the nerve fiber layer. Systemic HTN, DM
Herpes Zoster - CORRECT ANSWERS-Early signs of shingles include a burning
sensation or stabbing pain and tingling or itching on the skin. After a few days, a rash or
blisters appear usually on one side of the body or face. When the rash is at its peak,
symptoms can range from mild itching to extreme and debilitating pain. Tx within 72
hours Aclovir
Retinoblastoma (Rb) - CORRECT ANSWERS-Absence of light reflex, it is a rare form of
cancer that rapidly develops from the immature cells of a retina, the light-detecting
tissue of the eye. It is the most common primary malignant intraocular cancer in
children, and it is almost exclusively found in young children.
Seborrheic dermatitis (Dandruff) - CORRECT ANSWERS-commonly involves portions
of the scalp, brows, mid-face, ears, mid-chest, and mid-back. It is not unusual for it to
affect the skin of infants and young children where it often involves the scalp (cradle
cap) and the diaper area. Seborrheic dermatitis is also known as seborrhea.
Seborrheic Keratosis - CORRECT ANSWERS-A seborrhoeic keratosis is a harmless
warty spot that appears during adult life as a common sign of skin aging. ... Seborrhoeic
keratosis (or seborrheic keratosis, using American spelling) is also called SK, basal cell
papilloma, senile wart, brown wart or barnacle.
Cupping of disc - CORRECT ANSWERS-Intracranial pressure
subconjunctival haemorrhage - CORRECT ANSWERS-is bleeding underneath the
conjunctiva. It can occur after a sudden or severe sneeze or cough, heavy lifting,
straining, vomiting or even rubbing one's eyes too roughly. It can also occur as a side
effect of eye surgery or blood thinners.
The main symptom is a bright red patch in the eye that may spread and then become
green or yellow, much like a bruise. Usually it disappears within two weeks.
In most cases, no treatment is required for this condition.
Sialolithiasis (also termed salivary calculi, or salivary stones) - CORRECT ANSWERS-A
condition where a calcified mass or sialolith forms within a salivary gland, usually in the
duct of the submandibular gland (also termed "Wharton's duct").
Honey Crusted lesions - CORRECT ANSWERS-Impetigo is a bacterial infection that
involves the superficial skin.The most common presentation is yellowish crusts on the
, face, arms, or legs.Less commonly there may be large blisters which affect the groin or
armpits. The lesions may be painful or itchy. Fever is uncommon.
It is typically due to either Staphylococcus aureus or Streptococcus pyogenes. Risk
factors include attending day care, crowding, poor nutrition, diabetes mellitus, contact
sports, and breaks in the skin such as from mosquito bites, eczema, scabies, or herpes.
With contact it can spread around or between people.Diagnosis is typically based on the
symptoms.
Prevention is by hand washing, avoiding people who are infected, and cleaning injuries.
Treatment is typically with antibiotic creams such as mupirocin or fusidic acid.
Antibiotics by mouth, such as cephalexin, may be used if large areas are affected.
Antibiotic-resistant forms have been found.
Mild acne - CORRECT ANSWERS-Skin wash retinol benzol
moderate acne - CORRECT ANSWERS-retinol plus tetracylines oral abo
Retinol reaction - CORRECT ANSWERS-decrease to 3 times a day
Well demarcated cellulitis - CORRECT ANSWERS-erysipelas affects the dermis, most
commonly on the legs, and tends to be sharply demarcated. Cellulitis, which typically
affects the lower legs, involves the subcutaneous fat and is often less well demarcated.
... The diagnosis of cellulitis or erysipelas is usually clinical.
polymyalgia rheumatica - CORRECT ANSWERS-you feel pain and stiffness in the
muscles in your shoulders and upper arms (shoulder girdle) and hips (pelvic girdle).
This feeling often comes after you've spent time resting, and is most severe upon
wakening from sleep.
Fibromyalgia - CORRECT ANSWERS-can also cause muscle pain in the same parts of
the body. But it's more wide-spread and the pain is more severe. People with
fibromyalgia tend to experience other symptoms as well, including:
tiredness
trouble sleeping
memory problems
bowel and bladder problems
Temporal arteritis - CORRECT ANSWERS-is a condition in which the temporal arteries,
which supply blood to the head and brain, become inflamed or damaged. It is also
known as cranial arteritis or giant cell arteritis. Although this condition usually occurs in
the temporal arteries, it can occur in almost any medium to large artery in the body.
Temporal arteritis - CORRECT ANSWERS-ESR CRP Biopsy
