AANP EXAM LATEST UPDATED 2024
What causes posterior heel pain in young athletes an an antalgic gait? - ANSWER-
Sever's disease (calcaneal apophysis)--> Overuse and micro trauma with
repetitive jumping, one of the most common complaints in children. Recommend
rest, stretching, and antiinflammatories
2 year old presents and is dx with UTI w/ fever. After starting abx, what are next
steps in management? - ANSWER--AAP recommends renal and bladder
ultrasonography for all febrile UTIs in pts 2 to 24 months after their first febrile
UTI
Morton's neuroma - ANSWER-Fibrosis/neuroma caused by the
compression/trauma to the interdigital plantar nerve by wearing ill fitting, pointy,
or high heeled shoes. May have a pebble like nodule between 3rd and 4th toe
When do kids permanent teeth come in and at what age? - ANSWER-Age 6, starting
with central incisors
Which of the following diseases is most often associated with bacterial
peritonitis?
-Diabetes
-Cirrhosis
,-Small cell lung cancer
-Pancreatitis - ANSWER--Cirrhosis: D/t infection of the fluid from ascites
Vargus stress - ANSWER-Moves joint away from midline, tests the lateral
collateral ligament in knee when used for testing
S/S of MCL injury - ANSWER-Laxity with valgus load, often complain of feelings of
joint instability, but not issues with joint effusion
What should you do with asymptomatic hematuria? - ANSWER-If presence of risk
factors such as >age 35, smoker, male order a CT urography
What lab test will show anabolic steroid use? - ANSWER-Lowered thyroxine
globulin binding levels (TBB)
Paget's disease of the breast - ANSWER--Older adult female with chronic scaly
eczematous rash on the nipple and/or areola. Does not heal and may be pruritic.
Become's ulcerated and crusty
Reactive arthritis - ANSWER-Occurs after infection with certain bacteria like
chylmydia. Is immune mediated and will resolve spontaneously and tx is
supportive (NSAIDs)
,Type 4 hypersensitivity reaction - ANSWER-Delayed type that is cell mediated by
T4 cells. Common causes include poison ivy and contact dermatitis
Tx for conjunctivitis associated with chylmydia - ANSWER-PO azithromycin
Schizoid fantasy - ANSWER--Retreating into one's private, internal world due to
anxiety regarding interpersonal situations
AAP and Down syndrome - ANSWER--Recommend sleep study by age 4
Dronibinol (Marinol) - ANSWER--Synthetic THC used for tx of anorexia in AIDs pts
and anti nausea in chemotherapy
Displacement of PMI Cause - ANSWER--Severe LVH and cardiomyopathy, displaced
laterally and >3 cm
S1 heart sounds represent? - ANSWER-MOTIVATED
Mitral
Tricuspid
AV valves
-Closure of the mitral and tricuspid valves
, S2 heart sounds represent? - ANSWER-APPLES
Aortic
Pulmonic
Semilunar valves
Closer of aortic and pulmonic valves
S3 heart sound - ANSWER--Usually indicate of HF or CHF, always considered
abnormal if >40 years olf. Heard during early diastole as 'Kentucky"
-May be normal in children, pregnant pts, or athletes
(CHF!!)
S4 heart sound - ANSWER--Increased resistance due to stiff left ventricle,
normally indicates LVH. May be normal in some older adults
-Occurs during late diastole, best heart at apex
(LVH!!)
Physiologic S2 split--best heard? - ANSWER--Normal if it appears during
inspiration and disappears during expiration
-Best heart at pulmonic area
What causes posterior heel pain in young athletes an an antalgic gait? - ANSWER-
Sever's disease (calcaneal apophysis)--> Overuse and micro trauma with
repetitive jumping, one of the most common complaints in children. Recommend
rest, stretching, and antiinflammatories
2 year old presents and is dx with UTI w/ fever. After starting abx, what are next
steps in management? - ANSWER--AAP recommends renal and bladder
ultrasonography for all febrile UTIs in pts 2 to 24 months after their first febrile
UTI
Morton's neuroma - ANSWER-Fibrosis/neuroma caused by the
compression/trauma to the interdigital plantar nerve by wearing ill fitting, pointy,
or high heeled shoes. May have a pebble like nodule between 3rd and 4th toe
When do kids permanent teeth come in and at what age? - ANSWER-Age 6, starting
with central incisors
Which of the following diseases is most often associated with bacterial
peritonitis?
-Diabetes
-Cirrhosis
,-Small cell lung cancer
-Pancreatitis - ANSWER--Cirrhosis: D/t infection of the fluid from ascites
Vargus stress - ANSWER-Moves joint away from midline, tests the lateral
collateral ligament in knee when used for testing
S/S of MCL injury - ANSWER-Laxity with valgus load, often complain of feelings of
joint instability, but not issues with joint effusion
What should you do with asymptomatic hematuria? - ANSWER-If presence of risk
factors such as >age 35, smoker, male order a CT urography
What lab test will show anabolic steroid use? - ANSWER-Lowered thyroxine
globulin binding levels (TBB)
Paget's disease of the breast - ANSWER--Older adult female with chronic scaly
eczematous rash on the nipple and/or areola. Does not heal and may be pruritic.
Become's ulcerated and crusty
Reactive arthritis - ANSWER-Occurs after infection with certain bacteria like
chylmydia. Is immune mediated and will resolve spontaneously and tx is
supportive (NSAIDs)
,Type 4 hypersensitivity reaction - ANSWER-Delayed type that is cell mediated by
T4 cells. Common causes include poison ivy and contact dermatitis
Tx for conjunctivitis associated with chylmydia - ANSWER-PO azithromycin
Schizoid fantasy - ANSWER--Retreating into one's private, internal world due to
anxiety regarding interpersonal situations
AAP and Down syndrome - ANSWER--Recommend sleep study by age 4
Dronibinol (Marinol) - ANSWER--Synthetic THC used for tx of anorexia in AIDs pts
and anti nausea in chemotherapy
Displacement of PMI Cause - ANSWER--Severe LVH and cardiomyopathy, displaced
laterally and >3 cm
S1 heart sounds represent? - ANSWER-MOTIVATED
Mitral
Tricuspid
AV valves
-Closure of the mitral and tricuspid valves
, S2 heart sounds represent? - ANSWER-APPLES
Aortic
Pulmonic
Semilunar valves
Closer of aortic and pulmonic valves
S3 heart sound - ANSWER--Usually indicate of HF or CHF, always considered
abnormal if >40 years olf. Heard during early diastole as 'Kentucky"
-May be normal in children, pregnant pts, or athletes
(CHF!!)
S4 heart sound - ANSWER--Increased resistance due to stiff left ventricle,
normally indicates LVH. May be normal in some older adults
-Occurs during late diastole, best heart at apex
(LVH!!)
Physiologic S2 split--best heard? - ANSWER--Normal if it appears during
inspiration and disappears during expiration
-Best heart at pulmonic area
