AANP TEST EXAM 2025 WITH CORRECT ANSWERS

AANP TEST EXAM 2025 WITH CORRECT
ANSWERS




first line for cholesterol - correct answer is lifestyle changes but if you see triglycerides is elevated then address
c c c c c c c c c c c c c c c c c c




it even if the triglycerides are 300ish
c c c c c c c




if you see cullens sign - correct answer bad sign pacrease is bouta rupture
c c c c c c c c c c c c c




hypertryglceride treatment? - correct answer niacin and fenofibrates c c c c c c c




riglycerides elevated above 500? - correct answer not good cuz that means pancreas is stressed out and can
c c c c c c c c c c c c c c c c c c




rupture



TSH - correct answer 0.4-5
c c c c




pt has INR 5 what do you do? - correct answer hold the next dose and repeat INR in the next day or two and
c c c c c c c c c c c c c c c c c c c c c c c c c




before restarting meds c c




pt has INR 1.2 what do you do? - correct answer increase med
c c c c c c c c c c c c




INR - correct answer normal range is 2-3
c c c c c c c

,renal artery stenosis/ renal vascular hypertension - correct answer bruit is heard in abdomen
c c c c c c c c c c c c c




AAA - correct answer middle aged man smoker comes to ER feels like ripping sensation in back do ultrasound...
c c c c c c c c c c c c c c c c c c




AAA or renal artery stenosis /renal vascular hypertension - correct answer bruit in abdomen either
c c c c c c c c c c c c c c




thrill - correct answer first time felt is murmur grade 4
c c c c c c c c c c




shortness of breath, crackles? - correct answer LEFT heart failure
c c c c c c c c c




edema, JVD? - correct answer RIGHT heart failure c c c c c c c




avoid grapefruit juice - correct answer statins and CCBs
c c c c c c c c




which hypertension med should you AVOID in pts with COPD asthma breathing issues? - correct answer beta
c c c c c c c c c c c c c c c c c




blockers(slows everything down) c c




metabolic syndrome - correct answer the triad of bad stuff bp diabetes elevated sugar triglcyerdies
c c c c c c c c c c c c c c c




chloesterol....dont give thiazides to patients who have metabolic syndrome cuz it causes c c c c c c c c c c c c




hyperglycemia/triglycerides and hyperurecemia c c




if pt has GERD - correct answer do not give CCB cuz thats gonna dilate everything and cause more heartburn
c c c c c c c c c c c c c c c c c c c




raynauds - correct answer american flag color drained out treat with CCB cuz it'll dilate everything
c c c c c c c c c c c c c c c




BPH and Hypertension? - correct answer alpha blockers specifcally hytrin!
c c c c c c c c c




patients with diabetes and hypertension? - correct answer ACE and ARBS!!! make sure you monitor Glucose
c c c c c c c c c c c c c c c c




and POTASSIUM!!! make sure it doesn't go to low or high
c c c c c c c c c c

, ISH - correct answer -give CCB
c c c c c




plusus paradoxus...BP drops 10 - correct answer asthma patient comes in and on inspriation there BP drops
c c c c c c c c c c c c c c c c c




whats going on ? c c c




if starting patient on statin - correct answer do liver function labs first cuz statins are metabolized by the
c c c c c c c c c c c c c c c c c c c




liver...statins can build up in the body causing liver damage ...those on statins are make the patient at risk for
c c c c c c c c c c c c c c c c c c c c




Rhabdo...symptoms include muscle pain aches and tired...ask them about urine if its dark orangey golden c c c c c c c c c c c c c c c




thats a clue of rhabdo! first stop the statin! get them hydrated if its bad send to ER
c c c c c c c c c c c c c c c c c




PAD - correct answer better if i put feet down or let them hang off bed, legs ache, shiny and hairless legs, feet
c c c c c c c c c c c c c c c c c c c c c c c




are cold legs hurt at nighttime
c c c c c




c ABI lower then 0.9 means they have it
c c c c c c c




must be 1 or higher to not have disease
c c c c c c c c




a-fib on EKG - correct answer no defined P wave irregular QRS everything looks like flutter
c c c c c c c c c c c c c c c




first degree block - correct answer on EKG looks like prolonged PR interval
c c c c c c c c c c c c




s3 - correct answer is heard in CHF patients and those who are pregnant cuz fluid overload
c c c c c c c c c c c c c c c c




s4 - correct answer is heard in elderly population and hypertension-stiffened arteries..might result in LVH
c c c c c c c c c c c c c c c




thats when you might get isolated systolic hypertension- give CCB because you need vasodilation
c c c c c c c c c c c c c




s1 - correct answer closure of AV valves
c c c c c c c




s2 - correct answer closure of SL is
c c c c c c c




bengin split s2 - correct answer best heard at second intercostal space at the left sternal border...pulmonic
c c c c c c c c c c c c c c c c c




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