AANP Certification Exam
diverticulum can be an infection of - CORRECT ANSWER-both gram - and +
bacteria
Which diuretic should be used for osteoporosis? - CORRECT ANSWER-Thiazide
diuretics:
slows the kidneys excretion of calcium and increases reabsorption
Lachman maneuver - CORRECT ANSWER-knee instability
tear of ACL
Infections of labia and vagina - CORRECT ANSWER-bacterial vaginosis,
candidiasis, and trichomoniasis
Chlamydia affects - CORRECT ANSWER-cervix, endometrial lining, fallopian
tubes, pelvic cavity
Acute abdomen symptoms - CORRECT ANSWER-involuntary guarding, rebound
tenderness, board-like abdomen, +obturator and psoas sign
Care of preecplampsia - CORRECT ANSWER-bed rest, weight and blood
pressure monitoring
Preeclampsia labs - CORRECT ANSWER-urine protein, serum protein,
creatinine, platelet count
Preeclampsia symptoms - CORRECT ANSWER-hypertension, proteinuria,
edema (weight gain)
Preeclampsia complications - CORRECT ANSWER-placental abruption,
coagulopathy (DIC), renal failure, uteroplacental insufficiency, liver failure,
hypertensive encephalopathy, retinal detachment, pulmonary edema, seizure,
death
community acquired pneumonia
,Most common bacteria
least common bacteria
Population
treatment - CORRECT ANSWER-mycolpasma pneumoniae (atypical)
h. influenza, strep pneumoniae
atypical: psuedomonas aeruginosa
college student, school children, military
macrolides: azithromycin, clarithromycin
Mantoux test - CORRECT ANSWER-Positive: 5mm
Positive for recent immigrants: 10mm
Murphy's sign - CORRECT ANSWER-biliary disorders
deep inspiration by patient and deep palpation RUQ below costovertebral angle
placenta previa - CORRECT ANSWER-implantation of the placenta over the
cervical opening or in the lower region of the uterus
painless bright red blood in the second or third trimester
Order abdominal US
Hashimoto's is most common in which population - CORRECT ANSWER-middle
age to older women
Hypertension Retinopathy - CORRECT ANSWER-AV nicking and copper or
silver wire arterioles
flame-shaped hemorrhages
threatened abortion - CORRECT ANSWER-vaginal bleeding and cramping, soft
uterus, cervix closed
bacterial vaginosis - CORRECT ANSWER-fishy odor, milky white or dull gray
discharge
pH > 4.5
> 20% clue cells
KOH whiff test
,squamous cells dotted with lots of bacteria that obscure borders - CORRECT
ANSWER-clue cells
Lichen sclerosis - CORRECT ANSWER-skin disease, white spots appear over
time, most common genital and rectal
most common in older woman
itching, discomfort, bleeding
order biopsy
AV valves - CORRECT ANSWER-mitral and tricuspid
semilunar valves - CORRECT ANSWER-pulmonary and aortic
S1 - CORRECT ANSWER-systole
closure of AV valves
mitral regurgitation
aortic stenosis
S2 - CORRECT ANSWER-diastole
closure of semilunar valves
mitral stenosis
aortic regurgitation
S3 - CORRECT ANSWER-normal variant in children, healthy young adults, and
athletes
heart failure
early diastole
S4 - CORRECT ANSWER-left ventricle hypertrophy
late diastole
Tanner Stages Males: II - CORRECT ANSWER-no changes to penis, testes
enlarge
Pubic hair is sparse and straight
Tanner Stages Males: III - CORRECT ANSWER-penis lengthens
hair darker and starts to curl
, Tanner Stages Males: IV - CORRECT ANSWER-penis increases in length and
width
hair coarse, not yet on medial thigh
Tanner Stages Females: II - CORRECT ANSWER-breast buds
pubic hair sparse and straight
Tanner Stages Females: III - CORRECT ANSWER-breast tissue and areola in
one mound
hair darker, starts to curl
Tanner Stages Females: IV - CORRECT ANSWER-areola separates and forms a
secondary mound
hair coarse, not on medial thigh yet
TORCH infections - CORRECT ANSWER-Toxoplasmosis
Other
Rubella
Cytomegalovirus
Herpes
osteoarthritis vs rheomatoid arthritis - CORRECT ANSWER-OA: stiffness,
heberden's nodes, increase age, overuse, family history
RA: relies more on labs, increased ESR, Bouchard's nodes, fatigue, fever, body
aches
drawer test - CORRECT ANSWER-instability of the knee
mediolateral and anteroposterior plane
torn or ruptured ligament
fundal height 12 weeks - CORRECT ANSWER-just above pubic bone
fundal height 20 weeks - CORRECT ANSWER-level of umbilicus
fundal height 20-35 weeks - CORRECT ANSWER-number of weeks gestation +/-
2 cm
diverticulum can be an infection of - CORRECT ANSWER-both gram - and +
bacteria
Which diuretic should be used for osteoporosis? - CORRECT ANSWER-Thiazide
diuretics:
slows the kidneys excretion of calcium and increases reabsorption
Lachman maneuver - CORRECT ANSWER-knee instability
tear of ACL
Infections of labia and vagina - CORRECT ANSWER-bacterial vaginosis,
candidiasis, and trichomoniasis
Chlamydia affects - CORRECT ANSWER-cervix, endometrial lining, fallopian
tubes, pelvic cavity
Acute abdomen symptoms - CORRECT ANSWER-involuntary guarding, rebound
tenderness, board-like abdomen, +obturator and psoas sign
Care of preecplampsia - CORRECT ANSWER-bed rest, weight and blood
pressure monitoring
Preeclampsia labs - CORRECT ANSWER-urine protein, serum protein,
creatinine, platelet count
Preeclampsia symptoms - CORRECT ANSWER-hypertension, proteinuria,
edema (weight gain)
Preeclampsia complications - CORRECT ANSWER-placental abruption,
coagulopathy (DIC), renal failure, uteroplacental insufficiency, liver failure,
hypertensive encephalopathy, retinal detachment, pulmonary edema, seizure,
death
community acquired pneumonia
,Most common bacteria
least common bacteria
Population
treatment - CORRECT ANSWER-mycolpasma pneumoniae (atypical)
h. influenza, strep pneumoniae
atypical: psuedomonas aeruginosa
college student, school children, military
macrolides: azithromycin, clarithromycin
Mantoux test - CORRECT ANSWER-Positive: 5mm
Positive for recent immigrants: 10mm
Murphy's sign - CORRECT ANSWER-biliary disorders
deep inspiration by patient and deep palpation RUQ below costovertebral angle
placenta previa - CORRECT ANSWER-implantation of the placenta over the
cervical opening or in the lower region of the uterus
painless bright red blood in the second or third trimester
Order abdominal US
Hashimoto's is most common in which population - CORRECT ANSWER-middle
age to older women
Hypertension Retinopathy - CORRECT ANSWER-AV nicking and copper or
silver wire arterioles
flame-shaped hemorrhages
threatened abortion - CORRECT ANSWER-vaginal bleeding and cramping, soft
uterus, cervix closed
bacterial vaginosis - CORRECT ANSWER-fishy odor, milky white or dull gray
discharge
pH > 4.5
> 20% clue cells
KOH whiff test
,squamous cells dotted with lots of bacteria that obscure borders - CORRECT
ANSWER-clue cells
Lichen sclerosis - CORRECT ANSWER-skin disease, white spots appear over
time, most common genital and rectal
most common in older woman
itching, discomfort, bleeding
order biopsy
AV valves - CORRECT ANSWER-mitral and tricuspid
semilunar valves - CORRECT ANSWER-pulmonary and aortic
S1 - CORRECT ANSWER-systole
closure of AV valves
mitral regurgitation
aortic stenosis
S2 - CORRECT ANSWER-diastole
closure of semilunar valves
mitral stenosis
aortic regurgitation
S3 - CORRECT ANSWER-normal variant in children, healthy young adults, and
athletes
heart failure
early diastole
S4 - CORRECT ANSWER-left ventricle hypertrophy
late diastole
Tanner Stages Males: II - CORRECT ANSWER-no changes to penis, testes
enlarge
Pubic hair is sparse and straight
Tanner Stages Males: III - CORRECT ANSWER-penis lengthens
hair darker and starts to curl
, Tanner Stages Males: IV - CORRECT ANSWER-penis increases in length and
width
hair coarse, not yet on medial thigh
Tanner Stages Females: II - CORRECT ANSWER-breast buds
pubic hair sparse and straight
Tanner Stages Females: III - CORRECT ANSWER-breast tissue and areola in
one mound
hair darker, starts to curl
Tanner Stages Females: IV - CORRECT ANSWER-areola separates and forms a
secondary mound
hair coarse, not on medial thigh yet
TORCH infections - CORRECT ANSWER-Toxoplasmosis
Other
Rubella
Cytomegalovirus
Herpes
osteoarthritis vs rheomatoid arthritis - CORRECT ANSWER-OA: stiffness,
heberden's nodes, increase age, overuse, family history
RA: relies more on labs, increased ESR, Bouchard's nodes, fatigue, fever, body
aches
drawer test - CORRECT ANSWER-instability of the knee
mediolateral and anteroposterior plane
torn or ruptured ligament
fundal height 12 weeks - CORRECT ANSWER-just above pubic bone
fundal height 20 weeks - CORRECT ANSWER-level of umbilicus
fundal height 20-35 weeks - CORRECT ANSWER-number of weeks gestation +/-
2 cm
