AANP FNP MEGA TEST REVIEW / 1,000+ CORRECT
QUESTIONS & ANSWERS/NEWEST 2025/26||
ALREADY GRADED A+
Terms in this set(1060)
ADA screening for DM in Children -answer -symptomatic children (polyuria, polydipsia,
polyphagia, blurred vision) regardless of risk factors
-asymptomatic children after puberty or 10 years of age or older if overweight or obese
(>85th percentile). Plus 1 of the following:
*T2DM in 1st or 2nd degree relative
*high risk racial/ethnic group
*signs of insulin resistance (HTN, dyslipidemia, acanthosis nigricans, PCOS, SGA)
*maternal hx of DM or GDM during the child's gestation
Statistics -answer - leading causes of death: Heart disease, cancer, lung disease
- leading cause of cancer death: lung
- leading cause of death in adolescents: accidents
- most common cancer: skin.
- in males: prostate. in females: breast
suicide: males more successful, women more attempts. highest rate is older white
males.
Osgood-Schlatter: -answer knee pain in young adults, overuse. Repetitive stress pain,
tenderness, swelling at the tendon's insertion site. The tibial tuberosity. Rule out
avulsion fracture if there is an acute onset and order a lateral xray. RICE. Usually stops
when the growth stops.
If patient has right sided weakness, etc. the CVA occurred where -answer left side
initial evaluation of symptoms of acute prostatitis -answer Urinalysis and urine culture
A 65-year-old woman presents for a follow-up examination after a new patient visit. She
has not seen a healthcare provider for several years. She is a smoker and her
hypertension is now adequately controlled with medication. Her mother died at age 40
from a heart attack. The fasting lipid profile shows cholesterol = 240 mg/dL, HDL = 30,
and LDL = 200. In addition to starting Therapeutic Lifestyle Changes, the nurse
practitioner should start the patient on:
1. bile acid sequestrant.
,2. a statin drug.
3. a cholesterol absorption inhibitor.
4. low-dose aspirin. -answer A statin drug
Ortolani's Click -answer a click is heard or felt as dislocation is reduced (developmental
dysplasia of hip) (good until one year)
Which of the following laboratory tests should a nurse practitioner order when the
suspected diagnosis is temporal arteritis? -answer Erythrocyte sedimentation rate
(ESR)
What are narrow therapeutic index drugs? -answer 1. Warfarin sodium (Coumadin):
monitor INR
2. Digoxin (lanoxin): monitor digoxin level, EKG, electrolytes(potassium, magnesium,
calcium)
3. Theophylline: monitor blood levels
4. Carbamazepime (Tegretol) and Phenytoin (Dilantin): Monitor blood levels
5. Levothyroxine: Monitor TSH
6. Lithium: Monitor blood levels, TSH (risk of hypothyroidism)
Otitis Externa tx -answer Fluoroquinolone & Polymyxin B cortisporin drops
An elderly male patient complains of a new-onset, left-sided temporal headache
accompanied by scalp tenderness and indurated temporal artery. The NP suspects
temporal arteritis. What screening test would you order to assist with diagnosis? -
answer sedimentation rate (expect to be very elevated)
Basal Cell Carcinoma -answer Pearly domed nodule with overlaying telangiectatic
vessels. Could be plaque, papule, possible central ulceration and crusting. Dx: Biopsy
Tx:
Normal, healthy woman of reproductive age -answer white, clear, flocculent(physiologic
leukorrhea), no complaints, pH 3.8-4.2 (toward acidic), no odor, microscopic shows
lactobacilli (gram+bacteria)
Multiple infections from bacteria and fungus? -answer Screen for HIV
Screening Tests -answer - sensitivity: detect those WITH the disease. higher the
sensitivity is higher the false positives
- Specificty: detect those who DONT have the disease.
erythromycin for chlamydia eye infection in infants -answer ...
,to assess pts ability to think abstractly a nurse pract could ask the patient -answer the
meaning of a common proverb
The most commonly prescribed medication for mild systemic lupus erythematosus
(SLE) is:
1.
azathioprine (AZA).
2.
belimumab (Benlysta).
3.
ibuprofen (Advil).
4.
cyclophosphamide (Cytoxan). -answer ibuprofen (advil)
A 17-year-old female is suspected of having polycystic ovary syndrome. In addition to
testosterone, the most appropriate diagnostic tests to order would be: -answer follicle-
stimulating hormone (FSH), luteinizing hormone (LH), prolactin, and thyroid-stimulating
hormone (TSH).
Barlow's Maneuver -answer Feeling of a slip as the femoral head slips away from the
acetabulum (toward the butt) (good until 6 mo)
Candida vulvovaginitis -answer etiology: candida albican (80-90%)
white, curdy, "cottage-cheese" like, sometimes increased, itching/burning discharge, pH
<4.5, odor is usually absent, microscopic shows mycelia, budding yeast, pseudohyphae
w/KOH prep. Treatment: oral diflucan or vaginal miconazole or terconazole
PSEUDOHYPHAE, CLOTRIMAZOLE CREAM
Proton Inhibitors -answer Increased risk of fractures(postmenopausal women),
Pneumonia, Clostridium difficile infection, hypomagnesemia, B12 and iron
malabsorption, atrophic gastritis, and kidney disease
Bacterial Conjunctivitis tx -answer Eye drops or ointment: Polytrim, trimethoprim,
polymyxin, macrolide
A patient with an elevated WBC (>11k) accompanied by neutrophilia (>70%) and the
presence of bands is what kind of shift and prognosis? -answer -Shift to the left
-Serious bacterial infection
Actinic Keratosis -answer Rough flat, dry crusty, erythematous papules or plaques.
Scaly patch of red brown skin caused by years of SUN exposure. Precursor to
squamous cell carcinoma. Dx. Biopsy. Tx: topical 5 fluroracil 5-FU, cryotherapy.
A patient with macular degeneration has deficit vision in? -answer Central vision
, Dacyrocystitis -answer Typical symptoms of acute tear duct infection include:
Pain, redness and swelling of the lower eyelid at the inner corner of the eye
Excessive tearing
Pus or discharge from the eye
Fever
Tx:
lacrimal sac massage- rub down towards mouth.
oral clindamycin (topical tobramycin or moxifloxacin if mild-purulent drainage, no
redness)
Pre-DM in children values -answer A1C: 5.7% to 6.4%
Fasting: 100-125
2 hour GTT: 140-199
Primary Prevention -answer - individual actions: eating nutritious diet, exercise,
seatbelts, gun safety. IMMUNIZATIONS
squamous epithelial cells with stippling appearance, no lactobacilli and many WBCs is -
answer wet mount that shows BV
trigeminal neuralgia manifests -answer electric shock facial pain
The most common sign of cervical cancer is:
1.
postcoital bleeding.
2.
strong odor from vaginal discharge.
3.
itching in the vaginal area.
4.
molluscum contagiosum. -answer postcoital bleeding
To assess a patient's ability to think abstractly, a nurse practitioner could ask the
patient: -answer the meaning of a common proverb.
Auspitz sign -answer droplets of blood when scales removed = psoriasis
Bacterial vaginosis -answer etiology: unclear, likely polymicrobial, associated with G.
vaginalis, M. hominid, others.
thin, homogeneous, white, gray, adherent, often increased, discharge is foul odor(fishy),
itching is occasionally present, pH 5-7(alkaline- no active bacilli in vagina), "fishy" smell,
microscopic > 20 clue cells/HPF, few or no WBCs. Treatment: metronidazole topical,
oral Flagyl, clindamycin vaginal cream, oral tinidazole (Tindamax)
QUESTIONS & ANSWERS/NEWEST 2025/26||
ALREADY GRADED A+
Terms in this set(1060)
ADA screening for DM in Children -answer -symptomatic children (polyuria, polydipsia,
polyphagia, blurred vision) regardless of risk factors
-asymptomatic children after puberty or 10 years of age or older if overweight or obese
(>85th percentile). Plus 1 of the following:
*T2DM in 1st or 2nd degree relative
*high risk racial/ethnic group
*signs of insulin resistance (HTN, dyslipidemia, acanthosis nigricans, PCOS, SGA)
*maternal hx of DM or GDM during the child's gestation
Statistics -answer - leading causes of death: Heart disease, cancer, lung disease
- leading cause of cancer death: lung
- leading cause of death in adolescents: accidents
- most common cancer: skin.
- in males: prostate. in females: breast
suicide: males more successful, women more attempts. highest rate is older white
males.
Osgood-Schlatter: -answer knee pain in young adults, overuse. Repetitive stress pain,
tenderness, swelling at the tendon's insertion site. The tibial tuberosity. Rule out
avulsion fracture if there is an acute onset and order a lateral xray. RICE. Usually stops
when the growth stops.
If patient has right sided weakness, etc. the CVA occurred where -answer left side
initial evaluation of symptoms of acute prostatitis -answer Urinalysis and urine culture
A 65-year-old woman presents for a follow-up examination after a new patient visit. She
has not seen a healthcare provider for several years. She is a smoker and her
hypertension is now adequately controlled with medication. Her mother died at age 40
from a heart attack. The fasting lipid profile shows cholesterol = 240 mg/dL, HDL = 30,
and LDL = 200. In addition to starting Therapeutic Lifestyle Changes, the nurse
practitioner should start the patient on:
1. bile acid sequestrant.
,2. a statin drug.
3. a cholesterol absorption inhibitor.
4. low-dose aspirin. -answer A statin drug
Ortolani's Click -answer a click is heard or felt as dislocation is reduced (developmental
dysplasia of hip) (good until one year)
Which of the following laboratory tests should a nurse practitioner order when the
suspected diagnosis is temporal arteritis? -answer Erythrocyte sedimentation rate
(ESR)
What are narrow therapeutic index drugs? -answer 1. Warfarin sodium (Coumadin):
monitor INR
2. Digoxin (lanoxin): monitor digoxin level, EKG, electrolytes(potassium, magnesium,
calcium)
3. Theophylline: monitor blood levels
4. Carbamazepime (Tegretol) and Phenytoin (Dilantin): Monitor blood levels
5. Levothyroxine: Monitor TSH
6. Lithium: Monitor blood levels, TSH (risk of hypothyroidism)
Otitis Externa tx -answer Fluoroquinolone & Polymyxin B cortisporin drops
An elderly male patient complains of a new-onset, left-sided temporal headache
accompanied by scalp tenderness and indurated temporal artery. The NP suspects
temporal arteritis. What screening test would you order to assist with diagnosis? -
answer sedimentation rate (expect to be very elevated)
Basal Cell Carcinoma -answer Pearly domed nodule with overlaying telangiectatic
vessels. Could be plaque, papule, possible central ulceration and crusting. Dx: Biopsy
Tx:
Normal, healthy woman of reproductive age -answer white, clear, flocculent(physiologic
leukorrhea), no complaints, pH 3.8-4.2 (toward acidic), no odor, microscopic shows
lactobacilli (gram+bacteria)
Multiple infections from bacteria and fungus? -answer Screen for HIV
Screening Tests -answer - sensitivity: detect those WITH the disease. higher the
sensitivity is higher the false positives
- Specificty: detect those who DONT have the disease.
erythromycin for chlamydia eye infection in infants -answer ...
,to assess pts ability to think abstractly a nurse pract could ask the patient -answer the
meaning of a common proverb
The most commonly prescribed medication for mild systemic lupus erythematosus
(SLE) is:
1.
azathioprine (AZA).
2.
belimumab (Benlysta).
3.
ibuprofen (Advil).
4.
cyclophosphamide (Cytoxan). -answer ibuprofen (advil)
A 17-year-old female is suspected of having polycystic ovary syndrome. In addition to
testosterone, the most appropriate diagnostic tests to order would be: -answer follicle-
stimulating hormone (FSH), luteinizing hormone (LH), prolactin, and thyroid-stimulating
hormone (TSH).
Barlow's Maneuver -answer Feeling of a slip as the femoral head slips away from the
acetabulum (toward the butt) (good until 6 mo)
Candida vulvovaginitis -answer etiology: candida albican (80-90%)
white, curdy, "cottage-cheese" like, sometimes increased, itching/burning discharge, pH
<4.5, odor is usually absent, microscopic shows mycelia, budding yeast, pseudohyphae
w/KOH prep. Treatment: oral diflucan or vaginal miconazole or terconazole
PSEUDOHYPHAE, CLOTRIMAZOLE CREAM
Proton Inhibitors -answer Increased risk of fractures(postmenopausal women),
Pneumonia, Clostridium difficile infection, hypomagnesemia, B12 and iron
malabsorption, atrophic gastritis, and kidney disease
Bacterial Conjunctivitis tx -answer Eye drops or ointment: Polytrim, trimethoprim,
polymyxin, macrolide
A patient with an elevated WBC (>11k) accompanied by neutrophilia (>70%) and the
presence of bands is what kind of shift and prognosis? -answer -Shift to the left
-Serious bacterial infection
Actinic Keratosis -answer Rough flat, dry crusty, erythematous papules or plaques.
Scaly patch of red brown skin caused by years of SUN exposure. Precursor to
squamous cell carcinoma. Dx. Biopsy. Tx: topical 5 fluroracil 5-FU, cryotherapy.
A patient with macular degeneration has deficit vision in? -answer Central vision
, Dacyrocystitis -answer Typical symptoms of acute tear duct infection include:
Pain, redness and swelling of the lower eyelid at the inner corner of the eye
Excessive tearing
Pus or discharge from the eye
Fever
Tx:
lacrimal sac massage- rub down towards mouth.
oral clindamycin (topical tobramycin or moxifloxacin if mild-purulent drainage, no
redness)
Pre-DM in children values -answer A1C: 5.7% to 6.4%
Fasting: 100-125
2 hour GTT: 140-199
Primary Prevention -answer - individual actions: eating nutritious diet, exercise,
seatbelts, gun safety. IMMUNIZATIONS
squamous epithelial cells with stippling appearance, no lactobacilli and many WBCs is -
answer wet mount that shows BV
trigeminal neuralgia manifests -answer electric shock facial pain
The most common sign of cervical cancer is:
1.
postcoital bleeding.
2.
strong odor from vaginal discharge.
3.
itching in the vaginal area.
4.
molluscum contagiosum. -answer postcoital bleeding
To assess a patient's ability to think abstractly, a nurse practitioner could ask the
patient: -answer the meaning of a common proverb.
Auspitz sign -answer droplets of blood when scales removed = psoriasis
Bacterial vaginosis -answer etiology: unclear, likely polymicrobial, associated with G.
vaginalis, M. hominid, others.
thin, homogeneous, white, gray, adherent, often increased, discharge is foul odor(fishy),
itching is occasionally present, pH 5-7(alkaline- no active bacilli in vagina), "fishy" smell,
microscopic > 20 clue cells/HPF, few or no WBCs. Treatment: metronidazole topical,
oral Flagyl, clindamycin vaginal cream, oral tinidazole (Tindamax)
