AANP FNP certification Exam with
Verified Solutions
Zeprexa. What lab and intervention to put in place ✔️✔️CAUSES ELEVATED LIPDS,
GLUCOSE, WEIGHT
monitor CBC for low WBC
weight- BMI q 3m
b/p, mental status, lips, prolactin, glucose
Weber test ✔️✔️Sensorineural loss Weber test(top of head) no laterization, normal
finding, does not lateralize to either ear, bilateral hearing loss, if hear better in left ear,
right sensorineural loss
Weber test ✔️✔️Sensorineural loss Weber test (top of head) no laterization- normal,
does not lateralize to either ear- bilateral hearing loss, if hear better in left ear, right
sensorineural loss.
SUN- sensorial lateralize unaffected ear
CAFFE- Conductive lateralize to affected ear
Assessment on patient with ascites ✔️✔️Dullness
Assessment on patient with ascites ✔️✔️Dullness to percussion
Varus Stress Test ✔️✔️application of a lateral force to the medial aspect of a joint in
an attempt to create a gap in the lateral joint line, thereby testing the stability of the
lateral aspect of the joint
LCL
Varus Stress Test ✔️✔️TEST LCL (lateral-vaRus)
McMurrays- Meniscus CLICK
application of a lateral force to the medial aspect of a joint in an attempt to create a gap
in the lateral joint line, thereby testing the stability of the lateral aspect of the joint
LCL
German Measles (Rubella) ✔️✔️Pink, papular rash (similar to measles but paler) first
appears on face, then spreads. Distinguished from measles by presence of neck
lymphadenopathy and absence of Koplik spots.
patient with IOP of 32mmHg, what do you expect during fundoscopic exam ✔️✔️
patient with IOP of 32mmHg, what do you expect during fundoscopic exam
✔️✔️increase cup-to-disc ratio
retinal hemorrhage
,optic nerve asymmetry and pallor
measured w tonometry
BPH and urge incontinence ✔️✔️anticholinergics/oxybutynin,
impamine/tricyclic/antidepressant
Anticholinergic- can't think or blink, can't see (Increase eye pressure) or pee, can't spit
or shit, SADCCUB sedation, anorexia, dry mouth confusion, constipation, urinary
retention, BPH
BPH and urge incontinence ✔️✔️TX anticholinergics/oxybutynin,
impamine/tricyclic antidepressant
seasonal affective disorder (SAD) ✔️✔️a mood disorder caused by the body's
reaction to low levels of sunlight in the winter months
intussusception ✔️✔️telescoping obstruction of the intestines, cuts off blood supply,
fatal, sudden loud crying, comes/goes, vomiting, blood/mucus mixed with stool,
SAUSAGE LIKE
MASS
intussusception ✔️✔️telescoping obstruction of the intestines, cuts off blood supply,
fatal, sudden loud crying, comes/goes, vomiting, blood/mucus mixed with stool,
SAUSAGE LIKE
MASS CURRENT JELLY STOOL
IBS (irritable bowel syndrome) ✔️✔️An intestinal disorder causing pain in the belly,
gas, diarrhea, and constipation.
due to Small intestinal bacterial overgrowth, or SIBO
IBS (irritable bowel syndrome) ✔️✔️SS pain in the belly, gas, diarrhea, and
constipation. Pencil like stool.
Caused by: Small intestinal bacterial overgrowth, or SIBO
TX fiber, avoid gas foods, antispasmodics, decrease life stress
Osteoporosis treatment ✔️✔️TX first line is bisphosphonates alendronate, Fosamax,
calcium500 mg, vitamin d thru food and supplementation, testosterone, wt bearing
exercise
Osteopenia- increase calcium dark green vegetables, salmon, sardines, soy and OJ
Hormone (estrogen) replacement therapy (HRT) slows bone loss
Natural progesterone cream prompts new bone growth
Statins increase bone mineral density
, Osteoporosis treatment ✔️✔️TX BIOPHOSPHATES alendronate, Fosamax,
CALCIUM 500 mg, vitamin D food and supplementation, testosterone, WT BEARING
EXERCISE
CAUCASIAN and ASIAN affected most
RISK PPI, STATIN, STEROIDS, THYROID,
Osteopenia- increase calcium dark green vegetables, salmon, sardines, soy and OJ
Hormone (estrogen) replacement therapy (HRT) slows bone loss
Natural progesterone cream prompts new bone growth
BONE DENSITY >2.5
Retinoblastoma ✔️✔️white reflection in child's pupil
for staph aureus infection (skin) with pus ✔️✔️MRSA- TX Bactrim or tetracyclines?
hyperparathyroidism ✔️✔️high calcium
Hyperthyroidism treatment ✔️✔️methimazole, PTU-propylthiouracil (preferred in
pregnancy)
Radioactive iodine, Beta blockers
Mammography Screening ✔️✔️-Age 45 - 54 yearly mammogram
-55 and older every 2 years
Fifth's Disease (Erythema Infectiosum) ✔️✔️B19: lytic infection, respiratory
transmission
Sx: flushed rash/fever in kids
Px: fever, get better in a week
pt has AOM but has hives on Amoxicillin and N/V with erythromycin, what meds to give
✔️✔️TREATMENT: Amoxicillin (first line), then Augmentin, Omnicef, Ceftin, Levaquin.
If your patient is only PCN allergic do azithromycin or clarithromycin.
chlamydia in pregnancy ✔️✔️Azithromycin 1 gm PO x1 or Amoxicillin 500 mg PO TID
x7d. Test of cure 3 weeks after completion of treatment (PREGO). EXAM
papilledema ✔️✔️optic disc swollen w/ blurred edges due to increased ICP EXAM
actinic keratoses ✔️✔️Precursor to squamous cell carcinoma. "numerous dry round
and pink to red lesions" with a rough and scaly texture. Does not heal. Slow growing in
sun exposed areas. Diagnosis: BIOPSY Golden Standard. Treatment: Sm.
(cryotherapy), Lrg. (5-FU cream)- which causes ur skin to ooze, crust, scab, redness
EXAM
Verified Solutions
Zeprexa. What lab and intervention to put in place ✔️✔️CAUSES ELEVATED LIPDS,
GLUCOSE, WEIGHT
monitor CBC for low WBC
weight- BMI q 3m
b/p, mental status, lips, prolactin, glucose
Weber test ✔️✔️Sensorineural loss Weber test(top of head) no laterization, normal
finding, does not lateralize to either ear, bilateral hearing loss, if hear better in left ear,
right sensorineural loss
Weber test ✔️✔️Sensorineural loss Weber test (top of head) no laterization- normal,
does not lateralize to either ear- bilateral hearing loss, if hear better in left ear, right
sensorineural loss.
SUN- sensorial lateralize unaffected ear
CAFFE- Conductive lateralize to affected ear
Assessment on patient with ascites ✔️✔️Dullness
Assessment on patient with ascites ✔️✔️Dullness to percussion
Varus Stress Test ✔️✔️application of a lateral force to the medial aspect of a joint in
an attempt to create a gap in the lateral joint line, thereby testing the stability of the
lateral aspect of the joint
LCL
Varus Stress Test ✔️✔️TEST LCL (lateral-vaRus)
McMurrays- Meniscus CLICK
application of a lateral force to the medial aspect of a joint in an attempt to create a gap
in the lateral joint line, thereby testing the stability of the lateral aspect of the joint
LCL
German Measles (Rubella) ✔️✔️Pink, papular rash (similar to measles but paler) first
appears on face, then spreads. Distinguished from measles by presence of neck
lymphadenopathy and absence of Koplik spots.
patient with IOP of 32mmHg, what do you expect during fundoscopic exam ✔️✔️
patient with IOP of 32mmHg, what do you expect during fundoscopic exam
✔️✔️increase cup-to-disc ratio
retinal hemorrhage
,optic nerve asymmetry and pallor
measured w tonometry
BPH and urge incontinence ✔️✔️anticholinergics/oxybutynin,
impamine/tricyclic/antidepressant
Anticholinergic- can't think or blink, can't see (Increase eye pressure) or pee, can't spit
or shit, SADCCUB sedation, anorexia, dry mouth confusion, constipation, urinary
retention, BPH
BPH and urge incontinence ✔️✔️TX anticholinergics/oxybutynin,
impamine/tricyclic antidepressant
seasonal affective disorder (SAD) ✔️✔️a mood disorder caused by the body's
reaction to low levels of sunlight in the winter months
intussusception ✔️✔️telescoping obstruction of the intestines, cuts off blood supply,
fatal, sudden loud crying, comes/goes, vomiting, blood/mucus mixed with stool,
SAUSAGE LIKE
MASS
intussusception ✔️✔️telescoping obstruction of the intestines, cuts off blood supply,
fatal, sudden loud crying, comes/goes, vomiting, blood/mucus mixed with stool,
SAUSAGE LIKE
MASS CURRENT JELLY STOOL
IBS (irritable bowel syndrome) ✔️✔️An intestinal disorder causing pain in the belly,
gas, diarrhea, and constipation.
due to Small intestinal bacterial overgrowth, or SIBO
IBS (irritable bowel syndrome) ✔️✔️SS pain in the belly, gas, diarrhea, and
constipation. Pencil like stool.
Caused by: Small intestinal bacterial overgrowth, or SIBO
TX fiber, avoid gas foods, antispasmodics, decrease life stress
Osteoporosis treatment ✔️✔️TX first line is bisphosphonates alendronate, Fosamax,
calcium500 mg, vitamin d thru food and supplementation, testosterone, wt bearing
exercise
Osteopenia- increase calcium dark green vegetables, salmon, sardines, soy and OJ
Hormone (estrogen) replacement therapy (HRT) slows bone loss
Natural progesterone cream prompts new bone growth
Statins increase bone mineral density
, Osteoporosis treatment ✔️✔️TX BIOPHOSPHATES alendronate, Fosamax,
CALCIUM 500 mg, vitamin D food and supplementation, testosterone, WT BEARING
EXERCISE
CAUCASIAN and ASIAN affected most
RISK PPI, STATIN, STEROIDS, THYROID,
Osteopenia- increase calcium dark green vegetables, salmon, sardines, soy and OJ
Hormone (estrogen) replacement therapy (HRT) slows bone loss
Natural progesterone cream prompts new bone growth
BONE DENSITY >2.5
Retinoblastoma ✔️✔️white reflection in child's pupil
for staph aureus infection (skin) with pus ✔️✔️MRSA- TX Bactrim or tetracyclines?
hyperparathyroidism ✔️✔️high calcium
Hyperthyroidism treatment ✔️✔️methimazole, PTU-propylthiouracil (preferred in
pregnancy)
Radioactive iodine, Beta blockers
Mammography Screening ✔️✔️-Age 45 - 54 yearly mammogram
-55 and older every 2 years
Fifth's Disease (Erythema Infectiosum) ✔️✔️B19: lytic infection, respiratory
transmission
Sx: flushed rash/fever in kids
Px: fever, get better in a week
pt has AOM but has hives on Amoxicillin and N/V with erythromycin, what meds to give
✔️✔️TREATMENT: Amoxicillin (first line), then Augmentin, Omnicef, Ceftin, Levaquin.
If your patient is only PCN allergic do azithromycin or clarithromycin.
chlamydia in pregnancy ✔️✔️Azithromycin 1 gm PO x1 or Amoxicillin 500 mg PO TID
x7d. Test of cure 3 weeks after completion of treatment (PREGO). EXAM
papilledema ✔️✔️optic disc swollen w/ blurred edges due to increased ICP EXAM
actinic keratoses ✔️✔️Precursor to squamous cell carcinoma. "numerous dry round
and pink to red lesions" with a rough and scaly texture. Does not heal. Slow growing in
sun exposed areas. Diagnosis: BIOPSY Golden Standard. Treatment: Sm.
(cryotherapy), Lrg. (5-FU cream)- which causes ur skin to ooze, crust, scab, redness
EXAM
