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Exam (elaborations)

AGPCNP BOARD REVIEW 100% CORRECT.

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Lesions often begin as small, firm, dome-shaped growths on genitals or other parts of the body (armpits, neck, face, hands); have a surface that feels smooth, waxy, or pearly; are flesh-colored or pink; have a dimple in the center (may be filled with a thick, white substance that is cheesy or waxy); and are painless but itch. Scratching or picking can spread the virus. - ANSWERMolluscum contagiosum Thayer-Martin Selective Agar is an enriched medium for the selective isolation of - ANSWERNeisseria species. N. gonorrhoeae Trauma to Kiesselbach's plexus will result in an - ANSWERanterior nosebleed The diagnostic or gold-standard test for sickle cell anemia - ANSWERglucose- 6-phosphate dehydrogenase (G6PD) anemia the test is positive in De Quervain's tenosynovitis - ANSWERFinkelstein's test—positive in De Quervain's tenosynovitis Anterior drawer maneuver and Lachman maneuvers are positive when: - ANSWERanterior cruciate ligament (ACL) of the knee is damaged positive in meniscus injuries of the knee - ANSWERMcMurray's sign neovascularization, cotton wool spots, and microaneurysms are suggestive off - ANSWERdiabetic retinopathy atrioventricular [AV] nicking, silver and/or copper wire arterioles on fundal exam are suggestive of - ANSWERhypertensive retinopathy A S4 heart sound is auscultated in an elderly patients, suggesting: - ANSWERS4 heart sounds absent other symptoms in the elderly are often a benign finding

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AGPCNP BOARD REVIEW 100%
CORRECT.

,Lesions often begin as small, firm, dome-shaped growths on genitals or other parts of
the body (armpits, neck, face, hands); have a surface that feels smooth, waxy, or
pearly; are flesh-colored or pink; have a dimple in the center (may be filled with a thick,
white substance that is cheesy or waxy); and are painless but itch. Scratching or picking
can spread the virus. - ANSWERMolluscum contagiosum

Thayer-Martin Selective Agar is an enriched medium for the selective isolation of -
ANSWERNeisseria species. N. gonorrhoeae

Trauma to Kiesselbach's plexus will result in an - ANSWERanterior nosebleed

The diagnostic or gold-standard test for sickle cell anemia - ANSWERglucose- 6-
phosphate dehydrogenase (G6PD) anemia

the test is positive in De Quervain's tenosynovitis - ANSWERFinkelstein's test—positive
in De Quervain's tenosynovitis

Anterior drawer maneuver and Lachman maneuvers are positive when: -
ANSWERanterior cruciate ligament (ACL) of the knee is damaged

positive in meniscus injuries of the knee - ANSWERMcMurray's sign

neovascularization, cotton wool spots, and microaneurysms are suggestive off -
ANSWERdiabetic retinopathy

atrioventricular [AV] nicking, silver and/or copper wire arterioles on fundal exam are
suggestive of - ANSWERhypertensive retinopathy

A S4 heart sound is auscultated in an elderly patients, suggesting: - ANSWERS4 heart
sounds absent other symptoms in the elderly are often a benign finding

For pain relief during pregnancy use: - ANSWERFor pain relief, pick acetaminophen
(Tylenol) instead of NSAIDs such as ibuprofen (Advil) or naproxen (Aleve, Anaprox)

which hand should the ophthalmoscope be held in to examine a patient's eye -
ANSWERshould be held in the same hand as the eye being examined

the cut to disc ratio of a normal fundal exam should not exceed - ANSWER1:2, e.g. the
cup should not be more than half the size of the disc diameter

if the provider is having trouble visualizing the macula on fundoscopic exam, the patient
should be asked to look: - ANSWERdirectly into the light of the ophthalmoscope

, clinical term used to described patient who have trouble seeing items that are far away
(nearsightedness) - ANSWERmyopia

clinical term for farsightedness - ANSWERhyperopia

difficulty in maintaining a clear focus at a new distance due to lessening of flexibility of
the crystalline lens and weakening of ciliary muscles - common after 40 years -
ANSWERpresbyopia

raised, wedge-shaped growth of noncancerous tissue over the conjunctiva exacerbated
by sun, wind and dust - ANSWERpterygium

acute inflammatory process affecting the eyelid usually caused by staphylococcus
aureus - ANSWERhordeolum (stye)

hordeolum (stye) is most commonly caused by what organism -
ANSWERstaphylococcus aureus

hordeolum is commonly managed with: - ANSWER1. warm compresses
2. topical bacitracin or erythromycin ointment
3. refer to an ophthalmologist if not resolved in ~ 2 days

beady nodule on the eye lid that is usually painless apart from the tenderness caused
by swelling - ANSWERchalazion

seborrheic dermatitis of the LID EDGE, often presents with red, scaly, greasy flakes -
ANSWERblepharitis

tends to be the most irritating clinical symptoms of blepharitis - ANSWERitching

TX for blepharitis - ANSWER1. hot compress
2. topical abx: bacitracin or erythromycin
3. Vigorously scrub lashes and lid margins with eyes closed and follow with thorough
rinsing

organism most commonly responsible for blepharitis - ANSWERstaphylococcus

most common inflammatory eye disorder with itching, burning, increases tearing,
blurred vision (possible), sensation of foreign body in the eye which may be caused by
allergies, chemical irritation, bacterial, viral or gonococcal/chlamydial infection -
ANSWERconjunctivitis (pink-eye)

results from an increased intraocular pressure - ANSWERglaucoma

acute increase in IOP, opthalmic emergency - ANSWERclosed-angle glaucoma

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