AANP ADULT GERONTOLOGY PRIMARY
CARE NURSE PRACTIOTIONER STUDY
GUIDE 2025 QUESTIONS AND ANSWERS
Pheochromocytoma - Correct Answer✔️✔️-small vascular tumor of the adrenal medulla, causing
irregular secretion of epinephrine and norepinephrine, leading to attacks of raised blood pressure,
palpitations, and headache. Tx with Alpha blockers
Rovsing's Sign - Correct Answer✔️✔️-Palpation in LLQ ilicits pain in RLQ indicates appendicitis
NYHA classes of Heart Failure - Correct Answer✔️✔️-I No limitation of physical activity.
Ordinary physical activity does not cause undue fatigue, palpitation, dyspnea (shortness of breath).
II Slight limitation of physical activity. Comfortable at rest. Ordinary physical activity results in
fatigue, palpitation, dyspnea (shortness of breath).
III Marked limitation of physical activity. Comfortable at rest. Less than ordinary activity causes
fatigue, palpitation, or dyspnea.
IV Unable to carry on any physical activity without discomfort. Symptoms of heart failure at rest. If
any physical activity is undertaken, discomfort increases.
Step-wise Approach to Asthma Diagnosis & Treatment - Correct Answer✔️✔️-Step 1- Mild
Intermitten FEV1/PEF > 80% predicted. Symptoms <2 days/week. Albuterol as needed.
FOR STUDY PURPOSES ONLY COPYRIGHT © 2025 ALL RIGHTS RESERVED 1
,Step 2- Mild presistent Asthma (FEV1/PEF > 80% predicted. Symptoms > 2 days/week. Albuterol
as needed. Low dose ICS ex Flovent. Alt cromolyn, montelukast, nedocromil, theophylline.
Step 3- Mod presistent (FEV1 or PEF 60-80% predicted. Daily Symptoms. SABA plus low dose
ICS or med dose ICS or low dose with leukotriene inhibitor (singulair, theophylline, zileuton).
Step 4- Severe presistent asthma (FEV1/PEF <60% predicted. Symptoms most of day. High dose
ICS plus long acting B2 agonist plus oral steroid daily (prednisone).
Peak Expiratory Flow Rate (HAG):
Green Yellow Red Zone: - Correct Answer✔️✔️-PEF based on Height Age Gender. Blow hard
using spirometer highest value recorded.
80-100% expected volume Green Zone maintain or reduce meds
50-80% expected volume Yellow Zone increase maintenance therapy. Or Having exacerbation.
Below 50% expected volume Red Zone call 911 give epinephrine inj.
PPD - Correct Answer✔️✔️-Neg- No firm bump forms at the test site, or a bump forms that is
smaller than 5 mm (0.2 in.).
FOR STUDY PURPOSES ONLY COPYRIGHT © 2025 ALL RIGHTS RESERVED 2
, A firm bump that is 5 mm (0.2 in.) in size suggests a TB infection in people who are in a high-risk
group. HIV, immunocompromise, exposed.
A firm bump that is 10 mm (0.4 in.) in size suggests a TB infection in people who are in a moderate-
risk group. healthcare workers, immigrants, homeless.
A firm bump that is 15 mm (0.6 in.) in size suggests a TB infection in people who are in a low-risk
group no risk for tb.
Digoxin (Cardiac Glycosides) - Correct Answer✔️✔️-Therapuetic 0.5-2.0
Overdose toxcitity GI upset, arrhythmias, confusion visual changes (yellow/green tinge vision-
scotomas). Tx with digibind. order dig level, electrolytes, creatinine ekg.
Thiazide Diuretics - Correct Answer✔️✔️-Pt with both htn and osteoporosis have an extra benefit
from thiazides. thiazide diuretics decrease calcium excretion by the kidneys and stimulate osteoclasts
formation. Patients with serious sulfa allergies should avoid thiazide diuretics. Potassium sparing
diuretics can be used as alternative.
Chlorthalidone (hygroton), hydrochlororthiazide (esidrix, microzide), indapamide (lozol),
metolazone (zaroxolyn); indicated for decreased fluid volume, inexpensive, effective, useful in severe
hypertension, effective orally, enhances other antihypertensives; adverse reactions: hypokalemia
symptoms, hyperuricemia, glucose tolerance, hypercholesterolemia, sexual dysfunction; observe for
FOR STUDY PURPOSES ONLY COPYRIGHT © 2025 ALL RIGHTS RESERVED 3
CARE NURSE PRACTIOTIONER STUDY
GUIDE 2025 QUESTIONS AND ANSWERS
Pheochromocytoma - Correct Answer✔️✔️-small vascular tumor of the adrenal medulla, causing
irregular secretion of epinephrine and norepinephrine, leading to attacks of raised blood pressure,
palpitations, and headache. Tx with Alpha blockers
Rovsing's Sign - Correct Answer✔️✔️-Palpation in LLQ ilicits pain in RLQ indicates appendicitis
NYHA classes of Heart Failure - Correct Answer✔️✔️-I No limitation of physical activity.
Ordinary physical activity does not cause undue fatigue, palpitation, dyspnea (shortness of breath).
II Slight limitation of physical activity. Comfortable at rest. Ordinary physical activity results in
fatigue, palpitation, dyspnea (shortness of breath).
III Marked limitation of physical activity. Comfortable at rest. Less than ordinary activity causes
fatigue, palpitation, or dyspnea.
IV Unable to carry on any physical activity without discomfort. Symptoms of heart failure at rest. If
any physical activity is undertaken, discomfort increases.
Step-wise Approach to Asthma Diagnosis & Treatment - Correct Answer✔️✔️-Step 1- Mild
Intermitten FEV1/PEF > 80% predicted. Symptoms <2 days/week. Albuterol as needed.
FOR STUDY PURPOSES ONLY COPYRIGHT © 2025 ALL RIGHTS RESERVED 1
,Step 2- Mild presistent Asthma (FEV1/PEF > 80% predicted. Symptoms > 2 days/week. Albuterol
as needed. Low dose ICS ex Flovent. Alt cromolyn, montelukast, nedocromil, theophylline.
Step 3- Mod presistent (FEV1 or PEF 60-80% predicted. Daily Symptoms. SABA plus low dose
ICS or med dose ICS or low dose with leukotriene inhibitor (singulair, theophylline, zileuton).
Step 4- Severe presistent asthma (FEV1/PEF <60% predicted. Symptoms most of day. High dose
ICS plus long acting B2 agonist plus oral steroid daily (prednisone).
Peak Expiratory Flow Rate (HAG):
Green Yellow Red Zone: - Correct Answer✔️✔️-PEF based on Height Age Gender. Blow hard
using spirometer highest value recorded.
80-100% expected volume Green Zone maintain or reduce meds
50-80% expected volume Yellow Zone increase maintenance therapy. Or Having exacerbation.
Below 50% expected volume Red Zone call 911 give epinephrine inj.
PPD - Correct Answer✔️✔️-Neg- No firm bump forms at the test site, or a bump forms that is
smaller than 5 mm (0.2 in.).
FOR STUDY PURPOSES ONLY COPYRIGHT © 2025 ALL RIGHTS RESERVED 2
, A firm bump that is 5 mm (0.2 in.) in size suggests a TB infection in people who are in a high-risk
group. HIV, immunocompromise, exposed.
A firm bump that is 10 mm (0.4 in.) in size suggests a TB infection in people who are in a moderate-
risk group. healthcare workers, immigrants, homeless.
A firm bump that is 15 mm (0.6 in.) in size suggests a TB infection in people who are in a low-risk
group no risk for tb.
Digoxin (Cardiac Glycosides) - Correct Answer✔️✔️-Therapuetic 0.5-2.0
Overdose toxcitity GI upset, arrhythmias, confusion visual changes (yellow/green tinge vision-
scotomas). Tx with digibind. order dig level, electrolytes, creatinine ekg.
Thiazide Diuretics - Correct Answer✔️✔️-Pt with both htn and osteoporosis have an extra benefit
from thiazides. thiazide diuretics decrease calcium excretion by the kidneys and stimulate osteoclasts
formation. Patients with serious sulfa allergies should avoid thiazide diuretics. Potassium sparing
diuretics can be used as alternative.
Chlorthalidone (hygroton), hydrochlororthiazide (esidrix, microzide), indapamide (lozol),
metolazone (zaroxolyn); indicated for decreased fluid volume, inexpensive, effective, useful in severe
hypertension, effective orally, enhances other antihypertensives; adverse reactions: hypokalemia
symptoms, hyperuricemia, glucose tolerance, hypercholesterolemia, sexual dysfunction; observe for
FOR STUDY PURPOSES ONLY COPYRIGHT © 2025 ALL RIGHTS RESERVED 3
