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ANCC FNP Exam GUARANTEED PASS!! 2025

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Treatment for mild allergic conjunctivits - answer- Topical antihistamines/mast cell stabilizer NSAIDs and topical corticosteroids are not first line Pt with allergic conjunctivitis often produce inadequate amount of tears (oral antihistamines may induce dry eye syndrome) Oral hairy leukoplakia - answer- elongated papilla of the lateral aspect on the tongue What causes oral hairy leukoplakia? - answer- EBV Koplik's spot - answer- clusters of small red papules with white centers located on the buccal mucosa by the lower molars (o = kopliks) Prodromic viral of measles appears 2-3 days before the rash

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ANCC FNP
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ANCC FNP

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ANCC FNP Exam GUARANTEED PASS!!
2025

Treatment for mild allergic conjunctivits - answer- Topical antihistamines/mast cell stabilizer

NSAIDs and topical corticosteroids are not first line

Pt with allergic conjunctivitis often produce inadequate amount of tears (oral antihistamines
may induce dry eye syndrome)



Oral hairy leukoplakia - answer- elongated papilla of the lateral aspect on the tongue



What causes oral hairy leukoplakia? - answer- EBV



Koplik's spot - answer- clusters of small red papules with white centers located on the buccal
mucosa by the lower molars (o = kopliks)

Prodromic viral of measles appears 2-3 days before the rash



Geographic tongue - answer- inflammatory disorder that usually appears on top and side of
the tongue

multiple fissures and irreregular smoother areas on its surface that make it look like a
topographic map



Cheilosis - answer- painful inflammation and cracking of the corners of the mouth



Peritonsillar abscess - answer- severe sore throat, difficulty swallowing, trismus, and muffled
"hot potato" voice

abscess displaces the uvula

,pterygium - answer- yellow, triangular thickening of the conjunctiva that extends across the
cornea on the nasal side



Pinguecula - answer- yellowish, raised growth on the conjunctiva next to the cornea



Chalazion - answer- chronic inflammation of the meibomian gland



hordeolum (stye) - answer- stye

abscess of a hair follicle and sebaceous gland on the eyelid



High risk factors for hearing loss in premature baby - answer- HEARS

Hyperbilirubinemia

Ear infection frequency

low Apgar scores

exposure to Rubella, cytomegalovirus (CMV), toxoplasmosis

Seizures



diabetic retinopathy - answer- cotton wool spots



Normal intraocular pressure - answer- 8-21mm Hg



Intermittent Esotropia - answer- common in infants younger than 20 weeks

resolves spontaneously

refer if present after 20 weeks



Kawasaki Disease - answer- high fever, enlarged lymph nodes, conjunctivitis, dry, cracked lips

strawberry tongue

,most cases under 5 years of age



pharyngitis - answer- acute infection of the pharynx

stuffy nose, rhinitis with clear mucus, and watery eyes



allergic rhinitis - answer- inflammatory changes of the nasal mucosa due to an allergy
response

most common sign: transverse nasal crease (allergic salute)



tonsillitis - answer- inflammation of the tonsils

sore throat, difficulty swallowing, tender lymph nodes



Treatment for otitis externa - answer- Use aluminum acetate solution PRN (provides
soothing, effective relief of minor skin irritations and inflammation)

keep water out of the ear

Polymyxin B-neomycin-hydrocortisone suspension drops QID x 7 days and/or ofloxacin drops



Bullous Myringitis - answer- small, fluid-filled blisters form on the eardrum



First permanent teeth to erupt - answer- first molars at about 6 years of age



viral keratoconjunctivitis - answer- pink eye

treatment- symptomatic

cold compresses and slightly chilled artificial tears

avoid touching eyes, haring towels, frequent eye washing

children should not attend school until symptoms resolve



what causes viral keratoconjunctivits? - answer- adenovirus

, contagious for 10-12 days

self limiting



Transmission of sound through the ear - answer- 1. sound waves are collected in the pinna

2. transmission of vibrations through the hammer, anvil and stirrup

3.nerve impulses stimulate in the inner ear

4. vibrations are transmitted of the cerebral cortex auditory center

5.sound is interpreted by the cerebral cortex



Ishihara chart - answer- screening a patient for colour blindness



Tx for otitis media - answer- 1st line- amoxicillin



blepharitis - answer- chronic condition caused by inflammation of the eyelids



contact lens keratitis - answer- eye pain, redness, excessive tearing, lesion on the cornea

1st line- topical abx



primary angle-closure glaucoma - answer- sudden blockage of the aqueous humor

increased intraocular pressure



Acute Rhinosinusitis - answer- inflammation of the mucosal lining of nasal passages, lasting
up to 4 weeks, caused by allergens



Acute Bacterial Rhinosinusitis - answer- secondary bacterial infection, usually following viral
URI



Diseases caused by S. pneumoniae - answer- COMPS

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ANCC FNP
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ANCC FNP

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