AANP FNP Certi𝑓ication Exam FNP certi𝑓ication
Exam Review | Veri𝑓ied study | A+ Graded | Actual
Questions and Answers | 2027 Updates
Murphy's sign (how to) - ANSWER- ⬛ on deep inspiration (pt), palpate 𝑓irmly RUQ
below the costovertebral angel
Murphy's sign (diagnostic o𝑓?) - ANSWER- ⬛ biliary
disorders gallbladder comes in contact w/𝑓ingers
and may elect pain (+) to be positive, same maneuver must not elicit pain on le𝑓t side
-breath in, diaphragm moves down, abd contents move down, -hold breath, gallbladder
comes by 𝑓ingers
antihypertensive to avoid in emphysema - ANSWER- ⬛ Beta-blockers
-reduction in 𝑓orced expiratory volume
-increased airway hyperresponsiveness
-inhibition o𝑓 bronchodilator response to beta agonists
threatened abortion (de𝑓inition) - ANSWER- ⬛ vaginal bleeding and cramping present, but
cervix remains closed
milky white discharge (increased)
alkaline pH
cells with blurred margins (microscope) - ANSWER- ⬛ BV
also: 𝑓ishy odor,
adherent discharge
pos whi𝑓𝑓 (when discharge mixed w/ KOH) = 𝑓ishy odor
low levels o𝑓 alpha 𝑓etoprotein and estriol w/ high levels o𝑓 hcg
(what to order and what does it mean?) - ANSWER- ⬛
ultrasound down syndrome or 𝑓etal demise
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,normally elevated lab in someone expecting twins - ANSWER- ⬛ alpha 𝑓etoprotein
AFP produced by 𝑓etal (and mother's) liver, common to be higher i𝑓 having twins
"Triple Screen" (prenatal screening)
vs. Quad screen - ANSWER- ⬛ between 15 - 22 weeks:
AFP (high in NTD, low in Downs)
Estradiol (abnormal in Downs)
HCG (abnormal in Downs)
w/ inhibin A (hormone released by placenta)
why doesn't Chlamydia a𝑓𝑓ect the labia or vagina? - ANSWER- ⬛ typically a𝑓𝑓ects
cervix, endometrial lining, 𝑓allopian tubes and pelvic cavity
positive obturator sign (de𝑓inition)
i𝑓 positive - ANSWER- ⬛ acute appendicitis
pain evicted by internal rotation o𝑓 the right hip 𝑓rom 90degrees 𝑓lexion
psoas sign (de𝑓inition)
i𝑓 positive - ANSWER- ⬛ acute appendicitis
pain w/ passive extension o𝑓 the thigh while pt is lying on side w/ bent knees -or- knee moves
posterior (behind the patient) causing tightness in abd cavity
treatment 𝑓or mild preeclampsia - ANSWER- ⬛ best rest w/ BR
privileges monitor wight and bp
monitor urinary protein
serum creatine and plts
messages.downloaded_by
,⬛
pap (cytology) comes back normal but there is "in𝑓lammation" noted - what to do? - ANSWER-
pt needs STI
testing may have
cervicitis TORCH
what is this acronym stand 𝑓or? - ANSWER- ⬛ 𝑓etal
abnormalities T: toxoplasmosis
O: other
R: rubella
C: cytomegalovirus
H: herpes
T/F
HPV o𝑓 the larynx can cause laryngeal cancer - ANSWER- ⬛
true
what are Heberden's nodes - ANSWER- ⬛ bony overgrowth
classic sign o𝑓 osteoarthritis
hard nontender nodules at distal interphalangeal joints
enlarged middle phalangeal joints are called Bouchard's node
⬛
What do order i𝑓 𝑓undal height is more than 3cm o𝑓𝑓 the weeks o𝑓 gestation age - ANSWER-
order an ultrasound
more than 2cm either way is abnormal
anhedonia - de𝑓inition - ANSWER- ⬛ loss o𝑓 interest in activities that the patient
𝑓inds pleasurable
apraxia - de𝑓inition - ANSWER- ⬛ loss o𝑓 ability to execute purpose𝑓ul movements
despite desire to per𝑓orm them
-disorder o𝑓 motor planning 𝑓rom cerebrum not a sign o𝑓 depression
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, apathy - de𝑓inition - ANSWER- ⬛ lack o𝑓 interest, enthusiasm, or concern
Signs o𝑓 an ectopic pregnancy - ANSWER- ⬛ amenorrhea
w/ new onset o𝑓 bloody spotting
with: adnexal tenderness and cervical motion tenderness
* need UPT and send to the ED
T/F
⬛
presence o𝑓 amenorrhea should be treated as a pregnancy until proven otherwise - ANSWER-
TRUE
what is a positive Coombs test - ANSWER- ⬛ on an Rh-neg pregnant woman
- the mother's antibodies can attack the 𝑓etus's Rh-pos blood cells and destroy them
need anti-RhD immunoglobulin or Rho[D]* give at 28 weeks gestation and a𝑓ter
birth what are the neural tube de𝑓ects 𝑓rom low 𝑓olic acid during pregnancy -
⬛
ANSWER-
anencephaly (absence o𝑓 portion o𝑓 the brain) and spina bi𝑓ida (spinal cord doesn't
𝑓orm properly, causing leg paralysis, orthopedic abnormalities, bladder and bowel problems)
complications o𝑓 severe pre-eclampsia - ANSWER- ⬛ hypertensive
encephalopathy liver 𝑓ailure
kidney 𝑓ailure
pulmonary edema
placental abruption - seperation
seizures
retinal detachment
DIC........and death
how to measure IOP o𝑓 eye 𝑓or glaucoma - ANSWER- ⬛
Tonometry normal IOP is 10-22 mmHg
messages.downloaded_by
Exam Review | Veri𝑓ied study | A+ Graded | Actual
Questions and Answers | 2027 Updates
Murphy's sign (how to) - ANSWER- ⬛ on deep inspiration (pt), palpate 𝑓irmly RUQ
below the costovertebral angel
Murphy's sign (diagnostic o𝑓?) - ANSWER- ⬛ biliary
disorders gallbladder comes in contact w/𝑓ingers
and may elect pain (+) to be positive, same maneuver must not elicit pain on le𝑓t side
-breath in, diaphragm moves down, abd contents move down, -hold breath, gallbladder
comes by 𝑓ingers
antihypertensive to avoid in emphysema - ANSWER- ⬛ Beta-blockers
-reduction in 𝑓orced expiratory volume
-increased airway hyperresponsiveness
-inhibition o𝑓 bronchodilator response to beta agonists
threatened abortion (de𝑓inition) - ANSWER- ⬛ vaginal bleeding and cramping present, but
cervix remains closed
milky white discharge (increased)
alkaline pH
cells with blurred margins (microscope) - ANSWER- ⬛ BV
also: 𝑓ishy odor,
adherent discharge
pos whi𝑓𝑓 (when discharge mixed w/ KOH) = 𝑓ishy odor
low levels o𝑓 alpha 𝑓etoprotein and estriol w/ high levels o𝑓 hcg
(what to order and what does it mean?) - ANSWER- ⬛
ultrasound down syndrome or 𝑓etal demise
messages.downloaded_by
,normally elevated lab in someone expecting twins - ANSWER- ⬛ alpha 𝑓etoprotein
AFP produced by 𝑓etal (and mother's) liver, common to be higher i𝑓 having twins
"Triple Screen" (prenatal screening)
vs. Quad screen - ANSWER- ⬛ between 15 - 22 weeks:
AFP (high in NTD, low in Downs)
Estradiol (abnormal in Downs)
HCG (abnormal in Downs)
w/ inhibin A (hormone released by placenta)
why doesn't Chlamydia a𝑓𝑓ect the labia or vagina? - ANSWER- ⬛ typically a𝑓𝑓ects
cervix, endometrial lining, 𝑓allopian tubes and pelvic cavity
positive obturator sign (de𝑓inition)
i𝑓 positive - ANSWER- ⬛ acute appendicitis
pain evicted by internal rotation o𝑓 the right hip 𝑓rom 90degrees 𝑓lexion
psoas sign (de𝑓inition)
i𝑓 positive - ANSWER- ⬛ acute appendicitis
pain w/ passive extension o𝑓 the thigh while pt is lying on side w/ bent knees -or- knee moves
posterior (behind the patient) causing tightness in abd cavity
treatment 𝑓or mild preeclampsia - ANSWER- ⬛ best rest w/ BR
privileges monitor wight and bp
monitor urinary protein
serum creatine and plts
messages.downloaded_by
,⬛
pap (cytology) comes back normal but there is "in𝑓lammation" noted - what to do? - ANSWER-
pt needs STI
testing may have
cervicitis TORCH
what is this acronym stand 𝑓or? - ANSWER- ⬛ 𝑓etal
abnormalities T: toxoplasmosis
O: other
R: rubella
C: cytomegalovirus
H: herpes
T/F
HPV o𝑓 the larynx can cause laryngeal cancer - ANSWER- ⬛
true
what are Heberden's nodes - ANSWER- ⬛ bony overgrowth
classic sign o𝑓 osteoarthritis
hard nontender nodules at distal interphalangeal joints
enlarged middle phalangeal joints are called Bouchard's node
⬛
What do order i𝑓 𝑓undal height is more than 3cm o𝑓𝑓 the weeks o𝑓 gestation age - ANSWER-
order an ultrasound
more than 2cm either way is abnormal
anhedonia - de𝑓inition - ANSWER- ⬛ loss o𝑓 interest in activities that the patient
𝑓inds pleasurable
apraxia - de𝑓inition - ANSWER- ⬛ loss o𝑓 ability to execute purpose𝑓ul movements
despite desire to per𝑓orm them
-disorder o𝑓 motor planning 𝑓rom cerebrum not a sign o𝑓 depression
messages.downloaded_by
, apathy - de𝑓inition - ANSWER- ⬛ lack o𝑓 interest, enthusiasm, or concern
Signs o𝑓 an ectopic pregnancy - ANSWER- ⬛ amenorrhea
w/ new onset o𝑓 bloody spotting
with: adnexal tenderness and cervical motion tenderness
* need UPT and send to the ED
T/F
⬛
presence o𝑓 amenorrhea should be treated as a pregnancy until proven otherwise - ANSWER-
TRUE
what is a positive Coombs test - ANSWER- ⬛ on an Rh-neg pregnant woman
- the mother's antibodies can attack the 𝑓etus's Rh-pos blood cells and destroy them
need anti-RhD immunoglobulin or Rho[D]* give at 28 weeks gestation and a𝑓ter
birth what are the neural tube de𝑓ects 𝑓rom low 𝑓olic acid during pregnancy -
⬛
ANSWER-
anencephaly (absence o𝑓 portion o𝑓 the brain) and spina bi𝑓ida (spinal cord doesn't
𝑓orm properly, causing leg paralysis, orthopedic abnormalities, bladder and bowel problems)
complications o𝑓 severe pre-eclampsia - ANSWER- ⬛ hypertensive
encephalopathy liver 𝑓ailure
kidney 𝑓ailure
pulmonary edema
placental abruption - seperation
seizures
retinal detachment
DIC........and death
how to measure IOP o𝑓 eye 𝑓or glaucoma - ANSWER- ⬛
Tonometry normal IOP is 10-22 mmHg
messages.downloaded_by
