FAMILY NURSE PRACTITIONER EXAM ANCC QUESTIONS
AND ANSWERS
Acne Roscaca - ANS ... "adult acne." most often in adults (30-50 years of age).
Unlike acne vulgaris, rosacea is devoid of blackheads and characteristically does
not resolve after puberty. Rosacea strikes both sexes and potentially all ages. It
tends to be more frequent in women but more severe in men. It is very uncommon in
children, and it is less frequent in people with dark skin. Tx with Flagyl
Kaposi Sarcoma - ANS ... Characteristic purple areas on the nose in an HIV-positive
female. A type of cancer that can form in the skin, lymph nodes, or other organs.
The skin lesions are usually purple in color.
Malodorous single nare - ANS ... Foreign body
Retinal Detachment - ANS ... the retina separates from the layer underneath.
Symptoms include an increase in the number of floaters, flashes of light, and
worsening of the outer part of the visual field.
Adolescent with friable nasal turbinates - ANS ... Cocaine use
Aphthous ulcer - ANS ... a recurrent round or oval sore or ulcer inside the mouth on
an area where the skin is not tightly bound to the underlying bone, such as on the
inside of the lips and cheeks or underneath the tongue. Aphthous ulcers can also
affect the genitalia in males and females.
GERD first line tx - ANS ... h2 then ppi if doesnt work
,Maxillary Sinusitis - ANS ... Dental pain
Kasmaul Triangle - ANS ... Anterior epitaxis
Roseola infantum - ANS ... H. fever => small pink dots pink or raised body rash =>
arms
AV Nicking - ANS ... HTN, arteries crossing veins
Blepharitis - ANS ... commonly occurs when the tiny oil glands of the inner eyelid
become inflamed. It often occurs along with other skin conditions or allergies.
Symptoms include red, itchy eyelids that may look greasy and crusted. Dry eyes
also are a symptom.
Treatments include cleaning the eyelids, antibiotic or steroid eye drops and treating
underlying conditions. However, blepharitis tends to come back.
Hordelum - ANS ... Painful stye it hurts
chalazion - ANS ... Non painful lesion to eyelid
Cotton Wool - ANS ... Cotton wool spots are an abnormal finding on funduscopic
exam of the retina of the eye. They appear as fluffy white patches on the retina.
They are caused by damage to nerve fibers and are a result of accumulations of
axoplasmic material within the nerve fiber layer. Systemic HTN, DM
Herpes Zoster - ANS ... Early signs of shingles include a burning sensation or
stabbing pain and tingling or itching on the skin. After a few days, a rash or blisters
appear usually on one side of the body or face. When the rash is at its peak,
symptoms can range from mild itching to extreme and debilitating pain. Tx within
72 hours Aclovir
,Retinoblastoma (Rb) - ANS ... Absence of light reflex, it is a rare form of cancer that
rapidly develops from the immature cells of a retina, the light-detecting tissue of
the eye. It is the most common primary malignant intraocular cancer in children, and
it is almost exclusively found in young children.
Seborrheic dermatitis (Dandruff) - ANS ... commonly involves portions of the scalp,
brows, mid-face, ears, mid-chest, and mid-back. It is not unusual for it to affect the
skin of infants and young children where it often involves the scalp (cradle cap) and
the diaper area. Seborrheic dermatitis is also known as seborrhea.
Seborrheic Keratosis - ANS ... A seborrhoeic keratosis is a harmless warty spot that
appears during adult life as a common sign of skin aging. ... Seborrhoeic keratosis
(or seborrheic keratosis, using American spelling) is also called SK, basal cell
papilloma, senile wart, brown wart or barnacle.
Cupping of disc - ANS ... Intracranial pressure
subconjunctival haemorrhage - ANS ... is bleeding underneath the conjunctiva. It can
occur after a sudden or severe sneeze or cough, heavy lifting, straining, vomiting or
even rubbing one's eyes too roughly. It can also occur as a side effect of eye
surgery or blood thinners.
The main symptom is a bright red patch in the eye that may spread and then
become green or yellow, much like a bruise. Usually it disappears within two weeks.
In most cases, no treatment is required for this condition.
Sialolithiasis (also termed salivary calculi, or salivary stones) - ANS ... A condition
where a calcified mass or sialolith forms within a salivary gland, usually in the duct
of the submandibular gland (also termed "Wharton's duct").
Honey Crusted lesions - ANS ... Impetigo is a bacterial infection that involves the
superficial skin.The most common presentation is yellowish crusts on the face, arms,
, or legs.Less commonly there may be large blisters which affect the groin or armpits.
The lesions may be painful or itchy. Fever is uncommon.
It is typically due to either Staphylococcus aureus or Streptococcus pyogenes. Risk
factors include attending day care, crowding, poor nutrition, diabetes mellitus,
contact sports, and breaks in the skin such as from mosquito bites, eczema, scabies,
or herpes. With contact it can spread around or between people.Diagnosis is
typically based on the symptoms.
Prevention is by hand washing, avoiding people who are infected, and cleaning
injuries. Treatment is typically with antibiotic creams such as mupirocin or fusidic
acid. Antibiotics by mouth, such as cephalexin, may be used if large areas are
affected. Antibiotic-resistant forms have been found.
Mild acne - ANS ... Skin wash retinol benzol
moderate acne - ANS ... retinol plus tetracylines oral abx
Retinol reaction - ANS ... decrease to 3 times a day
Well demarcated cellulitis - ANS ... erysipelas affects the dermis, most commonly on
the legs, and tends to be sharply demarcated. Cellulitis, which typically affects the
lower legs, involves the subcutaneous fat and is often less well demarcated. ... The
diagnosis of cellulitis or erysipelas is usually clinical.
polymyalgia rheumatica - ANS ... you feel pain and stiffness in the muscles in your
shoulders and upper arms (shoulder girdle) and hips (pelvic girdle). This feeling
often comes after you've spent time resting, and is most severe upon wakening from
sleep.
AND ANSWERS
Acne Roscaca - ANS ... "adult acne." most often in adults (30-50 years of age).
Unlike acne vulgaris, rosacea is devoid of blackheads and characteristically does
not resolve after puberty. Rosacea strikes both sexes and potentially all ages. It
tends to be more frequent in women but more severe in men. It is very uncommon in
children, and it is less frequent in people with dark skin. Tx with Flagyl
Kaposi Sarcoma - ANS ... Characteristic purple areas on the nose in an HIV-positive
female. A type of cancer that can form in the skin, lymph nodes, or other organs.
The skin lesions are usually purple in color.
Malodorous single nare - ANS ... Foreign body
Retinal Detachment - ANS ... the retina separates from the layer underneath.
Symptoms include an increase in the number of floaters, flashes of light, and
worsening of the outer part of the visual field.
Adolescent with friable nasal turbinates - ANS ... Cocaine use
Aphthous ulcer - ANS ... a recurrent round or oval sore or ulcer inside the mouth on
an area where the skin is not tightly bound to the underlying bone, such as on the
inside of the lips and cheeks or underneath the tongue. Aphthous ulcers can also
affect the genitalia in males and females.
GERD first line tx - ANS ... h2 then ppi if doesnt work
,Maxillary Sinusitis - ANS ... Dental pain
Kasmaul Triangle - ANS ... Anterior epitaxis
Roseola infantum - ANS ... H. fever => small pink dots pink or raised body rash =>
arms
AV Nicking - ANS ... HTN, arteries crossing veins
Blepharitis - ANS ... commonly occurs when the tiny oil glands of the inner eyelid
become inflamed. It often occurs along with other skin conditions or allergies.
Symptoms include red, itchy eyelids that may look greasy and crusted. Dry eyes
also are a symptom.
Treatments include cleaning the eyelids, antibiotic or steroid eye drops and treating
underlying conditions. However, blepharitis tends to come back.
Hordelum - ANS ... Painful stye it hurts
chalazion - ANS ... Non painful lesion to eyelid
Cotton Wool - ANS ... Cotton wool spots are an abnormal finding on funduscopic
exam of the retina of the eye. They appear as fluffy white patches on the retina.
They are caused by damage to nerve fibers and are a result of accumulations of
axoplasmic material within the nerve fiber layer. Systemic HTN, DM
Herpes Zoster - ANS ... Early signs of shingles include a burning sensation or
stabbing pain and tingling or itching on the skin. After a few days, a rash or blisters
appear usually on one side of the body or face. When the rash is at its peak,
symptoms can range from mild itching to extreme and debilitating pain. Tx within
72 hours Aclovir
,Retinoblastoma (Rb) - ANS ... Absence of light reflex, it is a rare form of cancer that
rapidly develops from the immature cells of a retina, the light-detecting tissue of
the eye. It is the most common primary malignant intraocular cancer in children, and
it is almost exclusively found in young children.
Seborrheic dermatitis (Dandruff) - ANS ... commonly involves portions of the scalp,
brows, mid-face, ears, mid-chest, and mid-back. It is not unusual for it to affect the
skin of infants and young children where it often involves the scalp (cradle cap) and
the diaper area. Seborrheic dermatitis is also known as seborrhea.
Seborrheic Keratosis - ANS ... A seborrhoeic keratosis is a harmless warty spot that
appears during adult life as a common sign of skin aging. ... Seborrhoeic keratosis
(or seborrheic keratosis, using American spelling) is also called SK, basal cell
papilloma, senile wart, brown wart or barnacle.
Cupping of disc - ANS ... Intracranial pressure
subconjunctival haemorrhage - ANS ... is bleeding underneath the conjunctiva. It can
occur after a sudden or severe sneeze or cough, heavy lifting, straining, vomiting or
even rubbing one's eyes too roughly. It can also occur as a side effect of eye
surgery or blood thinners.
The main symptom is a bright red patch in the eye that may spread and then
become green or yellow, much like a bruise. Usually it disappears within two weeks.
In most cases, no treatment is required for this condition.
Sialolithiasis (also termed salivary calculi, or salivary stones) - ANS ... A condition
where a calcified mass or sialolith forms within a salivary gland, usually in the duct
of the submandibular gland (also termed "Wharton's duct").
Honey Crusted lesions - ANS ... Impetigo is a bacterial infection that involves the
superficial skin.The most common presentation is yellowish crusts on the face, arms,
, or legs.Less commonly there may be large blisters which affect the groin or armpits.
The lesions may be painful or itchy. Fever is uncommon.
It is typically due to either Staphylococcus aureus or Streptococcus pyogenes. Risk
factors include attending day care, crowding, poor nutrition, diabetes mellitus,
contact sports, and breaks in the skin such as from mosquito bites, eczema, scabies,
or herpes. With contact it can spread around or between people.Diagnosis is
typically based on the symptoms.
Prevention is by hand washing, avoiding people who are infected, and cleaning
injuries. Treatment is typically with antibiotic creams such as mupirocin or fusidic
acid. Antibiotics by mouth, such as cephalexin, may be used if large areas are
affected. Antibiotic-resistant forms have been found.
Mild acne - ANS ... Skin wash retinol benzol
moderate acne - ANS ... retinol plus tetracylines oral abx
Retinol reaction - ANS ... decrease to 3 times a day
Well demarcated cellulitis - ANS ... erysipelas affects the dermis, most commonly on
the legs, and tends to be sharply demarcated. Cellulitis, which typically affects the
lower legs, involves the subcutaneous fat and is often less well demarcated. ... The
diagnosis of cellulitis or erysipelas is usually clinical.
polymyalgia rheumatica - ANS ... you feel pain and stiffness in the muscles in your
shoulders and upper arms (shoulder girdle) and hips (pelvic girdle). This feeling
often comes after you've spent time resting, and is most severe upon wakening from
sleep.
