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AANP Studying Questions and Correct Answers Rated A

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AANP Studying Questions and Correct Answers Rated A

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AANP Studying Questions and Correct
Answers Rated A+

Mesothelioma - ANSWER>>-Cancer affecting the membrane which lines the lungs
-Asbestos exposure has been reported in 70 to 80% of cases

Four components of collaborative effort? - ANSWER>>1. partnership
2. sharing
3. power
4. interdependency

Risks of second-hand smoke in children? - ANSWER>>-Middle ear infections
-Asthma, bronchitis, pneumonia
-SIDS

What are DMARDs used for? - ANSWER>>-Rheumatoid arthitis
-Example: methotrexate

Bursitis treatment? - ANSWER>>-RICE
-NSAIDs
-Heat
-Steroid injections (particularly glucocorticoids)

Medications that will reduce the amount of acid produced? - ANSWER>>-Zantac (H2-receptor
antagonist)
-Lansoprazole (Prevacid) is a PPI

MEDS THAT WONT:
-Maalox (neutralizes stomach)
-Sucralfate (coats stomach)

Basal cell carcinoma - ANSWER>>-Slow growing
-Waxy appearance
-Telangiectasis

Actinic Ketatosis - ANSWER>>-Usually sun-exposed areas

,-More scaly and can ulcerate and bleed

Treat primary closed-angle glaucoma? - ANSWER>>IV mannitol

Used to treat chronic open-angle glaucoma? - ANSWER>>-Miotic agents
-Beta-blockers
-Alpha-2-adrenergic agonists

White, clumpy, cottage cheese discharge is found in?
Vaginal pH would be? - ANSWER>>-Candida infections
-pH level is typically less than 4.5 and hyphae are seen via microscopic examination

Most common sports related injury? - ANSWER>>Lateral ankle sprain

Hemophilia-A is transmitted - ANSWER>>on the X chromosome

What are examples of group A beta hemolytic Streptococcus infections? - ANSWER>>-
Cellulitis
-Folliculitis

What are examples of Staphylococcus infections? - ANSWER>>-Impetigo
-Hidradenitis suppurativa
-FurunclesA

First step in empiric treatment of cellulitis? - ANSWER>>-Differentiate purulent from non-
purulent
-Outpatient tx for healthy person with no evidence of inflammatory response

Treatment of non-purulent cellulitis? - ANSWER>>-Oral clindamycin, cephalexin, and
amoxicillin/clauvinate

Treatment for purulent cellulitis? - ANSWER>>-Trimethoprin-sulfamethoxazole
-Gram stain and culture of abscess drainage

Examples of antifungal drugs - ANSWER>>-Grisefulvin (Crivicin)
-Terbinafine (Lamisil)
-Itraconazole (Sporanox)

,What type of medication is Triamcinolone (Kenalog)? - ANSWER>>Low-dose corticosteroid

What medication can be used to prevent allergy symptoms? - ANSWER>>-Leukotriene
modifier like Singulair
-Must be used for 1-4 weeks before effects noted

How do you treat Carpal Tunnel? - ANSWER>>-Elevation
-NSAIDs
-Splinting
-Corticosteroid injections

What is Probenecid used for? - ANSWER>>Gout

Naegele's Rule - ANSWER>>add 7 days to LMP, subtract 3 months, add 1 year

When is the fetal heart beat audible with doppler? - ANSWER>>10-12 weeks

Fetal movement is noticeable when? - ANSWER>>20 weeks

Patients may stare blankly, remain still, having automatisms, or become hostile. This type of
seizure usually lasts 3-5 minutes and is followed by a postictal period. - ANSWER>>Focal
seizure with impaired awareness

This type of seizure typically occurs in children and the patient will appear to be staring
blankly for a few seconds. They can occur in clusters which may appear to be one prolonged
seizure. - ANSWER>>Absence seizure

This diagnosis represents any type of seizure that has lasted longer than 5 minutes. -
ANSWER>>Status epilepticus

Patients will initially experience a loss of consciousness with muscle stiffness that progresses
to muscle jerking or twitching for a few minutes. This type of seizure is also followed by a
postictal phase. - ANSWER>>Generalized tonic-clonic seizure

Often results in bowel incontinence, bloody diarrhea, and tenesmus (the sensation of
incomplete bowel emptying)? - ANSWER>>Ulcerative Colitis

First-line treatment for panic disorders? - ANSWER>>SSRIs

, A middle-aged adult patient comes to the urgent care center with sudden-onset dyspnea,
mildly elevated heart rate, and angina. On clinical exam, the patient is hemodynamically
stable. A CT angiogram is performed and demonstrates a pulmonary embolus. What is the
most appropriate initial treatment for this patient? - ANSWER>>-Initiate enoxaparin
subcutaneous injections.
-Enoxaparin (Lovenox) is a low molecular weight heparin that can be used in the outpatient
setting to treat a pulmonary embolism or deep vein thrombosis in a hemodynamically stable
patient. The patient needs to transition to an oral anticoagulant over the following week with
monitoring of the patient's international normalized rate.

Contraindication to estrogen? - ANSWER>>-Amenorrhea (could be pregnant)
-Pregnancy
-Breastfeeding
-Known or suspected estrogen-related cancer
-Undetermined uterine bleeding
-Smoking

After treatment, testing for H. pylori eradication is recommended. This can be done via? -
ANSWER>>fecal antigen test, urea breath test, or endoscopy

An adult female patient whose first child was born with spina bifida wants to conceive. She
wants to start supplementing vitamins to prevent neural tube defects (NTDs). Which is the
recommended vitamin and dosage? - ANSWER>>Women with a history of previous
pregnancies with NTDs require higher doses of folic acid.

_______ is the recommended dose for women with a low risk for NTDs. - ANSWER>>400 mcg

Which provides the greatest evidence for making treatment decisions? -
ANSWER>>Systematic reviews are Level I evidence making them the strongest level of
evidence for practice. During a systematic review, scientific literature is reviewed, assessed,
and summarized based on a clinical topic with a specific question. Clinical practice guidelines
based on systematic reviews are also considered Level I evidence.

The first-line medications for major depressive disorder are ____? - ANSWER>>SSRIs

Examples of SSRIs - ANSWER>>Prozac, Paxil, Zoloft, Celexa, Lexapro

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