AANP Board Questions
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1. Therapeutic INR values be- 2
low ____ increase stroke risk
sixfold.
2. Diabetic Retinopathy Find- Microaneurysms
ings Neovascularization
Cotton Wool Spots
Hard exudates
3. All of the following would Vigorous exercise 3 days prior
require the nurse practition-
er to delay testing a pa- PSA testing is falsely elevated in a patient with urinary retention
tient's prostate-specific anti- and urinary tract infection and after a digital rectal exam. Vigor-
gen (PSA), except: ous exercise does not have to be stopped 3 days prior to test-
ing; however, vigorous exercise should be discouraged before
a. Urinary retention testing because it will falsely elevate the PSA levels. Ejaculation
b. Urinary tract infection within 48 hours will also falsely raise the PSA level.
c. After a digital rectal exam
d. Vigorous exercise 3 days
prior
4. Tic Douloureaux There are two types of tic douloureux (trigeminal neuralgia).
Type 1--presents with extreme, shock-like facial pain, which lasts
from a few seconds to 2 minutes per event and can last up to 2
hours total. Type 1 does not awaken the patient at night.
Type 2-- is a constant, aching, burning facial pain with less
intensity but may occur with Type 1. Type 2 is more common
in women and peaks in their 60s. Type 2 can also be related
to secondary neurologic disease such as multiple sclerosis or
HSV-1.
5.
, AANP Board Questions
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The nurse practitioner sees hidradenitis suppurativa
a 58-year-old female patient
who reports abscesses and Hidradenitis suppurativa is most common in women (3:1).
pustules in the axilla and Smoking and obesity are significant risk factors. Lesions are
groin and under the breasts, treated with topical antibiotics (or oral antibiotics, warm com-
which burst and drain pu- presses, and pain medications). Institute diet changes to reduce
rulent green discharge. She high glycemic and dairy food intake. Refer to a dermatologist for
has a history of smoking and additional treatment options.
a body mass index (BMI) of
37.1.
Which diagnosis is most like-
ly?
a. Impetigo
b. Carbuncles
c. Shingles
d. Hidradenitis suppurativa
6. Insulin Lispro (Humalog) Lispro is a rapid-acting insulin that is used on a sliding scale to
work from meal to meal
7. Atopic dermatitis (eczema) chronic, pruritic rash of the hands, flexural folds, and neck that
can be exacerbated by stress and environmental factors.
8. Toxic Epidermal Necrolysis TEN is the result of a severe skin reaction to medications such
(TEN) as allopurinol, nonsteroidal anti-inflammatory drugs (NSAIDs),
and anticonvulsants.
9. Melanoma Melanoma are nevi with uneven texture, irregular borders, var-
iegated colors, size larger than 6 mm, and changing size (the
mnemonic ABCDE stands for asymmetry, border irregularity,
color variations in the same region, diameter >6 mm, and en-
, AANP Board Questions
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largement or change in size over time), and they can be pru-
ritic. Risk factors include family history of melanoma (10% of
cases), extensive/intense sunlight exposure, blistering sunburn
in childhood, tanning beds, and atypical nevus
10. Seborrheic keratoses Seborrheic keratoses are soft, fleshy, painless growths that are
located mostly on the back. Skin lesions look like they are "past-
ed" on the skin and can range in color from light tan to black.
11. Acanthosis nigricans Acanthosis nigricans are diffuse, soft thickenings of the skin
usually located at the neck and axilla. They are also associated
with diabetes, metabolic syndrome, obesity, and gastrointesti-
nal cancer.
12. Acrochordon Acrochordons (skin tags) are painless, pedunculated out-
growths of skin that are common in the neck and axillary areas.
If the growths are traumatized, they become necrotic and fall off.
They are most common in diabetics and patients who are obese.
13. Which of the following is as- Decreased sperm production
sociated with male aging?
a. Increased levels of estro-
gen
b. Decreased sperm produc-
tion
c. Increased production of
semen
d. Decreased concentration
of sperm
14. A nurse practitioner sees Ceftriaxone 500 mg IM × one dose plus doxycycline 100 mg BID
a patient for an evaluation × 14 days plus metronidazole 500 mg BID × 14 days.
, AANP Board Questions
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of sexually transmitted dis- Fitz-Hugh-Curtis syndrome should be treated as a complicated
eases. Assessment reveals gonorrheal/chlamydial infection: Ceftriaxone 500 mg IM × one
Fitz-Hugh-Curtis. The nurse dose plus doxycycline 100 mg BID × 14 days plus metronidazole
practitioner will prescribe: 500 mg BID × 14 days for anaerobic coverage.
15. sensitive screening test for Combination HIV-1 and HIV-2 antibody immunoassay with p24
HIV antigen.
16. DM medication class that Thiazolidinediones
should not be used in pa-
tients with heart failure or hx
of bladder cancer?
17. Medication class with high Sulfonylureas stimulate the beta cells but have a long half-life,
risk of hypoglycemic events: and there is a high risk for severe hypoglycemic events.
18. Treponema pallidum T. pallidum is a gram-negative spirochete bacterium that causes
syphilis.
19. Which class of diuretics is Thiazides (hydrochlorothiazide and indapamide) and loop di-
contraindicated in patients uretics (furosemide and bumetanide) are contraindicated in
who are allergic to sulfa patients with sulfa allergies.
products?
20. Hypertensive Retinopathy - silver wire/copper wire arterioles.
Findings - AV nicking
21. Bullous Myringitis Small vesicles containing blood on the drum; accompany my-
coplasma pneumonia and virus infections
Bullous myringitis is an ear infection in which small, fluid-filled
blisters form on the eardrum. This finding distinguishes this
diagnosis.
Study online at https://quizlet.com/_fb4u5d
1. Therapeutic INR values be- 2
low ____ increase stroke risk
sixfold.
2. Diabetic Retinopathy Find- Microaneurysms
ings Neovascularization
Cotton Wool Spots
Hard exudates
3. All of the following would Vigorous exercise 3 days prior
require the nurse practition-
er to delay testing a pa- PSA testing is falsely elevated in a patient with urinary retention
tient's prostate-specific anti- and urinary tract infection and after a digital rectal exam. Vigor-
gen (PSA), except: ous exercise does not have to be stopped 3 days prior to test-
ing; however, vigorous exercise should be discouraged before
a. Urinary retention testing because it will falsely elevate the PSA levels. Ejaculation
b. Urinary tract infection within 48 hours will also falsely raise the PSA level.
c. After a digital rectal exam
d. Vigorous exercise 3 days
prior
4. Tic Douloureaux There are two types of tic douloureux (trigeminal neuralgia).
Type 1--presents with extreme, shock-like facial pain, which lasts
from a few seconds to 2 minutes per event and can last up to 2
hours total. Type 1 does not awaken the patient at night.
Type 2-- is a constant, aching, burning facial pain with less
intensity but may occur with Type 1. Type 2 is more common
in women and peaks in their 60s. Type 2 can also be related
to secondary neurologic disease such as multiple sclerosis or
HSV-1.
5.
, AANP Board Questions
Study online at https://quizlet.com/_fb4u5d
The nurse practitioner sees hidradenitis suppurativa
a 58-year-old female patient
who reports abscesses and Hidradenitis suppurativa is most common in women (3:1).
pustules in the axilla and Smoking and obesity are significant risk factors. Lesions are
groin and under the breasts, treated with topical antibiotics (or oral antibiotics, warm com-
which burst and drain pu- presses, and pain medications). Institute diet changes to reduce
rulent green discharge. She high glycemic and dairy food intake. Refer to a dermatologist for
has a history of smoking and additional treatment options.
a body mass index (BMI) of
37.1.
Which diagnosis is most like-
ly?
a. Impetigo
b. Carbuncles
c. Shingles
d. Hidradenitis suppurativa
6. Insulin Lispro (Humalog) Lispro is a rapid-acting insulin that is used on a sliding scale to
work from meal to meal
7. Atopic dermatitis (eczema) chronic, pruritic rash of the hands, flexural folds, and neck that
can be exacerbated by stress and environmental factors.
8. Toxic Epidermal Necrolysis TEN is the result of a severe skin reaction to medications such
(TEN) as allopurinol, nonsteroidal anti-inflammatory drugs (NSAIDs),
and anticonvulsants.
9. Melanoma Melanoma are nevi with uneven texture, irregular borders, var-
iegated colors, size larger than 6 mm, and changing size (the
mnemonic ABCDE stands for asymmetry, border irregularity,
color variations in the same region, diameter >6 mm, and en-
, AANP Board Questions
Study online at https://quizlet.com/_fb4u5d
largement or change in size over time), and they can be pru-
ritic. Risk factors include family history of melanoma (10% of
cases), extensive/intense sunlight exposure, blistering sunburn
in childhood, tanning beds, and atypical nevus
10. Seborrheic keratoses Seborrheic keratoses are soft, fleshy, painless growths that are
located mostly on the back. Skin lesions look like they are "past-
ed" on the skin and can range in color from light tan to black.
11. Acanthosis nigricans Acanthosis nigricans are diffuse, soft thickenings of the skin
usually located at the neck and axilla. They are also associated
with diabetes, metabolic syndrome, obesity, and gastrointesti-
nal cancer.
12. Acrochordon Acrochordons (skin tags) are painless, pedunculated out-
growths of skin that are common in the neck and axillary areas.
If the growths are traumatized, they become necrotic and fall off.
They are most common in diabetics and patients who are obese.
13. Which of the following is as- Decreased sperm production
sociated with male aging?
a. Increased levels of estro-
gen
b. Decreased sperm produc-
tion
c. Increased production of
semen
d. Decreased concentration
of sperm
14. A nurse practitioner sees Ceftriaxone 500 mg IM × one dose plus doxycycline 100 mg BID
a patient for an evaluation × 14 days plus metronidazole 500 mg BID × 14 days.
, AANP Board Questions
Study online at https://quizlet.com/_fb4u5d
of sexually transmitted dis- Fitz-Hugh-Curtis syndrome should be treated as a complicated
eases. Assessment reveals gonorrheal/chlamydial infection: Ceftriaxone 500 mg IM × one
Fitz-Hugh-Curtis. The nurse dose plus doxycycline 100 mg BID × 14 days plus metronidazole
practitioner will prescribe: 500 mg BID × 14 days for anaerobic coverage.
15. sensitive screening test for Combination HIV-1 and HIV-2 antibody immunoassay with p24
HIV antigen.
16. DM medication class that Thiazolidinediones
should not be used in pa-
tients with heart failure or hx
of bladder cancer?
17. Medication class with high Sulfonylureas stimulate the beta cells but have a long half-life,
risk of hypoglycemic events: and there is a high risk for severe hypoglycemic events.
18. Treponema pallidum T. pallidum is a gram-negative spirochete bacterium that causes
syphilis.
19. Which class of diuretics is Thiazides (hydrochlorothiazide and indapamide) and loop di-
contraindicated in patients uretics (furosemide and bumetanide) are contraindicated in
who are allergic to sulfa patients with sulfa allergies.
products?
20. Hypertensive Retinopathy - silver wire/copper wire arterioles.
Findings - AV nicking
21. Bullous Myringitis Small vesicles containing blood on the drum; accompany my-
coplasma pneumonia and virus infections
Bullous myringitis is an ear infection in which small, fluid-filled
blisters form on the eardrum. This finding distinguishes this
diagnosis.
