AANP|VERIFIED QUESTIONS AND CORRECT DETAILED ANSWERS|RATED AND
GRADED A+ NEW UPDATE| 2026/2027
What is the Mini-Mental State Exam / Folstein Test? - ANSWER✔ It is the most widely used test for
assessing dementia.
The MMSE is not used on its own to diagnose dementia. Instead, consider it a warning sign that means
further testing is necessary.
What score on the MMSE indicates dementia or delirium? - ANSWER✔ A score BELOW 24 is
considered indicative of dementia
A score of <9 is severe dementia
Delerium vs Dementia - ANSWER✔ Delerium - acute/abrupt, reversible
D Dementia
E Electrolyte disorders
L Lung, liver, heart, kidney, brain
I Infection
R Rx Drugs
I Injury, Pain, Stress
U Unfamiliar environment
M Metobolic
Benzodiazepine if delirium is secondary to benzo or alcohol withdrawal
Dementia - gradual, permanent
The causes include the following; Alzheimer's Disease, Stroke, Pick's disease, Huntington's, Downs
Syndrome, Creutzfeldt-Jacob, AIDS, alcoholism, Parkinson's disease and other neurodegenerations.
Dementia/Delerium and concerns driving - ANSWER✔ Some people may not want to stop driving or
even think there is a problem.
People with moderate to severe Alzheimer's disease/dementia should never get behind the wheel.
,What is the treatment for Rheumatoid arthritis? - ANSWER✔ -Prednisone
-DMARDs (methotrexate, azathioprine, sulfasalazine, hydroxychloroquine)
-Biological immunomodulators (things ending in "mab" or "cept")
Methotrexate = gold standard first agent according to lecture
Biologics zero in on specific parts that control the inflammation process. So if you have moderate to
severe RA and don't respond to traditional disease-modifying antirheumatic drugs (DMARDs), your
doctor will probably say it's time for a biologic.
s/s of rheumatoid arthritis - ANSWER✔ joint stiffness first thing in morning that improves with
movement
Persistent SYMMETRIC polyarthritis (synovitis) of hands and feet (hallmark feature)
Side effects of Marijuana use in pregnancy - ANSWER✔ Low birth weight
Greater risk of anemia in mothers
Rewiring of mice fetal cortical circuitry
Childhood systemic lupus erythematosus (SLE) - ANSWER✔ Higher rates of renal involvement
BONE DAMAGE IN CHILDHOOD SLE - Bone mineral density is reduced and risk of osteoporotic fracture
increases
Height attainment is reduced due to corticosteroids
Puberty is delayed
Treatment for SLE can cause early ovarian failure
, Risk for avascular necrosis is increased
Psychosocial Issues in Childhood SLE
Body image
Obesity
Striae
Hirsutism
Cushingoid facies
Treatment adherence can be challenging
Increased Risks of SLE in Women - ANSWER✔ Exposure to cyclophosphamide is associated with a
dose-related and age-dependent risk of infertility → recommend fertility preservation
Most pregnancies will be high risk d/t increased risk of preterm birth, miscarriage, pre-eclampsia,
gestational diabetes.
Bone health is affected → Women with lupus are nearly 5 times more likely to experience a fracture
from osteoporosis than those without lupus. Prevention and management are really important →
Ensure adequate calcium and Vitamin D, weight bearing activities. Avoid heavy drinking.
Disease activity is greater in premenopausal than postmenopausal women with lupus
COVID-19 Vaccines - ANSWER✔ Pfizer & Moderna: 3-8 weeks between first and second shot
At least 5 months before booster shot
What is implicit bias? - ANSWER✔ attitudes or stereotypes that affect our understanding, actions,
and decisions in an unconscious manner
GRADED A+ NEW UPDATE| 2026/2027
What is the Mini-Mental State Exam / Folstein Test? - ANSWER✔ It is the most widely used test for
assessing dementia.
The MMSE is not used on its own to diagnose dementia. Instead, consider it a warning sign that means
further testing is necessary.
What score on the MMSE indicates dementia or delirium? - ANSWER✔ A score BELOW 24 is
considered indicative of dementia
A score of <9 is severe dementia
Delerium vs Dementia - ANSWER✔ Delerium - acute/abrupt, reversible
D Dementia
E Electrolyte disorders
L Lung, liver, heart, kidney, brain
I Infection
R Rx Drugs
I Injury, Pain, Stress
U Unfamiliar environment
M Metobolic
Benzodiazepine if delirium is secondary to benzo or alcohol withdrawal
Dementia - gradual, permanent
The causes include the following; Alzheimer's Disease, Stroke, Pick's disease, Huntington's, Downs
Syndrome, Creutzfeldt-Jacob, AIDS, alcoholism, Parkinson's disease and other neurodegenerations.
Dementia/Delerium and concerns driving - ANSWER✔ Some people may not want to stop driving or
even think there is a problem.
People with moderate to severe Alzheimer's disease/dementia should never get behind the wheel.
,What is the treatment for Rheumatoid arthritis? - ANSWER✔ -Prednisone
-DMARDs (methotrexate, azathioprine, sulfasalazine, hydroxychloroquine)
-Biological immunomodulators (things ending in "mab" or "cept")
Methotrexate = gold standard first agent according to lecture
Biologics zero in on specific parts that control the inflammation process. So if you have moderate to
severe RA and don't respond to traditional disease-modifying antirheumatic drugs (DMARDs), your
doctor will probably say it's time for a biologic.
s/s of rheumatoid arthritis - ANSWER✔ joint stiffness first thing in morning that improves with
movement
Persistent SYMMETRIC polyarthritis (synovitis) of hands and feet (hallmark feature)
Side effects of Marijuana use in pregnancy - ANSWER✔ Low birth weight
Greater risk of anemia in mothers
Rewiring of mice fetal cortical circuitry
Childhood systemic lupus erythematosus (SLE) - ANSWER✔ Higher rates of renal involvement
BONE DAMAGE IN CHILDHOOD SLE - Bone mineral density is reduced and risk of osteoporotic fracture
increases
Height attainment is reduced due to corticosteroids
Puberty is delayed
Treatment for SLE can cause early ovarian failure
, Risk for avascular necrosis is increased
Psychosocial Issues in Childhood SLE
Body image
Obesity
Striae
Hirsutism
Cushingoid facies
Treatment adherence can be challenging
Increased Risks of SLE in Women - ANSWER✔ Exposure to cyclophosphamide is associated with a
dose-related and age-dependent risk of infertility → recommend fertility preservation
Most pregnancies will be high risk d/t increased risk of preterm birth, miscarriage, pre-eclampsia,
gestational diabetes.
Bone health is affected → Women with lupus are nearly 5 times more likely to experience a fracture
from osteoporosis than those without lupus. Prevention and management are really important →
Ensure adequate calcium and Vitamin D, weight bearing activities. Avoid heavy drinking.
Disease activity is greater in premenopausal than postmenopausal women with lupus
COVID-19 Vaccines - ANSWER✔ Pfizer & Moderna: 3-8 weeks between first and second shot
At least 5 months before booster shot
What is implicit bias? - ANSWER✔ attitudes or stereotypes that affect our understanding, actions,
and decisions in an unconscious manner
