AANP FINAL - EXAMINATION COMPLETE QUESTIONS AND
DETAILED SOLUTIONS LATEST UPDATE THIS YEAR JUST
RELEASED
Question 1: A 25-year-old patient presents to the clinic for
contraceptive counseling. She asks the nurse practitioner if
combined oral contraceptives increase the risk of cancer. Which of
the following is the most appropriate response by the nurse
practitioner?
A. "Combined oral contraceptives increase the risk of developing
colorectal cancer"
B. "Patients who take combined oral contraceptives may have a
slightly higher risk of cervical and breast cancer"
C. "There is no increased risk of cancer associated with combined
oral contraceptives"
D. "Use of combined oral contraceptives may increase your risk of
endometrial and ovarian cancer"
Answer:
B.
Question 2: "Patients who take combined oral contraceptives may
have a slightly higher risk of cervical and breast cancer" The most
appropriate response by the nurse practitioner is that patients who
take combined oral contraceptives (COCs) may have a slightly
higher risk of cervical and breast cancer (B). The link between
these medications and cancer risk has been researched with large
observational studies. Although an increased risk of cervical and
breast cancer is associated with COCs, research demonstrates this
risk decreases over time after a patient stops taking the
medication.A COC is a medication used to prevent pregnancy that
contains estrogen and progesterone. These medications suppress
,gonadotropin-releasing hormone, follicle-stimulating hormone, and
luteinizing hormone to prevent ovulation. COCs are also associated
with an increased risk of venous thromboembolism and
hypertension. Rare risks of severe cardiovascular disease,
including myocardial infarction and stroke, are associated with this
contraceptive medication class. Which medication would be
appropriate for symptom relief for hyperthyroidism?
Answer:
Atenolol (tenormin)
Question 3: What finding is consistent with benign prostatic
hyperplasia during a digital rectal exam?
Answer:
An enlarged, smooth, and rubbery prostate
Question 4: Viral PNA caused by?
Answer:
influenza viruses
Question 5: Bacterial PNA caused by?
Answer:
Atypical - Mycoplasma pneumonia "walking pneumonia"
Question 6: Typical - Streptococcus pneumonia (classic
symptoms) When should a CXR be followed up after being treated
for PNA with ABX?
Answer:
, 8 weeks
Question 7: fasting blood glucose (FBG)
Answer:
100-125 pre dm
Question 8: > 125 DM oral glucose tolerance test
Answer:
140 - 149 pre dm
Question 9: > 200 DM random BG test
Answer:
> 200 with symptoms
Question 10: A 78-year-old man presents to the clinic for a
follow-up after an emergency department visit for acute bronchitis.
He reports he did not fill his discharge prescriptions because he
could not pay for them. The man states, "My grandson borrowed
my debit card last month for an emergency and hasn't returned it."
Which of the following types of elder mistreatment might this
indicate?
A. Emotional abuse
B. Exploitation
C. Neglect
D. Self-neglect
Answer:
B.
, Question 11: Exploitation Exploitation (B) is the illegal or improper
use of an older adult's funds, property, or assets. In cases of
confirmed sexually transmitted infections, which of the following
diseases does not require co-treatment for the sexual partner?
A. Bacterial vaginosis
B. Chlamydia
C. Gonorrhea
D. Trichomoniasis
Answer:
A.
Question 12: Bacterial vaginosis Partners of those with bacterial
vaginosis (A) do not need treatment as it is not a sexually
transmitted infection. Bacterial vaginosis, or BV, is a condition in
which the pH of the vagina changes due to external factors, thus
allowing for the overgrowth of anaerobic vaginal bacteria. Bacterial
vaginosis can present with a white, fishy-smelling vaginal fluid, and
patients should be educated about its true source. Rocky Mountain
Spotted Fever
Answer:
Treat with Doxycycline regardless of age or pregnant
Question 13: What test is considered the gold standard for the
diagnosis of HIV?
A. Antinuclear antibody test
B. Enzyme-linked immunosorbent assay test
C. Nucleic acid test
D. Rapid plasma reagin test
Answer:
DETAILED SOLUTIONS LATEST UPDATE THIS YEAR JUST
RELEASED
Question 1: A 25-year-old patient presents to the clinic for
contraceptive counseling. She asks the nurse practitioner if
combined oral contraceptives increase the risk of cancer. Which of
the following is the most appropriate response by the nurse
practitioner?
A. "Combined oral contraceptives increase the risk of developing
colorectal cancer"
B. "Patients who take combined oral contraceptives may have a
slightly higher risk of cervical and breast cancer"
C. "There is no increased risk of cancer associated with combined
oral contraceptives"
D. "Use of combined oral contraceptives may increase your risk of
endometrial and ovarian cancer"
Answer:
B.
Question 2: "Patients who take combined oral contraceptives may
have a slightly higher risk of cervical and breast cancer" The most
appropriate response by the nurse practitioner is that patients who
take combined oral contraceptives (COCs) may have a slightly
higher risk of cervical and breast cancer (B). The link between
these medications and cancer risk has been researched with large
observational studies. Although an increased risk of cervical and
breast cancer is associated with COCs, research demonstrates this
risk decreases over time after a patient stops taking the
medication.A COC is a medication used to prevent pregnancy that
contains estrogen and progesterone. These medications suppress
,gonadotropin-releasing hormone, follicle-stimulating hormone, and
luteinizing hormone to prevent ovulation. COCs are also associated
with an increased risk of venous thromboembolism and
hypertension. Rare risks of severe cardiovascular disease,
including myocardial infarction and stroke, are associated with this
contraceptive medication class. Which medication would be
appropriate for symptom relief for hyperthyroidism?
Answer:
Atenolol (tenormin)
Question 3: What finding is consistent with benign prostatic
hyperplasia during a digital rectal exam?
Answer:
An enlarged, smooth, and rubbery prostate
Question 4: Viral PNA caused by?
Answer:
influenza viruses
Question 5: Bacterial PNA caused by?
Answer:
Atypical - Mycoplasma pneumonia "walking pneumonia"
Question 6: Typical - Streptococcus pneumonia (classic
symptoms) When should a CXR be followed up after being treated
for PNA with ABX?
Answer:
, 8 weeks
Question 7: fasting blood glucose (FBG)
Answer:
100-125 pre dm
Question 8: > 125 DM oral glucose tolerance test
Answer:
140 - 149 pre dm
Question 9: > 200 DM random BG test
Answer:
> 200 with symptoms
Question 10: A 78-year-old man presents to the clinic for a
follow-up after an emergency department visit for acute bronchitis.
He reports he did not fill his discharge prescriptions because he
could not pay for them. The man states, "My grandson borrowed
my debit card last month for an emergency and hasn't returned it."
Which of the following types of elder mistreatment might this
indicate?
A. Emotional abuse
B. Exploitation
C. Neglect
D. Self-neglect
Answer:
B.
, Question 11: Exploitation Exploitation (B) is the illegal or improper
use of an older adult's funds, property, or assets. In cases of
confirmed sexually transmitted infections, which of the following
diseases does not require co-treatment for the sexual partner?
A. Bacterial vaginosis
B. Chlamydia
C. Gonorrhea
D. Trichomoniasis
Answer:
A.
Question 12: Bacterial vaginosis Partners of those with bacterial
vaginosis (A) do not need treatment as it is not a sexually
transmitted infection. Bacterial vaginosis, or BV, is a condition in
which the pH of the vagina changes due to external factors, thus
allowing for the overgrowth of anaerobic vaginal bacteria. Bacterial
vaginosis can present with a white, fishy-smelling vaginal fluid, and
patients should be educated about its true source. Rocky Mountain
Spotted Fever
Answer:
Treat with Doxycycline regardless of age or pregnant
Question 13: What test is considered the gold standard for the
diagnosis of HIV?
A. Antinuclear antibody test
B. Enzyme-linked immunosorbent assay test
C. Nucleic acid test
D. Rapid plasma reagin test
Answer:
