FNP 2 EXAM 3 2026 COMPREHENSIVE
ASSESSMENT SCRIPT SOLVED QUESTIONS
ANSWERS UPDATED REVIEW SET
◉ HHS (Hyperosmolar Hyperglycemic State).
Answer: OVerweight
Over 1-2 weeks
Profound dehydration
Elevated temp -> infection
◉ Mid Parental Height.
Answer: • For a girl: take dad's height -5 inches + mom's height and
divide by 2
• For a boy: take mom's height + 5 inches + Dad's height and divide
by 2
◉ Management of growth Hormone.
Answer: • True growth hormone deficiency
• Growth hormone caused by chronic renal failure
• Turner syndrome
• Prader-Willi Syndrome
• IUGR without catch-up growth by age 2
,• Idiopathic short stature with poor height prognosis
◉ Premature Adrenarche.
Answer: • The onset of pubic hair in boys or girls, NOT associated
with other features of true puberty
• Can be due to a mild form of CAH, exposure to topical testosterone,
or adrenal tumors
• Can be idiopathic
• Are at increased risk for polycystic ovarian syndrome and
metabolic syndrome
◉ Precocious Puberty.
Answer: Before age 8 in girls and 9 in boys
◉ Metabolism Errors.
Answer: • Disorders of carbohydrate metabolism: (glycogen storage
disease, galactosemia)
• Disorders of amino acid metabolism: (PKU, nonketotic
hyperglycinemia)
• Disorders of fatty acid oxidation and mitochondrial metabolism
disorders: (CPT1 and 2 deficiency)
• Disorders of purine and pyrimidine: (Lesch-Nyhan syndrome)
• Disorders of steroid metabolism: (CAH)
,• Disorders of mitochondrial function: (Kearns-Sayre)
Lysosomal storage disorders (Tay-Sachs, Gaucher)
◉ Pemberton's sign.
Answer: Goiter
elevate both arms until they reach sides of head. Note flushing,
cyanosis, respiratory distress due to impingement of thoracic inlet.
◉ Colic.
Answer: 3's: 3 hours per day, 3 days per week for more than 3 weeks
Usually less than 3 months
Simethicone not helpful
◉ Appendicitis.
Answer: Periumbilical pain start
Aaron's sign is refeerred pain over epigastric area when pressure
applied to McBurney's point
◉ Intussuceptions.
, Answer: 3mth to 6 yers; alimentary tract is telescoped; currant jelly
stools; more males; barium swallow to diagnosis; suasage like mass
in RUQ; needs to be reduced within 24 hours
◉ Functional Abdominal Pain.
Answer: Rome Criteria III
• Episodic or continuous abdominal pain
• Insufficient criteria for other functional GI disorders
• No evidence of inflammatory, anatomic, metabolic, or neoplastic
process
• Must be at least once per week for at least 2 months prior to the
diagnosis
◉ Celiac.
Answer: Small bowel damage due to gluten
villi atrophy
Human leukocyte antigen association with an immune response
Age common 6mths to 2 years
D, V, FTT
◉ Cow's milk protein intolerance.
Answer: bloody diarrhea, anemia; testing after one year of age
ASSESSMENT SCRIPT SOLVED QUESTIONS
ANSWERS UPDATED REVIEW SET
◉ HHS (Hyperosmolar Hyperglycemic State).
Answer: OVerweight
Over 1-2 weeks
Profound dehydration
Elevated temp -> infection
◉ Mid Parental Height.
Answer: • For a girl: take dad's height -5 inches + mom's height and
divide by 2
• For a boy: take mom's height + 5 inches + Dad's height and divide
by 2
◉ Management of growth Hormone.
Answer: • True growth hormone deficiency
• Growth hormone caused by chronic renal failure
• Turner syndrome
• Prader-Willi Syndrome
• IUGR without catch-up growth by age 2
,• Idiopathic short stature with poor height prognosis
◉ Premature Adrenarche.
Answer: • The onset of pubic hair in boys or girls, NOT associated
with other features of true puberty
• Can be due to a mild form of CAH, exposure to topical testosterone,
or adrenal tumors
• Can be idiopathic
• Are at increased risk for polycystic ovarian syndrome and
metabolic syndrome
◉ Precocious Puberty.
Answer: Before age 8 in girls and 9 in boys
◉ Metabolism Errors.
Answer: • Disorders of carbohydrate metabolism: (glycogen storage
disease, galactosemia)
• Disorders of amino acid metabolism: (PKU, nonketotic
hyperglycinemia)
• Disorders of fatty acid oxidation and mitochondrial metabolism
disorders: (CPT1 and 2 deficiency)
• Disorders of purine and pyrimidine: (Lesch-Nyhan syndrome)
• Disorders of steroid metabolism: (CAH)
,• Disorders of mitochondrial function: (Kearns-Sayre)
Lysosomal storage disorders (Tay-Sachs, Gaucher)
◉ Pemberton's sign.
Answer: Goiter
elevate both arms until they reach sides of head. Note flushing,
cyanosis, respiratory distress due to impingement of thoracic inlet.
◉ Colic.
Answer: 3's: 3 hours per day, 3 days per week for more than 3 weeks
Usually less than 3 months
Simethicone not helpful
◉ Appendicitis.
Answer: Periumbilical pain start
Aaron's sign is refeerred pain over epigastric area when pressure
applied to McBurney's point
◉ Intussuceptions.
, Answer: 3mth to 6 yers; alimentary tract is telescoped; currant jelly
stools; more males; barium swallow to diagnosis; suasage like mass
in RUQ; needs to be reduced within 24 hours
◉ Functional Abdominal Pain.
Answer: Rome Criteria III
• Episodic or continuous abdominal pain
• Insufficient criteria for other functional GI disorders
• No evidence of inflammatory, anatomic, metabolic, or neoplastic
process
• Must be at least once per week for at least 2 months prior to the
diagnosis
◉ Celiac.
Answer: Small bowel damage due to gluten
villi atrophy
Human leukocyte antigen association with an immune response
Age common 6mths to 2 years
D, V, FTT
◉ Cow's milk protein intolerance.
Answer: bloody diarrhea, anemia; testing after one year of age
