AANP FNP CERTIFICATION UPDATED QUESTIONS & ANSWERS
All diastolic murmurs are pathological. Murmurs Grades I-barely II-audible III- clearly
audible. IV- rst time thrill V-Steth edge VI-entire steth. EXAM
Correct answer: III rst time audible, IV rst time thrill
Fundal height 12 weeks
Correct answer: Fundal Height 12 weeks above symphysis pubis. EXAM
Fundus 16 weeks between symphysis pubis and umbilicus.
Fundus at 20 weeks is at umbilicus.
2 cm more of less from # of wk gestation is normal if more or less order US
3 month old infant with down syndrome, due to milk intolerance, mom started on goats
milk; now has pale conjunctiva but otherwise healthy. Low HCT. What additional test would
you order?
Correct answer: Iron, TIBC
3 months of synthroid, TSH increased, T4 normal, what do you do?
Correct answer: Increase Medication
3 ways to assess cognitive function in patient with signs/symptoms of memory loss
Correct answer: Mini mental exam
4 month old with strabismus, mom is worried......
Correct answer: tell her it is normal.
,4 month old wont keep anything down, what is the main thing you look at?
Correct answer: Growth chart
6 month old closed anterior fontanel.
Correct answer: XRAY
Abnormal cells on PAP, what do you do next?
Correct answer: Refer for Colposcopy
CAGE ACRONYM
Correct answer: Cut down
Annoyed by criticism
Guilty about drinking
Eye opener drink
Causes of tachycardia
Correct answer: Fever
Anemia
Hypotension
Cranial nerves responsible for extraocular eye movements
Correct answer: CN 3,4,6
Denition of metabolic syndrome
Correct answer: cluster of conditions that increase risk of heart disease, stroke, diabetes.
,diagnose trichomoniasis
Correct answer: wet prep
Elderly presents with atrophic vaginitis, small uterus, palpable 4x5 ovary, what do you do
next?
Correct answer: Pelvic US
Epistaxis is most common in the area of the nose known as kiesselbachs triangle, where is
this located?
Correct answer: Anterior septum
Denitive diagnosis of acute bacterial prostatitis
Correct answer: urinalysis and culture
GERD treatment
Correct answer: H2 is rst line, give hs
Grade 3 cells on Pap, treatment?
Correct answer: LEEP
excision
Fingernail hematoma treatment?
Correct answer: drill hole and drain blood?
Increased risk of ectopic pregnancy
Correct answer: Salpingitis, or history of abortion, PID,
, Koplick spots
Correct answer: Measles (rubeola). Grains of salt lesions inside mouth in Measles
Koplick spots
Correct answer: Measles (rubeola). Grains of salt lesions inside mouth in Measles
Legg-Calve-Perthes Disease
Correct answer: Avascular necrosis of the proximal femoral head
Lipid level of 1500, increased risk for?
Correct answer: Pancreatitis
Low HGB, Low HCT, High MCV indicates what?
Correct answer: Macrocytic anemia, B12 Def
Man with BPH, prostate feels on digital exam?
Correct answer: Enlarged, symmetrical, smooth
Man with HTN, CAD, present femoral pulses but absent pedal
Correct answer: Arterial Insuiciency
McMurray's Sign
(+) palpable or audible click while extending with varus stress
Correct answer: Meniscus tears
All diastolic murmurs are pathological. Murmurs Grades I-barely II-audible III- clearly
audible. IV- rst time thrill V-Steth edge VI-entire steth. EXAM
Correct answer: III rst time audible, IV rst time thrill
Fundal height 12 weeks
Correct answer: Fundal Height 12 weeks above symphysis pubis. EXAM
Fundus 16 weeks between symphysis pubis and umbilicus.
Fundus at 20 weeks is at umbilicus.
2 cm more of less from # of wk gestation is normal if more or less order US
3 month old infant with down syndrome, due to milk intolerance, mom started on goats
milk; now has pale conjunctiva but otherwise healthy. Low HCT. What additional test would
you order?
Correct answer: Iron, TIBC
3 months of synthroid, TSH increased, T4 normal, what do you do?
Correct answer: Increase Medication
3 ways to assess cognitive function in patient with signs/symptoms of memory loss
Correct answer: Mini mental exam
4 month old with strabismus, mom is worried......
Correct answer: tell her it is normal.
,4 month old wont keep anything down, what is the main thing you look at?
Correct answer: Growth chart
6 month old closed anterior fontanel.
Correct answer: XRAY
Abnormal cells on PAP, what do you do next?
Correct answer: Refer for Colposcopy
CAGE ACRONYM
Correct answer: Cut down
Annoyed by criticism
Guilty about drinking
Eye opener drink
Causes of tachycardia
Correct answer: Fever
Anemia
Hypotension
Cranial nerves responsible for extraocular eye movements
Correct answer: CN 3,4,6
Denition of metabolic syndrome
Correct answer: cluster of conditions that increase risk of heart disease, stroke, diabetes.
,diagnose trichomoniasis
Correct answer: wet prep
Elderly presents with atrophic vaginitis, small uterus, palpable 4x5 ovary, what do you do
next?
Correct answer: Pelvic US
Epistaxis is most common in the area of the nose known as kiesselbachs triangle, where is
this located?
Correct answer: Anterior septum
Denitive diagnosis of acute bacterial prostatitis
Correct answer: urinalysis and culture
GERD treatment
Correct answer: H2 is rst line, give hs
Grade 3 cells on Pap, treatment?
Correct answer: LEEP
excision
Fingernail hematoma treatment?
Correct answer: drill hole and drain blood?
Increased risk of ectopic pregnancy
Correct answer: Salpingitis, or history of abortion, PID,
, Koplick spots
Correct answer: Measles (rubeola). Grains of salt lesions inside mouth in Measles
Koplick spots
Correct answer: Measles (rubeola). Grains of salt lesions inside mouth in Measles
Legg-Calve-Perthes Disease
Correct answer: Avascular necrosis of the proximal femoral head
Lipid level of 1500, increased risk for?
Correct answer: Pancreatitis
Low HGB, Low HCT, High MCV indicates what?
Correct answer: Macrocytic anemia, B12 Def
Man with BPH, prostate feels on digital exam?
Correct answer: Enlarged, symmetrical, smooth
Man with HTN, CAD, present femoral pulses but absent pedal
Correct answer: Arterial Insuiciency
McMurray's Sign
(+) palpable or audible click while extending with varus stress
Correct answer: Meniscus tears
