AGNP AANP CORRECT FINALS ANSWERS AND
QUESTIONS SET A+
✔✔theophylline MOA - ✔✔cause bronchodilation by relaxing smooth muscles of bronchi
and pulmonary blood vessels in treatment of COPD
✔✔theophylline: caution in patients with? - ✔✔active peptic ulcer disease, seizure
disorder, or cardiac arrhythmias
✔✔theophylline is not commonly used because of - ✔✔limited potency, narrow
therapeutic window, high risk profile, & frequent drug-drug interactions
✔✔pt received PPSV23 vaccine and wants to know if they need any additional vaccine -
✔✔PVC20 at least 1 year after PPSV23
✔✔primary lesion - ✔✔develops on previously unaltered skin
✔✔secondary lesion - ✔✔lesion changes overtime or occurs when primary is scratched,
or becomes infected
✔✔macule - ✔✔circumscribed, flat, different color & texture
<1cm
ex: freckles, petechiae, moles
✔✔patch - ✔✔large macule >1cm
ex: mongolian spot, cafe au lait spot (>6 refer)
✔✔papule - ✔✔small solid elevated, <1cm
ex: ant bite, elevated mole, wart
,✔✔plaque - ✔✔scaly elevation of skin, >1cm
ex: psoriasis
✔✔pustule - ✔✔accumulation of PURULENT fluid, <1cm
ex: acne, impetigo
✔✔vesicle - ✔✔circumscribed elevation of skin, SEROUS fluid, <1cm
ex: HSV, varicella, shingles
✔✔nodule - ✔✔solid mass of skin, elevation or can be palpated, >1cm, extended into
dermis (deep)
ex: xanthoma, fibroma
✔✔bulla - ✔✔blister, circumscribed with fluid, >1cm, not irritated, extends only into
epidermis
ex: burns, contact dermatitis, runners
✔✔wheal - ✔✔elevated white/pink compressible papule or plaque, red flare surrounds it
ex: allergic reactions, PPD test, mosquito bites
✔✔cysts - ✔✔closed cavity or sac, fluid or semisolid material, normal or abnormal
epithelium
ex: sebaceous, ganglion
✔✔abscess - ✔✔localized collection of purulent fluid in a cavity formed by necrosis of
tissues, >1cm
✔✔tumor - ✔✔mass, >few cm, firm or soft, benign or malignant
✔✔annular - ✔✔circular
ex; tinea corporis, SLE
✔✔confluent - ✔✔run together
ex: measles, urticaria
✔✔grouped - ✔✔cluster
ex: HSV, shingles
✔✔gyrate - ✔✔snakelike, spiral, twisted
ex: scabies, drug reaction
✔✔linear - ✔✔streak, line, stripe
ex: contact dermatitis, scratching
, ✔✔polycyclic - ✔✔annular lesions merge
ex: SLE, erythema multiforme
✔✔solitary/discrete - ✔✔individual and distinct
ex: warts, ringworm
✔✔target (iris) - ✔✔iris of eye, concentric rings of color
ex: lyme disease, erythema multiforme
✔✔zosteriform - ✔✔linear along nerve route
Ex: shingles, HSV
✔✔acne - ✔✔most common skin disorder
✔✔comodones - ✔✔open: blackheads- capped with black skin debris
closed: whiteheads- obstructed openings
✔✔acne s/sx - ✔✔pustules, papules, comedones, cysts, nodules, scarring
✔✔acne non pharm tx - ✔✔mild soap several times/day, avoid oil based topicals,
cleansers, moisturizers
✔✔acne pharm tx comedolytics - ✔✔similar effects after 90 days***
-benzoyl peroxide: bactericidal
-salicylic acid: exfoliator, decrease comedone formation
-azelaic acid: bactericidal & decrease comedone formation
-Tretinoin (Retin-A): increase risk of sunburn, preg C
-Adapalene (Differin): spot tx, < skin irritation, PREG C
-Tazarotene (Tazorac): expensive, PREG X
✔✔tretinonin (Retin-A), adapalene (Differin), & Tazarotene (tazorac) pregnancy
categories - ✔✔Tretinoin- C
Adapalene- C
Tazarotene- X
✔✔acne combination agents tx - ✔✔comedolytics + antibiotics
-benzoyl peroxide + erythromycin (benzamycin): must refrigerated
-benzoyl peroxide gel + clindamycin (benzaclin)
benzoyl peroxide + drying agent- sulfacetamide sulfur
✔✔acne topical abx - ✔✔#1 clindamycin
QUESTIONS SET A+
✔✔theophylline MOA - ✔✔cause bronchodilation by relaxing smooth muscles of bronchi
and pulmonary blood vessels in treatment of COPD
✔✔theophylline: caution in patients with? - ✔✔active peptic ulcer disease, seizure
disorder, or cardiac arrhythmias
✔✔theophylline is not commonly used because of - ✔✔limited potency, narrow
therapeutic window, high risk profile, & frequent drug-drug interactions
✔✔pt received PPSV23 vaccine and wants to know if they need any additional vaccine -
✔✔PVC20 at least 1 year after PPSV23
✔✔primary lesion - ✔✔develops on previously unaltered skin
✔✔secondary lesion - ✔✔lesion changes overtime or occurs when primary is scratched,
or becomes infected
✔✔macule - ✔✔circumscribed, flat, different color & texture
<1cm
ex: freckles, petechiae, moles
✔✔patch - ✔✔large macule >1cm
ex: mongolian spot, cafe au lait spot (>6 refer)
✔✔papule - ✔✔small solid elevated, <1cm
ex: ant bite, elevated mole, wart
,✔✔plaque - ✔✔scaly elevation of skin, >1cm
ex: psoriasis
✔✔pustule - ✔✔accumulation of PURULENT fluid, <1cm
ex: acne, impetigo
✔✔vesicle - ✔✔circumscribed elevation of skin, SEROUS fluid, <1cm
ex: HSV, varicella, shingles
✔✔nodule - ✔✔solid mass of skin, elevation or can be palpated, >1cm, extended into
dermis (deep)
ex: xanthoma, fibroma
✔✔bulla - ✔✔blister, circumscribed with fluid, >1cm, not irritated, extends only into
epidermis
ex: burns, contact dermatitis, runners
✔✔wheal - ✔✔elevated white/pink compressible papule or plaque, red flare surrounds it
ex: allergic reactions, PPD test, mosquito bites
✔✔cysts - ✔✔closed cavity or sac, fluid or semisolid material, normal or abnormal
epithelium
ex: sebaceous, ganglion
✔✔abscess - ✔✔localized collection of purulent fluid in a cavity formed by necrosis of
tissues, >1cm
✔✔tumor - ✔✔mass, >few cm, firm or soft, benign or malignant
✔✔annular - ✔✔circular
ex; tinea corporis, SLE
✔✔confluent - ✔✔run together
ex: measles, urticaria
✔✔grouped - ✔✔cluster
ex: HSV, shingles
✔✔gyrate - ✔✔snakelike, spiral, twisted
ex: scabies, drug reaction
✔✔linear - ✔✔streak, line, stripe
ex: contact dermatitis, scratching
, ✔✔polycyclic - ✔✔annular lesions merge
ex: SLE, erythema multiforme
✔✔solitary/discrete - ✔✔individual and distinct
ex: warts, ringworm
✔✔target (iris) - ✔✔iris of eye, concentric rings of color
ex: lyme disease, erythema multiforme
✔✔zosteriform - ✔✔linear along nerve route
Ex: shingles, HSV
✔✔acne - ✔✔most common skin disorder
✔✔comodones - ✔✔open: blackheads- capped with black skin debris
closed: whiteheads- obstructed openings
✔✔acne s/sx - ✔✔pustules, papules, comedones, cysts, nodules, scarring
✔✔acne non pharm tx - ✔✔mild soap several times/day, avoid oil based topicals,
cleansers, moisturizers
✔✔acne pharm tx comedolytics - ✔✔similar effects after 90 days***
-benzoyl peroxide: bactericidal
-salicylic acid: exfoliator, decrease comedone formation
-azelaic acid: bactericidal & decrease comedone formation
-Tretinoin (Retin-A): increase risk of sunburn, preg C
-Adapalene (Differin): spot tx, < skin irritation, PREG C
-Tazarotene (Tazorac): expensive, PREG X
✔✔tretinonin (Retin-A), adapalene (Differin), & Tazarotene (tazorac) pregnancy
categories - ✔✔Tretinoin- C
Adapalene- C
Tazarotene- X
✔✔acne combination agents tx - ✔✔comedolytics + antibiotics
-benzoyl peroxide + erythromycin (benzamycin): must refrigerated
-benzoyl peroxide gel + clindamycin (benzaclin)
benzoyl peroxide + drying agent- sulfacetamide sulfur
✔✔acne topical abx - ✔✔#1 clindamycin
