AGNP AANP ALL EXAMS SCRIPTED ANSWERS AND
QUESTIONS SET A+
✔✔tinea manuum tx - ✔✔hand/palm, tx with ALUMINUM SUBACETATE SOL SOAKS
✔✔tinea versicolor - ✔✔hypo/hyperpigmentation macules in limbs
fungal infx of skin d/t pityrosporum orbiculare
✔✔tinea versicolor tx - ✔✔topical selenium sulfide (head & shoulders for body wash),
topical antifungals
✔✔eczema (atopic dermatitis) tx - ✔✔clobetasol cream/lotion, topical steroids
✔✔psoriasis / HIV - ✔✔may present as first sign of HIV infection (explosive onset)
especially if no hx of psoriasis = red flag for HIV
✔✔auspitz sign - ✔✔droplets of blood when scales removed in psoriasis
✔✔pityriasis rosea - ✔✔pruritic rash on trunk and extremities, "herald patch", lesions
follow christmas tree pattern
✔✔pityriasis rosea eruption lasts? - ✔✔4-8 weeks (same as holiday season)
✔✔pityriasis rosea vs syphillis - ✔✔red flag for syphilis if NOT itchy and presents on
palmar or plantar surfaces
✔✔xanthelasma - ✔✔yellow plaques as a result of fat build up under the skin, usually
near the inner canthus; hyperlipidemia is the underlying cause;
located in medial side of upper eyelids, does not affect function of eyelids, but ptosis
can occur
,✔✔lyme disease vs rocky mountain spotted fever - ✔✔lyme
-deer ticks, 24-48hrs for tick to feen and transmit
-"bulls eye"
-ELISA = initial test
-Western blot = confirmatory test
-tx: doxy
-erythema migrans = early Lyme dz
Rocky
-tick bites, 24hrs for R. rickettsii to transmit
-joint pain, flu like
-PCR testing
-tx: doxy
✔✔lichen planus - ✔✔itchy Wickham's striae with purple flat bump, consider Hep C
antibody test, painful around mouth or on genitals
✔✔smallpox - ✔✔sudden onset of flu like s/sx, rash appear flat & red, within 2 days
lesions turn into small blisters filled with clear fluid and later with pus
pain is excruciating
✔✔smallpox distribution - ✔✔centrifugal distribution- greatest on face and distal
extremities
✔✔smallpox tx - ✔✔no cure once infected, isolate pt to prevent spread
vaccine before infection
✔✔anthrax - ✔✔bacillus anthracis aka spores (not fungal); cutaneous most common vs
inhaled
after 1-2 weeks, eschar dries, loosens, separates, leaving permanent scar
✔✔anthrax inhalation - ✔✔prodromal- non specific flu sx of fever, dyspnea, malaise,
myalgia
fulminant- fever, diaphoresis, septic shock
✔✔anthrax tx - ✔✔vaccine, PCN, cipro, report to health department
✔✔verruca vulgaris - ✔✔common warts
✔✔plantar wart RF - ✔✔barefoot in public showers
, ✔✔condyloma aka - ✔✔wart aka cauliflower
✔✔wart tx - ✔✔salicyclic acid, tretinoin cream, liquid nitrogen, or electrocautery
aka burn, freeze, cut, sx or cream
✔✔allergic skin reaction tx - ✔✔antihistamine (H1 or H2) - careful giving antihistamines
in elderly
✔✔frost bite tx - ✔✔soak in water at 100F
✔✔common skin tx - ✔✔steroids, mupirocin, & doxy
✔✔meningococcemia - ✔✔purple dark red painful lesions all over body, acute onset
high fever, HA, LOC changes
rifampin for close contacts
✔✔DM 1 patho - ✔✔associated with presence of human leukocyte antigens (HLA-DR3
or HLA-DR4); autoantibodies against glutamic acid decarboxylase (GAD-65)
ketone development usually occurs
✔✔metabolic syndrome criteria - ✔✔requires 3 out of 5:
-waist >40 in in men, >35 in women
-BP >130/85
-Triglycerides >150
-FBG >100
-HDL <40 in men, <50 in women
✔✔DM2 s/sx - ✔✔insidious hyperglycemia, recurrent vaginitis, neuropathies
✔✔DM labs/dx - ✔✔fasting (8+ hrs) blood glucose >126 on more than one occasion OR
random glucose >200 w/ s/sx hyperglycemia (polyuria, polydipsia, weight loss)
OR
Oral glucose tolerance test (OGTT) plasma glucose >200 2 hours after glucose load of
1.75g/kg
OR
hgbA1cC >6.5; norm <5.7; preDM 5.7-6.4
✔✔DM management - ✔✔analyze baseline studies
✔✔insulin onsets & peaks - ✔✔rapid:
-lispro/aspart/glulisine
QUESTIONS SET A+
✔✔tinea manuum tx - ✔✔hand/palm, tx with ALUMINUM SUBACETATE SOL SOAKS
✔✔tinea versicolor - ✔✔hypo/hyperpigmentation macules in limbs
fungal infx of skin d/t pityrosporum orbiculare
✔✔tinea versicolor tx - ✔✔topical selenium sulfide (head & shoulders for body wash),
topical antifungals
✔✔eczema (atopic dermatitis) tx - ✔✔clobetasol cream/lotion, topical steroids
✔✔psoriasis / HIV - ✔✔may present as first sign of HIV infection (explosive onset)
especially if no hx of psoriasis = red flag for HIV
✔✔auspitz sign - ✔✔droplets of blood when scales removed in psoriasis
✔✔pityriasis rosea - ✔✔pruritic rash on trunk and extremities, "herald patch", lesions
follow christmas tree pattern
✔✔pityriasis rosea eruption lasts? - ✔✔4-8 weeks (same as holiday season)
✔✔pityriasis rosea vs syphillis - ✔✔red flag for syphilis if NOT itchy and presents on
palmar or plantar surfaces
✔✔xanthelasma - ✔✔yellow plaques as a result of fat build up under the skin, usually
near the inner canthus; hyperlipidemia is the underlying cause;
located in medial side of upper eyelids, does not affect function of eyelids, but ptosis
can occur
,✔✔lyme disease vs rocky mountain spotted fever - ✔✔lyme
-deer ticks, 24-48hrs for tick to feen and transmit
-"bulls eye"
-ELISA = initial test
-Western blot = confirmatory test
-tx: doxy
-erythema migrans = early Lyme dz
Rocky
-tick bites, 24hrs for R. rickettsii to transmit
-joint pain, flu like
-PCR testing
-tx: doxy
✔✔lichen planus - ✔✔itchy Wickham's striae with purple flat bump, consider Hep C
antibody test, painful around mouth or on genitals
✔✔smallpox - ✔✔sudden onset of flu like s/sx, rash appear flat & red, within 2 days
lesions turn into small blisters filled with clear fluid and later with pus
pain is excruciating
✔✔smallpox distribution - ✔✔centrifugal distribution- greatest on face and distal
extremities
✔✔smallpox tx - ✔✔no cure once infected, isolate pt to prevent spread
vaccine before infection
✔✔anthrax - ✔✔bacillus anthracis aka spores (not fungal); cutaneous most common vs
inhaled
after 1-2 weeks, eschar dries, loosens, separates, leaving permanent scar
✔✔anthrax inhalation - ✔✔prodromal- non specific flu sx of fever, dyspnea, malaise,
myalgia
fulminant- fever, diaphoresis, septic shock
✔✔anthrax tx - ✔✔vaccine, PCN, cipro, report to health department
✔✔verruca vulgaris - ✔✔common warts
✔✔plantar wart RF - ✔✔barefoot in public showers
, ✔✔condyloma aka - ✔✔wart aka cauliflower
✔✔wart tx - ✔✔salicyclic acid, tretinoin cream, liquid nitrogen, or electrocautery
aka burn, freeze, cut, sx or cream
✔✔allergic skin reaction tx - ✔✔antihistamine (H1 or H2) - careful giving antihistamines
in elderly
✔✔frost bite tx - ✔✔soak in water at 100F
✔✔common skin tx - ✔✔steroids, mupirocin, & doxy
✔✔meningococcemia - ✔✔purple dark red painful lesions all over body, acute onset
high fever, HA, LOC changes
rifampin for close contacts
✔✔DM 1 patho - ✔✔associated with presence of human leukocyte antigens (HLA-DR3
or HLA-DR4); autoantibodies against glutamic acid decarboxylase (GAD-65)
ketone development usually occurs
✔✔metabolic syndrome criteria - ✔✔requires 3 out of 5:
-waist >40 in in men, >35 in women
-BP >130/85
-Triglycerides >150
-FBG >100
-HDL <40 in men, <50 in women
✔✔DM2 s/sx - ✔✔insidious hyperglycemia, recurrent vaginitis, neuropathies
✔✔DM labs/dx - ✔✔fasting (8+ hrs) blood glucose >126 on more than one occasion OR
random glucose >200 w/ s/sx hyperglycemia (polyuria, polydipsia, weight loss)
OR
Oral glucose tolerance test (OGTT) plasma glucose >200 2 hours after glucose load of
1.75g/kg
OR
hgbA1cC >6.5; norm <5.7; preDM 5.7-6.4
✔✔DM management - ✔✔analyze baseline studies
✔✔insulin onsets & peaks - ✔✔rapid:
-lispro/aspart/glulisine
