AANP Certification Exam 2023 With Complete Solution Graded and Already Passed.

diverticulum can be an infection of - CORRECT ANS both gram - and + bacteria Which diuretic should be used for osteoporosis? - CORRECT ANS Thiazide diuretics: slows the kidneys excretion of calcium and increases reabsorption Lachman maneuver - CORRECT ANS knee instability tear of ACL Infections of labia and vagina - CORRECT ANS bacterial vaginosis, candidiasis, and trichomoniasis Chlamydia affects - CORRECT ANS cervix, endometrial lining, fallopian tubes, pelvic cavity Acute abdomen symptoms - CORRECT ANS involuntary guarding, rebound tenderness, board-like abdomen, +obturator and psoas sign Care of preecplampsia - CORRECT ANS bed rest, weight and blood pressure monitoring Preeclampsia labs - CORRECT ANS urine protein, serum protein, creatinine, platelet count Preeclampsia symptoms - CORRECT ANS hypertension, proteinuria, edema (weight gain) Preeclampsia complications - CORRECT ANS placental abruption, coagulopathy (DIC), renal failure, uteroplacental insufficiency, liver failure, hypertensive encephalopathy, retinal detachment, pulmonary edema, seizure, death community acquired pneumonia Most common bacteria least common bacteria Population treatment - CORRECT ANS mycolpasma pneumoniae (atypical) h. influenza, strep pneumoniae atypical: psuedomonas aeruginosa college student, school children, military macrolides: azithromycin, clarithromycin Mantoux test - CORRECT ANS Positive: 5mm Positive for recent immigrants: 10mm Murphy's sign - CORRECT ANS biliary disorders deep inspiration by patient and deep palpation RUQ below costovertebral angle placenta previa - CORRECT ANS implantation of the placenta over the cervical opening or in the lower region of the uterus painless bright red blood in the second or third trimester Order abdominal US Hashimoto's is most common in which population - CORRECT ANS middle age to older women Hypertension Retinopathy - CORRECT ANS AV nicking and copper or silver wire arterioles flame-shaped hemorrhages threatened abortion - CORRECT ANS vaginal bleeding and cramping, soft uterus, cervix closed bacterial vaginosis - CORRECT ANS fishy odor, milky white or dull gray discharge pH > 4.5 > 20% clue cells KOH whiff test squamous cells dotted with lots of bacteria that obscure borders - CORRECT ANS clue cells Lichen sclerosis - CORRECT ANS skin disease, white spots appear over time, most common genital and rectal most common in older woman itching, discomfort, bleeding order biopsy AV valves - CORRECT ANS mitral and tricuspid semilunar valves - CORRECT ANS pulmonary and aortic S1 - CORRECT ANS systole closure of AV valves mitral regurgitation aortic stenosis S2 - CORRECT ANS diastole closure of semilunar valves mitral stenosis aortic regurgitation S3 - CORRECT ANS normal variant in children, healthy young adults, and athletes heart failure early diastole S4 - CORRECT ANS left ventricle hypertrophy late diastole Tanner Stages Males: II - CORRECT ANS no changes to penis, testes enlarge Pubic hair is sparse and straight Tanner Stages Males: III - CORRECT ANS penis lengthens hair darker and starts to curl Tanner Stages Males: IV - CORRECT ANS penis increases in length and width hair coarse, not yet on medial thigh Tanner Stages Females: II - CORRECT ANS breast buds pubic hair sparse and straight Tanner Stages Females: III - CORRECT ANS breast tissue and areola in one mound hair darker, starts to curl Tanner Stages Females: IV - CORRECT ANS areola separates and forms a secondary mound hair coarse, not on medial thigh yet TORCH infections - CORRECT ANS Toxoplasmosis Other Rubella Cytomegalovirus Herpes osteoarthritis vs rheomatoid arthritis - CORRECT ANS OA: stiffness, heberden's nodes, increase age, overuse, family history RA: relies more on labs, increased ESR, Bouchard's nodes, fatigue, fever, body aches drawer test - CORRECT ANS instability of the knee mediolateral and anteroposterior plane torn or ruptured ligament fundal height 12 weeks - CORRECT ANS just above pubic bone fundal height 20 weeks - CORRECT ANS level of umbilicus fundal height 20-35 weeks - CORRECT ANS number of weeks gestation +/- 2 cm apraxia - CORRECT ANS loss of ability to perform purposeful movements in the absence of sensory or motor damage ectopic pregnancy - CO