AANP Exam Review Questions With
Complete Solution
A mother complains that her 3 mth old infant becomes constipated easily. Using
suppositories makes her fussy and have diarrhea stools. What is your
recommendation? - Encourage adding 1-2 tsp Karo syrup to bottle BID. Corn syrup
will act as osmotic agent to increase water concentration of fecal material,
stimulating peristalsis which causes a BM.
A father brings his AA to the NP because he has an umbilical hernia and wants to
know if that is normal at 3 y/o. The hernia is easily reducible and has not increased
in size. How do you respond? - This is a normal finding in your child and will
probably resolve by 5 y/o. In the AA population it may remain until age 7. UH is
common is most populations up to 2 y/o.
Functions of aging - Iron, folic acid, and Vit B-12 decreased absorption /p 80 y/o.
Loss of muscle mass in both genders but more common in men. Increase of adipose
tissue. Total body water decreases (increased risk for dehydration) and metabolism
and O2 consumption decreases (decreased O2 demand).
Benefits of hormone replacement therapy: - Decreases LDL; raises HDL. Unknown if
it helps to prevent CAD.
Exercise advice for 42 y/o newly diagnosed DM. - Snack prior to exercise; Exercise
most days of the week, but not if BS >300 mg/dl (may worsen hyperglycemia due to
insufficient insulin availability); improves CV fitness and increases insulin secretion
and glucose utilization.
Increases risk for hearing loss in child include: - intrauterine infection ; LBW <1500
grams; family history of hearing loss; use of ototoxic drugs; head trauma; viral
meningitis; and hyperbilirubinemia.
Cri du chat - AKA 5p- (5p minus) syndrome, is a chromosomal condition that results
when a piece of chromosome 5 is missing.
Symptoms:
Cry that is high-pitched and sounds like a cat
Downward slant to the eyes
Low birth weight and slow growth
Low-set or abnormally shaped ears
Mental retardation (intellectual disability)
Partial webbing or fusing of fingers or toes
Single line in the palm of the hand
Skin tags just in front of the ear
Complete Solution
A mother complains that her 3 mth old infant becomes constipated easily. Using
suppositories makes her fussy and have diarrhea stools. What is your
recommendation? - Encourage adding 1-2 tsp Karo syrup to bottle BID. Corn syrup
will act as osmotic agent to increase water concentration of fecal material,
stimulating peristalsis which causes a BM.
A father brings his AA to the NP because he has an umbilical hernia and wants to
know if that is normal at 3 y/o. The hernia is easily reducible and has not increased
in size. How do you respond? - This is a normal finding in your child and will
probably resolve by 5 y/o. In the AA population it may remain until age 7. UH is
common is most populations up to 2 y/o.
Functions of aging - Iron, folic acid, and Vit B-12 decreased absorption /p 80 y/o.
Loss of muscle mass in both genders but more common in men. Increase of adipose
tissue. Total body water decreases (increased risk for dehydration) and metabolism
and O2 consumption decreases (decreased O2 demand).
Benefits of hormone replacement therapy: - Decreases LDL; raises HDL. Unknown if
it helps to prevent CAD.
Exercise advice for 42 y/o newly diagnosed DM. - Snack prior to exercise; Exercise
most days of the week, but not if BS >300 mg/dl (may worsen hyperglycemia due to
insufficient insulin availability); improves CV fitness and increases insulin secretion
and glucose utilization.
Increases risk for hearing loss in child include: - intrauterine infection ; LBW <1500
grams; family history of hearing loss; use of ototoxic drugs; head trauma; viral
meningitis; and hyperbilirubinemia.
Cri du chat - AKA 5p- (5p minus) syndrome, is a chromosomal condition that results
when a piece of chromosome 5 is missing.
Symptoms:
Cry that is high-pitched and sounds like a cat
Downward slant to the eyes
Low birth weight and slow growth
Low-set or abnormally shaped ears
Mental retardation (intellectual disability)
Partial webbing or fusing of fingers or toes
Single line in the palm of the hand
Skin tags just in front of the ear
