Family Nurse Practitioner Exam ANCC 2023

Family Nurse Practitioner Exam ANCC 2023 Karposi Sarcoma - ANS-Characteristic purple areas on the nose in an HIV-positive female. A type of cancer that can form in the skin, lymph nodes, or other organs. The skin lesions are usually purple in color. Malodorous single nare - ANS-Foreign body Retinal Detachment - ANS-the retina separates from the layer underneath. Symptoms include an increase in the number of floaters, flashes of light, and worsening of the outer part of the visual field. Adolescent with friable nasal turbinates - ANS-Cocaine use Aphthous ulcer - ANS-a recurrent round or oval sore or ulcer inside the mouth on an area where the skin is not tightly bound to the underlying bone, such as on the inside of the lips and cheeks or underneath the tongue. Aphthous ulcers can also affect the genitalia in males and females. GERD first line tx - ANS-h2 then ppi if doesnt work Maxillary Sinusitis - ANS-Dental pain Kasmaul Triangle - ANS-Anterior epitaxis Roseola infantum - ANS-H. fever => small pink dots pink or raised body rash => arms Acne Roscaca - ANS-"adult acne." most often in adults (30-50 years of age). Unlike acne vulgaris, rosacea is devoid of blackheads and characteristically does not resolve after puberty. Rosacea strikes both sexes and potentially all ages. It tends to be more frequent in women but more severe in men. It is very uncommon in children, and it is less frequent in people with dark skin. Tx with Flagyl AV Nicking - ANS-HTN, arteries crossing veins Blepharitis - ANS-commonly occurs when the tiny oil glands of the inner eyelid become inflamed. It often occurs along with other skin conditions or allergies. Symptoms include red, itchy eyelids that may look greasy and crusted. Dry eyes also are a symptom. Treatments include cleaning the eyelids, antibiotic or steroid eye drops and treating underlying conditions. However, blepharitis tends to come back. Hordelum - ANS-Painful stye it hurts chalazion - ANS-Non painful lesion to eyelid Cotton Wool - ANS-Cotton wool spots are an abnormal finding on funduscopic exam of the retina of the eye. They appear as fluffy white patches on the retina. They are caused by damage to nerve fibers and are a result of accumulations of axoplasmic material within the nerve fiber layer. Systemic HTN, DM Herpes Zoster - ANS-Early signs of shingles include a burning sensation or stabbing pain and tingling or itching on the skin. After a few days, a rash or blisters appear usually on one side of the body or face. When the rash is at its peak, symptoms can range from mild itching to extreme and debilitating pain. Tx within 72 hours Aclovir Retinoblastoma (Rb) - ANS-Absence of light reflex, it is a rare form of cancer that rapidly develops from the immature cells of a retina, the light-detecting tissue of the eye. It is the most common primary malignant intraocular cancer in children, and it is almost exclusively found in young children. Seborrheic dermatitis (Dandruff) - ANS-commonly involves portions of the scalp, brows, mid-face, ears, mid-chest, and mid-back. It is not unusual for it to affect the skin of infants and young children where it often involves the scalp (cradle cap) and the diaper area. Seborrheic dermatitis is also known as seborrhea. Seborrheic Keratosis - ANS-A seborrhoeic keratosis is a harmless warty spot that appears during adult life as a common sign of skin aging. ... Seborrhoeic keratosis (or seborrheic keratosis, using American spelling) is also called SK, basal cell papilloma, senile wart, brown wart or barnacle. Cupping of disc - ANS-Intracranial pressure subconjunctival haemorrhage - ANS-is bleeding underneath the conjunctiva. It can occur after a sudden or severe sneeze or cough, heavy lifting, straining, vomiting or even rubbing one's eyes too roughly. It can also occur as a side effect of eye surgery or blood thinners. The main symptom is a bright red patch in the eye that may spread and then become green or yellow, much like a bruise. Usually it disappears within two weeks. In most cases, no treatment is required for this condition. Sialolithiasis (also termed salivary calculi, or salivary stones) - ANS-A condition where a calcified mass or sialolith forms within a salivary gland, usually in the duct of the submandibular gland (also termed "Wharton's duct"). Honey Crusted lesions - ANS-Impetigo is a bacterial infection that involves the superficial skin.The most common presentation is yellowish crusts on the face, arms, or legs.Less commonly there may be large blisters which affect the groin or armpits. The lesions may be painful or itchy. Fever is uncommon. It is typically due to either Staphylococcus aureus or Streptococcus pyogenes. Risk factors include attending day care, crowding, poor nutrition, diabetes mellitus, contact sports, and breaks in the skin such as from mosquito bites, eczema, scabies, or herpes. With contact it can spread around or between people.Diagnosis is typically based on the symptoms. Prevention is by hand washing, avoiding people who are infected, and cleaning injuries. Treatment is typically with antibiotic creams such as mupirocin or fusidic acid. Antibiotics by mouth, such as cephalexin, may be used if large areas are affected. Antibiotic-resistant forms have been found. Mild acne - ANS-Skin wash retinol benzol moderate acne - ANS-retinol plus tetracylines oral abx Retinol reaction - ANS-decrease to 3 times a day Well demarcated cellulitis - ANS-erysipelas affects the dermis, most commonly on the legs, and tends to be sharply demarcated. Cellulitis, which typically affects the lower legs, involves the subcutaneous fat and is often less well demarcated. ... The diagnosis of cellulitis or erysipelas is usually clinical. polymyalgia rheumatica - ANS-you feel pain and stiffness in the muscles in your shoulders and upper arms (shoulder girdle) and hips (pelvic girdle). This feeling often comes after you've spent time resting, and is most severe upon wakening from sleep. Fibromyalgia - ANS-can also cause muscle pain in the same parts of the body. But it's more wide-spread and the pain is more severe. People with fibromyalgia tend to experience other symptoms as well, including: tiredness trouble sleeping memory problems bowel and bladder problems Temporal arteritis - ANS-is a condition in which the temporal arteries, which supply blood to the head and brain, become inflamed or damaged. It is also known as cranial arteritis or giant cell arteritis. Although this condition usually occurs in the temporal arteries, it can occur in almost any medium to large artery in the body. Temporal arteritis - ANS-ESR CRP Biopsy Temporal arteritis - ANS-S/SX double vision sudden, permanent loss of vision in one eye a throbbing headache that's usually in the temples fatigue weakness loss of appetite jaw pain, which sometimes can occur with chewing fever unintentional weight loss shoulder pain, hip pain, and stiffness tenderness in the scalp and temple areas Basal Cell carcinoma - ANS-Most common form herpes keratosis - ANS-acute onset, photophobia, blurred vision refer to ophthalmologist Pinworms - ANS-itching at rectum, worst at noc, scotch tape, also known as enterobiasis Cellulitis worsening - ANS-Suspect DVD Millia - ANS-white spots on mouth w/ infants Kawasaki Disease - ANS-Redeye, strawberry pharnyx, rash on body, edema hands and feet t's most common in infants and young children. Early stages include a rash and fever. Symptoms include high fever and peeling skin. In late stages, there may be inflammation of medium-sized blood vessels (vasculitis). It also affects lymph nodes, skin and mucous membranes, such as inside the mouth. Kawasaki disease is usually treatable. Initial treatments include aspirin and intravenous immunoglobulin therapy given in a medical facility. Critical: consult a doctor for medical advice varicella - ANS-chicken pox rash crusted "vesicles" Herald Patch - ANS-Pityriasis rosea is a viral rash which lasts about 6-12 weeks. It is characterised by a herald patch followed by similar, smaller oval red patches that are located mainly on the chest and back. 3 types of hand rashes - ANS-FHand mouth, sypillis, RMSD Bulls eye lesion - ANS-Lymes Disease, Doxy x 21 days Hand Foot Mouth - ANS-cocsacki virus Syphillis - ANS-palm of hand, RPR test, tx w/ penicillin Rash on shoulder(body) - ANS-Tinea Corpius CONTINUES...