AANP FNP CERTIFICATION WITH 100% VERIFIED ANSWERS(REVISED)

AANP FNP CERTIFICATION WITH 100% VERIFIED ANSWERS(REVISED) #1 dig toxicity sx - anorexia 1st line asthma meds - 1. ICS 2. LABA 3. Leukotriene inhibitors 4. Mast cell stabilizers 5. Methylxanthines 6. Immunomodulators 1st line tx for all bursitis forms except for prepatellar - NSAIDs, rest, ice, eliminating the offending activity. If refractory after 4-8 weeks, corticosteroid injection should be performed 1st line tx for COPD - 1. Inhaled anticholinergics AND/OR LABA 2. ICS OR Systemic corticoseroids 3. Theophylline 1st line tx for prepatellar bursitis - bursal aspiration 2 month development - Follows objects past midline, coos, lifts head, smiles 2 year development - 2-3 word setences. Simple commands. Knows first name. Copy straight line. Jumps w/ both feet, runs 2nd most common type of dementia - Dementia with lewy bodies. " Visual hallucinations, cognitive fluctuations, parkinsonism. 3 year development - Copies circle. Knows 3 numbers and 3 colors. Speech understood by strangers. Phallic stage. Group play. Walks backward, hops on 1 foot. Gives 1st and last name 4 subtypes of rosacea - 1. erythematotelangiectatic: central flushing w/burn + sting. 2. Papulopustular: central flushing w/papules + pustules. Usu. middle aged women 3. Phymatous: marked skin thickenings + nodularities, esp on nose 4. Ocular: blepharitis, conjunctivities, lid inflammation, telangiectasias 5 potent inhibitors of cytochrome P450 system - 1. Macrolides 2. Antifungals 3. Cisapride (no longer available) 4. Cimetidine (Tagament) 5. Citalopram (Celexa) 5 year development - Copies square. Dresses self. Skipping, hopping. 6 drugs with narrow therapeutic index - 1. Warfarin: monitor INR 2. Digoxin: Monitor dig level, electrolytes 3. Theophylline: monitor blood levels 4. Carbamazepine / phenytoin: monitor blood levels 5. Levothyroxine: monitor TSH 6. Lithium: monitor blood levels and TSH (can cause hypothyroidism) 6 month development - Palmar grasp, reaches, bring things to mouth, pass things from one hand to another, sits up on own, turns belly-back-belly 6 year development - Copies trinagle, diamond (7). Ties shoes. 9 month development - pincer grasp, pulls to stand, peek a boo, report absence of babble or inabilty to sit alone. Follows simple one-step command (9-11mo) 12 month development - Bye bye, walks, mama, dada, check for anemia, lead poisoning. Report inability to transfer, or weight bearing. 15 month development - Spoon, cup, walk, follows 2-step commands, knows 4-6 words, up stairs w/help 18 month development - Walk up steps, turns pages, body parts. 50 over 50 murmur - Aortic sclerosis. Asymptomatic Found in 50% of adults 50 AANP FNP - Abrnomal red reflex - Black or white. Retinoblastoma, cataracts, osteogenesis perfecta. White specks in down syndrome. Absence seizure - Petite mall, staring. Absolute contraindications of combination BC - DVt, bleeding disorder, major surgery, smoker over 35, migraines with focal neuro changes, CAD or CVA, undiagnosed bleeding, pregnancy, liver tumor, estrogen depednet tumor. MYCUPLETS Abx for AOM - Amoxicillin or if PCN allergic, cefdinir/cefuroxine Abx to avoid late in pregnancy - tetracyclines, nitrofurantoin (very end/also do not use in G^PD anemia)), sulfa drugs. acamprosate MOA ETOH abuse - reduce alcohol craving ACCF/AHA Stage A - At high risk for HF but without structural heart disease or symptoms of HF ACCF/AHA Stage B - Structural heart disease but without signs or symptoms of HF ACCF/AHA Stage C - Structural heart disease with prior or current symptoms of HF ACCF/AHA Stage D - Refractory HF requiring specialized interventions According to MEC, Absolute contraindications to COC - Hormonal CA in past 5 years Postpartum 21 days Liver dysfunction Migraine w/aura DVT risk, incl. HTN Moderate to severe cardiac dz or stroke hx Age 35, smokes 15cigs/day acral letiginous melanoma - most common melanoma in AA and Asian patients. Dark spots on nailbeds (longitudinal black/brown bands), palmar and plantar surfaces Active Hep. A. - Anti-HAV, IgM (IgM--immediate). Fecal/oral