AANP FNP certification REVISED VERIFIED 100% SOLUTIONS A+ 2024

AANP FNP certification REVISED VERIFIED 100% SOLUTIONS All diastolic murmurs are pathological. Murmurs Grades I-barely II-audible III- clearly audible. IV- first time thrill V-Steth edge VI-entire steth. EXAM - ANSWER III first time audible, IV first time thrill Fundal height 12 weeks - ANSWER Fundal Height 12 weeks above symphysis pubis. EXAM Fundus 16 weeks between symphysis pubis and umbilicus. Fundus at 20 weeks is at umbilicus. 2 cm more of less from # of wk gestation is normal if more or less order US 3 month old infant with down syndrome, due to milk intolerance, mom started on goats milk; now has pale conjunctiva but otherwise healthy. Low HCT. What additional test would you order? - ANSWER Iron, TIBC 3 months of synthroid, TSH increased, T4 normal, what do you do? - ANSWER Increase Medication 3 ways to assess cognitive function in patient with signs/symptoms of memory loss - ANSWER Mini mental exam 4 month old with strabismus, mom is worried...... - ANSWER tell her it is normal. 4 month old wont keep anything down, what is the main thing you look at? - ANSWER Growth chart 6 month old closed anterior fontanel. - ANSWER XRAY Abnormal cells on PAP, what do you do next? - ANSWER Refer for Colposcopy CAGE ACRONYM - ANSWER Cut down Annoyed by criticism Guilty about drinking Eye opener drink Causes of tachycardia - ANSWER Fever Anemia Hypotension Cranial nerves responsible for extraocular eye movements - ANSWER CN 3,4,6 Definition of metabolic syndrome - ANSWER cluster of conditions that increase risk of heart disease, stroke, diabetes. diagnose trichomoniasis - ANSWER wet prep Elderly presents with atrophic vaginitis, small uterus, palpable 4x5 ovary, what do you do next? - ANSWER Pelvic US Epistaxis is most common in the area of the nose known as kiesselbachs triangle, where is this located? - ANSWER Anterior septum Definitive diagnosis of acute bacterial prostatitis - ANSWER urinalysis and culture GERD treatment - ANSWER H2 is first line, give hs Grade 3 cells on Pap, treatment? - ANSWER LEEP excision Fingernail hematoma treatment? - ANSWER drill hole and drain blood? Increased risk of ectopic pregnancy - ANSWER Salpingitis, or history of abortion, PID, Koplick spots - ANSWER Measles (rubeola). Grains of salt lesions inside mouth in Measles Koplick spots - ANSWER Measles (rubeola). Grains of salt lesions inside mouth in Measles Legg-Calve-Perthes Disease - ANSWER Avascular necrosis of the proximal femoral head Lipid level of 1500, increased risk for? - ANSWER Pancreatitis Low HGB, Low HCT, High MCV indicates what? - ANSWER Macrocytic anemia, B12 Def Man with BPH, prostate feels on digital exam? - ANSWER Enlarged, symmetrical, smooth Man with HTN, CAD, present femoral pulses but absent pedal - ANSWER Arterial Insufficiency McMurray's Sign (+) palpable or audible click while extending with varus stress - ANSWER Meniscus tears Lachman's Test - ANSWER pivot shift test (ACL tear) Newborn with foot turned in, what do you do? - ANSWER refer to orthopedist Osgood-Schlatter disease - ANSWER Knee pain. inflammation or irritation of the tibia at its point of attachment with the patellar tendon Patient forgot to start Thanksgiving dinner and husband states she has trouble remembering tasks and trouble with organization. What is this indicative of? - ANSWER Alzheimer's Pt has Barretts Esophagus, insurance no longer covers GI who was treating condition. Pt at FNP office wanting refill prescriptions. What do you do? - ANSWER Refer to oncologist Pt presents with rash on shoulder, erythematous maculopapular rash with center clearing and scaling? - ANSWER Tinea Corporis