AANP FNP Certification Actual Exam Questions and Correct Answers 2023

AANP FNP Certification Actual Exam Questions and Correct Answers 2023 Tanner Stage 2 - ANSWERS-Increased rugae of scrotum, testes enlarge. Breast bud. Straight sparse hair. Tanner Stage 3 - ANSWERS-Penis elongates. Pencil penis. Scrotal color darkens. Breast tissue and areola are one mound. Darkened hair, starts to curl. Tanner 4 - ANSWERS-Penis thickens and increases in size. Areola/nipple separate for secondary mound. Curly hair, not on medial thigh. When does menarche begin? - ANSWERS-After Tanner stage 2, within 1-2 years. Delayed puberty if no secondary sexual characteristics by 12-13 in girls and 14 in boys. Trisomy 21 - ANSWERS-Down Syndrome. Risk with advanced maternal age. Microcephaly, flat nose, hypotonia, simian crease. Marfan's Syndrome - ANSWERS-Pectus excavatum. Tall, wide arm span. Risk of MVP, aneurysm, aortic regurgitation. Do not clear for sports. Turner's Syndrome - ANSWERS-FEMALE. Lymphedema in utero, webbed neck, LD, widely spaced nipples, HTN coarctation of aorta. Klienfelter's Syndrome - ANSWERS-Extra X in males. More feminine. Will see in puberty. Infertile, hypogonadism, low testosterone. Tall, lanky, underdeveloped sexually. Caput succadeum - ANSWERS-Sutures cross midline, spreads. Caphalohematoma - ANSWERS-Sutures do not cross midline, more significant. When does anterior fontanelle close? - ANSWERS-18 months When does posterior fontanelle close? - ANSWERS-2-3 months Abrnomal red reflex - ANSWERS-Black or white. Retinoblastoma, cataracts, osteogenesis perfecta. White specks in down syndrome. Edward's Syndrome - ANSWERS-Trisomy 18. Small mouth. High pitched cry. Newborn screening tests - ANSWERS-PKU (phenylalanine), can lead to hyperactivity and mental retardation. Hypothyroid. If not treated, mental retardation. Sickle cell. Galactessemia, maple smell to urine, septic. Hordeolum - ANSWERS-Stye. Pain, edema. Bacitracin ophthalmic ointment. STD conjunctivitis. - ANSWERS-Emergency. Rocephin for gonorrhea. Gonococcola Ophthamlia Neonatorum - ANSWERS-2-4 days after birth. Red eye, purulent discharge, swollen eyelids. GC culture, Thayer Martin, ROCEPHIN. Chalmydial Ophthalmia Trachoma - ANSWERS-4-10 days after birth. Edematous, red, profuse WATERY discharge that becomes purulent. Azithromycin, erythmocycin. Otitis externa - ANSWERS-Fungal. Odor, black specks. Clotramizole. Pain with tragus/pinna. Corticosporin Sensorineuro hearing loss in PEDS - ANSWERS-Syphilis, acoustic neuroma, aminoglycoside (gentamycin) Epiglottitis - ANSWERS-Bacterial. Thumb sign on x-ray. Croup - ANSWERS-Viral. Steeple sign on x-ray. Bronchioloitis - ANSWERS-RSV, adenovirus. Under 3. Lower respi. URI, fever, nasal flaring, stridor.If a preemie, synegis. Intermittent Asthma peds - ANSWERS-SABA, 2 puffs q 4-6 hours. Peak 30 min-2 hours, lasts 4-6. S. pneumonia (CAP) peds - ANSWERS-Lobar consolidation. Tx with penicillin. H. influenza pneumonia peds - ANSWERS-Lobar consolidation. Amoxicillin or cephalosporin. M. cataralis or mycoplasma - ANSWERS-Linear. Azithromycin. Neurofibromatosis - ANSWERS-Cafe au lait spots. Neurofibromas. Eye nodules. Freckling. Peds IDA - ANSWERS-Slow GI loss, too much whole milk. PICA. Flat shaped nails. Ferritin low. 6-9 month treatments. 3-6 mg/kg day of iron Thalassemia peds - ANSWERS-Asymptomatic. Enlarged spleen, tachypnea, tachycardia, prominence in facial bones. TIBC not increased . Electrophoresis. Sickle Cell Peds - ANSWERS-Vasocclusive crisis. Symptoms in stress, heat, overexerting. Howel Jolly Bodies. Reticulocytosis. Hydrate, oxygenate, pain managemnet. Hemophilia - ANSWERS-Factor VIII. Mother/daughter carry gene but presents in males. Bleed into joints. Lead Poisoning - ANSWERS-Over 10 refer. IDA. Butonion line, gingival border. Kelation therapy. Leukemia peds - ANSWERS-Chronically tired, pale, resp. infections. Blast cells, peripheral smear, WBC HIV testing - ANSWERS-ELISA in older child. PCR in infant. Western blot confirms. More than 800 CD4 count normal, viral load less than 5000 or 0/undetectable. Cause of fever in less than 2 month old - ANSWERS-Group B strep, e coli common cause of fever in 2 months and up - ANSWERS-Strep. pneumoniae, and h. influenza Preoperational phase, preconceptual - ANSWERS-2-4 years old