AANP FNP certification
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 - CORRECT ANSWERS-
III first time audible, IV first time thrill
Fundal height 12 weeks - CORRECT ANSWERS-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? - CORRECT ANSWERS-Iron, TIBC
3 months of synthroid, TSH increased, T4 normal, what do you do? - CORRECT
ANSWERS-Increase Medication
3 ways to assess cognitive function in patient with signs/symptoms of memory loss -
CORRECT ANSWERS-Mini mental exam
4 month old with strabismus, mom is worried...... - CORRECT ANSWERS-tell her it is
normal.
4 month old wont keep anything down, what is the main thing you look at? - CORRECT
ANSWERS-Growth chart
6 month old closed anterior fontanel. - CORRECT ANSWERS-XRAY
Abnormal cells on PAP, what do you do next? - CORRECT ANSWERS-Refer for
Colposcopy
CAGE ACRONYM - CORRECT ANSWERS-Cut down
Annoyed by criticism
Guilty about drinking
Eye opener drink
Causes of tachycardia - CORRECT ANSWERS-Fever
Anemia
Hypotension
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,Cranial nerves responsible for extraocular eye movements - CORRECT ANSWERS-CN
3,4,6
Definition of metabolic syndrome - CORRECT ANSWERS-cluster of conditions that
increase risk of heart disease, stroke, diabetes.
diagnose trichomoniasis - CORRECT ANSWERS-wet prep
Elderly presents with atrophic vaginitis, small uterus, palpable 4x5 ovary, what do you
do next? - CORRECT ANSWERS-Pelvic US
Epistaxis is most common in the area of the nose known as kiesselbachs triangle,
where is this located? - CORRECT ANSWERS-Anterior septum
Definitive diagnosis of acute bacterial prostatitis - CORRECT ANSWERS-urinalysis and
culture
GERD treatment - CORRECT ANSWERS-H2 is first line, give hs
Grade 3 cells on Pap, treatment? - CORRECT ANSWERS-LEEP
excision
Fingernail hematoma treatment? - CORRECT ANSWERS-drill hole and drain blood?
Increased risk of ectopic pregnancy - CORRECT ANSWERS-Salpingitis, or history of
abortion, PID,
Koplick spots - CORRECT ANSWERS-Measles (rubeola). Grains of salt lesions inside
mouth in Measles
Koplick spots - CORRECT ANSWERS-Measles (rubeola). Grains of salt lesions inside
mouth in Measles
Legg-Calve-Perthes Disease - CORRECT ANSWERS-Avascular necrosis of the
proximal femoral head
Lipid level of 1500, increased risk for? - CORRECT ANSWERS-Pancreatitis
Low HGB, Low HCT, High MCV indicates what? - CORRECT ANSWERS-Macrocytic
anemia, B12 Def
Man with BPH, prostate feels on digital exam? - CORRECT ANSWERS-Enlarged,
symmetrical, smooth
Man with HTN, CAD, present femoral pulses but absent pedal - CORRECT ANSWERS-
Arterial Insufficiency
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, McMurray's Sign
(+) palpable or audible click while extending with varus stress - CORRECT ANSWERS-
Meniscus tears
Lachman's Test - CORRECT ANSWERS-pivot shift test (ACL tear)
Newborn with foot turned in, what do you do? - CORRECT ANSWERS-refer to
orthopedist
Osgood-Schlatter disease - CORRECT ANSWERS-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? -
CORRECT ANSWERS-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? - CORRECT ANSWERS-
Refer to oncologist
Pt presents with rash on shoulder, erythematous maculopapular rash with center
clearing and scaling? - CORRECT ANSWERS-Tinea Corporis
Pt presents with "bag of worms:, indicates? - CORRECT ANSWERS-Varicocele
Pt with atopic dermatitis, look for what other diseases? - CORRECT ANSWERS-
Asthma
Pt with bleeding after menopause - CORRECT ANSWERS-endometrial biopsy, need to
screen for cancer
Pt with hx of PID, increased rick for? - CORRECT ANSWERS-Infertility
Pt with HIV took high potency anti viral treatments and CD4 is >400, what does this
indicate? - CORRECT ANSWERS-This is good. Want higher than 350
Pt with hx of htn and stroke, now having memory loss. What does this indicate? -
CORRECT ANSWERS-Vascular dementia
Pregnant teacher with exposure to 5ths disease (SLAP CHEEK), what risk is there to
the fetus? - CORRECT ANSWERS-slap cheek, PVB19, rash hands / feet Fetal death
and birth defects
Quick assessment of patients fall risk? Timed Get up and Go - CORRECT ANSWERS-
Timed Get up and Go
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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 - CORRECT ANSWERS-
III first time audible, IV first time thrill
Fundal height 12 weeks - CORRECT ANSWERS-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? - CORRECT ANSWERS-Iron, TIBC
3 months of synthroid, TSH increased, T4 normal, what do you do? - CORRECT
ANSWERS-Increase Medication
3 ways to assess cognitive function in patient with signs/symptoms of memory loss -
CORRECT ANSWERS-Mini mental exam
4 month old with strabismus, mom is worried...... - CORRECT ANSWERS-tell her it is
normal.
4 month old wont keep anything down, what is the main thing you look at? - CORRECT
ANSWERS-Growth chart
6 month old closed anterior fontanel. - CORRECT ANSWERS-XRAY
Abnormal cells on PAP, what do you do next? - CORRECT ANSWERS-Refer for
Colposcopy
CAGE ACRONYM - CORRECT ANSWERS-Cut down
Annoyed by criticism
Guilty about drinking
Eye opener drink
Causes of tachycardia - CORRECT ANSWERS-Fever
Anemia
Hypotension
1|Page
,Cranial nerves responsible for extraocular eye movements - CORRECT ANSWERS-CN
3,4,6
Definition of metabolic syndrome - CORRECT ANSWERS-cluster of conditions that
increase risk of heart disease, stroke, diabetes.
diagnose trichomoniasis - CORRECT ANSWERS-wet prep
Elderly presents with atrophic vaginitis, small uterus, palpable 4x5 ovary, what do you
do next? - CORRECT ANSWERS-Pelvic US
Epistaxis is most common in the area of the nose known as kiesselbachs triangle,
where is this located? - CORRECT ANSWERS-Anterior septum
Definitive diagnosis of acute bacterial prostatitis - CORRECT ANSWERS-urinalysis and
culture
GERD treatment - CORRECT ANSWERS-H2 is first line, give hs
Grade 3 cells on Pap, treatment? - CORRECT ANSWERS-LEEP
excision
Fingernail hematoma treatment? - CORRECT ANSWERS-drill hole and drain blood?
Increased risk of ectopic pregnancy - CORRECT ANSWERS-Salpingitis, or history of
abortion, PID,
Koplick spots - CORRECT ANSWERS-Measles (rubeola). Grains of salt lesions inside
mouth in Measles
Koplick spots - CORRECT ANSWERS-Measles (rubeola). Grains of salt lesions inside
mouth in Measles
Legg-Calve-Perthes Disease - CORRECT ANSWERS-Avascular necrosis of the
proximal femoral head
Lipid level of 1500, increased risk for? - CORRECT ANSWERS-Pancreatitis
Low HGB, Low HCT, High MCV indicates what? - CORRECT ANSWERS-Macrocytic
anemia, B12 Def
Man with BPH, prostate feels on digital exam? - CORRECT ANSWERS-Enlarged,
symmetrical, smooth
Man with HTN, CAD, present femoral pulses but absent pedal - CORRECT ANSWERS-
Arterial Insufficiency
2|Page
, McMurray's Sign
(+) palpable or audible click while extending with varus stress - CORRECT ANSWERS-
Meniscus tears
Lachman's Test - CORRECT ANSWERS-pivot shift test (ACL tear)
Newborn with foot turned in, what do you do? - CORRECT ANSWERS-refer to
orthopedist
Osgood-Schlatter disease - CORRECT ANSWERS-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? -
CORRECT ANSWERS-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? - CORRECT ANSWERS-
Refer to oncologist
Pt presents with rash on shoulder, erythematous maculopapular rash with center
clearing and scaling? - CORRECT ANSWERS-Tinea Corporis
Pt presents with "bag of worms:, indicates? - CORRECT ANSWERS-Varicocele
Pt with atopic dermatitis, look for what other diseases? - CORRECT ANSWERS-
Asthma
Pt with bleeding after menopause - CORRECT ANSWERS-endometrial biopsy, need to
screen for cancer
Pt with hx of PID, increased rick for? - CORRECT ANSWERS-Infertility
Pt with HIV took high potency anti viral treatments and CD4 is >400, what does this
indicate? - CORRECT ANSWERS-This is good. Want higher than 350
Pt with hx of htn and stroke, now having memory loss. What does this indicate? -
CORRECT ANSWERS-Vascular dementia
Pregnant teacher with exposure to 5ths disease (SLAP CHEEK), what risk is there to
the fetus? - CORRECT ANSWERS-slap cheek, PVB19, rash hands / feet Fetal death
and birth defects
Quick assessment of patients fall risk? Timed Get up and Go - CORRECT ANSWERS-
Timed Get up and Go
3|Page
