ANCC FNP EXAM (2023/ 2024) |
QUESTIONS AND VERIFIED ANSWERS |
LATEST UPDATE| GRADED A 100%
CORRECT
Treatment for mild allergic conjunctivits - ANSWER-Topical
antihistamines/mast cell stabilizer
NSAIDs and topical corticosteroids are not first line
Pt with allergic conjunctivitis often produce inadequate amount of tears
(oral antihistamines may induce dry eye syndrome)
Oral hairy leukoplakia - ANSWER-elongated papilla of the lateral aspect
on the tongue
What causes oral hairy leukoplakia? - ANSWER-EBV
Koplik's spot - ANSWER-clusters of small red papules with white centers
located on the buccal mucosa by the lower molars (o = kopliks)
Prodromic viral of measles appears 2-3 days before the rash
Geographic tongue - ANSWER-inflammatory disorder that usually
appears on top and side of the tongue
multiple fissures and irreregular smoother areas on its surface that make
it look like a topographic map
,Cheilosis - ANSWER-painful inflammation and cracking of the corners of
the mouth
Peritonsillar abscess - ANSWER-severe sore throat, difficulty swallowing,
trismus, and muffled "hot potato" voice
abscess displaces the uvula
pterygium - ANSWER-yellow, triangular thickening of the conjunctiva
that extends across the cornea on the nasal side
Pinguecula - ANSWER-yellowish, raised growth on the conjunctiva next
to the cornea
Chalazion - ANSWER-chronic inflammation of the meibomian gland
hordeolum (stye) - ANSWER-stye
abscess of a hair follicle and sebaceous gland on the eyelid
High risk factors for hearing loss in premature baby - ANSWER-HEARS
Hyperbilirubinemia
Ear infection frequency
low Apgar scores
exposure to Rubella, cytomegalovirus (CMV), toxoplasmosis
Seizures
diabetic retinopathy - ANSWER-cotton wool spots
Normal intraocular pressure - ANSWER-8-21mm Hg
Intermittent Esotropia - ANSWER-common in infants younger than 20
weeks
resolves spontaneously
refer if present after 20 weeks
Kawasaki Disease - ANSWER-high fever, enlarged lymph nodes,
conjunctivitis, dry, cracked lips
strawberry tongue
most cases under 5 years of age
pharyngitis - ANSWER-acute infection of the pharynx
,stuffy nose, rhinitis with clear mucus, and watery eyes
allergic rhinitis - ANSWER-inflammatory changes of the nasal mucosa
due to an allergy response
most common sign: transverse nasal crease (allergic salute)
tonsillitis - ANSWER-inflammation of the tonsils
sore throat, difficulty swallowing, tender lymph nodes
Treatment for otitis externa - ANSWER-Use aluminum acetate solution
PRN (provides soothing, effective relief of minor skin irritations and
inflammation)
keep water out of the ear
Polymyxin B-neomycin-hydrocortisone suspension drops QID x 7 days
and/or ofloxacin drops
Bullous Myringitis - ANSWER-small, fluid-filled blisters form on the
eardrum
First permanent teeth to erupt - ANSWER-first molars at about 6 years of
age
viral keratoconjunctivitis - ANSWER-pink eye
treatment- symptomatic
cold compresses and slightly chilled artificial tears
avoid touching eyes, haring towels, frequent eye washing
children should not attend school until symptoms resolve
what causes viral keratoconjunctivits? - ANSWER-adenovirus
contagious for 10-12 days
self limiting
Transmission of sound through the ear - ANSWER-1. sound waves are
collected in the pinna
2. transmission of vibrations through the hammer, anvil and stirrup
3.nerve impulses stimulate in the inner ear
4. vibrations are transmitted of the cerebral cortex auditory center
5.sound is interpreted by the cerebral cortex
Ishihara chart - ANSWER-screening a patient for colour blindness
, Tx for otitis media - ANSWER-1st line- amoxicillin
blepharitis - ANSWER-chronic condition caused by inflammation of the
eyelids
contact lens keratitis - ANSWER-eye pain, redness, excessive tearing,
lesion on the cornea
1st line- topical abx
primary angle-closure glaucoma - ANSWER-sudden blockage of the
aqueous humor
increased intraocular pressure
Acute Rhinosinusitis - ANSWER-inflammation of the mucosal lining of
nasal passages, lasting up to 4 weeks, caused by allergens
Acute Bacterial Rhinosinusitis - ANSWER-secondary bacterial infection,
usually following viral URI
Diseases caused by S. pneumoniae - ANSWER-COMPS
Conjunctivitis
Otitis media
Meningitis
Pneumonia
Sinusitis
Diseases caused by H. influenza - ANSWER-COMPS
Conjunctivitis
Otitis media
Meningitis
Pneumonia
Sinusitis
Common features of ABRS - ANSWER-fever and symptoms duration of
more than 10 days
maxillary toothache
initial symptom improvement and then worsening of symptoms (double
sickening)
cacosmia (sense of bad odor in the nose)
QUESTIONS AND VERIFIED ANSWERS |
LATEST UPDATE| GRADED A 100%
CORRECT
Treatment for mild allergic conjunctivits - ANSWER-Topical
antihistamines/mast cell stabilizer
NSAIDs and topical corticosteroids are not first line
Pt with allergic conjunctivitis often produce inadequate amount of tears
(oral antihistamines may induce dry eye syndrome)
Oral hairy leukoplakia - ANSWER-elongated papilla of the lateral aspect
on the tongue
What causes oral hairy leukoplakia? - ANSWER-EBV
Koplik's spot - ANSWER-clusters of small red papules with white centers
located on the buccal mucosa by the lower molars (o = kopliks)
Prodromic viral of measles appears 2-3 days before the rash
Geographic tongue - ANSWER-inflammatory disorder that usually
appears on top and side of the tongue
multiple fissures and irreregular smoother areas on its surface that make
it look like a topographic map
,Cheilosis - ANSWER-painful inflammation and cracking of the corners of
the mouth
Peritonsillar abscess - ANSWER-severe sore throat, difficulty swallowing,
trismus, and muffled "hot potato" voice
abscess displaces the uvula
pterygium - ANSWER-yellow, triangular thickening of the conjunctiva
that extends across the cornea on the nasal side
Pinguecula - ANSWER-yellowish, raised growth on the conjunctiva next
to the cornea
Chalazion - ANSWER-chronic inflammation of the meibomian gland
hordeolum (stye) - ANSWER-stye
abscess of a hair follicle and sebaceous gland on the eyelid
High risk factors for hearing loss in premature baby - ANSWER-HEARS
Hyperbilirubinemia
Ear infection frequency
low Apgar scores
exposure to Rubella, cytomegalovirus (CMV), toxoplasmosis
Seizures
diabetic retinopathy - ANSWER-cotton wool spots
Normal intraocular pressure - ANSWER-8-21mm Hg
Intermittent Esotropia - ANSWER-common in infants younger than 20
weeks
resolves spontaneously
refer if present after 20 weeks
Kawasaki Disease - ANSWER-high fever, enlarged lymph nodes,
conjunctivitis, dry, cracked lips
strawberry tongue
most cases under 5 years of age
pharyngitis - ANSWER-acute infection of the pharynx
,stuffy nose, rhinitis with clear mucus, and watery eyes
allergic rhinitis - ANSWER-inflammatory changes of the nasal mucosa
due to an allergy response
most common sign: transverse nasal crease (allergic salute)
tonsillitis - ANSWER-inflammation of the tonsils
sore throat, difficulty swallowing, tender lymph nodes
Treatment for otitis externa - ANSWER-Use aluminum acetate solution
PRN (provides soothing, effective relief of minor skin irritations and
inflammation)
keep water out of the ear
Polymyxin B-neomycin-hydrocortisone suspension drops QID x 7 days
and/or ofloxacin drops
Bullous Myringitis - ANSWER-small, fluid-filled blisters form on the
eardrum
First permanent teeth to erupt - ANSWER-first molars at about 6 years of
age
viral keratoconjunctivitis - ANSWER-pink eye
treatment- symptomatic
cold compresses and slightly chilled artificial tears
avoid touching eyes, haring towels, frequent eye washing
children should not attend school until symptoms resolve
what causes viral keratoconjunctivits? - ANSWER-adenovirus
contagious for 10-12 days
self limiting
Transmission of sound through the ear - ANSWER-1. sound waves are
collected in the pinna
2. transmission of vibrations through the hammer, anvil and stirrup
3.nerve impulses stimulate in the inner ear
4. vibrations are transmitted of the cerebral cortex auditory center
5.sound is interpreted by the cerebral cortex
Ishihara chart - ANSWER-screening a patient for colour blindness
, Tx for otitis media - ANSWER-1st line- amoxicillin
blepharitis - ANSWER-chronic condition caused by inflammation of the
eyelids
contact lens keratitis - ANSWER-eye pain, redness, excessive tearing,
lesion on the cornea
1st line- topical abx
primary angle-closure glaucoma - ANSWER-sudden blockage of the
aqueous humor
increased intraocular pressure
Acute Rhinosinusitis - ANSWER-inflammation of the mucosal lining of
nasal passages, lasting up to 4 weeks, caused by allergens
Acute Bacterial Rhinosinusitis - ANSWER-secondary bacterial infection,
usually following viral URI
Diseases caused by S. pneumoniae - ANSWER-COMPS
Conjunctivitis
Otitis media
Meningitis
Pneumonia
Sinusitis
Diseases caused by H. influenza - ANSWER-COMPS
Conjunctivitis
Otitis media
Meningitis
Pneumonia
Sinusitis
Common features of ABRS - ANSWER-fever and symptoms duration of
more than 10 days
maxillary toothache
initial symptom improvement and then worsening of symptoms (double
sickening)
cacosmia (sense of bad odor in the nose)
