ANCC EXAM QUESTIONS WITH THE LATEST AND UPDATED
SCORE.
Types of prevention -- Correct Answer ✔✔ primary- car restraints, bicycle helmets,
_ _ _ _ _ _ _ _ _ _ _ _
immunizations
secondary- prevent for those with RF-pap, mammo _ _ _ _ _ _
tertiary-mgmt of established disease- meds, lifestyle _ _ _ _ _
Primary -- Correct Answer ✔✔ Preventing the health problem, most cost effective form
_ _ _ _ _ _ _ _ _ _ _ _ _
of healthcare **IMMUNIZATIONS, ensuring adequate illumination at home (preventing
_ _ _ _ _ _ _ _ _
falls)Types of prevention -- Correct Answer ✔✔ primary- car restraints, bicycle helmets,
_ _ _ _ _ _ _ _ _ _ _
_immunizations
secondary- prevent for those with RF-pap, mammo _ _ _ _ _ _
tertiary-mgmt of established disease- meds, lifestyle _ _ _ _ _
Primary -- Correct Answer ✔✔ Preventing the health problem, most cost effective form
_ _ _ _ _ _ _ _ _ _ _ _ _
of healthcare **IMMUNIZATIONS, ensuring adequate illumination at home (preventing
_ _ _ _ _ _ _ _ _
falls)
Secondary -- Correct Answer ✔✔ Detecting disease in early asymptomatic stages,
_ _ _ _ _ _ _ _ _ _ _
screenings
-Early cause finding of asymptomatic disease via the use of a screening test
_ _ _ _ _ _ _ _ _ _ _ _
Ex. highly abnormal mammo not final word
_ _ _ _ _ _
Tertiary -- Correct Answer ✔✔ Minimizing negative disease induced outcomes,
_ _ _ _ _ _ _ _ _ _
potentially viewed as a failure of primary prevention
_ _ _ _ _ _ _
Ex- rehab, PT, OT
_ _ _
Who should not receive influenza vaccine -- Correct Answer ✔✔ 4 mon old born at 32
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
weeks gestation _
receive flu- 6 mon and older
_ _ _ _ _
,can give during pregnancy/lactation
_ _ _
give children 2x- 4 months apart
_ _ _ _ _
MMR -- Correct Answer ✔✔ preggers can't receive (no varicella, or zoster, smallpox, flu
_ _ _ _ _ _ _ _ _ _ _ _ _
_mist, rotavirus), but lactation OK!
_ _ _ _
its live but weakened
_ _ _
give again to those born after 1957
_ _ _ _ _ _
Give to 6-11 month who are travelling outside US
_ _ _ _ _ _ _ _
May treat and have an innocent flat pink rash
_ _ _ _ _ _ _ _
2 doses ( at 12-15 mon and 4-6 years)
_ _ _ _ _ _ _ _
Tetanus -- Correct Answer ✔✔ can get from soil, a depth of the wound is important
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _
Preggers- get a tdap in her thirst trimester to pass onto the unborn child (pertusis is a
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
bad outcome!), family members need to be up to date- can cause lockjaw
_ _ _ _ _ _ _ _ _ _ _ _
T-dap- 1 at 11-64 and then booster every 10
_ _ _ _ _ _ _ _
dTap-five doses _
Pertussis- uncontrollable cough, vomiting, fatigue, dx: nasopharyngeal culture and PCR
_ _ _ _ _ _ _ _ _ _
testing
tx: Azithromycin
_
No pap smear -- Correct Answer ✔✔ prior to 21 or in elderly
_ _ _ _ _ _ _ _ _ _ _ _
Benadryl -- Correct Answer ✔✔ older, cross BBB, can cause sedation, urinary retention
_ _ _ _ _ _ _ _ _ _ _ _ _
(bad for BPH) _ _
herpes zoster -- Correct Answer ✔✔ stronger chickenpox vaccine-zoster vaccine
_ _ _ _ _ _ _ _ _
post-herpetic neuralgia- persists after 1 month _ _ _ _ _
Herpes keratitis is damage to the corneal epithelium caused by the herpes virus,
_ _ _ _ _ _ _ _ _ _ _ _ _
commonly shingles. The patient usually has acute onset of eye pain, photophobia, and
_ _ _ _ _ _ _ _ _ _ _ _ _
blurred vision in the affected eye. _ _ _ _ _
,primary open angle glaucoma -- Correct Answer ✔✔ peripheral vision loss, elevated
_ _ _ _ _ _ _ _ _ _ _ _
intraocular pressure, deep-cupping of optic disc, tx with beta-adrenergic antag (Timolol),
_ _ _ _ _ _ _ _ _ _ _
alpha agonists, prostaglandin analogues
_ _ _
Glaucoma screening test- Tonometry _ _ _
Normative aging -- Correct Answer ✔✔ Need for increased illumination
_ _ _ _ _ _ _ _ _
Macular degeneration -- Correct Answer ✔✔ central vision loss, common cause of new
_ _ _ _ _ _ _ _ _ _ _ _ _
onset blindness in elderly
_ _ _
More females _
Screening tests- Amsler grid test _ _ _ _
Meniere's disease (idio) vs. Meniere's syndrome (secondary) -- Correct Answer ✔✔
_ _ _ _ _ _ _ _ _ _ _
dizziness, tinnitius, nystagmus, vertigo RF: ototoxic drugs, tx: benzos for rest and
_ _ _ _ _ _ _ _ _ _ _ _
corticosteroids for anti-inflam _ _
oral cancer -- Correct Answer ✔✔ ulcerated lesion with indurated margins, most
_ _ _ _ _ _ _ _ _ _ _ _
common SCC, RF: HPV 16, screening at dental visits
_ _ _ _ _ _ _ _
beta lacatams with allergic reactions -- Correct Answer ✔✔ penecillins, cephalosporins,
_ _ _ _ _ _ _ _ _ _ _
carbapenems
rashes with Epstein Barr
_ _ _
Otitis externa -- Correct Answer ✔✔ Caused by fungus- Candidia or Aspergillus/P.
_ _ _ _ _ _ _ _ _ _ _ _
aeruginosa
hallmark is pain on palpating tragus
_ _ _ _ _
Tx--> fluoroquinolone
_
AOM -- Correct Answer ✔✔ S.penumoniae (gram pos)-40-50%, tx with amox/cephalo,
_ _ _ _ _ _ _ _ _ _ _
macrolides, resistance protein binding sites _ _ _ _
H.influenza (gram neg)- can produce beta-lactamase _ _ _ _ _
M.catarrhalis (gram neg)- also produces beta-lactamase, can get better without antibiotic
_ _ _ _ _ _ _ _ _ _
, Need abnormal ear drum (bulging TM) + pain (otalgia)/rubbing/tugging ear
_ _ _ _ _ _ _ _ _
tx- Acetaminophen and otic drops help with ST
_ _ _ _ _ _ _
Watchful waiting- 6 months or older, with non-severe illness, unilateral, fever <102.2,
_ _ _ _ _ _ _ _ _ _ _ _
otalgia <48 _
<6 months-begin antibiotic!! if allergy-Cefdinir], RF: pacifier use for 10 months, feedings
_ _ _ _ _ _ _ _ _ _ _ _
in the supine, smoke exposure, day care,
_ _ _ _ _ _
<2- 10 days _ _
2-6 yrs- 7 days
_ _ _
>6 yrs- 5 days
_ _ _
1st line- Amox 90 BID, Amox clav BID
_ _ _ _ _ _ _ _
With PCN allergy- **Cefdinir (Cephlosporins)
_ _ _ _
Group A strep _ _
(GABHS) -- Correct Answer ✔✔ Streptococcus pyogenes, risk for rheumatic fever and
_ _ _ _ _ _ _ _ _ _ _ _
Glomerulo., peritonsillar abscess, _ _ _
tx- amox then try macrolide if doesnt't improve
_ _ _ _ _ _ _
GOLD STANDARD IS THROAT CULTURE _ _ _ _
indoor allergen -- Correct Answer ✔✔ dust mites (perennial), pets, cockroaches, mold
_ _ _ _ _ _ _ _ _ _ _ _
spores
Acute Bacterial rhinosinusitis -- Correct Answer ✔✔ S.penumoniae**, RF-viral infection,
_ _ _ _ _ _ _ _ _ _
allergies, tobacco use, 1st line is Augmentin, penicillin allergy-Cefdinir
_ _ _ _ _ _ _ _
2nd line- if not better...Clindamycin and Cefixime
_ _ _ _ _ _
Mono -- Correct Answer ✔✔ 30-50 days ago was infected before sxs, give prednisone
_ _ _ _ _ _ _ _ _ _ _ _ _ _
not amox (rash), at least 50% present with spleen enlargement, wait 1 month to go back
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
to sports
_
Anterior and posterior cervical lymph _ _ _ _
Pharyngitis with exudate _ _
SCORE.
Types of prevention -- Correct Answer ✔✔ primary- car restraints, bicycle helmets,
_ _ _ _ _ _ _ _ _ _ _ _
immunizations
secondary- prevent for those with RF-pap, mammo _ _ _ _ _ _
tertiary-mgmt of established disease- meds, lifestyle _ _ _ _ _
Primary -- Correct Answer ✔✔ Preventing the health problem, most cost effective form
_ _ _ _ _ _ _ _ _ _ _ _ _
of healthcare **IMMUNIZATIONS, ensuring adequate illumination at home (preventing
_ _ _ _ _ _ _ _ _
falls)Types of prevention -- Correct Answer ✔✔ primary- car restraints, bicycle helmets,
_ _ _ _ _ _ _ _ _ _ _
_immunizations
secondary- prevent for those with RF-pap, mammo _ _ _ _ _ _
tertiary-mgmt of established disease- meds, lifestyle _ _ _ _ _
Primary -- Correct Answer ✔✔ Preventing the health problem, most cost effective form
_ _ _ _ _ _ _ _ _ _ _ _ _
of healthcare **IMMUNIZATIONS, ensuring adequate illumination at home (preventing
_ _ _ _ _ _ _ _ _
falls)
Secondary -- Correct Answer ✔✔ Detecting disease in early asymptomatic stages,
_ _ _ _ _ _ _ _ _ _ _
screenings
-Early cause finding of asymptomatic disease via the use of a screening test
_ _ _ _ _ _ _ _ _ _ _ _
Ex. highly abnormal mammo not final word
_ _ _ _ _ _
Tertiary -- Correct Answer ✔✔ Minimizing negative disease induced outcomes,
_ _ _ _ _ _ _ _ _ _
potentially viewed as a failure of primary prevention
_ _ _ _ _ _ _
Ex- rehab, PT, OT
_ _ _
Who should not receive influenza vaccine -- Correct Answer ✔✔ 4 mon old born at 32
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
weeks gestation _
receive flu- 6 mon and older
_ _ _ _ _
,can give during pregnancy/lactation
_ _ _
give children 2x- 4 months apart
_ _ _ _ _
MMR -- Correct Answer ✔✔ preggers can't receive (no varicella, or zoster, smallpox, flu
_ _ _ _ _ _ _ _ _ _ _ _ _
_mist, rotavirus), but lactation OK!
_ _ _ _
its live but weakened
_ _ _
give again to those born after 1957
_ _ _ _ _ _
Give to 6-11 month who are travelling outside US
_ _ _ _ _ _ _ _
May treat and have an innocent flat pink rash
_ _ _ _ _ _ _ _
2 doses ( at 12-15 mon and 4-6 years)
_ _ _ _ _ _ _ _
Tetanus -- Correct Answer ✔✔ can get from soil, a depth of the wound is important
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _
Preggers- get a tdap in her thirst trimester to pass onto the unborn child (pertusis is a
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
bad outcome!), family members need to be up to date- can cause lockjaw
_ _ _ _ _ _ _ _ _ _ _ _
T-dap- 1 at 11-64 and then booster every 10
_ _ _ _ _ _ _ _
dTap-five doses _
Pertussis- uncontrollable cough, vomiting, fatigue, dx: nasopharyngeal culture and PCR
_ _ _ _ _ _ _ _ _ _
testing
tx: Azithromycin
_
No pap smear -- Correct Answer ✔✔ prior to 21 or in elderly
_ _ _ _ _ _ _ _ _ _ _ _
Benadryl -- Correct Answer ✔✔ older, cross BBB, can cause sedation, urinary retention
_ _ _ _ _ _ _ _ _ _ _ _ _
(bad for BPH) _ _
herpes zoster -- Correct Answer ✔✔ stronger chickenpox vaccine-zoster vaccine
_ _ _ _ _ _ _ _ _
post-herpetic neuralgia- persists after 1 month _ _ _ _ _
Herpes keratitis is damage to the corneal epithelium caused by the herpes virus,
_ _ _ _ _ _ _ _ _ _ _ _ _
commonly shingles. The patient usually has acute onset of eye pain, photophobia, and
_ _ _ _ _ _ _ _ _ _ _ _ _
blurred vision in the affected eye. _ _ _ _ _
,primary open angle glaucoma -- Correct Answer ✔✔ peripheral vision loss, elevated
_ _ _ _ _ _ _ _ _ _ _ _
intraocular pressure, deep-cupping of optic disc, tx with beta-adrenergic antag (Timolol),
_ _ _ _ _ _ _ _ _ _ _
alpha agonists, prostaglandin analogues
_ _ _
Glaucoma screening test- Tonometry _ _ _
Normative aging -- Correct Answer ✔✔ Need for increased illumination
_ _ _ _ _ _ _ _ _
Macular degeneration -- Correct Answer ✔✔ central vision loss, common cause of new
_ _ _ _ _ _ _ _ _ _ _ _ _
onset blindness in elderly
_ _ _
More females _
Screening tests- Amsler grid test _ _ _ _
Meniere's disease (idio) vs. Meniere's syndrome (secondary) -- Correct Answer ✔✔
_ _ _ _ _ _ _ _ _ _ _
dizziness, tinnitius, nystagmus, vertigo RF: ototoxic drugs, tx: benzos for rest and
_ _ _ _ _ _ _ _ _ _ _ _
corticosteroids for anti-inflam _ _
oral cancer -- Correct Answer ✔✔ ulcerated lesion with indurated margins, most
_ _ _ _ _ _ _ _ _ _ _ _
common SCC, RF: HPV 16, screening at dental visits
_ _ _ _ _ _ _ _
beta lacatams with allergic reactions -- Correct Answer ✔✔ penecillins, cephalosporins,
_ _ _ _ _ _ _ _ _ _ _
carbapenems
rashes with Epstein Barr
_ _ _
Otitis externa -- Correct Answer ✔✔ Caused by fungus- Candidia or Aspergillus/P.
_ _ _ _ _ _ _ _ _ _ _ _
aeruginosa
hallmark is pain on palpating tragus
_ _ _ _ _
Tx--> fluoroquinolone
_
AOM -- Correct Answer ✔✔ S.penumoniae (gram pos)-40-50%, tx with amox/cephalo,
_ _ _ _ _ _ _ _ _ _ _
macrolides, resistance protein binding sites _ _ _ _
H.influenza (gram neg)- can produce beta-lactamase _ _ _ _ _
M.catarrhalis (gram neg)- also produces beta-lactamase, can get better without antibiotic
_ _ _ _ _ _ _ _ _ _
, Need abnormal ear drum (bulging TM) + pain (otalgia)/rubbing/tugging ear
_ _ _ _ _ _ _ _ _
tx- Acetaminophen and otic drops help with ST
_ _ _ _ _ _ _
Watchful waiting- 6 months or older, with non-severe illness, unilateral, fever <102.2,
_ _ _ _ _ _ _ _ _ _ _ _
otalgia <48 _
<6 months-begin antibiotic!! if allergy-Cefdinir], RF: pacifier use for 10 months, feedings
_ _ _ _ _ _ _ _ _ _ _ _
in the supine, smoke exposure, day care,
_ _ _ _ _ _
<2- 10 days _ _
2-6 yrs- 7 days
_ _ _
>6 yrs- 5 days
_ _ _
1st line- Amox 90 BID, Amox clav BID
_ _ _ _ _ _ _ _
With PCN allergy- **Cefdinir (Cephlosporins)
_ _ _ _
Group A strep _ _
(GABHS) -- Correct Answer ✔✔ Streptococcus pyogenes, risk for rheumatic fever and
_ _ _ _ _ _ _ _ _ _ _ _
Glomerulo., peritonsillar abscess, _ _ _
tx- amox then try macrolide if doesnt't improve
_ _ _ _ _ _ _
GOLD STANDARD IS THROAT CULTURE _ _ _ _
indoor allergen -- Correct Answer ✔✔ dust mites (perennial), pets, cockroaches, mold
_ _ _ _ _ _ _ _ _ _ _ _
spores
Acute Bacterial rhinosinusitis -- Correct Answer ✔✔ S.penumoniae**, RF-viral infection,
_ _ _ _ _ _ _ _ _ _
allergies, tobacco use, 1st line is Augmentin, penicillin allergy-Cefdinir
_ _ _ _ _ _ _ _
2nd line- if not better...Clindamycin and Cefixime
_ _ _ _ _ _
Mono -- Correct Answer ✔✔ 30-50 days ago was infected before sxs, give prednisone
_ _ _ _ _ _ _ _ _ _ _ _ _ _
not amox (rash), at least 50% present with spleen enlargement, wait 1 month to go back
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
to sports
_
Anterior and posterior cervical lymph _ _ _ _
Pharyngitis with exudate _ _
