AANP FNP CERTIFICATION ACTUAL EXAM NEWEST VERSION
2024-2025 QUESTIONS AND CORRECT DETAILED ANSWERS
|ALREADYGRADED A+ .
Which among the list can cause increase in respiration -
ANSWER-Options include (low oxygen, high oxygen,
hypercapnia, hypocapnia)?
Which among the list can cause increase in respiration -
ANSWER-hypercapnia
Osteoporosis Risk Factors (ACCESS) - ANSWER-A-lcohol Use
C-orticosteroid Use
C-alcium low
E-strogen low
S-moking
S-edentary lifestyle/s
ACCESS leads to OSTEOPOROSIS
,Pt presents with rash on shoulder, erythematous
maculopapular rash with center clearing and scaling? -
ANSWER-Tinea Corporis
Pt presents with "bag of worms:, indicates? - ANSWER-
Varicocele
cushings - ANSWER-Central obesity, moon face, purple striae,
hairy, hypertension, elevated plasma CORTISOL in AM. "INC
BS, SODIUM" Dec K. You must draw cortisol levels in the
morning.
Fructosamine test - ANSWER-checks sugar for past 2-4 weeks.
triglycerides - ANSWER-causes pancreatitis >500. If >500 treat
with Niacin or Fibrate or Niaspan. If your patient is already on
NIACIN you can add a fibrate like (LOPID/TRICOR). Apparently
an insulin infusion works also. ON EXAM
Pancreatitis - ANSWER-diagnosed with amylase / lipase draw.
Amylase beings 2-12 h. Lipase 4-8 hours. Lipase however is
MORE specific and sensitive to alcoholic pancreatitis. ACUTE:
Grey Turner/ Cullen sign. Abd pain that rates to midback
"boring" epigastric pain. Fever, n/v. EXAM TOPICS
,Metformin - ANSWER-Metformin - monitor BUN, Creatinine.
contraindicated renal and liver
disease ARF creatinine up and
GFR down.
affects liver enzymes, weight loss, avoid in alcohol drinkers,
lactic acidosis, diarrhea flatulence
CT: hold 24 hr before and 48hr after
Polycythemia vera - ANSWER-slow growing blood cancer.
blood too thick, clots. bone marrow to many RBC. risk bleed ,
anemia, CBC
CCB - ANSWER-BLE edema- walk around
Kava Kava - ANSWER-anxiety and insomnia, don't mix w
sedating benzos.
Bipolar med - ANSWER-lithium- monitor TSH, toxicity bind to
TH cause hypothyroidism.
Depression med
acute Anxiety/ panic med
GAD med - ANSWER-depression SSRI
panic benzo, Xanax, ativan
GAD SSRI
, SNRI- Buspar, Effexor, Cymbalta- Taper OFF
SNRI/ Benzo Discontinuation - ANSWER-Buspar, Effexor,
Cymbalta and Benzo
Taper OFF
Thiazide GLUT- - ANSWER-Glyceridemia
Lipidemia
Uricacidemia
Triglyceridemia
HYPO-Kalemia
ACE/ARB contraindications - ANSWER-pregnancy
Renal failure
Renal Stenosis
METABOLIC SYNDROME - ANSWER-METABOLIC SYNDROME
NO THIAZIDES,CCB (HF)
NO TZD ACTOS (Pioglitazone)
Erysipelas - ANSWER-Group A strep, painful, Upper dermis,
clear demarcated, cheeks, shins.
TREATMENT- Dicloxacillin QID x10d. Cephalexin, Clinda. PCN
ALLERGY? Do Azithro x5d.
2024-2025 QUESTIONS AND CORRECT DETAILED ANSWERS
|ALREADYGRADED A+ .
Which among the list can cause increase in respiration -
ANSWER-Options include (low oxygen, high oxygen,
hypercapnia, hypocapnia)?
Which among the list can cause increase in respiration -
ANSWER-hypercapnia
Osteoporosis Risk Factors (ACCESS) - ANSWER-A-lcohol Use
C-orticosteroid Use
C-alcium low
E-strogen low
S-moking
S-edentary lifestyle/s
ACCESS leads to OSTEOPOROSIS
,Pt presents with rash on shoulder, erythematous
maculopapular rash with center clearing and scaling? -
ANSWER-Tinea Corporis
Pt presents with "bag of worms:, indicates? - ANSWER-
Varicocele
cushings - ANSWER-Central obesity, moon face, purple striae,
hairy, hypertension, elevated plasma CORTISOL in AM. "INC
BS, SODIUM" Dec K. You must draw cortisol levels in the
morning.
Fructosamine test - ANSWER-checks sugar for past 2-4 weeks.
triglycerides - ANSWER-causes pancreatitis >500. If >500 treat
with Niacin or Fibrate or Niaspan. If your patient is already on
NIACIN you can add a fibrate like (LOPID/TRICOR). Apparently
an insulin infusion works also. ON EXAM
Pancreatitis - ANSWER-diagnosed with amylase / lipase draw.
Amylase beings 2-12 h. Lipase 4-8 hours. Lipase however is
MORE specific and sensitive to alcoholic pancreatitis. ACUTE:
Grey Turner/ Cullen sign. Abd pain that rates to midback
"boring" epigastric pain. Fever, n/v. EXAM TOPICS
,Metformin - ANSWER-Metformin - monitor BUN, Creatinine.
contraindicated renal and liver
disease ARF creatinine up and
GFR down.
affects liver enzymes, weight loss, avoid in alcohol drinkers,
lactic acidosis, diarrhea flatulence
CT: hold 24 hr before and 48hr after
Polycythemia vera - ANSWER-slow growing blood cancer.
blood too thick, clots. bone marrow to many RBC. risk bleed ,
anemia, CBC
CCB - ANSWER-BLE edema- walk around
Kava Kava - ANSWER-anxiety and insomnia, don't mix w
sedating benzos.
Bipolar med - ANSWER-lithium- monitor TSH, toxicity bind to
TH cause hypothyroidism.
Depression med
acute Anxiety/ panic med
GAD med - ANSWER-depression SSRI
panic benzo, Xanax, ativan
GAD SSRI
, SNRI- Buspar, Effexor, Cymbalta- Taper OFF
SNRI/ Benzo Discontinuation - ANSWER-Buspar, Effexor,
Cymbalta and Benzo
Taper OFF
Thiazide GLUT- - ANSWER-Glyceridemia
Lipidemia
Uricacidemia
Triglyceridemia
HYPO-Kalemia
ACE/ARB contraindications - ANSWER-pregnancy
Renal failure
Renal Stenosis
METABOLIC SYNDROME - ANSWER-METABOLIC SYNDROME
NO THIAZIDES,CCB (HF)
NO TZD ACTOS (Pioglitazone)
Erysipelas - ANSWER-Group A strep, painful, Upper dermis,
clear demarcated, cheeks, shins.
TREATMENT- Dicloxacillin QID x10d. Cephalexin, Clinda. PCN
ALLERGY? Do Azithro x5d.
