AANP Boards Exam WITH 100%CORRECT ANSWERS
How a medication is metabolized - (ANSWER)pharmakokinetics
minimum amount of medication to stop bacterial growth - (ANSWER)Minimum inhibitory
concentration
Area Under the curve - (ANSWER)Bioavailability of a med
Main organ of biotransformation of meds - (ANSWER)Liver
Where does first pass most commonly occur? - (ANSWER)Liver
CYP450 ______ increases clearance of other meds - (ANSWER)inducer
CYP450 ______ decreases clearance of other meds - (ANSWER)inhibitor
INR Goal for stroke and Afib - (ANSWER)2.0-3.0
prostehetic heart valve INR goal - (ANSWER)2.5-3.5
side effects of CCB include edema, _____, and ____ - (ANSWER)constipation
Angranulocytosis???
diclofenac topical is contraindicated in what condition - (ANSWER)taking anticoagulants
Preffered BB in HFrEF? - (ANSWER)Carvedilol
2 Abx that interacts with warfarin? - (ANSWER)Sulfa Cefdinir
Cannot use in G6PD anemia - (ANSWER)Sulfa
Achilles rupture - (ANSWER)Flouroquinolones
Risk Aneurysm - (ANSWER)Fluoroquinolones
Cdiff highest abx risk - (ANSWER)Clindamycin
Class and examples of abx that stain teeth - (ANSWER)Tetracyclines (Doxy)
2 abx Classes okay in all of pregnancy, lactation - (ANSWER)Penicillins
Cephalorpsorins
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,Abx that can be used in pregnancy weeks 12-32, and why? - (ANSWER)Sulfa,
hyperbilirubinemia
QT prolongation risk with these 2 abx classes - (ANSWER)Macrolides
Fluoroquinolones
SJS risk with these 2 abx class? - (ANSWER)Sulfa and penicillins
Abx wtih Highest sun sensitivity - (ANSWER)Tetracyclines
Class abx Contraindicated with myasthenia gravis - (ANSWER)Macrolides
Tetracyclines can be used in children older than - (ANSWER)8
Ages for use of fluoroquinolones - (ANSWER)18-60
CLass used as PO abx for acne not responding to topicals - (ANSWER)tetracyclines (Doxy)
3 abx classes that will treat MRSA - (ANSWER)Lincoasamides (Clinda)
Macrolides
tetracyclines
Condition that causes lack of blood flow to retina from temporal arteritis - (ANSWER)Amurosis
fugax
Solution used for external ear infections - (ANSWER)Aluminum acetate
initial gout med - (ANSWER)colchicine
+ McMurrays means - (ANSWER)meniscal tear
Cause of secondary polycythemia vera - (ANSWER)smoking
TCA overdose can cause what heart rhythym - (ANSWER)sinus tachycardia?
Most common meningitis, PNA - (ANSWER)strep pneumonia
Stiffness from OA occurs when and for hwo long? - (ANSWER)30 minutes in AM.
Pain with deep inspiration while palpating RUQ? - (ANSWER)Murphys sign
Distal nodes in OA - (ANSWER)Herbden nodse
3 factors used to calc cardiovascular disease besides age AND WHAT VALUES? -
(ANSWER)HDL < 40
TGL > 150
Page | 2
, BMI > 32
polycystic kidney disease affects which part of the kidney? - (ANSWER)Renal tubule
What TB test is considered positive if high risk or exposed to TB? - (ANSWER)5mm
Yellow zone for asthma? - (ANSWER)50-80%
What 4 things does HCTZ raise? - (ANSWER)Cholesterol
Blood sugar
uric acid
Triglycerides
How many days is a z-pack? - (ANSWER)once daily x 5 days
Minimum abx days for a complicated UTI in an older adult? - (ANSWER)7
2 med classes that will treat atypicals? - (ANSWER)Macrolides and Fluoroquinolones
1st line SSRI for children and adolescants? - (ANSWER)Fluoxetine Prozac
What level bilirubin in infants should be treated? - (ANSWER)>5mg/dL
Asthma
Step 1:
Step 2:
Step 3: - (ANSWER)1: SABA
2: ICS
3: ICS + LABA
OCP contraindicated in those who smoke over age __. - (ANSWER)35
Causes gingival hyperplasia? - (ANSWER)Phenytoin
DM med that can worsen heart failure and should not be used with Hx stroke, MI, bladder cancer
- (ANSWER)Thiasolidenones E.g., Pioglitazone
Other DM med that can worsen HF? - (ANSWER)DPP-4i "gliptins"
Digozin ranges - (ANSWER)0.5-2
Class of GERD meds to avoid in kidney disease? - (ANSWER)H2 antagonists (pepcid)
Avoid w/ Cr Cl < 50
Which supplements to avoid with Warfarin - (ANSWER)G herbs and fish oil
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How a medication is metabolized - (ANSWER)pharmakokinetics
minimum amount of medication to stop bacterial growth - (ANSWER)Minimum inhibitory
concentration
Area Under the curve - (ANSWER)Bioavailability of a med
Main organ of biotransformation of meds - (ANSWER)Liver
Where does first pass most commonly occur? - (ANSWER)Liver
CYP450 ______ increases clearance of other meds - (ANSWER)inducer
CYP450 ______ decreases clearance of other meds - (ANSWER)inhibitor
INR Goal for stroke and Afib - (ANSWER)2.0-3.0
prostehetic heart valve INR goal - (ANSWER)2.5-3.5
side effects of CCB include edema, _____, and ____ - (ANSWER)constipation
Angranulocytosis???
diclofenac topical is contraindicated in what condition - (ANSWER)taking anticoagulants
Preffered BB in HFrEF? - (ANSWER)Carvedilol
2 Abx that interacts with warfarin? - (ANSWER)Sulfa Cefdinir
Cannot use in G6PD anemia - (ANSWER)Sulfa
Achilles rupture - (ANSWER)Flouroquinolones
Risk Aneurysm - (ANSWER)Fluoroquinolones
Cdiff highest abx risk - (ANSWER)Clindamycin
Class and examples of abx that stain teeth - (ANSWER)Tetracyclines (Doxy)
2 abx Classes okay in all of pregnancy, lactation - (ANSWER)Penicillins
Cephalorpsorins
Page | 1
,Abx that can be used in pregnancy weeks 12-32, and why? - (ANSWER)Sulfa,
hyperbilirubinemia
QT prolongation risk with these 2 abx classes - (ANSWER)Macrolides
Fluoroquinolones
SJS risk with these 2 abx class? - (ANSWER)Sulfa and penicillins
Abx wtih Highest sun sensitivity - (ANSWER)Tetracyclines
Class abx Contraindicated with myasthenia gravis - (ANSWER)Macrolides
Tetracyclines can be used in children older than - (ANSWER)8
Ages for use of fluoroquinolones - (ANSWER)18-60
CLass used as PO abx for acne not responding to topicals - (ANSWER)tetracyclines (Doxy)
3 abx classes that will treat MRSA - (ANSWER)Lincoasamides (Clinda)
Macrolides
tetracyclines
Condition that causes lack of blood flow to retina from temporal arteritis - (ANSWER)Amurosis
fugax
Solution used for external ear infections - (ANSWER)Aluminum acetate
initial gout med - (ANSWER)colchicine
+ McMurrays means - (ANSWER)meniscal tear
Cause of secondary polycythemia vera - (ANSWER)smoking
TCA overdose can cause what heart rhythym - (ANSWER)sinus tachycardia?
Most common meningitis, PNA - (ANSWER)strep pneumonia
Stiffness from OA occurs when and for hwo long? - (ANSWER)30 minutes in AM.
Pain with deep inspiration while palpating RUQ? - (ANSWER)Murphys sign
Distal nodes in OA - (ANSWER)Herbden nodse
3 factors used to calc cardiovascular disease besides age AND WHAT VALUES? -
(ANSWER)HDL < 40
TGL > 150
Page | 2
, BMI > 32
polycystic kidney disease affects which part of the kidney? - (ANSWER)Renal tubule
What TB test is considered positive if high risk or exposed to TB? - (ANSWER)5mm
Yellow zone for asthma? - (ANSWER)50-80%
What 4 things does HCTZ raise? - (ANSWER)Cholesterol
Blood sugar
uric acid
Triglycerides
How many days is a z-pack? - (ANSWER)once daily x 5 days
Minimum abx days for a complicated UTI in an older adult? - (ANSWER)7
2 med classes that will treat atypicals? - (ANSWER)Macrolides and Fluoroquinolones
1st line SSRI for children and adolescants? - (ANSWER)Fluoxetine Prozac
What level bilirubin in infants should be treated? - (ANSWER)>5mg/dL
Asthma
Step 1:
Step 2:
Step 3: - (ANSWER)1: SABA
2: ICS
3: ICS + LABA
OCP contraindicated in those who smoke over age __. - (ANSWER)35
Causes gingival hyperplasia? - (ANSWER)Phenytoin
DM med that can worsen heart failure and should not be used with Hx stroke, MI, bladder cancer
- (ANSWER)Thiasolidenones E.g., Pioglitazone
Other DM med that can worsen HF? - (ANSWER)DPP-4i "gliptins"
Digozin ranges - (ANSWER)0.5-2
Class of GERD meds to avoid in kidney disease? - (ANSWER)H2 antagonists (pepcid)
Avoid w/ Cr Cl < 50
Which supplements to avoid with Warfarin - (ANSWER)G herbs and fish oil
Page | 3
