ANCC (JoAnne Asia) Practice Questions and Correct
Answers 2025 Update
Who is at greatest risk for TB
HIV positive, immunocompromised, Mantoux >5mm
Which is the most common lobe pneumonia is found in?
lower lobes
How to treat a young otherwise patient with pneumonia
Azythromycin
Biaxin-
Clarythromicin
Doxycycline
Erythromycin
Pt with COPD and CHF with pneumonia and has used ABX in past three months: txmt
Floroquinolones--Levofloxicin
Pt with s&s of pneumonia--diagnostics
CBC, CMP, CXRay, ABX
Pt with HTN, Hyperlipidemia, older age, smoker, T2DM and has shiny hairless foot with poor
healing ulcer. Pain with walking, better with rest. DX? TX?
PAD, relieved with rest and dangling. Stop smoking
Dx of PAD
ABI (<0.9 is consistent with PAD)
Biggest risk for PAD
Smoking
,chronic venous insufficiency definition and tx
a condition in which venous circulation is inadequate due to partial vein blockage or leakage of
venous valves. Elevate legs
Pt with hip surgery with swelling and pain in one leg
DVT
doppler U/S and D-dimer
Genital warts (HPV type 6 or 11)
Shiny warts around genitalia
TX with TCA or BCA (TCA safe in pregnancy)
Prevention: HPV vaccine at age 9
20 yo presents sexually active with several partners. Should you do a Pap?
No
ASCUS pap: HPV, LEEP or Colposcopy
HPV testing,
Colposcopy
LEEP
Red rash with central clearing 2 weeks after tick
Bull's eyes rash assoc/ with Lyme's dx
Doxy or Amoxicillin if under 8 yo
Bluish/whitish ring around cornea--in elderly and 30 yo
Arcus senilus
Do lipid panel if young
Opacity of eye; absence of red reflex
Cataracts
, Pt with pain in one eye, halo around eye, increased ICP
acute closed glaucoma--ER!
Pt tells you there is a curtain over eyes
Retinal Detachment--ER!
Mobile cyst on arm
Ganglion cyst
Female pt with stiffness in hands that last a long time bilaterial nodules on knuckles
ulnar deviation
swan neck deformity
sausage fingers
Dx?
Rheumatoid arthritis
How do you treat RA?
Methotrexate
Achy pain with hands and fingers with Bouchard's at PIPs and Heberden's at DIPs. Dx?
Osteoarthritis
Exercise: low impact, swimming
Stiffness and pain on awakening in knees and resolves with walking
xray results
Joint space narrowing/OA
Osteoporosis DEXA scan results
Osteopenia
-2.5 or less
-1 or less
Answers 2025 Update
Who is at greatest risk for TB
HIV positive, immunocompromised, Mantoux >5mm
Which is the most common lobe pneumonia is found in?
lower lobes
How to treat a young otherwise patient with pneumonia
Azythromycin
Biaxin-
Clarythromicin
Doxycycline
Erythromycin
Pt with COPD and CHF with pneumonia and has used ABX in past three months: txmt
Floroquinolones--Levofloxicin
Pt with s&s of pneumonia--diagnostics
CBC, CMP, CXRay, ABX
Pt with HTN, Hyperlipidemia, older age, smoker, T2DM and has shiny hairless foot with poor
healing ulcer. Pain with walking, better with rest. DX? TX?
PAD, relieved with rest and dangling. Stop smoking
Dx of PAD
ABI (<0.9 is consistent with PAD)
Biggest risk for PAD
Smoking
,chronic venous insufficiency definition and tx
a condition in which venous circulation is inadequate due to partial vein blockage or leakage of
venous valves. Elevate legs
Pt with hip surgery with swelling and pain in one leg
DVT
doppler U/S and D-dimer
Genital warts (HPV type 6 or 11)
Shiny warts around genitalia
TX with TCA or BCA (TCA safe in pregnancy)
Prevention: HPV vaccine at age 9
20 yo presents sexually active with several partners. Should you do a Pap?
No
ASCUS pap: HPV, LEEP or Colposcopy
HPV testing,
Colposcopy
LEEP
Red rash with central clearing 2 weeks after tick
Bull's eyes rash assoc/ with Lyme's dx
Doxy or Amoxicillin if under 8 yo
Bluish/whitish ring around cornea--in elderly and 30 yo
Arcus senilus
Do lipid panel if young
Opacity of eye; absence of red reflex
Cataracts
, Pt with pain in one eye, halo around eye, increased ICP
acute closed glaucoma--ER!
Pt tells you there is a curtain over eyes
Retinal Detachment--ER!
Mobile cyst on arm
Ganglion cyst
Female pt with stiffness in hands that last a long time bilaterial nodules on knuckles
ulnar deviation
swan neck deformity
sausage fingers
Dx?
Rheumatoid arthritis
How do you treat RA?
Methotrexate
Achy pain with hands and fingers with Bouchard's at PIPs and Heberden's at DIPs. Dx?
Osteoarthritis
Exercise: low impact, swimming
Stiffness and pain on awakening in knees and resolves with walking
xray results
Joint space narrowing/OA
Osteoporosis DEXA scan results
Osteopenia
-2.5 or less
-1 or less
