AANP FNP certification(questions and Cranial nerves responsible for extraocular eye movements - CORRECT ANSWER-CN
3,4,6
answers) Definition of metabolic syndrome - CORRECT ANSWER-cluster of conditions that
increase risk of heart disease, stroke, diabetes.
All diastolic murmurs are pathological. Murmurs Grades I-barely II-audible III- clearly
audible. IV- first time thrill V-Steth edge VI-entire steth. EXAM - CORRECT ANSWER-III diagnose trichomoniasis - CORRECT ANSWER-wet prep
first time audible, IV first time thrill
Elderly presents with atrophic vaginitis, small uterus, palpable 4x5 ovary, what do you
Fundal height 12 weeks - CORRECT ANSWER-Fundal Height 12 weeks above do next? - CORRECT ANSWER-Pelvic US
symphysis pubis. EXAM
Epistaxis is most common in the area of the nose known as kiesselbachs triangle,
Fundus 16 weeks between symphysis pubis and umbilicus. where is this located? - CORRECT ANSWER-Anterior septum
Fundus at 20 weeks is at umbilicus.
2 cm more of less from # of wk gestation is normal if more or less order US Definitive diagnosis of acute bacterial prostatitis - CORRECT ANSWER-urinalysis and
culture
3 month old infant with down syndrome, due to milk intolerance, mom started on goats
milk; now has pale conjunctiva but otherwise healthy. Low HCT. What additional test GERD treatment - CORRECT ANSWER-H2 is first line, give hs
would you order? - CORRECT ANSWER-Iron, TIBC
Grade 3 cells on Pap, treatment? - CORRECT ANSWER-LEEP
3 months of synthroid, TSH increased, T4 normal, what do you do? - CORRECT excision
ANSWER-Increase Medication
Fingernail hematoma treatment? - CORRECT ANSWER-drill hole and drain blood?
3 ways to assess cognitive function in patient with signs/symptoms of memory loss -
CORRECT ANSWER-Mini mental exam Increased risk of ectopic pregnancy - CORRECT ANSWER-Salpingitis, or history of
abortion, PID,
4 month old with strabismus, mom is worried...... - CORRECT ANSWER-tell her it is
normal. Koplick spots - CORRECT ANSWER-Measles (rubeola). Grains of salt lesions inside
mouth in Measles
4 month old wont keep anything down, what is the main thing you look at? - CORRECT
ANSWER-Growth chart Koplick spots - CORRECT ANSWER-Measles (rubeola). Grains of salt lesions inside
mouth in Measles
6 month old closed anterior fontanel. - CORRECT ANSWER-XRAY
Legg-Calve-Perthes Disease - CORRECT ANSWER-Avascular necrosis of the proximal
Abnormal cells on PAP, what do you do next? - CORRECT ANSWER-Refer for femoral head
Colposcopy
Lipid level of 1500, increased risk for? - CORRECT ANSWER-Pancreatitis
CAGE ACRONYM - CORRECT ANSWER-Cut down
Annoyed by criticism Low HGB, Low HCT, High MCV indicates what? - CORRECT ANSWER-Macrocytic
Guilty about drinking anemia, B12 Def
Eye opener drink
Man with BPH, prostate feels on digital exam? - CORRECT ANSWER-Enlarged,
Causes of tachycardia - CORRECT ANSWER-Fever symmetrical, smooth
Anemia
Hypotension Man with HTN, CAD, present femoral pulses but absent pedal - CORRECT ANSWER-
Arterial Insufficiency
, Red beefy tongue? - CORRECT ANSWER-pernicious anemia
McMurray's Sign
(+) palpable or audible click while extending with varus stress - CORRECT ANSWER- Rotator cuff injury presentation - CORRECT ANSWER-disturbs sleep, arm weakness,
Meniscus tears dull ache
Lachman's Test - CORRECT ANSWER-pivot shift test (ACL tear) Shingles near eye - CORRECT ANSWER-immediate referral to ophthalmology
Newborn with foot turned in, what do you do? - CORRECT ANSWER-refer to Signs and symptoms of Roseola (6ths disease) ? - CORRECT ANSWER-Viral infection
orthopedist Can result in a maculopapular rash, but up to 70% of cases proceed without the rash
stage
Osgood-Schlatter disease - CORRECT ANSWER-Knee pain. -Usually accompanied by a high fever (41°C or 105°F) that comes on quickly and lasts
inflammation or irritation of the tibia at its point of attachment with the patellar tendon up to 3 days followed by rash
-Seizures may occur during this period.
Patient forgot to start Thanksgiving dinner and husband states she has trouble -On the fourth day, the fever disappears and the rash appears, first on chest and trunk,
remembering tasks and trouble with organization. What is this indicative of? - then less prominently on the face and limbs.
CORRECT ANSWER-Alzheimer's -High fever, pink flat or raised rash
Pt has Barretts Esophagus, insurance no longer covers GI who was treating condition. Treatment for chronic alcoholism: - CORRECT ANSWER-12 step program
Pt at FNP office wanting refill prescriptions. What do you do? - CORRECT ANSWER-
Refer to oncologist Treatment for Gonorrhea? - CORRECT ANSWER-Rocephin 250mg IMx1 plus
Azithromycin 1 gm orally x1 to cover chlamydia. , or doxy 100 mg BID x7d. Green
Pt presents with rash on shoulder, erythematous maculopapular rash with center colored vaginal discharge, friable cervix. EXAM
clearing and scaling? - CORRECT ANSWER-Tinea Corporis Report to health department
Pt presents with "bag of worms:, indicates? - CORRECT ANSWER-Varicocele Young female want birth control, forgets to take pills, does not want to get pregnant for
at least 5 years: - CORRECT ANSWER-IUD
Pt with atopic dermatitis, look for what other diseases? - CORRECT ANSWER-Asthma
Basal cell cancer - CORRECT ANSWER-Waxy, pearly, telangiectasia, ulcer center
Pt with bleeding after menopause - CORRECT ANSWER-endometrial biopsy, need to lesion
screen for cancer -most common type of skin cancer caused by UV exposure. Metastatic is rare
Pt with hx of PID, increased rick for? - CORRECT ANSWER-Infertility Actinic Keratosis - CORRECT ANSWER-Scaly red to yellow located in sun exposed
area
Pt with HIV took high potency anti viral treatments and CD4 is >400, what does this -a precancerous skin growth that occurs on sun-damaged skin
indicate? - CORRECT ANSWER-This is good. Want higher than 350
Actinic Keratosis - CORRECT ANSWER-Numerous round dry pink to red areas. Scaly
Pt with hx of htn and stroke, now having memory loss. What does this indicate? - red to yellow located in sun exposed area
CORRECT ANSWER-Vascular dementia -a pre squamous cell carcinoma occurs on sun-damaged skin
biopsy
Pregnant teacher with exposure to 5ths disease (SLAP CHEEK), what risk is there to cryo or 5fu cream
the fetus? - CORRECT ANSWER-slap cheek, PVB19, rash hands / feet Fetal death and
birth defects subungual hematoma tx - CORRECT ANSWER-Make a hole and drain the blood
Quick assessment of patients fall risk? Timed Get up and Go - CORRECT ANSWER- Moderate acne treatment - CORRECT ANSWER-Without inflammation: Topical retinoid
Timed Get up and Go
3,4,6
answers) Definition of metabolic syndrome - CORRECT ANSWER-cluster of conditions that
increase risk of heart disease, stroke, diabetes.
All diastolic murmurs are pathological. Murmurs Grades I-barely II-audible III- clearly
audible. IV- first time thrill V-Steth edge VI-entire steth. EXAM - CORRECT ANSWER-III diagnose trichomoniasis - CORRECT ANSWER-wet prep
first time audible, IV first time thrill
Elderly presents with atrophic vaginitis, small uterus, palpable 4x5 ovary, what do you
Fundal height 12 weeks - CORRECT ANSWER-Fundal Height 12 weeks above do next? - CORRECT ANSWER-Pelvic US
symphysis pubis. EXAM
Epistaxis is most common in the area of the nose known as kiesselbachs triangle,
Fundus 16 weeks between symphysis pubis and umbilicus. where is this located? - CORRECT ANSWER-Anterior septum
Fundus at 20 weeks is at umbilicus.
2 cm more of less from # of wk gestation is normal if more or less order US Definitive diagnosis of acute bacterial prostatitis - CORRECT ANSWER-urinalysis and
culture
3 month old infant with down syndrome, due to milk intolerance, mom started on goats
milk; now has pale conjunctiva but otherwise healthy. Low HCT. What additional test GERD treatment - CORRECT ANSWER-H2 is first line, give hs
would you order? - CORRECT ANSWER-Iron, TIBC
Grade 3 cells on Pap, treatment? - CORRECT ANSWER-LEEP
3 months of synthroid, TSH increased, T4 normal, what do you do? - CORRECT excision
ANSWER-Increase Medication
Fingernail hematoma treatment? - CORRECT ANSWER-drill hole and drain blood?
3 ways to assess cognitive function in patient with signs/symptoms of memory loss -
CORRECT ANSWER-Mini mental exam Increased risk of ectopic pregnancy - CORRECT ANSWER-Salpingitis, or history of
abortion, PID,
4 month old with strabismus, mom is worried...... - CORRECT ANSWER-tell her it is
normal. Koplick spots - CORRECT ANSWER-Measles (rubeola). Grains of salt lesions inside
mouth in Measles
4 month old wont keep anything down, what is the main thing you look at? - CORRECT
ANSWER-Growth chart Koplick spots - CORRECT ANSWER-Measles (rubeola). Grains of salt lesions inside
mouth in Measles
6 month old closed anterior fontanel. - CORRECT ANSWER-XRAY
Legg-Calve-Perthes Disease - CORRECT ANSWER-Avascular necrosis of the proximal
Abnormal cells on PAP, what do you do next? - CORRECT ANSWER-Refer for femoral head
Colposcopy
Lipid level of 1500, increased risk for? - CORRECT ANSWER-Pancreatitis
CAGE ACRONYM - CORRECT ANSWER-Cut down
Annoyed by criticism Low HGB, Low HCT, High MCV indicates what? - CORRECT ANSWER-Macrocytic
Guilty about drinking anemia, B12 Def
Eye opener drink
Man with BPH, prostate feels on digital exam? - CORRECT ANSWER-Enlarged,
Causes of tachycardia - CORRECT ANSWER-Fever symmetrical, smooth
Anemia
Hypotension Man with HTN, CAD, present femoral pulses but absent pedal - CORRECT ANSWER-
Arterial Insufficiency
, Red beefy tongue? - CORRECT ANSWER-pernicious anemia
McMurray's Sign
(+) palpable or audible click while extending with varus stress - CORRECT ANSWER- Rotator cuff injury presentation - CORRECT ANSWER-disturbs sleep, arm weakness,
Meniscus tears dull ache
Lachman's Test - CORRECT ANSWER-pivot shift test (ACL tear) Shingles near eye - CORRECT ANSWER-immediate referral to ophthalmology
Newborn with foot turned in, what do you do? - CORRECT ANSWER-refer to Signs and symptoms of Roseola (6ths disease) ? - CORRECT ANSWER-Viral infection
orthopedist Can result in a maculopapular rash, but up to 70% of cases proceed without the rash
stage
Osgood-Schlatter disease - CORRECT ANSWER-Knee pain. -Usually accompanied by a high fever (41°C or 105°F) that comes on quickly and lasts
inflammation or irritation of the tibia at its point of attachment with the patellar tendon up to 3 days followed by rash
-Seizures may occur during this period.
Patient forgot to start Thanksgiving dinner and husband states she has trouble -On the fourth day, the fever disappears and the rash appears, first on chest and trunk,
remembering tasks and trouble with organization. What is this indicative of? - then less prominently on the face and limbs.
CORRECT ANSWER-Alzheimer's -High fever, pink flat or raised rash
Pt has Barretts Esophagus, insurance no longer covers GI who was treating condition. Treatment for chronic alcoholism: - CORRECT ANSWER-12 step program
Pt at FNP office wanting refill prescriptions. What do you do? - CORRECT ANSWER-
Refer to oncologist Treatment for Gonorrhea? - CORRECT ANSWER-Rocephin 250mg IMx1 plus
Azithromycin 1 gm orally x1 to cover chlamydia. , or doxy 100 mg BID x7d. Green
Pt presents with rash on shoulder, erythematous maculopapular rash with center colored vaginal discharge, friable cervix. EXAM
clearing and scaling? - CORRECT ANSWER-Tinea Corporis Report to health department
Pt presents with "bag of worms:, indicates? - CORRECT ANSWER-Varicocele Young female want birth control, forgets to take pills, does not want to get pregnant for
at least 5 years: - CORRECT ANSWER-IUD
Pt with atopic dermatitis, look for what other diseases? - CORRECT ANSWER-Asthma
Basal cell cancer - CORRECT ANSWER-Waxy, pearly, telangiectasia, ulcer center
Pt with bleeding after menopause - CORRECT ANSWER-endometrial biopsy, need to lesion
screen for cancer -most common type of skin cancer caused by UV exposure. Metastatic is rare
Pt with hx of PID, increased rick for? - CORRECT ANSWER-Infertility Actinic Keratosis - CORRECT ANSWER-Scaly red to yellow located in sun exposed
area
Pt with HIV took high potency anti viral treatments and CD4 is >400, what does this -a precancerous skin growth that occurs on sun-damaged skin
indicate? - CORRECT ANSWER-This is good. Want higher than 350
Actinic Keratosis - CORRECT ANSWER-Numerous round dry pink to red areas. Scaly
Pt with hx of htn and stroke, now having memory loss. What does this indicate? - red to yellow located in sun exposed area
CORRECT ANSWER-Vascular dementia -a pre squamous cell carcinoma occurs on sun-damaged skin
biopsy
Pregnant teacher with exposure to 5ths disease (SLAP CHEEK), what risk is there to cryo or 5fu cream
the fetus? - CORRECT ANSWER-slap cheek, PVB19, rash hands / feet Fetal death and
birth defects subungual hematoma tx - CORRECT ANSWER-Make a hole and drain the blood
Quick assessment of patients fall risk? Timed Get up and Go - CORRECT ANSWER- Moderate acne treatment - CORRECT ANSWER-Without inflammation: Topical retinoid
Timed Get up and Go
