ANCC FNP Exam
,Treatment for mild allergic conjunctivits - CORRECT ANSWERS-Topical
antihistamines/mast cell stabilizer
NSAIDs and topical corticosteroids are not first line
Pt with allergic conjunctivitis often produce inadequate amount of tears (oral
antihistamines may induce dry eye syndrome)
Oral hairy leukoplakia - CORRECT ANSWERS-elongated papilla of the lateral aspect
on the tongue
What causes oral hairy leukoplakia? - CORRECT ANSWERS-EBV
Koplik's spot - CORRECT ANSWERS-clusters of small red papules with white centers
located on the buccal mucosa by the lower molars (o = kopliks)
Prodromic viral of measles appears 2-3 days before the rash
Geographic tongue - CORRECT ANSWERS-inflammatory disorder that usually appears
on top and side of the tongue
multiple fissures and irreregular smoother areas on its surface that make it look like a
topographic map
Cheilosis - CORRECT ANSWERS-painful inflammation and cracking of the corners of
the mouth
Peritonsillar abscess - CORRECT ANSWERS-severe sore throat, difficulty swallowing,
trismus, and muffled "hot potato" voice
abscess displaces the uvula
pterygium - CORRECT ANSWERS-yellow, triangular thickening of the conjunctiva that
extends across the cornea on the nasal side
Pinguecula - CORRECT ANSWERS-yellowish, raised growth on the conjunctiva next to
the cornea
Chalazion - CORRECT ANSWERS-chronic inflammation of the meibomian gland
hordeolum (stye) - CORRECT ANSWERS-stye
abscess of a hair follicle and sebaceous gland on the eyelid
High risk factors for hearing loss in premature baby - CORRECT ANSWERS-HEARS
Hyperbilirubinemia
Ear infection frequency
low Apgar scores
exposure to Rubella, cytomegalovirus (CMV), toxoplasmosis
Seizures
diabetic retinopathy - CORRECT ANSWERS-cotton wool spots
,Normal intraocular pressure - CORRECT ANSWERS-8-21mm Hg
Intermittent Esotropia - CORRECT ANSWERS-common in infants younger than 20
weeks
resolves spontaneously
refer if present after 20 weeks
Kawasaki Disease - CORRECT ANSWERS-high fever, enlarged lymph nodes,
conjunctivitis, dry, cracked lips
strawberry tongue
most cases under 5 years of age
pharyngitis - CORRECT ANSWERS-acute infection of the pharynx
stuffy nose, rhinitis with clear mucus, and watery eyes
allergic rhinitis - CORRECT ANSWERS-inflammatory changes of the nasal mucosa due
to an allergy response
most common sign: transverse nasal crease (allergic salute)
tonsillitis - CORRECT ANSWERS-inflammation of the tonsils
sore throat, difficulty swallowing, tender lymph nodes
Treatment for otitis externa - CORRECT ANSWERS-Use aluminum acetate solution
PRN (provides soothing, effective relief of minor skin irritations and inflammation)
keep water out of the ear
Polymyxin B-neomycin-hydrocortisone suspension drops QID x 7 days and/or ofloxacin
drops
Bullous Myringitis - CORRECT ANSWERS-small, fluid-filled blisters form on the
eardrum
First permanent teeth to erupt - CORRECT ANSWERS-first molars at about 6 years of
age
viral keratoconjunctivitis - CORRECT ANSWERS-pink eye
treatment- symptomatic
cold compresses and slightly chilled artificial tears
avoid touching eyes, haring towels, frequent eye washing
children should not attend school until symptoms resolve
what causes viral keratoconjunctivits? - CORRECT ANSWERS-adenovirus
contagious for 10-12 days
self limiting
, Transmission of sound through the ear - CORRECT ANSWERS-1. sound waves are
collected in the pinna
2. transmission of vibrations through the hammer, anvil and stirrup
3.nerve impulses stimulate in the inner ear
4. vibrations are transmitted of the cerebral cortex auditory center
5.sound is interpreted by the cerebral cortex
Ishihara chart - CORRECT ANSWERS-screening a patient for colour blindness
Tx for otitis media - CORRECT ANSWERS-1st line- amoxicillin
blepharitis - CORRECT ANSWERS-chronic condition caused by inflammation of the
eyelids
contact lens keratitis - CORRECT ANSWERS-eye pain, redness, excessive tearing,
lesion on the cornea
1st line- topical abx
primary angle-closure glaucoma - CORRECT ANSWERS-sudden blockage of the
aqueous humor
increased intraocular pressure
Acute Rhinosinusitis - CORRECT ANSWERS-inflammation of the mucosal lining of
nasal passages, lasting up to 4 weeks, caused by allergens
Acute Bacterial Rhinosinusitis - CORRECT ANSWERS-secondary bacterial infection,
usually following viral URI
Diseases caused by S. pneumoniae - CORRECT ANSWERS-COMPS
Conjunctivitis
Otitis media
Meningitis
Pneumonia
Sinusitis
Diseases caused by H. influenza - CORRECT ANSWERS-COMPS
Conjunctivitis
Otitis media
Meningitis
Pneumonia
Sinusitis
Common features of ABRS - CORRECT ANSWERS-fever and symptoms duration of
more than 10 days
maxillary toothache
initial symptom improvement and then worsening of symptoms (double sickening)
,Treatment for mild allergic conjunctivits - CORRECT ANSWERS-Topical
antihistamines/mast cell stabilizer
NSAIDs and topical corticosteroids are not first line
Pt with allergic conjunctivitis often produce inadequate amount of tears (oral
antihistamines may induce dry eye syndrome)
Oral hairy leukoplakia - CORRECT ANSWERS-elongated papilla of the lateral aspect
on the tongue
What causes oral hairy leukoplakia? - CORRECT ANSWERS-EBV
Koplik's spot - CORRECT ANSWERS-clusters of small red papules with white centers
located on the buccal mucosa by the lower molars (o = kopliks)
Prodromic viral of measles appears 2-3 days before the rash
Geographic tongue - CORRECT ANSWERS-inflammatory disorder that usually appears
on top and side of the tongue
multiple fissures and irreregular smoother areas on its surface that make it look like a
topographic map
Cheilosis - CORRECT ANSWERS-painful inflammation and cracking of the corners of
the mouth
Peritonsillar abscess - CORRECT ANSWERS-severe sore throat, difficulty swallowing,
trismus, and muffled "hot potato" voice
abscess displaces the uvula
pterygium - CORRECT ANSWERS-yellow, triangular thickening of the conjunctiva that
extends across the cornea on the nasal side
Pinguecula - CORRECT ANSWERS-yellowish, raised growth on the conjunctiva next to
the cornea
Chalazion - CORRECT ANSWERS-chronic inflammation of the meibomian gland
hordeolum (stye) - CORRECT ANSWERS-stye
abscess of a hair follicle and sebaceous gland on the eyelid
High risk factors for hearing loss in premature baby - CORRECT ANSWERS-HEARS
Hyperbilirubinemia
Ear infection frequency
low Apgar scores
exposure to Rubella, cytomegalovirus (CMV), toxoplasmosis
Seizures
diabetic retinopathy - CORRECT ANSWERS-cotton wool spots
,Normal intraocular pressure - CORRECT ANSWERS-8-21mm Hg
Intermittent Esotropia - CORRECT ANSWERS-common in infants younger than 20
weeks
resolves spontaneously
refer if present after 20 weeks
Kawasaki Disease - CORRECT ANSWERS-high fever, enlarged lymph nodes,
conjunctivitis, dry, cracked lips
strawberry tongue
most cases under 5 years of age
pharyngitis - CORRECT ANSWERS-acute infection of the pharynx
stuffy nose, rhinitis with clear mucus, and watery eyes
allergic rhinitis - CORRECT ANSWERS-inflammatory changes of the nasal mucosa due
to an allergy response
most common sign: transverse nasal crease (allergic salute)
tonsillitis - CORRECT ANSWERS-inflammation of the tonsils
sore throat, difficulty swallowing, tender lymph nodes
Treatment for otitis externa - CORRECT ANSWERS-Use aluminum acetate solution
PRN (provides soothing, effective relief of minor skin irritations and inflammation)
keep water out of the ear
Polymyxin B-neomycin-hydrocortisone suspension drops QID x 7 days and/or ofloxacin
drops
Bullous Myringitis - CORRECT ANSWERS-small, fluid-filled blisters form on the
eardrum
First permanent teeth to erupt - CORRECT ANSWERS-first molars at about 6 years of
age
viral keratoconjunctivitis - CORRECT ANSWERS-pink eye
treatment- symptomatic
cold compresses and slightly chilled artificial tears
avoid touching eyes, haring towels, frequent eye washing
children should not attend school until symptoms resolve
what causes viral keratoconjunctivits? - CORRECT ANSWERS-adenovirus
contagious for 10-12 days
self limiting
, Transmission of sound through the ear - CORRECT ANSWERS-1. sound waves are
collected in the pinna
2. transmission of vibrations through the hammer, anvil and stirrup
3.nerve impulses stimulate in the inner ear
4. vibrations are transmitted of the cerebral cortex auditory center
5.sound is interpreted by the cerebral cortex
Ishihara chart - CORRECT ANSWERS-screening a patient for colour blindness
Tx for otitis media - CORRECT ANSWERS-1st line- amoxicillin
blepharitis - CORRECT ANSWERS-chronic condition caused by inflammation of the
eyelids
contact lens keratitis - CORRECT ANSWERS-eye pain, redness, excessive tearing,
lesion on the cornea
1st line- topical abx
primary angle-closure glaucoma - CORRECT ANSWERS-sudden blockage of the
aqueous humor
increased intraocular pressure
Acute Rhinosinusitis - CORRECT ANSWERS-inflammation of the mucosal lining of
nasal passages, lasting up to 4 weeks, caused by allergens
Acute Bacterial Rhinosinusitis - CORRECT ANSWERS-secondary bacterial infection,
usually following viral URI
Diseases caused by S. pneumoniae - CORRECT ANSWERS-COMPS
Conjunctivitis
Otitis media
Meningitis
Pneumonia
Sinusitis
Diseases caused by H. influenza - CORRECT ANSWERS-COMPS
Conjunctivitis
Otitis media
Meningitis
Pneumonia
Sinusitis
Common features of ABRS - CORRECT ANSWERS-fever and symptoms duration of
more than 10 days
maxillary toothache
initial symptom improvement and then worsening of symptoms (double sickening)
