Sarah Michelle NP Review Study Guide & Practice Questions | AANP
& ANCC Exam Prep 2025
1. Rubeola 3 C's- cough, conjunctivitis and congestion. White spots in mouth
(measles)
2. Mumps Fever, bilateral swelling infront of ears
3. Rubella (German Rash starts on face and then spreads. Fever, cervical lymph and pink rash
Measles)
4. Roseola (Sixth High fever. Rash when it breaks. Rose pink color turns white when you touch it
Disease) (blanches). When the rash appears the patient is no longer contagious.
5. Fifth Disease Cold symptoms, lacy rash on trunk, itchy soles of feet and slapped cheeks
6. Hand, foot and Fever, sore throat, sores in mouth (THIS IS WHERE IS STARTS), hands, feet and toe
mouth peeling.
7. Migraines Unilateral behind eye,l. Prophylactic Tx: beta blockers
Abortive tx: Triptans! (Don't prescribe to uncontrolled HTN or CAD pts).
8. Diagnosis of ESR, C-reactive protein & temporal artery biopsy. Tx. Long term high dose steroids.
Temporal Arteri-
tis
9. Cluster Sudden sharp unilateral headache, tearing, nasal drainage, pain behind eyes.
headaches Prophylactic: verapamil
Abortive: O2 or sumatriptan
10. Thunderclap "Worst headache of my life". Usually associated with hemorrhagic stroke
headache
11. Stroke BE FAST: balance, eyes, face, arm, speech and time. CT scan. Bleed= hemorrhagic
clot= ischemic.
12.
, Sarah Michelle NP Review Study Guide & Practice Questions | AANP
& ANCC Exam Prep 2025
Transient Is- interruption in blood supply to the brain that does not cause permanent brain
chemic Attack damage- increased risk of stroke
(TIA)
13. Receptive apha- WERNICKES
sia
14. Expressive apha- Broca's
sia
15. Bell palsy Facial cranial nerve 7. Rule out Lyme disease. Cause is unknown possibly viral. Tx.
Antiviral, steroids with 72 hours
16. Test for corneal Fluorescein stain
abrasion
17. Parkinson's Bradykinesia, rigidity, resting tremor and postural instability. Caused by depletion
of dopamine progressive neuro.
18. Essential tremor Occurs with intent (reaching for something). Tx. Beta blockers (propranolol),
physical activity and NO alcohol
19. Parkinson's treat- Dopamine agonists: ropinerole (requip) for motor symptoms. Levodopa/cari-
ment dopa (sinemet) better bradykinesia coverage.
20. Meningitis Inflammation/swelling of protective membranes/fluid of spinal cord. Causes-
bacteria, viruses and parasites. S/s: early flu like (fever, body aches, fatigue). Later:
confusion, ditterent walking, rash, vomiting, severe headahce and stitt neck
21. Meningitis Brudzinski: flex neck, hips knees.
checks Kernig: lie on back and straighten leg.
22. Meningitis treat- Refer to ER. Lumbar puncture ; bacteria/WBC. IV abx. And fluids.
ment
, Sarah Michelle NP Review Study Guide & Practice Questions | AANP
& ANCC Exam Prep 2025
23. absence seizure Diagnosed by EEG. Treatment/ should outgrow. Zarontin
24. Tonic clinic Clonic- jerking. Tonic- stittening. If lasts over 5 min call 911. Depakote treatment.
seizure
25. Depression meds SSRI: Prozac, Paxil. Lexapro, Zoloft.
SNRI: cymbals and Ettexor. Screening: PHQ2 if positive PHQ9 5 or higher= depres-
sion
26. Anxiety screen- GAD-7. Beta blockers can be helpful to some anxiety patients
ing
27. Insomnia three Transient less than week
categories Short term 1-3 months
Chronic 3 month to lifetime. Tx. Behavioral therapy, sleep studies. Diphenhy-
dramine or benzo short term
28. Hypertension Stage one ASCVD <10% lifestyle change. Above 10% meds. Goal 130/80.
29. First line hyper- ACE (-pril) and ARBS. Se: dry cough and angioedema. Monitor K, GFR and CR.
tension
30. Thiazides alter Uric acid, triglycerides and glucose. Great for osteoporosis
what
31. Calcium Channel Dihydropyridines (amlodipine) non-dihydropyridines ( verapamil and ditialazem)
Blockers se- edema and headache DO NOT USE IN GERD OR CHF
32. papilledema swelling of the optic disc
33. AV nicking Vein and artery cross clamping ott blood flow
34. copper wire arte-
riole
& ANCC Exam Prep 2025
1. Rubeola 3 C's- cough, conjunctivitis and congestion. White spots in mouth
(measles)
2. Mumps Fever, bilateral swelling infront of ears
3. Rubella (German Rash starts on face and then spreads. Fever, cervical lymph and pink rash
Measles)
4. Roseola (Sixth High fever. Rash when it breaks. Rose pink color turns white when you touch it
Disease) (blanches). When the rash appears the patient is no longer contagious.
5. Fifth Disease Cold symptoms, lacy rash on trunk, itchy soles of feet and slapped cheeks
6. Hand, foot and Fever, sore throat, sores in mouth (THIS IS WHERE IS STARTS), hands, feet and toe
mouth peeling.
7. Migraines Unilateral behind eye,l. Prophylactic Tx: beta blockers
Abortive tx: Triptans! (Don't prescribe to uncontrolled HTN or CAD pts).
8. Diagnosis of ESR, C-reactive protein & temporal artery biopsy. Tx. Long term high dose steroids.
Temporal Arteri-
tis
9. Cluster Sudden sharp unilateral headache, tearing, nasal drainage, pain behind eyes.
headaches Prophylactic: verapamil
Abortive: O2 or sumatriptan
10. Thunderclap "Worst headache of my life". Usually associated with hemorrhagic stroke
headache
11. Stroke BE FAST: balance, eyes, face, arm, speech and time. CT scan. Bleed= hemorrhagic
clot= ischemic.
12.
, Sarah Michelle NP Review Study Guide & Practice Questions | AANP
& ANCC Exam Prep 2025
Transient Is- interruption in blood supply to the brain that does not cause permanent brain
chemic Attack damage- increased risk of stroke
(TIA)
13. Receptive apha- WERNICKES
sia
14. Expressive apha- Broca's
sia
15. Bell palsy Facial cranial nerve 7. Rule out Lyme disease. Cause is unknown possibly viral. Tx.
Antiviral, steroids with 72 hours
16. Test for corneal Fluorescein stain
abrasion
17. Parkinson's Bradykinesia, rigidity, resting tremor and postural instability. Caused by depletion
of dopamine progressive neuro.
18. Essential tremor Occurs with intent (reaching for something). Tx. Beta blockers (propranolol),
physical activity and NO alcohol
19. Parkinson's treat- Dopamine agonists: ropinerole (requip) for motor symptoms. Levodopa/cari-
ment dopa (sinemet) better bradykinesia coverage.
20. Meningitis Inflammation/swelling of protective membranes/fluid of spinal cord. Causes-
bacteria, viruses and parasites. S/s: early flu like (fever, body aches, fatigue). Later:
confusion, ditterent walking, rash, vomiting, severe headahce and stitt neck
21. Meningitis Brudzinski: flex neck, hips knees.
checks Kernig: lie on back and straighten leg.
22. Meningitis treat- Refer to ER. Lumbar puncture ; bacteria/WBC. IV abx. And fluids.
ment
, Sarah Michelle NP Review Study Guide & Practice Questions | AANP
& ANCC Exam Prep 2025
23. absence seizure Diagnosed by EEG. Treatment/ should outgrow. Zarontin
24. Tonic clinic Clonic- jerking. Tonic- stittening. If lasts over 5 min call 911. Depakote treatment.
seizure
25. Depression meds SSRI: Prozac, Paxil. Lexapro, Zoloft.
SNRI: cymbals and Ettexor. Screening: PHQ2 if positive PHQ9 5 or higher= depres-
sion
26. Anxiety screen- GAD-7. Beta blockers can be helpful to some anxiety patients
ing
27. Insomnia three Transient less than week
categories Short term 1-3 months
Chronic 3 month to lifetime. Tx. Behavioral therapy, sleep studies. Diphenhy-
dramine or benzo short term
28. Hypertension Stage one ASCVD <10% lifestyle change. Above 10% meds. Goal 130/80.
29. First line hyper- ACE (-pril) and ARBS. Se: dry cough and angioedema. Monitor K, GFR and CR.
tension
30. Thiazides alter Uric acid, triglycerides and glucose. Great for osteoporosis
what
31. Calcium Channel Dihydropyridines (amlodipine) non-dihydropyridines ( verapamil and ditialazem)
Blockers se- edema and headache DO NOT USE IN GERD OR CHF
32. papilledema swelling of the optic disc
33. AV nicking Vein and artery cross clamping ott blood flow
34. copper wire arte-
riole
