FPN-AANP QUESTIONS AND CORRECT ANSWERS WITH
100% VERIFIED CORRECT SOLUTIONS.
✅Trousseau sign. Answer:Hypocalcemia, spasm when compress brachial artery w/ BP cuff
✅Myocardial ischemia EKG changes. Answer:Inverted T wave, T wave depression
✅Myocardial injury EKG changes,. Answer:ST segment elevation, tall peaked t wave
✅Myocardial infarction EKG changes. Answer:Q wave
✅1st gen antihistamines. Answer:Diphenhydramine, chlorpheniramine
✅2nd gen antihistamines. Answer:Loratadine, desloratadine, cetirizine, fexofenadine,
levocetirazine
✅Ishihara chart. Answer:Test for color blindness
✅Scarlet fever presentation. Answer:Sandpaper-like rash, exudative pharyngitis, localized
anterior cervical lymphadenopathy, rash 2 days after pharyngitis then peels later
✅Roseola (HHV-6) presentation. Answer:Rash lasts hours to 3 days, follows 3-7 day high
fever, sometimes febrile seizures, tx supportive
✅Rubella (German measles, rubella virus). Answer:Mild sx, posterior and postauricular
cervical lymphadenopathy, arthralgia 5-10 days before rash, teratogenic, contagious 1 week
before and 2 weeks after rash
✅Measles (rubeola). Answer:Acute presentation, generalized lymphadenopathy,
photophobia, koplik spots, pharyngitis mild w/o exudate, rash 3-4 days after sx, contagious 1
, wk before and 2-3 weeks after rash, permanent neuro impairment and/or death possible, tx
supportive
✅Hand foot mouth dz (coxsackievirus a16). Answer:Fever, malaise, sore mouth, anorexia,
lesions, fecal-oral or droplet, highly contagious 2-6 wks, tx supportive
✅Fifth disease (human parvovirus b19). Answer:Rash starts on face (slapped cheek) spreads
to trunk, extremities, contagious before rash but not during or after. Droplet. Leukopenia.
Hydrops fetalis in pregnant. Tx supportive.
✅Infectious mononucleosis (Epstein-Barr). Answer:Diffuse lymphadenopathy, hepatic and
splenic tenderness/ enlargement, incubation 20-50 days, systemic corticosteroids if resp
distress from swollen airway, monospot/leukopenia w/ atypical lymphocytes diagnostic.
Avoid contact sports at least one month.
✅Kawasaki disease. Answer:Acute phase: fever >= 104 >= 5 days, polymorphous exanthem
on trunk/flexor region/perineum, erythema of oral cavity (strawberry tongue), chapped lips,
bilateral conjunctivitis w/o discharge, edema/erythema of hands and feet w peeling skin.
Children 1-8yr. Tx IV immunoglobulin, pop aspirin, consult
✅Lyme stage 1 (early localized disease). Answer:Mild flu-like illness, singular annular lesion
(erythema migrans), sx resolve 3-4 wks w/o tx
✅Lyme stage 2 (early disseminated). Answer:Months after initial infx, classic rash may
reappear w/ multiple lesions. Arthralgias, myalgia, HA, fatigue. Less common: heart block,
neuro findings (Bell's palsy)
✅Lyme stage 3 (late persistent). Answer:1 year after initial infection, msk s/s persist w/ joint
pain, frank arthritis, joint damage. Neuropsychiatric findings - memory problems, depression,
neuropathy.
✅Lyme organism. Answer:B. burgdorferri (tick-transmitted spirochete)
✅Lyme testing. Answer:ELISA confirmed with western blot
100% VERIFIED CORRECT SOLUTIONS.
✅Trousseau sign. Answer:Hypocalcemia, spasm when compress brachial artery w/ BP cuff
✅Myocardial ischemia EKG changes. Answer:Inverted T wave, T wave depression
✅Myocardial injury EKG changes,. Answer:ST segment elevation, tall peaked t wave
✅Myocardial infarction EKG changes. Answer:Q wave
✅1st gen antihistamines. Answer:Diphenhydramine, chlorpheniramine
✅2nd gen antihistamines. Answer:Loratadine, desloratadine, cetirizine, fexofenadine,
levocetirazine
✅Ishihara chart. Answer:Test for color blindness
✅Scarlet fever presentation. Answer:Sandpaper-like rash, exudative pharyngitis, localized
anterior cervical lymphadenopathy, rash 2 days after pharyngitis then peels later
✅Roseola (HHV-6) presentation. Answer:Rash lasts hours to 3 days, follows 3-7 day high
fever, sometimes febrile seizures, tx supportive
✅Rubella (German measles, rubella virus). Answer:Mild sx, posterior and postauricular
cervical lymphadenopathy, arthralgia 5-10 days before rash, teratogenic, contagious 1 week
before and 2 weeks after rash
✅Measles (rubeola). Answer:Acute presentation, generalized lymphadenopathy,
photophobia, koplik spots, pharyngitis mild w/o exudate, rash 3-4 days after sx, contagious 1
, wk before and 2-3 weeks after rash, permanent neuro impairment and/or death possible, tx
supportive
✅Hand foot mouth dz (coxsackievirus a16). Answer:Fever, malaise, sore mouth, anorexia,
lesions, fecal-oral or droplet, highly contagious 2-6 wks, tx supportive
✅Fifth disease (human parvovirus b19). Answer:Rash starts on face (slapped cheek) spreads
to trunk, extremities, contagious before rash but not during or after. Droplet. Leukopenia.
Hydrops fetalis in pregnant. Tx supportive.
✅Infectious mononucleosis (Epstein-Barr). Answer:Diffuse lymphadenopathy, hepatic and
splenic tenderness/ enlargement, incubation 20-50 days, systemic corticosteroids if resp
distress from swollen airway, monospot/leukopenia w/ atypical lymphocytes diagnostic.
Avoid contact sports at least one month.
✅Kawasaki disease. Answer:Acute phase: fever >= 104 >= 5 days, polymorphous exanthem
on trunk/flexor region/perineum, erythema of oral cavity (strawberry tongue), chapped lips,
bilateral conjunctivitis w/o discharge, edema/erythema of hands and feet w peeling skin.
Children 1-8yr. Tx IV immunoglobulin, pop aspirin, consult
✅Lyme stage 1 (early localized disease). Answer:Mild flu-like illness, singular annular lesion
(erythema migrans), sx resolve 3-4 wks w/o tx
✅Lyme stage 2 (early disseminated). Answer:Months after initial infx, classic rash may
reappear w/ multiple lesions. Arthralgias, myalgia, HA, fatigue. Less common: heart block,
neuro findings (Bell's palsy)
✅Lyme stage 3 (late persistent). Answer:1 year after initial infection, msk s/s persist w/ joint
pain, frank arthritis, joint damage. Neuropsychiatric findings - memory problems, depression,
neuropathy.
✅Lyme organism. Answer:B. burgdorferri (tick-transmitted spirochete)
✅Lyme testing. Answer:ELISA confirmed with western blot
