AANP BOARD NOTES REVIEW 2024
%_+
1. Tegretol(ANSWER) Trigeminal neuralgia. Bad for elderly.
CBC q3 mo agranulocytosis and bone marrow suppression.
2. Gabapentin(ANSWER) For perph neuropathy and post herparic neuralgia.
3. Topamax(ANSWER) Seizure and migraine. S/e weight loss, renal and hepatic issues
4. Prophylactic migraine meds(ANSWER) BB, topamax, depakote, and TCAs
5. Iron(ANSWER) Take on empty stomach and w acidic drink, stool softener
6. Lexapro(ANSWER) Gen anxiety.
Fast onset, good safety profile
7. Paxil(ANSWER) OCD, off label pms,
menopause. S/e weight gain and sedation.
8. Prozac(ANSWER) Weight neutral, increases jitters, fall, and anxiety risk
9. Zoloft(ANSWER) Safe for elderly & breastfeeding
10. SNRI(ANSWER) Cymbalta & Effexor. Avoid in uncontrolled HTN
11. TCAs(ANSWER) Slows conduction. EKG >40, risk of heart
block. Ach s/e.
OD risk with 5x of reg dose
12. MAOIs(ANSWER) Rasagiline and
Eldepryl. Never give with other
antidepressants. Tyramine can cause HTN
crisis
13. Lithium(ANSWER) Too much sodium risk of manic ep. LT s/e on thyroid.
14. Atypical antipsychotics(ANSWER) Weight and glucose
elevated. Tardive dyskinesia & galactorrhea (Seroquel &
Zyprexa)
15. No grape fruit juice(ANSWER) MAOI, lithium, Buspar, Statins
16. Lichen Planus(ANSWER) Wickham striae(ANSWER) lacy white mucous membrane.
, AANP BOARD NOTES REVIEW 2024
Flexor surface and limbs that are pruritic and red.
%_+
Topical steroid and histamine resolve in 6 months.
17. Lichens simplex chronicus(ANSWER) Leathery skin w constant itch cycle, seen w
der- matitis
18. Lichens Sclerosis(ANSWER) Genitalia post-menopausal, autoimmune and
pruritic. High-risk SCC. Tx w Clobetasol
19. First degree burn(ANSWER) Simple sun burn- aloe
20. Second degree burn(ANSWER) Partial thickness, dermis, and epidermis. Red
blister. Severe sunburn. Topical silver & abx ointment
21. Third and forth degree burn(ANSWER) Full-thickness. 4th includes bone and
muscle. Chemical and flames. R/o airway
22. Rule of 9's, adult(ANSWER)
Head 9% Arm 9% each
Torso(ANSWER) 36%
, AANP BOARD NOTES REVIEW 2024
%_+
Groin(ANSWER) 1%
Legs(ANSWER) 9% each
23. Rule of 9's, peds(ANSWER)
Head 18% Torso 18%
Legs 14% each
Arm 9%
24. Refer to burn center(ANSWER) Burns to face, hands, feet, genitalia. Burns >10%.
Elec- trical burns. 2nd degree burns
25. Rubeola (measles)(ANSWER) KOPLIK spots seen before
rash. Rash starts day 2, face then down.
3 C's(ANSWER) cough, congestion, coryza.
Airborne. MMR vax
26. Mumps(ANSWER) Parotid gland swelling, droplet, seen in
dorms. Fever, headache, malaise
27. Rubella (German Measles)(ANSWER) Milder, dangerous in pregnancy. Rash starts
on face and then body. MMR vax
28. Rosela (sixth disease)(ANSWER) HPV or adenovirus. Cervical
lymphadenopathy. Pink blanchable rash on trunk after fever.
29. Fifth disease (Parvo virus B19)(ANSWER) Slapped cheek, lacy rash in cheeks. Mild
cold sx, anemia in fetus & pregnancy
30. Cocksackie virus(ANSWER) Rash starts in mouth, Pilling after rash
31. GCA(ANSWER) Jaw claudication, Visual disturbance, >50 years of age. Elevated
ESR. Tx w LT steroids. Biopsy gold standard
32. Cluster headache abortive tx(ANSWER) HFNC 100%, intranasal
triptan. Prophylactic is CCB
33. Bell's palsy(ANSWER) CN 7.
Steroids and antivirals wn 72 hours
%_+
1. Tegretol(ANSWER) Trigeminal neuralgia. Bad for elderly.
CBC q3 mo agranulocytosis and bone marrow suppression.
2. Gabapentin(ANSWER) For perph neuropathy and post herparic neuralgia.
3. Topamax(ANSWER) Seizure and migraine. S/e weight loss, renal and hepatic issues
4. Prophylactic migraine meds(ANSWER) BB, topamax, depakote, and TCAs
5. Iron(ANSWER) Take on empty stomach and w acidic drink, stool softener
6. Lexapro(ANSWER) Gen anxiety.
Fast onset, good safety profile
7. Paxil(ANSWER) OCD, off label pms,
menopause. S/e weight gain and sedation.
8. Prozac(ANSWER) Weight neutral, increases jitters, fall, and anxiety risk
9. Zoloft(ANSWER) Safe for elderly & breastfeeding
10. SNRI(ANSWER) Cymbalta & Effexor. Avoid in uncontrolled HTN
11. TCAs(ANSWER) Slows conduction. EKG >40, risk of heart
block. Ach s/e.
OD risk with 5x of reg dose
12. MAOIs(ANSWER) Rasagiline and
Eldepryl. Never give with other
antidepressants. Tyramine can cause HTN
crisis
13. Lithium(ANSWER) Too much sodium risk of manic ep. LT s/e on thyroid.
14. Atypical antipsychotics(ANSWER) Weight and glucose
elevated. Tardive dyskinesia & galactorrhea (Seroquel &
Zyprexa)
15. No grape fruit juice(ANSWER) MAOI, lithium, Buspar, Statins
16. Lichen Planus(ANSWER) Wickham striae(ANSWER) lacy white mucous membrane.
, AANP BOARD NOTES REVIEW 2024
Flexor surface and limbs that are pruritic and red.
%_+
Topical steroid and histamine resolve in 6 months.
17. Lichens simplex chronicus(ANSWER) Leathery skin w constant itch cycle, seen w
der- matitis
18. Lichens Sclerosis(ANSWER) Genitalia post-menopausal, autoimmune and
pruritic. High-risk SCC. Tx w Clobetasol
19. First degree burn(ANSWER) Simple sun burn- aloe
20. Second degree burn(ANSWER) Partial thickness, dermis, and epidermis. Red
blister. Severe sunburn. Topical silver & abx ointment
21. Third and forth degree burn(ANSWER) Full-thickness. 4th includes bone and
muscle. Chemical and flames. R/o airway
22. Rule of 9's, adult(ANSWER)
Head 9% Arm 9% each
Torso(ANSWER) 36%
, AANP BOARD NOTES REVIEW 2024
%_+
Groin(ANSWER) 1%
Legs(ANSWER) 9% each
23. Rule of 9's, peds(ANSWER)
Head 18% Torso 18%
Legs 14% each
Arm 9%
24. Refer to burn center(ANSWER) Burns to face, hands, feet, genitalia. Burns >10%.
Elec- trical burns. 2nd degree burns
25. Rubeola (measles)(ANSWER) KOPLIK spots seen before
rash. Rash starts day 2, face then down.
3 C's(ANSWER) cough, congestion, coryza.
Airborne. MMR vax
26. Mumps(ANSWER) Parotid gland swelling, droplet, seen in
dorms. Fever, headache, malaise
27. Rubella (German Measles)(ANSWER) Milder, dangerous in pregnancy. Rash starts
on face and then body. MMR vax
28. Rosela (sixth disease)(ANSWER) HPV or adenovirus. Cervical
lymphadenopathy. Pink blanchable rash on trunk after fever.
29. Fifth disease (Parvo virus B19)(ANSWER) Slapped cheek, lacy rash in cheeks. Mild
cold sx, anemia in fetus & pregnancy
30. Cocksackie virus(ANSWER) Rash starts in mouth, Pilling after rash
31. GCA(ANSWER) Jaw claudication, Visual disturbance, >50 years of age. Elevated
ESR. Tx w LT steroids. Biopsy gold standard
32. Cluster headache abortive tx(ANSWER) HFNC 100%, intranasal
triptan. Prophylactic is CCB
33. Bell's palsy(ANSWER) CN 7.
Steroids and antivirals wn 72 hours
