Family Nurse Practitioner Exam AANP
Questions with Correct Answers
Karposi Sarcoma - ANSWERSCharacteristic purple areas on the nose in an HIV-
positive female. Kaposi's sarcoma (KS) is a type of cancer that can form in the skin,
lymph nodes, or other organs. The skin lesions are usually purple in color.
Malodorous single nare - ANSWERSForeign body
Retinal Detachment - ANSWERSthe retina separates from the layer underneath.
Symptoms include an increase in the number of floaters, flashes of light, and worsening
of the outer part of the visual field.
Adolescent with friable nasal turbinates - ANSWERSCocaine use
Aphthous ulcer - ANSWERSa recurrent round or oval sore or ulcer inside the mouth on
an area where the skin is not tightly bound to the underlying bone, such as on the inside
of the lips and cheeks or underneath the tongue. Aphthous ulcers can also affect the
genitalia in males and females.
GERD first line tx - ANSWERSPPI
Maxillary Sinusitis - ANSWERSDental pain
Kasmaul Triangle - ANSWERSAnterior epitaxis
Roseola infantum - ANSWERSH. fever => small pink dots pink or raised body rash =>
arms
Acne Roscaca - ANSWERS"adult acne." most often in adults (30-50 years of age).
Unlike acne vulgaris, rosacea is devoid of blackheads and characteristically does not
resolve after puberty. Rosacea strikes both sexes and potentially all ages. It tends to be
more frequent in women but more severe in men. It is very uncommon in children, and it
is less frequent in people with dark skin. Tx with Flagyl
AV Nicking - ANSWERSHTN, arteries crossing veins
Blepharitis - ANSWERScommonly occurs when the tiny oil glands of the inner eyelid
become inflamed. It often occurs along with other skin conditions or allergies.
Symptoms include red, itchy eyelids that may look greasy and crusted. Dry eyes also
are a symptom.
Treatments include cleaning the eyelids, antibiotic or steroid eye drops and treating
underlying conditions. However, blepharitis tends to come back.
,Hordelum - ANSWERSPainful stye it hurts
Chalazedium - ANSWERSNon painful lesion to eyelid
Cotton Wool - ANSWERSCotton wool spots are an abnormal finding on funduscopic
exam of the retina of the eye. They appear as fluffy white patches on the retina. They
are caused by damage to nerve fibers and are a result of accumulations of axoplasmic
material within the nerve fiber layer. Systemic HTN, DM
Herpes Zoster - ANSWERSEarly signs of shingles include a burning sensation or
stabbing pain and tingling or itching on the skin. After a few days, a rash or blisters
appear usually on one side of the body or face. When the rash is at its peak, symptoms
can range from mild itching to extreme and debilitating pain. Tx within 72 hours Aclovir
Retinoblastoma (Rb) - ANSWERSAbsence of light reflex, it is a rare form of cancer that
rapidly develops from the immature cells of a retina, the light-detecting tissue of the eye.
It is the most common primary malignant intraocular cancer in children, and it is almost
exclusively found in young children.
Seborrheic dermatitis (Dandruff) - ANSWERScommonly involves portions of the scalp,
brows, mid-face, ears, mid-chest, and mid-back. It is not unusual for it to affect the skin
of infants and young children where it often involves the scalp (cradle cap) and the
diaper area. Seborrheic dermatitis is also known as seborrhea.
Seborrheic Keratosis - ANSWERSA seborrhoeic keratosis is a harmless warty spot that
appears during adult life as a common sign of skin aging. ... Seborrhoeic keratosis (or
seborrheic keratosis, using American spelling) is also called SK, basal cell papilloma,
senile wart, brown wart or barnacle.
Cupping of disc - ANSWERSIntracranial pressure
subconjunctival haemorrhage - ANSWERSis bleeding underneath the conjunctiva. It
can occur after a sudden or severe sneeze or cough, heavy lifting, straining, vomiting or
even rubbing one's eyes too roughly. It can also occur as a side effect of eye surgery or
blood thinners.
The main symptom is a bright red patch in the eye that may spread and then become
green or yellow, much like a bruise. Usually it disappears within two weeks.
In most cases, no treatment is required for this condition.
Sialolithiasis (also termed salivary calculi, or salivary stones) - ANSWERSA condition
where a calcified mass or sialolith forms within a salivary gland, usually in the duct of
the submandibular gland (also termed "Wharton's duct").
Honey Crusted lesions - ANSWERSImpetigo is a bacterial infection that involves the
superficial skin.The most common presentation is yellowish crusts on the face, arms, or
,legs.Less commonly there may be large blisters which affect the groin or armpits. The
lesions may be painful or itchy. Fever is uncommon.
It is typically due to either Staphylococcus aureus or Streptococcus pyogenes. Risk
factors include attending day care, crowding, poor nutrition, diabetes mellitus, contact
sports, and breaks in the skin such as from mosquito bites, eczema, scabies, or herpes.
With contact it can spread around or between people.Diagnosis is typically based on the
symptoms.
Prevention is by hand washing, avoiding people who are infected, and cleaning injuries.
Treatment is typically with antibiotic creams such as mupirocin or fusidic acid.
Antibiotics by mouth, such as cephalexin, may be used if large areas are affected.
Antibiotic-resistant forms have been found.
Mild acne - ANSWERSSkin wash retinol benzol
moderate acne - ANSWERSretinol plus tetracylines oral abo
Retinol reaction - ANSWERSdecrease to 3 times a day
Well demarcated cellulitis - ANSWERSerysipelas affects the dermis, most commonly on
the legs, and tends to be sharply demarcated. Cellulitis, which typically affects the lower
legs, involves the subcutaneous fat and is often less well demarcated. ... The diagnosis
of cellulitis or erysipelas is usually clinical.
polymyalgia rheumatica - ANSWERSyou feel pain and stiffness in the muscles in your
shoulders and upper arms (shoulder girdle) and hips (pelvic girdle). This feeling often
comes after you've spent time resting, and is most severe upon wakening from sleep.
Fibromyalgia - ANSWERScan also cause muscle pain in the same parts of the body.
But it's more wide-spread and the pain is more severe. People with fibromyalgia tend to
experience other symptoms as well, including:
tiredness
trouble sleeping
memory problems
bowel and bladder problems
Temporal arteritis - ANSWERSis a condition in which the temporal arteries, which
supply blood to the head and brain, become inflamed or damaged. It is also known as
cranial arteritis or giant cell arteritis. Although this condition usually occurs in the
temporal arteries, it can occur in almost any medium to large artery in the body.
Temporal arteritis - ANSWERSESR CRP Biopsy
Temporal arteritis - ANSWERSS/SX double vision
, sudden, permanent loss of vision in one eye
a throbbing headache that's usually in the temples
fatigue
weakness
loss of appetite
jaw pain, which sometimes can occur with chewing
fever
unintentional weight loss
shoulder pain, hip pain, and stiffness
tenderness in the scalp and temple areas
Basal Cell carcinoma - ANSWERSMost common form
herpes keratosis - ANSWERSacute onset, photophobia, blurred vision
refer to ophthalmologist
Pinworms - ANSWERSitching at rectum, worst at noc, scotch tape, also known as
enterobiasis
Cellulitis worsening - ANSWERSSuspect DVD
Millera - ANSWERSwhite spots on mouth w/ infants
Scabies - ANSWERSweblike lesions on fingers with linear burrows
Kawasaki Disease - ANSWERSRedeye, strawberry pharnyx, rash on body, edema
hands and feet
t's most common in infants and young children.
Early stages include a rash and fever. Symptoms include high fever and peeling skin. In
late stages, there may be inflammation of medium-sized blood vessels (vasculitis). It
also affects lymph nodes, skin and mucous membranes, such as inside the mouth.
Kawasaki disease is usually treatable. Initial treatments include aspirin and intravenous
immunoglobulin therapy given in a medical facility.
Critical: consult a doctor for medical advice
Contact Dermatitis infant - ANSWERSDiaper rash
Psoriasis - ANSWERSScaley, sharply defined, auspitx sign, pinpoint bleeding
Osteomylitis - ANSWERSinfection to bone
varacella - ANSWERSchicken pox rash crusted "vesicles"
Heralds Patch - ANSWERSPityriasis rosea is a viral rash which lasts about 6-12 weeks.
It is characterised by a herald patch followed by similar, smaller oval red patches that
are located mainly on the chest and back.
Questions with Correct Answers
Karposi Sarcoma - ANSWERSCharacteristic purple areas on the nose in an HIV-
positive female. Kaposi's sarcoma (KS) is a type of cancer that can form in the skin,
lymph nodes, or other organs. The skin lesions are usually purple in color.
Malodorous single nare - ANSWERSForeign body
Retinal Detachment - ANSWERSthe retina separates from the layer underneath.
Symptoms include an increase in the number of floaters, flashes of light, and worsening
of the outer part of the visual field.
Adolescent with friable nasal turbinates - ANSWERSCocaine use
Aphthous ulcer - ANSWERSa recurrent round or oval sore or ulcer inside the mouth on
an area where the skin is not tightly bound to the underlying bone, such as on the inside
of the lips and cheeks or underneath the tongue. Aphthous ulcers can also affect the
genitalia in males and females.
GERD first line tx - ANSWERSPPI
Maxillary Sinusitis - ANSWERSDental pain
Kasmaul Triangle - ANSWERSAnterior epitaxis
Roseola infantum - ANSWERSH. fever => small pink dots pink or raised body rash =>
arms
Acne Roscaca - ANSWERS"adult acne." most often in adults (30-50 years of age).
Unlike acne vulgaris, rosacea is devoid of blackheads and characteristically does not
resolve after puberty. Rosacea strikes both sexes and potentially all ages. It tends to be
more frequent in women but more severe in men. It is very uncommon in children, and it
is less frequent in people with dark skin. Tx with Flagyl
AV Nicking - ANSWERSHTN, arteries crossing veins
Blepharitis - ANSWERScommonly occurs when the tiny oil glands of the inner eyelid
become inflamed. It often occurs along with other skin conditions or allergies.
Symptoms include red, itchy eyelids that may look greasy and crusted. Dry eyes also
are a symptom.
Treatments include cleaning the eyelids, antibiotic or steroid eye drops and treating
underlying conditions. However, blepharitis tends to come back.
,Hordelum - ANSWERSPainful stye it hurts
Chalazedium - ANSWERSNon painful lesion to eyelid
Cotton Wool - ANSWERSCotton wool spots are an abnormal finding on funduscopic
exam of the retina of the eye. They appear as fluffy white patches on the retina. They
are caused by damage to nerve fibers and are a result of accumulations of axoplasmic
material within the nerve fiber layer. Systemic HTN, DM
Herpes Zoster - ANSWERSEarly signs of shingles include a burning sensation or
stabbing pain and tingling or itching on the skin. After a few days, a rash or blisters
appear usually on one side of the body or face. When the rash is at its peak, symptoms
can range from mild itching to extreme and debilitating pain. Tx within 72 hours Aclovir
Retinoblastoma (Rb) - ANSWERSAbsence of light reflex, it is a rare form of cancer that
rapidly develops from the immature cells of a retina, the light-detecting tissue of the eye.
It is the most common primary malignant intraocular cancer in children, and it is almost
exclusively found in young children.
Seborrheic dermatitis (Dandruff) - ANSWERScommonly involves portions of the scalp,
brows, mid-face, ears, mid-chest, and mid-back. It is not unusual for it to affect the skin
of infants and young children where it often involves the scalp (cradle cap) and the
diaper area. Seborrheic dermatitis is also known as seborrhea.
Seborrheic Keratosis - ANSWERSA seborrhoeic keratosis is a harmless warty spot that
appears during adult life as a common sign of skin aging. ... Seborrhoeic keratosis (or
seborrheic keratosis, using American spelling) is also called SK, basal cell papilloma,
senile wart, brown wart or barnacle.
Cupping of disc - ANSWERSIntracranial pressure
subconjunctival haemorrhage - ANSWERSis bleeding underneath the conjunctiva. It
can occur after a sudden or severe sneeze or cough, heavy lifting, straining, vomiting or
even rubbing one's eyes too roughly. It can also occur as a side effect of eye surgery or
blood thinners.
The main symptom is a bright red patch in the eye that may spread and then become
green or yellow, much like a bruise. Usually it disappears within two weeks.
In most cases, no treatment is required for this condition.
Sialolithiasis (also termed salivary calculi, or salivary stones) - ANSWERSA condition
where a calcified mass or sialolith forms within a salivary gland, usually in the duct of
the submandibular gland (also termed "Wharton's duct").
Honey Crusted lesions - ANSWERSImpetigo is a bacterial infection that involves the
superficial skin.The most common presentation is yellowish crusts on the face, arms, or
,legs.Less commonly there may be large blisters which affect the groin or armpits. The
lesions may be painful or itchy. Fever is uncommon.
It is typically due to either Staphylococcus aureus or Streptococcus pyogenes. Risk
factors include attending day care, crowding, poor nutrition, diabetes mellitus, contact
sports, and breaks in the skin such as from mosquito bites, eczema, scabies, or herpes.
With contact it can spread around or between people.Diagnosis is typically based on the
symptoms.
Prevention is by hand washing, avoiding people who are infected, and cleaning injuries.
Treatment is typically with antibiotic creams such as mupirocin or fusidic acid.
Antibiotics by mouth, such as cephalexin, may be used if large areas are affected.
Antibiotic-resistant forms have been found.
Mild acne - ANSWERSSkin wash retinol benzol
moderate acne - ANSWERSretinol plus tetracylines oral abo
Retinol reaction - ANSWERSdecrease to 3 times a day
Well demarcated cellulitis - ANSWERSerysipelas affects the dermis, most commonly on
the legs, and tends to be sharply demarcated. Cellulitis, which typically affects the lower
legs, involves the subcutaneous fat and is often less well demarcated. ... The diagnosis
of cellulitis or erysipelas is usually clinical.
polymyalgia rheumatica - ANSWERSyou feel pain and stiffness in the muscles in your
shoulders and upper arms (shoulder girdle) and hips (pelvic girdle). This feeling often
comes after you've spent time resting, and is most severe upon wakening from sleep.
Fibromyalgia - ANSWERScan also cause muscle pain in the same parts of the body.
But it's more wide-spread and the pain is more severe. People with fibromyalgia tend to
experience other symptoms as well, including:
tiredness
trouble sleeping
memory problems
bowel and bladder problems
Temporal arteritis - ANSWERSis a condition in which the temporal arteries, which
supply blood to the head and brain, become inflamed or damaged. It is also known as
cranial arteritis or giant cell arteritis. Although this condition usually occurs in the
temporal arteries, it can occur in almost any medium to large artery in the body.
Temporal arteritis - ANSWERSESR CRP Biopsy
Temporal arteritis - ANSWERSS/SX double vision
, sudden, permanent loss of vision in one eye
a throbbing headache that's usually in the temples
fatigue
weakness
loss of appetite
jaw pain, which sometimes can occur with chewing
fever
unintentional weight loss
shoulder pain, hip pain, and stiffness
tenderness in the scalp and temple areas
Basal Cell carcinoma - ANSWERSMost common form
herpes keratosis - ANSWERSacute onset, photophobia, blurred vision
refer to ophthalmologist
Pinworms - ANSWERSitching at rectum, worst at noc, scotch tape, also known as
enterobiasis
Cellulitis worsening - ANSWERSSuspect DVD
Millera - ANSWERSwhite spots on mouth w/ infants
Scabies - ANSWERSweblike lesions on fingers with linear burrows
Kawasaki Disease - ANSWERSRedeye, strawberry pharnyx, rash on body, edema
hands and feet
t's most common in infants and young children.
Early stages include a rash and fever. Symptoms include high fever and peeling skin. In
late stages, there may be inflammation of medium-sized blood vessels (vasculitis). It
also affects lymph nodes, skin and mucous membranes, such as inside the mouth.
Kawasaki disease is usually treatable. Initial treatments include aspirin and intravenous
immunoglobulin therapy given in a medical facility.
Critical: consult a doctor for medical advice
Contact Dermatitis infant - ANSWERSDiaper rash
Psoriasis - ANSWERSScaley, sharply defined, auspitx sign, pinpoint bleeding
Osteomylitis - ANSWERSinfection to bone
varacella - ANSWERSchicken pox rash crusted "vesicles"
Heralds Patch - ANSWERSPityriasis rosea is a viral rash which lasts about 6-12 weeks.
It is characterised by a herald patch followed by similar, smaller oval red patches that
are located mainly on the chest and back.
