AGPCNP BOARD REVIEW ACTUAL
QUESTIONS AND ANSWERS
Lesions often begin as small, firm, dome-shaped growths on genitals or other parts of the body
(armpits, neck, face, hands); have a surface that feels smooth, waxy, or pearly; are flesh-colored
or pink; have a dimple in the center (may be filled with a thick, white substance that is cheesy or
waxy); and are painless but itch. Scratching or picking can spread the virus. - ANSWER-
Molluscum contagiosum
Thayer-Martin Selective Agar is an enriched medium for the selective isolation of - ANSWER-
Neisseria species. N. gonorrhoeae
Trauma to Kiesselbach's plexus will result in an - ANSWER-anterior nosebleed
The diagnostic or gold-standard test for sickle cell anemia - ANSWER-glucose- 6-phosphate
dehydrogenase (G6PD) anemia
the test is positive in De Quervain's tenosynovitis - ANSWER-Finkelstein's test—positive in De
Quervain's tenosynovitis
Anterior drawer maneuver and Lachman maneuvers are positive when: - ANSWER-anterior
cruciate ligament (ACL) of the knee is damaged
positive in meniscus injuries of the knee - ANSWER-McMurray's sign
neovascularization, cotton wool spots, and microaneurysms are suggestive off - ANSWER-
diabetic retinopathy
atrioventricular [AV] nicking, silver and/or copper wire arterioles on fundal exam are suggestive
of - ANSWER-hypertensive retinopathy
A S4 heart sound is auscultated in an elderly patients, suggesting: - ANSWER-S4 heart sounds
absent other symptoms in the elderly are often a benign finding
For pain relief during pregnancy use: - ANSWER-For pain relief, pick acetaminophen (Tylenol)
instead of NSAIDs such as ibuprofen (Advil) or naproxen (Aleve, Anaprox)
which hand should the ophthalmoscope be held in to examine a patient's eye - ANSWER-should
be held in the same hand as the eye being examined
,the cut to disc ratio of a normal fundal exam should not exceed - ANSWER-1:2, e.g. the cup
should not be more than half the size of the disc diameter
if the provider is having trouble visualizing the macula on fundoscopic exam, the patient should
be asked to look: - ANSWER-directly into the light of the ophthalmoscope
clinical term used to described patient who have trouble seeing items that are far away
(nearsightedness) - ANSWER-myopia
clinical term for farsightedness - ANSWER-hyperopia
difficulty in maintaining a clear focus at a new distance due to lessening of flexibility of the
crystalline lens and weakening of ciliary muscles - common after 40 years - ANSWER-presbyopia
raised, wedge-shaped growth of noncancerous tissue over the conjunctiva exacerbated by sun,
wind and dust - ANSWER-pterygium
acute inflammatory process affecting the eyelid usually caused by staphylococcus aureus -
ANSWER-hordeolum (stye)
hordeolum (stye) is most commonly caused by what organism - ANSWER-staphylococcus aureus
hordeolum is commonly managed with: - ANSWER-1. warm compresses
2. topical bacitracin or erythromycin ointment
3. refer to an ophthalmologist if not resolved in ~ 2 days
beady nodule on the eye lid that is usually painless apart from the tenderness caused by
swelling - ANSWER-chalazion
seborrheic dermatitis of the LID EDGE, often presents with red, scaly, greasy flakes - ANSWER-
blepharitis
tends to be the most irritating clinical symptoms of blepharitis - ANSWER-itching
TX for blepharitis - ANSWER-1. hot compress
2. topical abx: bacitracin or erythromycin
3. Vigorously scrub lashes and lid margins with eyes closed and follow with thorough rinsing
organism most commonly responsible for blepharitis - ANSWER-staphylococcus
most common inflammatory eye disorder with itching, burning, increases tearing, blurred vision
(possible), sensation of foreign body in the eye which may be caused by allergies, chemical
irritation, bacterial, viral or gonococcal/chlamydial infection - ANSWER-conjunctivitis (pink-eye)
, results from an increased intraocular pressure - ANSWER-glaucoma
acute increase in IOP, opthalmic emergency - ANSWER-closed-angle glaucoma
a patient who presents with extreme eye pain, blurred vision, pupils that are dilated or fixed
and HALOS AROUND LIGHTS should be: - ANSWER-referred to opthlamology for emergent
suspicion of closed-angel glaucoma
screening for glaucoma should begin at age - ANSWER-40
results from clouding and opacification of the normally clear lens of the eye - ANSWER-cataracts
highest cause of treatable blindness is: - ANSWER-cataracts
most common surgical procedure in patients 65+ - ANSWER-cataract surgery
a patient presents with painless, clouded or dim vision with halos around lights, no red reflex
and DIPLOPIA IN A SINGLE EYE would be suspected of - ANSWER-cataract
floaters in the eye is the most concerning symptom for: - ANSWER-retinal detachment
the most important diagnostic indicator in the evaluation of headache is: - ANSWER-chronology
patient describes a "vise-like", generalized headache that is more intense about his neck and
back of head. The most probable diagnosis is: - ANSWER-tension headache
duration of tension headaches are usually: - ANSWER-no more than a few hours
management of tension headache include: - ANSWER-OTC analgesics and relaxation
the pathophysiology of most migraines is: - ANSWER-a result of dilation and excessive pulsation
of the external carotid artery
migraine's typically last: - ANSWER-at least 2 but no more than 72 hours
migraines without aura are classified as: - ANSWER-common migraine
migraines with aura are classified as: - ANSWER-classic migraine
migraine headaches, which affect females > males can commonly be triggered by this inciting
event in women: - ANSWER-hormonal changes seen with onset of the menstrual cycle
patient reports a unilateral throbbing headache that occurs episodically. she states reports
"seeing stars" and some weakness. she has no history of migraines. the appropriate first step is:
- ANSWER-all patients with new migraines must be worked up to R/O organic causes of disease.
the provider should order:
CBC
QUESTIONS AND ANSWERS
Lesions often begin as small, firm, dome-shaped growths on genitals or other parts of the body
(armpits, neck, face, hands); have a surface that feels smooth, waxy, or pearly; are flesh-colored
or pink; have a dimple in the center (may be filled with a thick, white substance that is cheesy or
waxy); and are painless but itch. Scratching or picking can spread the virus. - ANSWER-
Molluscum contagiosum
Thayer-Martin Selective Agar is an enriched medium for the selective isolation of - ANSWER-
Neisseria species. N. gonorrhoeae
Trauma to Kiesselbach's plexus will result in an - ANSWER-anterior nosebleed
The diagnostic or gold-standard test for sickle cell anemia - ANSWER-glucose- 6-phosphate
dehydrogenase (G6PD) anemia
the test is positive in De Quervain's tenosynovitis - ANSWER-Finkelstein's test—positive in De
Quervain's tenosynovitis
Anterior drawer maneuver and Lachman maneuvers are positive when: - ANSWER-anterior
cruciate ligament (ACL) of the knee is damaged
positive in meniscus injuries of the knee - ANSWER-McMurray's sign
neovascularization, cotton wool spots, and microaneurysms are suggestive off - ANSWER-
diabetic retinopathy
atrioventricular [AV] nicking, silver and/or copper wire arterioles on fundal exam are suggestive
of - ANSWER-hypertensive retinopathy
A S4 heart sound is auscultated in an elderly patients, suggesting: - ANSWER-S4 heart sounds
absent other symptoms in the elderly are often a benign finding
For pain relief during pregnancy use: - ANSWER-For pain relief, pick acetaminophen (Tylenol)
instead of NSAIDs such as ibuprofen (Advil) or naproxen (Aleve, Anaprox)
which hand should the ophthalmoscope be held in to examine a patient's eye - ANSWER-should
be held in the same hand as the eye being examined
,the cut to disc ratio of a normal fundal exam should not exceed - ANSWER-1:2, e.g. the cup
should not be more than half the size of the disc diameter
if the provider is having trouble visualizing the macula on fundoscopic exam, the patient should
be asked to look: - ANSWER-directly into the light of the ophthalmoscope
clinical term used to described patient who have trouble seeing items that are far away
(nearsightedness) - ANSWER-myopia
clinical term for farsightedness - ANSWER-hyperopia
difficulty in maintaining a clear focus at a new distance due to lessening of flexibility of the
crystalline lens and weakening of ciliary muscles - common after 40 years - ANSWER-presbyopia
raised, wedge-shaped growth of noncancerous tissue over the conjunctiva exacerbated by sun,
wind and dust - ANSWER-pterygium
acute inflammatory process affecting the eyelid usually caused by staphylococcus aureus -
ANSWER-hordeolum (stye)
hordeolum (stye) is most commonly caused by what organism - ANSWER-staphylococcus aureus
hordeolum is commonly managed with: - ANSWER-1. warm compresses
2. topical bacitracin or erythromycin ointment
3. refer to an ophthalmologist if not resolved in ~ 2 days
beady nodule on the eye lid that is usually painless apart from the tenderness caused by
swelling - ANSWER-chalazion
seborrheic dermatitis of the LID EDGE, often presents with red, scaly, greasy flakes - ANSWER-
blepharitis
tends to be the most irritating clinical symptoms of blepharitis - ANSWER-itching
TX for blepharitis - ANSWER-1. hot compress
2. topical abx: bacitracin or erythromycin
3. Vigorously scrub lashes and lid margins with eyes closed and follow with thorough rinsing
organism most commonly responsible for blepharitis - ANSWER-staphylococcus
most common inflammatory eye disorder with itching, burning, increases tearing, blurred vision
(possible), sensation of foreign body in the eye which may be caused by allergies, chemical
irritation, bacterial, viral or gonococcal/chlamydial infection - ANSWER-conjunctivitis (pink-eye)
, results from an increased intraocular pressure - ANSWER-glaucoma
acute increase in IOP, opthalmic emergency - ANSWER-closed-angle glaucoma
a patient who presents with extreme eye pain, blurred vision, pupils that are dilated or fixed
and HALOS AROUND LIGHTS should be: - ANSWER-referred to opthlamology for emergent
suspicion of closed-angel glaucoma
screening for glaucoma should begin at age - ANSWER-40
results from clouding and opacification of the normally clear lens of the eye - ANSWER-cataracts
highest cause of treatable blindness is: - ANSWER-cataracts
most common surgical procedure in patients 65+ - ANSWER-cataract surgery
a patient presents with painless, clouded or dim vision with halos around lights, no red reflex
and DIPLOPIA IN A SINGLE EYE would be suspected of - ANSWER-cataract
floaters in the eye is the most concerning symptom for: - ANSWER-retinal detachment
the most important diagnostic indicator in the evaluation of headache is: - ANSWER-chronology
patient describes a "vise-like", generalized headache that is more intense about his neck and
back of head. The most probable diagnosis is: - ANSWER-tension headache
duration of tension headaches are usually: - ANSWER-no more than a few hours
management of tension headache include: - ANSWER-OTC analgesics and relaxation
the pathophysiology of most migraines is: - ANSWER-a result of dilation and excessive pulsation
of the external carotid artery
migraine's typically last: - ANSWER-at least 2 but no more than 72 hours
migraines without aura are classified as: - ANSWER-common migraine
migraines with aura are classified as: - ANSWER-classic migraine
migraine headaches, which affect females > males can commonly be triggered by this inciting
event in women: - ANSWER-hormonal changes seen with onset of the menstrual cycle
patient reports a unilateral throbbing headache that occurs episodically. she states reports
"seeing stars" and some weakness. she has no history of migraines. the appropriate first step is:
- ANSWER-all patients with new migraines must be worked up to R/O organic causes of disease.
the provider should order:
CBC
