AANP FNP CERTIFICATION DIFFERENT
VERSION EXAM QUESTIONS WITH
COMPLETE SOLUTIONS
Pt presents with rash on shoulder, erythematous maculopapular rash
with center clearing and scaling? - ---CORRECT ANSWER-->Tinea
Corporis
Pt presents with "bag of worms:, indicates? ----- CORRECT ANSWER-
>Varicocele
Pt with atopic dermatitis, look for what other diseases? ------CORRECT
ANSWER-->Asthma
Pt with bleeding after menopause----- CORRECT ANSWER-->endometrial
biopsy, need to screen for cancer
Pt with hx of PID, increased rick for? ----- CORRECT ANSWER-->Infertility
Pt with HIV took high potency anti viral treatments and CD4 is >400,
what does this indicate? - ---CORRECT ANSWER-->This is good. Want
higher than 350
Pt with hx of htn and stroke, now having memory loss. What does this
indicate? - ---CORRECT ANSWER-->Vascular dementia
,Pregnant teacher with exposure to 5ths disease (SLAP CHEEK), what risk
is there to the fetus? ---- CORRECT ANSWER-->slap cheek, PVB19, rash
hands / feet Fetal death and birth defects
Quick assessment of patients fall risk? Timed Get up and Go - --
CORRECT ANSWER-->Timed Get up and Go
Red beefy tongue? ---- CORRECT ANSWER-->pernicious anemia
Rotator cuff injury presentation ----- CORRECT ANSWER-->disturbs sleep,
arm weakness, dull ache
Shingles near eye ---- CORRECT ANSWER-->immediate referral to
ophthalmology
Signs and symptoms of Roseola (6ths disease) ? ----- CORRECT ANSWER-
>Viral infection
Can result in a maculopapular rash, but up to 70% of cases proceed
without the rash stage
-Usually accompanied by a high fever (41°C or 105°F) that comes on
quickly and lasts up to 3 days followed by rash -Seizures may occur
during this period.
-On the fourth day, the fever disappears and the rash appears, first on
chest and trunk, then less prominently on the face and limbs.
-High fever, pink flat or raised rash
Treatment for chronic alcoholism------ CORRECT ANSWER-->12 step
program
,Treatment for Gonorrhea? ----- CORRECT ANSWER-->Rocephin 250mg
IMx1 plus
Azithromycin 1 gm orally x1 to cover chlamydia. , or doxy 100 mg BID
x7d. Green colored vaginal discharge, friable cervix. EXAM
Report to health department
Young female want birth control, forgets to take pills, does not want to
get pregnant for at least 5 years: - ---CORRECT ANSWER-->IUD
Basal cell cancer ----- CORRECT ANSWER-->Waxy, pearly, telangiectasia,
ulcer center lesion
-most common type of skin cancer caused by UV exposure. Metastatic
is rare
Actinic Keratosis----- CORRECT ANSWER-->Scaly red to yellow located in
sun exposed area
-a precancerous skin growth that occurs on sun-damaged skin
Actinic Keratosis----- CORRECT ANSWER-->Numerous round dry pink to
red areas. Scaly red to yellow located in sun exposed area -a
pre squamous cell carcinoma occurs on sun-damaged skin
biopsy
cryo or 5fu cream
subungual hematoma tx -----CORRECT ANSWER-->Make a hole and
drain the blood
, Moderate acne treatment ----- CORRECT ANSWER-->Without
inflammation: Topical retinoid
Moderate inflammation: Topical Retinoid or benzoyl peroxide or Azaleic
acic ( very expensive and hard to get covered)
PLUS ADD
Oral antibiotics: doxycycline or tetracycline or minocycline-
(tetracyclines has been proven most affective for inflammatory acne)
Minocycline- long term use has been linked with pseudotumor cerebri
Oral contraceptives for hormone related
Spironolactone
heart murmur with holosystolic or pan systolic
Heart mumur with mid systolic ----- CORRECT ANSWER-->MR - radiate
axilla, 5th ICS MCL, apex,
AS - radiate neck, 2ICS right sternal border
MR ASSH
Coarctation of Aorta ---- CORRECT ANSWER-->COA: bounding radial and
weak femoral pulse
increase blood pressure in arms, and lower pressure in lower legs.
VERSION EXAM QUESTIONS WITH
COMPLETE SOLUTIONS
Pt presents with rash on shoulder, erythematous maculopapular rash
with center clearing and scaling? - ---CORRECT ANSWER-->Tinea
Corporis
Pt presents with "bag of worms:, indicates? ----- CORRECT ANSWER-
>Varicocele
Pt with atopic dermatitis, look for what other diseases? ------CORRECT
ANSWER-->Asthma
Pt with bleeding after menopause----- CORRECT ANSWER-->endometrial
biopsy, need to screen for cancer
Pt with hx of PID, increased rick for? ----- CORRECT ANSWER-->Infertility
Pt with HIV took high potency anti viral treatments and CD4 is >400,
what does this indicate? - ---CORRECT ANSWER-->This is good. Want
higher than 350
Pt with hx of htn and stroke, now having memory loss. What does this
indicate? - ---CORRECT ANSWER-->Vascular dementia
,Pregnant teacher with exposure to 5ths disease (SLAP CHEEK), what risk
is there to the fetus? ---- CORRECT ANSWER-->slap cheek, PVB19, rash
hands / feet Fetal death and birth defects
Quick assessment of patients fall risk? Timed Get up and Go - --
CORRECT ANSWER-->Timed Get up and Go
Red beefy tongue? ---- CORRECT ANSWER-->pernicious anemia
Rotator cuff injury presentation ----- CORRECT ANSWER-->disturbs sleep,
arm weakness, dull ache
Shingles near eye ---- CORRECT ANSWER-->immediate referral to
ophthalmology
Signs and symptoms of Roseola (6ths disease) ? ----- CORRECT ANSWER-
>Viral infection
Can result in a maculopapular rash, but up to 70% of cases proceed
without the rash stage
-Usually accompanied by a high fever (41°C or 105°F) that comes on
quickly and lasts up to 3 days followed by rash -Seizures may occur
during this period.
-On the fourth day, the fever disappears and the rash appears, first on
chest and trunk, then less prominently on the face and limbs.
-High fever, pink flat or raised rash
Treatment for chronic alcoholism------ CORRECT ANSWER-->12 step
program
,Treatment for Gonorrhea? ----- CORRECT ANSWER-->Rocephin 250mg
IMx1 plus
Azithromycin 1 gm orally x1 to cover chlamydia. , or doxy 100 mg BID
x7d. Green colored vaginal discharge, friable cervix. EXAM
Report to health department
Young female want birth control, forgets to take pills, does not want to
get pregnant for at least 5 years: - ---CORRECT ANSWER-->IUD
Basal cell cancer ----- CORRECT ANSWER-->Waxy, pearly, telangiectasia,
ulcer center lesion
-most common type of skin cancer caused by UV exposure. Metastatic
is rare
Actinic Keratosis----- CORRECT ANSWER-->Scaly red to yellow located in
sun exposed area
-a precancerous skin growth that occurs on sun-damaged skin
Actinic Keratosis----- CORRECT ANSWER-->Numerous round dry pink to
red areas. Scaly red to yellow located in sun exposed area -a
pre squamous cell carcinoma occurs on sun-damaged skin
biopsy
cryo or 5fu cream
subungual hematoma tx -----CORRECT ANSWER-->Make a hole and
drain the blood
, Moderate acne treatment ----- CORRECT ANSWER-->Without
inflammation: Topical retinoid
Moderate inflammation: Topical Retinoid or benzoyl peroxide or Azaleic
acic ( very expensive and hard to get covered)
PLUS ADD
Oral antibiotics: doxycycline or tetracycline or minocycline-
(tetracyclines has been proven most affective for inflammatory acne)
Minocycline- long term use has been linked with pseudotumor cerebri
Oral contraceptives for hormone related
Spironolactone
heart murmur with holosystolic or pan systolic
Heart mumur with mid systolic ----- CORRECT ANSWER-->MR - radiate
axilla, 5th ICS MCL, apex,
AS - radiate neck, 2ICS right sternal border
MR ASSH
Coarctation of Aorta ---- CORRECT ANSWER-->COA: bounding radial and
weak femoral pulse
increase blood pressure in arms, and lower pressure in lower legs.
