AANP FNP
CERTIFICATION UPDATED EXAM
WITH VERIFIED SOLUTIONS.
GIVE Metformin, ACE or ARB- kidney protective, BB- causes
hypoglycemia,
Triglyceride < 300 what do we do first?
Triglyceride in 300 plus risk for ___ what do we do? - correct
amswer -Lifestyle modification
Pancreatitis, Niacin then add, fenofibrates
Serotonin syndrome ss - correct amswer -hyper rigidity, fever,
myoclonus, dilated pupils, AMS, hyper reflexes, from SSRI or mix
w MAOI and TCA
NSAID contraindicated in - correct amswer -HF and ARF
increase BP impair renal prostaglandin and sodium retention
,strabismus - correct amswer -misalignment of eyes, abnormal
after 6 months
macular degeneration - correct amswer -loss of central vision
retinal detachment - correct amswer -floaters, curtain, flashes
Xanthelasmas - correct amswer -sharply demarcated yellowish
deposit of cholesterol underneath the eye
Red reflex absent - correct amswer -retinoblastoma (leukorrhea) ,
cataracts, glaucoma.
Will have white reflex
Mono, return to play and Dx - correct amswer -4-6 weeks when
spleenolmegaly resolves
Mono spot/ Heterophile
,Viral stomatitis - correct amswer -ulcer on cheek
(Aphthous)- viral canker sore
cholesteatoma - correct amswer -chronic sinusitis or OM.
cauliflower, foul-smell, hearing loss.
erodes bones in face affects facial CN 7.
Benign- risk hearing loss refer SURGERY
Acute Closed Angle Glaucoma
Vs
Open Angle - correct amswer -Acute: Sudden pain, halos,
cupping, dilated, cloudy , IOP, HA, refer ED
Open (primary) : CN 2, gradual loss peripheral vision first
Papilledema - correct amswer -Swollen, optic disc, increase cup
to disc ratio, HA, ICP, HTN,
Acyclovir (cheapest) - correct amswer -200mg 5 x day
, Pt on PPI, has osteoporosis has a cough, - correct amswer -refer
for EGD r/o Barrett's.
allergic rhinitis - correct amswer -blue pale turbinate clear
drainage. Tx inhaled corticosteroids
hordeolum Vs
chalazion
blepharitis - correct amswer -hordeolum: painful swollen red warm
abscess TREAT hot compress erythromycin, dicloxacillin.
chalazion does not hurt
Blepharitis always unilateral, Tx baby shampoo warm compress
Sialolithiaisis - correct amswer -painful lump, calculi or salivary
stones.
sub mandibular gland whartons; duct.
Roseola infantum- Sixth disease - correct amswer -viral, young
children, high Fever 3-4 days followed by maculopapular rash
CERTIFICATION UPDATED EXAM
WITH VERIFIED SOLUTIONS.
GIVE Metformin, ACE or ARB- kidney protective, BB- causes
hypoglycemia,
Triglyceride < 300 what do we do first?
Triglyceride in 300 plus risk for ___ what do we do? - correct
amswer -Lifestyle modification
Pancreatitis, Niacin then add, fenofibrates
Serotonin syndrome ss - correct amswer -hyper rigidity, fever,
myoclonus, dilated pupils, AMS, hyper reflexes, from SSRI or mix
w MAOI and TCA
NSAID contraindicated in - correct amswer -HF and ARF
increase BP impair renal prostaglandin and sodium retention
,strabismus - correct amswer -misalignment of eyes, abnormal
after 6 months
macular degeneration - correct amswer -loss of central vision
retinal detachment - correct amswer -floaters, curtain, flashes
Xanthelasmas - correct amswer -sharply demarcated yellowish
deposit of cholesterol underneath the eye
Red reflex absent - correct amswer -retinoblastoma (leukorrhea) ,
cataracts, glaucoma.
Will have white reflex
Mono, return to play and Dx - correct amswer -4-6 weeks when
spleenolmegaly resolves
Mono spot/ Heterophile
,Viral stomatitis - correct amswer -ulcer on cheek
(Aphthous)- viral canker sore
cholesteatoma - correct amswer -chronic sinusitis or OM.
cauliflower, foul-smell, hearing loss.
erodes bones in face affects facial CN 7.
Benign- risk hearing loss refer SURGERY
Acute Closed Angle Glaucoma
Vs
Open Angle - correct amswer -Acute: Sudden pain, halos,
cupping, dilated, cloudy , IOP, HA, refer ED
Open (primary) : CN 2, gradual loss peripheral vision first
Papilledema - correct amswer -Swollen, optic disc, increase cup
to disc ratio, HA, ICP, HTN,
Acyclovir (cheapest) - correct amswer -200mg 5 x day
, Pt on PPI, has osteoporosis has a cough, - correct amswer -refer
for EGD r/o Barrett's.
allergic rhinitis - correct amswer -blue pale turbinate clear
drainage. Tx inhaled corticosteroids
hordeolum Vs
chalazion
blepharitis - correct amswer -hordeolum: painful swollen red warm
abscess TREAT hot compress erythromycin, dicloxacillin.
chalazion does not hurt
Blepharitis always unilateral, Tx baby shampoo warm compress
Sialolithiaisis - correct amswer -painful lump, calculi or salivary
stones.
sub mandibular gland whartons; duct.
Roseola infantum- Sixth disease - correct amswer -viral, young
children, high Fever 3-4 days followed by maculopapular rash
