AANP FNP COMPREHENSIVE EXAM UPDATED QUESTIONS
AND ANSWERS GRADED A+
✔✔Alzheimer's - ✔✔Patient forgot to start Thanksgiving dinner and husband states she
has trouble remembering tasks and trouble with organization. What is this indicative of?
✔✔Refer to oncologist - ✔✔Pt has Barretts Esophagus, insurance no longer covers GI
who was treating condition. Pt at FNP office wanting refill prescriptions. What do you
do?
✔✔Tinea Corporis - ✔✔Pt presents with rash on shoulder, erythematous maculopapular
rash with center clearing and scaling?
✔✔Varicocele - ✔✔Pt presents with "bag of worms:, indicates?
✔✔Asthma - ✔✔Pt with atopic dermatitis, look for what other diseases?
✔✔endometrial biopsy, need to screen for cancer - ✔✔Pt with bleeding after
menopause
✔✔Infertility - ✔✔Pt with hx of PID, increased rick for?
✔✔This is good. Want higher than 350 - ✔✔Pt with HIV took high potency anti viral
treatments and CD4 is >400, what does this indicate?
✔✔Vascular dementia - ✔✔Pt with hx of htn and stroke, now having memory loss. What
does this indicate?
✔✔slap cheek, PVB19, rash hands / feet Fetal death and birth defects - ✔✔Pregnant
teacher with exposure to 5ths disease (SLAP CHEEK), what risk is there to the fetus?
✔✔Timed Get up and Go - ✔✔Quick assessment of patients fall risk? Timed Get up and
Go
✔✔pernicious anemia - ✔✔Red beefy tongue?
✔✔disturbs sleep, arm weakness, dull ache - ✔✔Rotator cuff injury presentation
✔✔immediate referral to ophthalmology - ✔✔Shingles near eye
✔✔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 - ✔✔Signs and symptoms of Roseola (6ths disease)
?
✔✔12 step program - ✔✔Treatment for chronic alcoholism:
✔✔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 - ✔✔Treatment for Gonorrhea?
✔✔IUD - ✔✔Young female want birth control, forgets to take pills, does not want to get
pregnant for at least 5 years:
✔✔Waxy, pearly, telangiectasia, ulcer center lesion
-most common type of skin cancer caused by UV exposure. Metastatic is rare -
✔✔Basal cell cancer
✔✔Scaly red to yellow located in sun exposed area
-a precancerous skin growth that occurs on sun-damaged skin - ✔✔Actinic Keratosis
✔✔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 - ✔✔Actinic Keratosis
✔✔Make a hole and drain the blood - ✔✔subungual hematoma tx
✔✔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 - ✔✔Moderate acne treatment
✔✔MR - radiate axilla, 5th ICS MCL, apex,
AS - radiate neck, 2ICS right sternal border
MR ASSH - ✔✔heart murmur with holosystolic or pan systolic
Heart mumur with mid systolic
✔✔COA: bounding radial and weak femoral pulse
increase blood pressure in arms, and lower pressure in lower legs.
-congenital cardiac condition characterized by a narrowing of the aorta
- - ✔✔Coarctation of Aorta
✔✔Loud murmur easily heard - ✔✔Murmur Grade III - VI
✔✔-tension pneumothorax,
-Rt. sided heart failure,
-cardiac tamponade,
-traumatic axphysia from
Increase in portal pressure(LIVER) in venous side or cor pulmonale - ✔✔JVD caused
by
✔✔endocarditis , painful red spots on fingers olser's nodes, janeway legions rash on
palms and soles. - ✔✔pt. with gradual onset of fever, hemorrhages on nail beds, painful
raised red nodules, rash on palms
✔✔PAD: Absence of pulse, decrease blow flowing down, PAIN, Dx doppler or ABI<0.9,
TX exercise by walking or antiplatelet,
PVD: Volume, edema, discoloration, decrease blood going up, - ✔✔Know the difference
between Peripheral Arterial Disease and Chronic Venous Insufficiency or PVD. There
was question about PAD.
✔✔Smoking cessation
Pulmonary rehabilitation
Pharmacologic therapy
Supplemental oxygen - ✔✔Chronic Bronchitis Treatment
AND ANSWERS GRADED A+
✔✔Alzheimer's - ✔✔Patient forgot to start Thanksgiving dinner and husband states she
has trouble remembering tasks and trouble with organization. What is this indicative of?
✔✔Refer to oncologist - ✔✔Pt has Barretts Esophagus, insurance no longer covers GI
who was treating condition. Pt at FNP office wanting refill prescriptions. What do you
do?
✔✔Tinea Corporis - ✔✔Pt presents with rash on shoulder, erythematous maculopapular
rash with center clearing and scaling?
✔✔Varicocele - ✔✔Pt presents with "bag of worms:, indicates?
✔✔Asthma - ✔✔Pt with atopic dermatitis, look for what other diseases?
✔✔endometrial biopsy, need to screen for cancer - ✔✔Pt with bleeding after
menopause
✔✔Infertility - ✔✔Pt with hx of PID, increased rick for?
✔✔This is good. Want higher than 350 - ✔✔Pt with HIV took high potency anti viral
treatments and CD4 is >400, what does this indicate?
✔✔Vascular dementia - ✔✔Pt with hx of htn and stroke, now having memory loss. What
does this indicate?
✔✔slap cheek, PVB19, rash hands / feet Fetal death and birth defects - ✔✔Pregnant
teacher with exposure to 5ths disease (SLAP CHEEK), what risk is there to the fetus?
✔✔Timed Get up and Go - ✔✔Quick assessment of patients fall risk? Timed Get up and
Go
✔✔pernicious anemia - ✔✔Red beefy tongue?
✔✔disturbs sleep, arm weakness, dull ache - ✔✔Rotator cuff injury presentation
✔✔immediate referral to ophthalmology - ✔✔Shingles near eye
✔✔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 - ✔✔Signs and symptoms of Roseola (6ths disease)
?
✔✔12 step program - ✔✔Treatment for chronic alcoholism:
✔✔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 - ✔✔Treatment for Gonorrhea?
✔✔IUD - ✔✔Young female want birth control, forgets to take pills, does not want to get
pregnant for at least 5 years:
✔✔Waxy, pearly, telangiectasia, ulcer center lesion
-most common type of skin cancer caused by UV exposure. Metastatic is rare -
✔✔Basal cell cancer
✔✔Scaly red to yellow located in sun exposed area
-a precancerous skin growth that occurs on sun-damaged skin - ✔✔Actinic Keratosis
✔✔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 - ✔✔Actinic Keratosis
✔✔Make a hole and drain the blood - ✔✔subungual hematoma tx
✔✔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 - ✔✔Moderate acne treatment
✔✔MR - radiate axilla, 5th ICS MCL, apex,
AS - radiate neck, 2ICS right sternal border
MR ASSH - ✔✔heart murmur with holosystolic or pan systolic
Heart mumur with mid systolic
✔✔COA: bounding radial and weak femoral pulse
increase blood pressure in arms, and lower pressure in lower legs.
-congenital cardiac condition characterized by a narrowing of the aorta
- - ✔✔Coarctation of Aorta
✔✔Loud murmur easily heard - ✔✔Murmur Grade III - VI
✔✔-tension pneumothorax,
-Rt. sided heart failure,
-cardiac tamponade,
-traumatic axphysia from
Increase in portal pressure(LIVER) in venous side or cor pulmonale - ✔✔JVD caused
by
✔✔endocarditis , painful red spots on fingers olser's nodes, janeway legions rash on
palms and soles. - ✔✔pt. with gradual onset of fever, hemorrhages on nail beds, painful
raised red nodules, rash on palms
✔✔PAD: Absence of pulse, decrease blow flowing down, PAIN, Dx doppler or ABI<0.9,
TX exercise by walking or antiplatelet,
PVD: Volume, edema, discoloration, decrease blood going up, - ✔✔Know the difference
between Peripheral Arterial Disease and Chronic Venous Insufficiency or PVD. There
was question about PAD.
✔✔Smoking cessation
Pulmonary rehabilitation
Pharmacologic therapy
Supplemental oxygen - ✔✔Chronic Bronchitis Treatment
