AANP FNP UPDATED EXAM SCRIPT QUESTIONS AND
ANSWERS GRADED A+
✔✔diagnose trichomoniasis - ✔✔wet prep
✔✔Elderly presents with atrophic vaginitis, small uterus, palpable 4x5 ovary, what do
you do next? - ✔✔Pelvic US
✔✔Epistaxis is most common in the area of the nose known as kiesselbachs triangle,
where is this located? - ✔✔Anterior septum
✔✔Definitive diagnosis of acute bacterial prostatitis - ✔✔urinalysis and culture
✔✔GERD treatment - ✔✔H2 is first line, give hs
✔✔Grade 3 cells on Pap, treatment? - ✔✔LEEP
excision
✔✔Fingernail hematoma treatment? - ✔✔drill hole and drain blood?
✔✔Increased risk of ectopic pregnancy - ✔✔Salpingitis, or history of abortion, PID,
✔✔Koplick spots - ✔✔Measles (rubeola). Grains of salt lesions inside mouth in Measles
✔✔Koplick spots - ✔✔Measles (rubeola). Grains of salt lesions inside mouth in Measles
✔✔Legg-Calve-Perthes Disease - ✔✔Avascular necrosis of the proximal femoral head
✔✔Lipid level of 1500, increased risk for? - ✔✔Pancreatitis
✔✔Low HGB, Low HCT, High MCV indicates what? - ✔✔Macrocytic anemia, B12 Def
✔✔Man with BPH, prostate feels on digital exam? - ✔✔Enlarged, symmetrical, smooth
✔✔Man with HTN, CAD, present femoral pulses but absent pedal - ✔✔Arterial
Insufficiency
✔✔McMurray's Sign
(+) palpable or audible click while extending with varus stress - ✔✔Meniscus tears
✔✔Lachman's Test - ✔✔pivot shift test (ACL tear)
✔✔Newborn with foot turned in, what do you do? - ✔✔refer to orthopedist
,✔✔Osgood-Schlatter disease - ✔✔Knee pain.
inflammation or irritation of the tibia at its point of attachment with the patellar tendon
✔✔Patient forgot to start Thanksgiving dinner and husband states she has trouble
remembering tasks and trouble with organization. What is this indicative of? -
✔✔Alzheimer's
✔✔Pt has Barretts Esophagus, insurance no longer covers GI who was treating
condition. Pt at FNP office wanting refill prescriptions. What do you do? - ✔✔Refer to
oncologist
✔✔Pt presents with rash on shoulder, erythematous maculopapular rash with center
clearing and scaling? - ✔✔Tinea Corporis
✔✔Pt presents with "bag of worms:, indicates? - ✔✔Varicocele
✔✔Pt with atopic dermatitis, look for what other diseases? - ✔✔Asthma
✔✔Pt with bleeding after menopause - ✔✔endometrial biopsy, need to screen for
cancer
✔✔Pt with hx of PID, increased rick for? - ✔✔Infertility
✔✔Pt with HIV took high potency anti viral treatments and CD4 is >400, what does this
indicate? - ✔✔This is good. Want higher than 350
✔✔Pt with hx of htn and stroke, now having memory loss. What does this indicate? -
✔✔Vascular dementia
✔✔Pregnant teacher with exposure to 5ths disease (SLAP CHEEK), what risk is there
to the fetus? - ✔✔slap cheek, PVB19, rash hands / feet Fetal death and birth defects
✔✔Quick assessment of patients fall risk? Timed Get up and Go - ✔✔Timed Get up and
Go
✔✔Red beefy tongue? - ✔✔pernicious anemia
✔✔Rotator cuff injury presentation - ✔✔disturbs sleep, arm weakness, dull ache
✔✔Shingles near eye - ✔✔immediate referral to ophthalmology
✔✔Signs and symptoms of Roseola (6ths disease) ? - ✔✔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: - ✔✔12 step program
✔✔Treatment for Gonorrhea? - ✔✔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: - ✔✔IUD
✔✔Basal cell cancer - ✔✔Waxy, pearly, telangiectasia, ulcer center lesion
-most common type of skin cancer caused by UV exposure. Metastatic is rare
✔✔Actinic Keratosis - ✔✔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
✔✔subungual hematoma tx - ✔✔Make a hole and drain the blood
✔✔Moderate acne treatment - ✔✔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
ANSWERS GRADED A+
✔✔diagnose trichomoniasis - ✔✔wet prep
✔✔Elderly presents with atrophic vaginitis, small uterus, palpable 4x5 ovary, what do
you do next? - ✔✔Pelvic US
✔✔Epistaxis is most common in the area of the nose known as kiesselbachs triangle,
where is this located? - ✔✔Anterior septum
✔✔Definitive diagnosis of acute bacterial prostatitis - ✔✔urinalysis and culture
✔✔GERD treatment - ✔✔H2 is first line, give hs
✔✔Grade 3 cells on Pap, treatment? - ✔✔LEEP
excision
✔✔Fingernail hematoma treatment? - ✔✔drill hole and drain blood?
✔✔Increased risk of ectopic pregnancy - ✔✔Salpingitis, or history of abortion, PID,
✔✔Koplick spots - ✔✔Measles (rubeola). Grains of salt lesions inside mouth in Measles
✔✔Koplick spots - ✔✔Measles (rubeola). Grains of salt lesions inside mouth in Measles
✔✔Legg-Calve-Perthes Disease - ✔✔Avascular necrosis of the proximal femoral head
✔✔Lipid level of 1500, increased risk for? - ✔✔Pancreatitis
✔✔Low HGB, Low HCT, High MCV indicates what? - ✔✔Macrocytic anemia, B12 Def
✔✔Man with BPH, prostate feels on digital exam? - ✔✔Enlarged, symmetrical, smooth
✔✔Man with HTN, CAD, present femoral pulses but absent pedal - ✔✔Arterial
Insufficiency
✔✔McMurray's Sign
(+) palpable or audible click while extending with varus stress - ✔✔Meniscus tears
✔✔Lachman's Test - ✔✔pivot shift test (ACL tear)
✔✔Newborn with foot turned in, what do you do? - ✔✔refer to orthopedist
,✔✔Osgood-Schlatter disease - ✔✔Knee pain.
inflammation or irritation of the tibia at its point of attachment with the patellar tendon
✔✔Patient forgot to start Thanksgiving dinner and husband states she has trouble
remembering tasks and trouble with organization. What is this indicative of? -
✔✔Alzheimer's
✔✔Pt has Barretts Esophagus, insurance no longer covers GI who was treating
condition. Pt at FNP office wanting refill prescriptions. What do you do? - ✔✔Refer to
oncologist
✔✔Pt presents with rash on shoulder, erythematous maculopapular rash with center
clearing and scaling? - ✔✔Tinea Corporis
✔✔Pt presents with "bag of worms:, indicates? - ✔✔Varicocele
✔✔Pt with atopic dermatitis, look for what other diseases? - ✔✔Asthma
✔✔Pt with bleeding after menopause - ✔✔endometrial biopsy, need to screen for
cancer
✔✔Pt with hx of PID, increased rick for? - ✔✔Infertility
✔✔Pt with HIV took high potency anti viral treatments and CD4 is >400, what does this
indicate? - ✔✔This is good. Want higher than 350
✔✔Pt with hx of htn and stroke, now having memory loss. What does this indicate? -
✔✔Vascular dementia
✔✔Pregnant teacher with exposure to 5ths disease (SLAP CHEEK), what risk is there
to the fetus? - ✔✔slap cheek, PVB19, rash hands / feet Fetal death and birth defects
✔✔Quick assessment of patients fall risk? Timed Get up and Go - ✔✔Timed Get up and
Go
✔✔Red beefy tongue? - ✔✔pernicious anemia
✔✔Rotator cuff injury presentation - ✔✔disturbs sleep, arm weakness, dull ache
✔✔Shingles near eye - ✔✔immediate referral to ophthalmology
✔✔Signs and symptoms of Roseola (6ths disease) ? - ✔✔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: - ✔✔12 step program
✔✔Treatment for Gonorrhea? - ✔✔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: - ✔✔IUD
✔✔Basal cell cancer - ✔✔Waxy, pearly, telangiectasia, ulcer center lesion
-most common type of skin cancer caused by UV exposure. Metastatic is rare
✔✔Actinic Keratosis - ✔✔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
✔✔subungual hematoma tx - ✔✔Make a hole and drain the blood
✔✔Moderate acne treatment - ✔✔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
