AANP FNP Certification Exam (Complete Solution)
All diastolic murmurs are pathological. Murmurs Grades I-barely II-audible III- clearly audible. IV-
first time thrill V-Steth edge VI-entire steth. EXAM - III first time audible, IV first time thrill
Fundal height 12 weeks - Fundal Height 12 weeks above symphysis pubis. EXAM
Fundus 16 weeks between symphysis pubis and umbilicus.
Fundus at 20 weeks is at umbilicus.
2 cm more of less from # of wk gestation is normal if more or less order US
3 month old infant with down syndrome, due to milk intolerance, mom started on goats milk; now
has pale conjunctiva but otherwise healthy. Low HCT. What additional test would you order? - Iron,
TIBC
3 months of synthroid, TSH increased, T4 normal, what do you do? - Increase Medication
3 ways to assess cognitive function in patient with signs/symptoms of memory loss - Mini mental
exam
4 month old with strabismus, mom is worried...... - tell her it is normal.
4 month old wont keep anything down, what is the main thing you look at? - Growth chart
6 month old closed anterior fontanel. - XRAY
Abnormal cells on PAP, what do you do next? - Refer for Colposcopy
,CAGE ACRONYM - Cut down
Annoyed by criticism
Guilty about drinking
Eye opener drink
Causes of tachycardia - Fever
Anemia
Hypotension
Cranial nerves responsible for extraocular eye movements - CN 3,4,6
Definition of metabolic syndrome - cluster of conditions that increase risk of heart disease, stroke,
diabetes.
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
All diastolic murmurs are pathological. Murmurs Grades I-barely II-audible III- clearly audible. IV-
first time thrill V-Steth edge VI-entire steth. EXAM - III first time audible, IV first time thrill
Fundal height 12 weeks - Fundal Height 12 weeks above symphysis pubis. EXAM
Fundus 16 weeks between symphysis pubis and umbilicus.
Fundus at 20 weeks is at umbilicus.
2 cm more of less from # of wk gestation is normal if more or less order US
3 month old infant with down syndrome, due to milk intolerance, mom started on goats milk; now
has pale conjunctiva but otherwise healthy. Low HCT. What additional test would you order? - Iron,
TIBC
3 months of synthroid, TSH increased, T4 normal, what do you do? - Increase Medication
3 ways to assess cognitive function in patient with signs/symptoms of memory loss - Mini mental
exam
4 month old with strabismus, mom is worried...... - tell her it is normal.
4 month old wont keep anything down, what is the main thing you look at? - Growth chart
6 month old closed anterior fontanel. - XRAY
Abnormal cells on PAP, what do you do next? - Refer for Colposcopy
,CAGE ACRONYM - Cut down
Annoyed by criticism
Guilty about drinking
Eye opener drink
Causes of tachycardia - Fever
Anemia
Hypotension
Cranial nerves responsible for extraocular eye movements - CN 3,4,6
Definition of metabolic syndrome - cluster of conditions that increase risk of heart disease, stroke,
diabetes.
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
