AANP FNP Certification Exam Study Guide 2023 with complete solution

Cranial nerves responsible for extraoculomotor movements? a. 2, 3, 6? b. 3, 4, 6? Patient with hx of hypertension and stroke, now having memory loss and confusion - indicates what? a. Alzheimer's b. Vascular Dementia? CAGE acronym ? Treatment for chronic alcoholism? ? Frail elderly mammogram breast tissue? ? Patient has Barrett's esophagus, insurance no longer covers gastroenterologist who was treating condition, patient at the FNP office, wanting a prescription for medication... What should the FNP do? a. Refer to oncologist? b. Refill prescription? GERD treatment? a. PPI? Per American College of Gastroenterology, treatment should begin with a PPI. b. H2? An H2 is inferior to PPI's. 3 months on Symmetrel, TSH increased, T4 normal, what do you do? a. Increase medication? b. Decrease medication? Lipid level of 1500, increased risk for? a. pancreatitis? Frail elder, increased creatinine, indication? ? Fingernail hematoma treatment? a. drill hole and drain blood? Abnormal cells on PAP, what do you do next? a. Refer for colposcopy? Red beefy tongue? a. Pernicious Anemia? b. Iron Deficiency? c. Folate Deficiency? Low Hemoglobin, Low Hematocrit, High MCV - Indicates what? ? Koplick Spots? a. Measles? Signs and Symptoms of Roseola? ... Pregnant teacher, with exposure to Fifths' Disease - what risk is there for the fetus? ... 6 Month Old with Closed Anterior Fontanel? ... 3 Month Old infant with Down Syndrome, due to milk intolerance, mom started infant on Goat's Milk; now has pale conjunctiva but otherwise healthy; with low Hematocrit, what other test would you order? a. CBC b. Iron, TIBC 4 Month Old with Strabismus, mom worried, what do you tell her? a. Normal? 4 Month Old "won't keep anything down", what is the main thing you look for? a. Dehydration? Man with HTN, CAD, present femoral pulses, but absent pedal pulses? a. DVT? b. Venous Insufficiency? c. Arterial Insufficiency? Diabetic patient with foot laceration, at risk for what? a. foot ulcer? b. acute osteomyelitis Definition of metabolic syndrome? ... Treatment for Gonorrhea? a. Rocephin IM and Zithromax po b. Doxycycline po Diagnose trich? a. Wet Prep? b. KOH? Patient with history of PID, increase risk for? a. Infertility? Increased risk for ectopic pregnancy, history of...? a. Salpingitis Newborn with foot turned in ("toeing in"), what do you do? a. Refer immediately to orthopedist? b. Routine followup? Osgood Schlatter Disease pain location? ... Growth plate fracture (Salter-Harris fx) location and pain? ... Rotator Cuff injury presentation? ... Causes of tachycardia? a. Fever? b. Anemia? c. Hypotension? Definitive diagnosis of acute bacterial proctatitis? a. Urinalysis and Culture b. Vigorous Massage of Prostate to Release Fluid for Culture? c. Urethral Culture? Man with high BPH, perform digital rectal exam - how does prostate feel? a. Asymmetrical, Nodular, Firm b. Symmetrical, Boggy ? Patient present with "bag of worms", what does this indicate? a. Varicocele Legg-Calve-Perthes disease? Avascular necrosis of the proximal femoral head... McMurray's Sign ... Epitaxis is most common in the area of the nose known as Kiesselbach's Triangle, where is this located? a. anterior septum? b. middle turbinate? c. sinus turbinate? Elderly presents with atrophic vaginitis, small uterus, and palpable 4x5 ovary, what do you do? a. Pelvic ultrasound? Grade 3 cells on Pap, treatment? ? Patient with bleeding after menopause? a. Endometrial biopsy? Young adult female, wants birth control, forgets to take pills, doesn't want to get pregnant for at least 5 years, what do you suggest? a. Intrauterine Device? Shingles near eye, patient wants cream and analgesic, what do you do? a. Order Acyclovir cream and analgesic? b. Immediate referral to opthamologist? Patient presents with rash on shoulder, erythematous maculopapular rash with center clearing, and scaling? a. Tinea Pedis? b. Tinea Corporis? c. Psoriasis? Peripheral vision loss = ? Central vision loss = ? ... Patient with Atopic Dermatitis, look for what other diseases? a. Asthma? Patient forgot to start Thanksgiving dinner, and husband states that she has trouble remembering tasks and has trouble with organization... What is this indicative of? a. Alzheimer's? b. Delerium? Quick assessment of patients fall risk? a. Timed Get up and Go? Mitral Regurgitation = sound and heard best at? Mitral Stenosis = " " " " " "? Mitral Prolapse = " " " " " "? Mitral Sclerosis = " " " " " "? Aortic Stenois = " " " " " "? Aortic Regurgitation = " " " " " "? Aortic Sclerosis = " " " " " "? ... 3 ways to assess cognitive function in patient with signs/symptoms of memory loss - all but which of the following? a. Mini Mental b. Depression Screen c. d. Patient voices aching when ambulating? This question did not specify if it was bilateral or unilateral Mentioned something about "rubor" but I can't remember what it said exactly... a. DVT? b. Venous Insufficiency? c. Arterial Insufficiency? Patient with HIV took high-potency anti-viral treatments and CD4 is 400, what does this indicate? a. Patient has full-blown AIDS as defined by the CDC? ? Patient has following labs: listed serology for Hepatitis, and then had to know if they had an active infection or immune, etc... ...