AANP FNP certification

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 Fundal height 12 weeks 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 addi￾tional test would you order? 3 months of synthroid, TSH increased, T4 normal, what do you do? 3 ways to assess cognitive function in patient with signs/symptoms of memory loss 4 month old with strabismus, mom is wor￾ried...... 4 month old wont keep anything down, what is the main thing you look at? 6 month old closed anterior fontanel. Abnormal cells on PAP, what do you do next? CAGE ACRONYM III first time audible, IV first time thrill Fundal Height 12 weeks above symph- ysis 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 Iron, TIBC Increase Medication Mini mental exam tell her it is normal. Growth chart XRAY Refer for Colposcopy Cut down Annoyed by criticism Guilty about drinking Eye opener drink Causes of tachycardia AANP FNP certification 2 / 28 Cranial nerves responsible for extraocular eye movements Definition of metabolic syndrome diagnose trichomoniasis Elderly presents with atrophic vaginitis, small uterus, palpable 4x5 ovary, what do you do next? Epistaxis is most common in the area of the nose known as kiesselbachs trian- gle, where is this located? Definitive diagnosis of acute bacterial prostatitis Fever Anemia Hypotension CN 3,4,6 cluster of conditions that increase risk of heart disease, stroke, diabetes. wet prep Pelvic US Anterior septum urinalysis and culture GERD treatment Grade 3 cells on Pap, treatment? Fingernail hematoma treatment? Increased risk of ectopic pregnancy Koplick spots Legg-Calve-Perthes Disease Lipid level of 1500, increased risk for? Low HGB, Low HCT, High MCV indicates what? Man with BPH, prostate feels on digital exam? Man with HTN, CAD, present femoral pulses but absent pedal H2 is first line, give hs LEEP excision drill hole and drain blood? Salpingitis, or history of abortion, PID, Measles (rubeola). Grains of salt lesions inside mouth in Measles Avascular necrosis of the proximal femoral head Pancreatitis Macrocytic anemia, B12 Def Enlarged, symmetrical, smooth Arterial Insufficiency