AANP Board Questions & Answers
INR values below ____ increase stroke risk sixfold. - 2
What allergy contradicts the use of thiazide diuretics? - Sulfa
Why should ACE-Is be avoided with renal stenosis? - Leads to ARF
Adverse effects of aldosterone antagonists (Aldactone) - Galactorrhea and hyperkalemia
What are beta blocker indications? - HTN, post-MI< angina, arrhythmias, migraine prophylaxis,
hyperthyroidism
1st line BP med for DM? - ACE or ARB
Grapefruit juice should be avoided in what 1st line antihypertensive medication? - CCB
Alternative antibiotic treatment for patients with gram positive baterial infections that are allergic
to PCN: - macrolides
Initial treatment of COPD - Ipratropium bromide (anticholinergic)
1st line treatment for gonorrheal infections - Rocephin IM
Treatment of anthrax - Cipro 500mg BID 7-10 days
Treatment of traveler's diarrhea - Cipro 500mg BID 3 days
What can increase the risk of tendon rupture when on a quinolone? - age and steroids
How long does ASA suppress platelet function? - up to 7 days
What is the FDA category and dose of finasteride? - 5mg PO QD and category X
What drug category should not be given with warfarin? - sulfa drugs
When should routine screening for breast cancer start? - 40
If a patient had only one dose of the hep B vaccine what is recommended? - Do not restart series;
Start with 2nd dose
What is done if a patient has a tetanus-prone wound and an unknown vaccination status? -
Administer immediate dose of Td and the teatnus immunoglobulin injection
, If a person is vaccinated with pneumovax prior to 65 what is recommended? - Give a booster
dose of pneumovax 5 years after initial dose
When should Zostavax be given? - age 60
How far apart should the varicella vaccines be given? - 4 weeks
Treatment for otitis externa - Cortisporin otic drops
Common bacterial pathogen of otitis externa - Pseudomonas
What is cholesteatoma a complication of? - periorbital sinusitis
What indicates an abnormal Rinne test? - BC>AC
What kind of hearing loss is found with an abnormal Rinne if BC>AC? - conductive
What kind of hearing loss is associated with lateralization to affected ear when Weber test is
performed - Conductive
What kind of hearing loss is associated with lateralization to unaffected ear when Weber test is
performed - sensorurial
What does 20/40 vision mean? - A person can see 20 ft whereas normal vision can see 40
Common treatment of cerumenosis - Carbamide peroxide
What route should HIV esophageal candida infections - Oral systemic
Where is a scabies rash located? - Interdigital webs and/or penis
Antibiotic treatment for human, dog, or cat bite - Augmentin
A herald patch or "Christmas tree" pattern is associated with what disease? - PItyriasis rosea
What class of meds are used to treat PHN? - TCAs
What is the treatment for rosacea? - Metronidazole gel
What areas of the body have thicker skin and call for higher potency steroids? - scalp, back, soles
How do you check for pulsus paradoxus? - BP cuff and stethoscope and the apical pulse
What findings are associated with hypertensive retinopathy? - copper and silver wire arterioles,
AV nicking
INR values below ____ increase stroke risk sixfold. - 2
What allergy contradicts the use of thiazide diuretics? - Sulfa
Why should ACE-Is be avoided with renal stenosis? - Leads to ARF
Adverse effects of aldosterone antagonists (Aldactone) - Galactorrhea and hyperkalemia
What are beta blocker indications? - HTN, post-MI< angina, arrhythmias, migraine prophylaxis,
hyperthyroidism
1st line BP med for DM? - ACE or ARB
Grapefruit juice should be avoided in what 1st line antihypertensive medication? - CCB
Alternative antibiotic treatment for patients with gram positive baterial infections that are allergic
to PCN: - macrolides
Initial treatment of COPD - Ipratropium bromide (anticholinergic)
1st line treatment for gonorrheal infections - Rocephin IM
Treatment of anthrax - Cipro 500mg BID 7-10 days
Treatment of traveler's diarrhea - Cipro 500mg BID 3 days
What can increase the risk of tendon rupture when on a quinolone? - age and steroids
How long does ASA suppress platelet function? - up to 7 days
What is the FDA category and dose of finasteride? - 5mg PO QD and category X
What drug category should not be given with warfarin? - sulfa drugs
When should routine screening for breast cancer start? - 40
If a patient had only one dose of the hep B vaccine what is recommended? - Do not restart series;
Start with 2nd dose
What is done if a patient has a tetanus-prone wound and an unknown vaccination status? -
Administer immediate dose of Td and the teatnus immunoglobulin injection
, If a person is vaccinated with pneumovax prior to 65 what is recommended? - Give a booster
dose of pneumovax 5 years after initial dose
When should Zostavax be given? - age 60
How far apart should the varicella vaccines be given? - 4 weeks
Treatment for otitis externa - Cortisporin otic drops
Common bacterial pathogen of otitis externa - Pseudomonas
What is cholesteatoma a complication of? - periorbital sinusitis
What indicates an abnormal Rinne test? - BC>AC
What kind of hearing loss is found with an abnormal Rinne if BC>AC? - conductive
What kind of hearing loss is associated with lateralization to affected ear when Weber test is
performed - Conductive
What kind of hearing loss is associated with lateralization to unaffected ear when Weber test is
performed - sensorurial
What does 20/40 vision mean? - A person can see 20 ft whereas normal vision can see 40
Common treatment of cerumenosis - Carbamide peroxide
What route should HIV esophageal candida infections - Oral systemic
Where is a scabies rash located? - Interdigital webs and/or penis
Antibiotic treatment for human, dog, or cat bite - Augmentin
A herald patch or "Christmas tree" pattern is associated with what disease? - PItyriasis rosea
What class of meds are used to treat PHN? - TCAs
What is the treatment for rosacea? - Metronidazole gel
What areas of the body have thicker skin and call for higher potency steroids? - scalp, back, soles
How do you check for pulsus paradoxus? - BP cuff and stethoscope and the apical pulse
What findings are associated with hypertensive retinopathy? - copper and silver wire arterioles,
AV nicking
