AANP QUESTIONS AND ANSWERS A+ GRADED EXAM LATEST

AANP QUESTIONS AND ANSWERS A+ GRADED EXAM LATEST Child with diarrhea and unable to keep anything down - CORRECT ANSWER-Check for GROWTH CHART Mother feeding a child only Goats milk what should you check - CORRECT ANSWERVitamin B12 & Folate Patient taking Synthroid, TSH is HIGH, T4 is NORMAL - CORRECT ANSWER-Increase SYNTHROID How do you assess COGNITIVE FUNCTION in a patient with memory loss - CORRECT ANSWER-MINI MENTAL EXAM When is Strabismus normal? - CORRECT ANSWER-Before 6 months Needs referral after 6 Months Closure of Umbilical Hernia - CORRECT ANSWER-2 years old When does the Anterior Fontanel close - CORRECT ANSWER-9-18 months Needs further work-up is closed early Abnormal Cells on a PAP Squamous Intraepitial Lesion (SIL) - CORRECT ANSWER-Refer for COLOSCOPY - CORRECT ANSWEREarly Closure of the Anterior Fontanel - Before 10 Months - CORRECT ANSWERXRAY then CT CAGE - CORRECT ANSWER-C - Cut Down A - Annoyed G - Guilty E - Eye Opener (am drinking) Causes of Tachycardia - CORRECT ANSWER-Anemia, Hypotension Cranial Nerves associated with extra-ocular eye movement - CORRECT ANSWER3,4,6 Metabolic Syndrome - CORRECT ANSWER-calculates risk of heart/stroke Risk Waist = 88-Woman 102-Men DEFINATIVE dx of Prostatitis - CORRECT ANSWER-UA & Culture How is Trichamonas diagnosed - CORRECT ANSWER-Wet Prep "Strawberry Cervix" Palpable Ovary - CORRECT ANSWER-Order a Pelvic US Atrophic Vaginitis - CORRECT ANSWER-1st line OTC Lube 2nd Line =ESTROGEN CREAM Most Common Nose Bleed area - CORRECT ANSWER-Kiesselbachs Triangle in the ANTERIOR SEPTUM Fingernail Hematoma - CORRECT ANSWER-Drain Blood GERD Treatement - CORRECT ANSWER-H2 Antagonists = Famotidine (pepcid) 2nd Line = PPIs PPI - CORRECT ANSWER-"ZOLE" Omeprazole Pantoprazole Grade 3 Cells on Pap - CORRECT ANSWER-Excision (wire loop) A Salter-Harris fracture - CORRECT ANSWER-Growth plate fracture - a fracture that involves the epiphyseal plate Ectopic Pregnancy RISK - CORRECT ANSWER-Salpingitis - Inflammation of Fallopian Tubes Koplik's Spots Little spots inside the mouth.- tiny grains of white sand, each surrounded by a red ring. - CORRECT ANSWER-Measles (Rubeola) Perthes Disease (rare childhood condition) - CORRECT ANSWER-Femoral Head avascular necrosis due to blood supply disruption High Triglycerides >1000 - CORRECT ANSWER-Pancreatitis Suspected in pts with uncontrolled diet and diabetes Low HGB, Low HCT, HIGH MCV - CORRECT ANSWER-B12 Deficiency "Pernicious Anemia" MACROLYTIC Low HGB, Low HCT, LOW MCV - CORRECT ANSWER-Iron Deficiency Anemia or Thallasemia Anemia Normal PSA - CORRECT ANSWER-0-4.0 BPH Prostate (gland enlargement) - CORRECT ANSWER-Enlarged, Symmetrical, Smooth Prostate Cancer Exam - CORRECT ANSWER-Enlarged, Hard, Lumps Present FEMORAL pulse Absent PEDAL pulse - CORRECT ANSWER-Arterial Insufficiency McMurry Sign - CORRECT ANSWER-Meniscus Tear Click = Medical Meniscus (Valgus) Lateral Meniscus = Varus Lachmans Test - CORRECT ANSWER-ACL Newborn with foot turned in ("toeing in"), what do you do? - CORRECT ANSWER-Refer to Ortho Childhood Knee pain - CORRECT ANSWER-Osgood Schlatter disease (Inflammation of the patellar ligament) Forgetting to start thanksgiving dinner, trouble remembering tasks, trouble organizing - CORRECT ANSWER-Executive Function Barretts Esophagus with no insurance - CORRECT ANSWER-Refer to Oncologist Shoulder Rash, erythematous maculopapular with CLEAR center - CORRECT ANSWER-Tinea Corporis RX: Topical anti-fungal (Terbinafine, Itraconzole) "AZOLE" A male client presents to the clinic with complaints of a swollen left testicle with a nontender mass that feels like a "bag of worms". - CORRECT ANSWER-Varicocele Atopic Dermatitis can be linked with what? - CORRECT ANSWER-Asthma Post Menopausal Bleeding - CORRECT ANSWER-Endometrial biopsy PID can increase the risk of .. - CORRECT ANSWER-Infertility What causes PID - CORRECT ANSWER-Trich, Gon, Chlymidia, NOT-Bacterial Vaginosis HIV CD4 Levels - CORRECT ANSWER->350 is good Memory Loss with a hx of HTN & Stroke "forgetful" - CORRECT ANSWER-Vascular Dementia 5th Disease and Pregnancy - CORRECT ANSWER-Dangerous, cause fetal loss or ANEMIA (hydrops fetalis) Red rash on face and lazy appearence - CORRECT ANSWER-Erythema Infectosum (5ths Disease) How to access fall risk in the elderly - CORRECT ANSWER-Timed, get up and go Test (walk 3 meters and sit back down) RED BEEFY TONGUE (Glossitis) - CORRECT ANSWER-Pernicious Anemia B12 Deficiency Arm Weakness, Dull Ache, Disturb sleep - CORRECT ANSWER-Rotator Cuff Injury Singles near eye - CORRECT ANSWER-Immediate Refer to Ophthalmology Roseola (human herpesvirus 6) Signs and Symtpoms - CORRECT ANSWER-High Fever, Pink flat or raised rash. Starts on the torso Very Common viral illness before age 2 Treated Symptomatically Chronic Alcoholism - CORRECT ANSWER-Refer for 12 step Program Bilateral Eye Symptoms - CORRECT ANSWER-Allergic Conjunctivitis Mild Persistent Asthma - CORRECT ANSWER-Low ICS Inefection of the Eye tear duct - CORRECT ANSWER-Dacryocytosis T2DM Foot Laceration - CORRECT ANSWER-Monitor for Osteomylitis CURB65 - CORRECT ANSWER-Pneumonia Hospital Criteria -Confusion, Urea, Respiratory rate, Blood pressure Chronic Use of Afrin - CORRECT ANSWER-Rhinitis Medicamentosa "Rebound Rhinitis" Generalized Anxiety Disorder Treatment - CORRECT ANSWER-SSRI Paxil, Lexapro What CD4 level is diagnostic for AIDS? - CORRECT ANSWER-Below <200 Describe Molluscum Contagiosum - CORRECT ANSWER-Raised, dome shaped, flesh colored, and umbilicated lesions. Hyperparathyroidism Labs - CORRECT ANSWER-Elevated PTH Elevated Calcium Hypothyroidism - CORRECT ANSWER-Elevated TSH >4 Hyperthyroidism TSH levels - CORRECT ANSWER-Low TSh <0.5 Acquired Hypothyroidism - CORRECT ANSWER-Hashimotos. Idiopathic or resulted from autoimmune thyroiditis, late-onset thyroid dysfunction, isolated TSH deficiency, or exposure to drugs that interfere with thyroid hormone synthesis. Absence of Menses by Age 15 - CORRECT ANSWER-Primary Amnorhea Dehydration in Children - CORRECT ANSWER-Skin Folds where is the fetus at 12 weeks - CORRECT ANSWER-Just above the Suprapubic Most common kidney cancer in children - CORRECT ANSWER-Wilms Tumor What anti psychotic drug causes Hyperglycemia - CORRECT ANSWER-Olanzepine (Zyrexa) repeated formation of benign and non-contagious mouth ulcers - CORRECT ANSWERAphthous stomatitis Which HTN med causes GERD - CORRECT ANSWER-CCB Gold Standard for Temporal Lobe Arthritis - CORRECT ANSWER-BIOPSY Waxy, Pearly, Ulcer Lesion - CORRECT ANSWER-Basal Cell Cancer Scaly Red to yellow, Sun Exposed - CORRECT ANSWER-Actinic Keratosis Moderate Acne Treatment - CORRECT ANSWER-Oral Antibiotics