AANP FNP CERTIFICATION QUESTIONS WITH CORRECT ANSWERS GRADED TO PASS

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 Osgood-Schlatter disease - Knee pain. Inflammation or irritation of the tibia at its point of attachment with the patellar tendon Patient forgot to start Thanksgiving dinner and husband states she has trouble remembering tasks and trouble with organization. What is this indicative of? - Alzheimer's Pt has Barretts Esophagus, insurance no longer covers GI who was treating condition. Pt at FNP office wanting refill prescriptions. What do you do? - Refer to oncologist Pt presents with rash on shoulder, erythematous maculopapular rash with center clearing and scaling? - Tinea Corporis Pt presents with "bag of worms:, indicates? - Varicocele Pt with atopic dermatitis, look for what other diseases? - Asthma