AANP BOARD QUESTIONS AND ANSWERS ()

AANP BOARD QUESTIONS AND ANSWERS () INR values below ____ increase stroke risk sixfold. - CORRECT ANSWER-2 What allergy contradicts the use of thiazide diuretics? - CORRECT ANSWER-Sulfa Why should ACE-Is be avoided with renal stenosis? - CORRECT ANSWER-Leads to ARF Adverse effects of aldosterone antagonists (Aldactone) - CORRECT ANSWERGalactorrhea and hyperkalemia What are beta blocker indications? - CORRECT ANSWER-HTN, post-MI< angina, arrhythmias, migraine prophylaxis, hyperthyroidism 1st line BP med for DM? - CORRECT ANSWER-ACE or ARB Grapefruit juice should be avoided in what 1st line antihypertensive medication? - CORRECT ANSWER-CCB Alternative antibiotic treatment for patients with gram positive baterial infections that are allergic to PCN: - CORRECT ANSWER-macrolides Initial treatment of COPD - CORRECT ANSWER-Ipratropium bromide (anticholinergic) 1st line treatment for gonorrheal infections - CORRECT ANSWER-Rocephin IM Treatment of anthrax - CORRECT ANSWER-Cipro 500mg BID 7-10 days Treatment of traveler's diarrhea - CORRECT ANSWER-Cipro 500mg BID 3 days What can increase the risk of tendon rupture when on a quinolone? - CORRECT ANSWER-age and steroids How long does ASA suppress platelet function? - CORRECT ANSWER-up to 7 days What is the FDA category and dose of finasteride? - CORRECT ANSWER-5mg PO QD and category X What drug category should not be given with warfarin? - CORRECT ANSWER-sulfa drugs When should routine screening for breast cancer start? - CORRECT ANSWER-40 If a patient had only one dose of the hep B vaccine what is recommended? - CORRECT ANSWER-Do not restart series; Start with 2nd dose What is done if a patient has a tetanus-prone wound and an unknown vaccination status? - CORRECT ANSWER-Administer immediate dose of Td and the teatnus immunoglobulin injection If a person is vaccinated with pneumovax prior to 65 what is recommended? - CORRECT ANSWER-Give a booster dose of pneumovax 5 years after initial dose When should Zostavax be given? - CORRECT ANSWER-age 60 How far apart should the varicella vaccines be given? - CORRECT ANSWER-4 weeks Treatment for otitis externa - CORRECT ANSWER-Cortisporin otic drops Common bacterial pathogen of otitis externa - CORRECT ANSWER-Pseudomonas What is cholesteatoma a complication of? - CORRECT ANSWER-periorbital sinusitis What indicates an abnormal Rinne test? - CORRECT ANSWER-BC>AC What kind of hearing loss is found with an abnormal Rinne if BC>AC? - CORRECT ANSWER-conductive What kind of hearing loss is associated with lateralization to affected ear when Weber test is performed - CORRECT ANSWER-Conductive What kind of hearing loss is associated with lateralization to unaffected ear when Weber test is performed - CORRECT ANSWER-sensorurial What does 20/40 vision mean? - CORRECT ANSWER-A person can see 20 ft whereas normal vision can see 40 Common treatment of cerumenosis - CORRECT ANSWER-Carbamide peroxide What route should HIV esophageal candida infections - CORRECT ANSWER-Oral systemic Where is a scabies rash located? - CORRECT ANSWER-Interdigital webs and/or penis Antibiotic treatment for human, dog, or cat bite - CORRECT ANSWER-Augmentin A herald patch or "Christmas tree" pattern is associated with what disease? - CORRECT ANSWER-PItyriasis rosea What class of meds are used to treat PHN? - CORRECT ANSWER-TCAs What is the treatment for rosacea? - CORRECT ANSWER-Metronidazole gel What areas of the body have thicker skin and call for higher potency steroids? - CORRECT ANSWER-scalp, back, soles How do you check for pulsus paradoxus? - CORRECT ANSWER-BP cuff and stethoscope and the apical pulse What findings are associated with hypertensive retinopathy? - CORRECT ANSWERcopper and silver wire arterioles, AV nicking What findings are associated with diabetic retinopathy? - CORRECT ANSWERNeovascularization, microaneurysms, hard exudates, cotton wool spots What class of anti-hypertensives are used for isolated HTN in the elderly? - CORRECT ANSWER-CCB What are some "hyper" side effects of thiazide diretics - CORRECT ANSWERhyperglycemia, hyperuricemia, hypertriglyceremia At what age is a high cholesterol no longer considered a risk factor heart disease? - CORRECT ANSWER-75 If a patient has an INR between 3-5, how should this be managed? - CORRECT ANSWER-Skip 1 dose; decrease maintenance dose, check INR in 1-2 days until normal If a patient has an INR between 5-9 how should this be managed? - CORRECT ANSWER-Omit a dose and give a small dose of oral vitamin K or omit the next 2 doses. Daily INR monitoring; decrease maintenance dose Class I NYHA heart disease classification - CORRECT ANSWER-No limitation of physical activity Class II NYHA heart disease classification - CORRECT ANSWER-Ordinary physical activity results in fatigue, exertional dyspnea Class III NYHA heart disease classification - CORRECT ANSWER-Marked limitation in physical activity Class IV NYHA heart disease classification - CORRECT ANSWER-