AANP CERTIFICATION EXAM 2023/2024

AANP CERTIFICATION EXAM 2023/2024 diverticulum can be an infection of - CORRECT ANSWER-both gram - and + bacteria Which diuretic should be used for osteoporosis? - CORRECT ANSWER-Thiazide diuretics: slows the kidneys excretion of calcium and increases reabsorption Lachman maneuver - CORRECT ANSWER-knee instability tear of ACL Infections of labia and vagina - CORRECT ANSWER-bacterial vaginosis, candidiasis, and trichomoniasis Chlamydia affects - CORRECT ANSWER-cervix, endometrial lining, fallopian tubes, pelvic cavity Acute abdomen symptoms - CORRECT ANSWER-involuntary guarding, rebound tenderness, board-like abdomen, +obturator and psoas sign Care of preecplampsia - CORRECT ANSWER-bed rest, weight and blood pressure monitoring Preeclampsia labs - CORRECT ANSWER-urine protein, serum protein, creatinine, platelet count Preeclampsia symptoms - CORRECT ANSWER-hypertension, proteinuria, edema (weight gain) Preeclampsia complications - CORRECT ANSWER-placental abruption, coagulopathy (DIC), renal failure, uteroplacental insufficiency, liver failure, hypertensive encephalopathy, retinal detachment, pulmonary edema, seizure, death community acquired pneumonia Most common bacteria least common bacteria Population treatment - CORRECT ANSWER-mycolpasma pneumoniae (atypical) h. influenza, strep pneumoniae atypical: psuedomonas aeruginosa college student, school children, military macrolides: azithromycin, clarithromycin Mantoux test - CORRECT ANSWER-Positive: 5mm Positive for recent immigrants: 10mm Murphy's sign - CORRECT ANSWER-biliary disorders deep inspiration by patient and deep palpation RUQ below costovertebral angle placenta previa - CORRECT ANSWER-implantation of the placenta over the cervical opening or in the lower region of the uterus painless bright red blood in the second or third trimester Order abdominal US Hashimoto's is most common in which population - CORRECT ANSWER-middle age to older women Hypertension Retinopathy - CORRECT ANSWER-AV nicking and copper or silver wire arterioles flame-shaped hemorrhages threatened abortion - CORRECT ANSWER-vaginal bleeding and cramping, soft uterus, cervix closed bacterial vaginosis - CORRECT ANSWER-fishy odor, milky white or dull gray discharge pH > 4.5 > 20% clue cells KOH whiff test squamous cells dotted with lots of bacteria that obscure borders - CORRECT ANSWER-clue cells Lichen sclerosis - CORRECT ANSWER-skin disease, white spots appear over time, most common genital and rectal most common in older woman itching, discomfort, bleeding order biopsy AV valves - CORRECT ANSWER-mitral and tricuspid semilunar valves - CORRECT ANSWER-pulmonary and aortic S1 - CORRECT ANSWER-systole closure of AV valves mitral regurgitation aortic stenosis S2 - CORRECT ANSWER-diastole closure of semilunar valves mitral stenosis aortic regurgitation S3 - CORRECT ANSWER-normal variant in children, healthy young adults, and athletes heart failure early diastole S4 - CORRECT ANSWER-left ventricle hypertrophy late diastole Tanner Stages Males: II - CORRECT ANSWER-no changes to penis, testes enlarge Pubic hair is sparse and straight Tanner Stages Males: III - CORRECT ANSWER-penis lengthens hair darker and starts to curl Tanner Stages Males: IV - CORRECT ANSWER-penis increases in length and width hair coarse, not yet on medial thigh Tanner Stages Females: II - CORRECT ANSWER-breast buds pubic hair sparse and straight Tanner Stages Females: III - CORRECT ANSWER-breast tissue and areola in one mound hair darker, starts to curl Tanner Stages Females: IV - CORRECT ANSWER-areola separates and forms a secondary mound hair coarse, not on medial thigh yet TORCH infections - CORRECT ANSWER-Toxoplasmosis Other Rubella Cytomegalovirus Herpes osteoarthritis vs rheomatoid arthritis - CORRECT ANSWER-OA: stiffness, heberden's nodes, increase age, overuse, family history RA: relies more on labs, increased ESR, Bouchard's nodes, fatigue, fever, body aches drawer test - CORRECT ANSWER-instability of the knee mediolateral and anteroposterior plane torn or ruptured ligament fundal height 12 weeks - CORRECT ANSWER-just above pubic bone fundal height 20 weeks - CORRECT ANSWER-level of umbilicu