AANP Exam Questions & Answers

AANP Exam Questions & Answers Tanner Stage I: Girls - ANSWER prepubertal Tanner Stage II: Girls - ANSWER Breast bud Tanner Stage III: Girls - ANSWER Breast and nipple growth, one mound, no separation Tanner Stage IV: Girls - ANSWER Nipple/areola elevated from breast, secondary mound Tanner Stage V: Girls - ANSWER Adult Tanner Stage I: Boys - ANSWER prepubertal Tanner Stage II: Boys - ANSWER testes/scrotum enlarges, scrotum darkens, more ruggae Tanner Stage III: Boys - ANSWER penis grows longer, scrotum continues to grow Tanner Stage IV: Boys - ANSWER penis becomes wider, continues getting longer, scrotum larger, darker, more ruggae Tanner Stage V: Boys - ANSWER adult kiesselbach's plexus - ANSWER blood vessels on anterior septum where 90% of nosebleeds originate Finkelstein's test - ANSWER used to dx DeQuervain's tenosynovitis, thumb in fist, bend wrist towards little finger. positive c pain in wrist on thumb side anterior drawer test - ANSWER used to check for ACL injury, pull tibia forward from femur c both hands on tibia c pt laying and knee flexed at 90 deg, positive c 5mm translation or increase laxity compared to unaffected side lachman maneuver - ANSWER tests ACL integrity, pt on back knee flexed 20-30 deg, one hand stabilize femur, other applies pressure to back of knee, positive c mushy end point pivot test - ANSWER tests ACL integrity, pt on back, knee fully extended, rotate foot internally. Apply valgus stress while flexing knee. Positive= translation of tibia on femur McMurray test - ANSWER checks for meniscus injury, pt supine, knee flexed. medial: apply valgus force, externally rotate the foot and passively extend knee. lateral: apply varus force, internally rotate foot and passively extend knee. Positive= audible or palpable snap in knee during extension diabetic retinopathy - ANSWER cotton wool spots, hard exudates, neovascularization, microaneurysms hypertensive retinopathy - ANSWER AV nicking, silver and/or copper wire arterioles Tinel's sign - ANSWER Detects irritated nerves, most often c carpal tunnel. Tap on median nerve. Positive= tingling down thumb, index, and middle finger Phalen's maneuver - ANSWER Detects carpal tunnel syndrome. allow wrists to fall into maximum flexion, hold for 60 seconds. Positive= tingling down thumb, index, and middle finger Kernig's sign - ANSWER sign of meningitis. Pt supine, hip flexed at 90, attempt to straighten leg. Positive= inability to straighten leg Maculopapular rash in lace like pattern - ANSWER Fifth's disease Maculopapular rash with papules, vesicles, and crusts - ANSWER Varicella Maculopapular rashes that are oval shaped with herald patch or Christmas tree - ANSWER pityri