Family Nurse Practitioner Exam ANCC Questions with Complete Solutions, A+

Karposi Sarcoma - Characteristic purple areas on the nose in an HIV-positive female. A type of cancer that can form in the skin, lymph nodes, or other organs. The skin lesions are usually purple in color. Malodorous single nare - Foreign body Retinal Detachment - the retina separates from the layer underneath. Symptoms include an increase in the number of floaters, flashes of light, and worsening of the outer part of the visual field. Adolescent with friable nasal turbinates - Cocaine use Aphthous ulcer - a recurrent round or oval sore or ulcer inside the mouth on an area where the skin is not tightly bound to the underlying bone, such as on the inside of the lips and cheeks or underneath the tongue. Aphthous ulcers can also affect the genitalia in males and females. GERD first line tx - h2 then ppi if doesnt work Maxillary Sinusitis - Dental pain Kasmaul Triangle - Anterior epitaxis Roseola infantum - H. fever = small pink dots pink or raised body rash = arms Acne Roscaca - "adult acne." most often in adults (30-50 years of age). Unlike acne vulgaris, rosacea is devoid of blackheads and characteristically does not resolve after puberty. Rosacea strikes both sexes and potentially all ages. It tends to be more frequent in women but more severe in men. It is very uncommon in children, and it is less frequent in people with dark skin. Tx with Flagyl AV Nicking - HTN, arteries crossing veins Blepharitis - commonly occurs when the tiny oil glands of the inner eyelid become inflamed. It often occurs along with other skin conditions or allergies. Symptoms include red, itchy eyelids that may look greasy and crusted. Dry eyes also are a symptom. Treatments include cleaning the eyelids, antibiotic or steroid eye drops and treating underlying conditions. However, blepharitis tends to come back. Hordelum - Painful stye it hurts chalazion - Non painful lesion to eyelid Cotton Wool - Cotton wool spots are an abnormal finding on funduscopic exam of the retina of the eye. They appear as fluffy white patches on the retina. They are caused by damage to nerve fibers and are a result of accumulations of axoplasmic material within the nerve fiber layer. Systemic HTN, DM Herpes Zoster - Early signs of shingles include a burning sensation or stabbing pain and tingling or itching on the skin. After a few days, a rash or blisters appear usually on one side of the body or face. When the rash is at its peak, symptoms can range from mild itching to extreme and debilitating pain. Tx within 72 hours Aclovir Retinoblastoma (Rb) - Absence of light reflex, it is a rare form of cancer that rapidly develops from the immature cells of a retina, the light-detecting tissue of the eye. It is the most common primary malignant intraocular cancer in children, and it is almost exclusively found in young children. Seborrheic dermatitis (Dandruff) - commonly involves portions of the scalp, brows, mid-face, ears, mid-chest, and mid-back. It is not unusual for it to affect the skin of infants and young children where it often involves the scalp (cradle cap) and the diaper area. Seborrheic dermatitis is also known as seborrhea. Seborrheic Keratosis - A seborrhoeic keratosis is a harmless warty spot that appears during adult life as a common sign of skin aging. ... Seborrhoeic keratosis (or seborrheic keratosis, using American spelling) is also called SK, basal cell papilloma, senile wart, brown wart or barnacle. Cupping of disc - Intracranial pressure subconjunctival haemorrhage - is bleeding underneath the conjunctiva. It can occur after a sudden or severe sneeze or cough, heavy lifting, straining, vomiting or even rubbing one's eyes too roughly. It can also occur as a side effect of eye surgery or blood thinners. The main symptom is a bright red patch in the eye that may spread and then become green or yellow, much like a bruise. Usually it disappears within two weeks.