AANP FNP CERTIFICATION
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 - ANSWER III first
time audible, IV first time thrill
Fundal height 12 weeks - ANSWER 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? - ANSWER Iron, TIBC
3 months of synthroid, TSH increased, T4 normal, what do you do? - ANSWER
Increase Medication
3 ways to assess cognitive function in patient with signs/symptoms of memory loss -
ANSWER Mini mental exam
4 month old with strabismus, mom is worried...... - ANSWER tell her it is normal.
4 month old wont keep anything down, what is the main thing you look at? -
ANSWER Growth chart
6 month old closed anterior fontanel. - ANSWER XRAY
Abnormal cells on PAP, what do you do next? - ANSWER Refer for Colposcopy
CAGE ACRONYM - ANSWER Cut down
Annoyed by criticism
Guilty about drinking
Eye opener drink
Causes of tachycardia - ANSWER Fever
Anemia
Hypotension
Cranial nerves responsible for extraocular eye movements - ANSWER CN 3,4,6
Definition of metabolic syndrome - ANSWER cluster of conditions that increase risk
of heart disease, stroke, diabetes.
,diagnose trichomoniasis - ANSWER wet prep
Elderly presents with atrophic vaginitis, small uterus, palpable 4x5 ovary, what do
you do next? - ANSWER Pelvic US
Epistaxis is most common in the area of the nose known as kiesselbachs triangle,
where is this located? - ANSWER Anterior septum
Definitive diagnosis of acute bacterial prostatitis - ANSWER urinalysis and culture
GERD treatment - ANSWER H2 is first line, give hs
Grade 3 cells on Pap, treatment? - ANSWER LEEP
excision
Fingernail hematoma treatment? - ANSWER drill hole and drain blood?
Increased risk of ectopic pregnancy - ANSWER Salpingitis, or history of abortion,
PID,
Koplick spots - ANSWER Measles (rubeola). Grains of salt lesions inside mouth in
Measles
Koplick spots - ANSWER Measles (rubeola). Grains of salt lesions inside mouth in
Measles
Legg-Calve-Perthes Disease - ANSWER Avascular necrosis of the proximal femoral
head
Lipid level of 1500, increased risk for? - ANSWER Pancreatitis
Low HGB, Low HCT, High MCV indicates what? - ANSWER Macrocytic anemia,
B12 Def
Man with BPH, prostate feels on digital exam? - ANSWER Enlarged, symmetrical,
smooth
Man with HTN, CAD, present femoral pulses but absent pedal - ANSWER Arterial
Insufficiency
McMurray's Sign
(+) palpable or audible click while extending with varus stress - ANSWER Meniscus
tears
Lachman's Test - ANSWER pivot shift test (ACL tear)
Newborn with foot turned in, what do you do? - ANSWER refer to orthopedist
Osgood-Schlatter disease - ANSWER 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? -
ANSWER 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? - ANSWER
Refer to oncologist
Pt presents with rash on shoulder, erythematous maculopapular rash with center
clearing and scaling? - ANSWER Tinea Corporis
Pt presents with "bag of worms:, indicates? - ANSWER Varicocele
Pt with atopic dermatitis, look for what other diseases? - ANSWER Asthma
Pt with bleeding after menopause - ANSWER endometrial biopsy, need to screen
for cancer
Pt with hx of PID, increased rick for? - ANSWER Infertility
Pt with HIV took high potency anti viral treatments and CD4 is >400, what does this
indicate? - ANSWER This is good. Want higher than 350
Pt with hx of htn and stroke, now having memory loss. What does this indicate? -
ANSWER Vascular dementia
Pregnant teacher with exposure to 5ths disease (SLAP CHEEK), what risk is there to
the fetus? - ANSWER slap cheek, PVB19, rash hands / feet Fetal death and birth
defects
Quick assessment of patients fall risk? Timed Get up and Go - ANSWER Timed Get
up and Go
Red beefy tongue? - ANSWER pernicious anemia
Rotator cuff injury presentation - ANSWER disturbs sleep, arm weakness, dull ache
Shingles near eye - ANSWER immediate referral to ophthalmology
Signs and symptoms of Roseola (6ths disease) ? - ANSWER Viral infection
Can result in a maculopapular rash, but up to 70% of cases proceed without the rash
stage
-Usually accompanied by a high fever (41°C or 105°F) that comes on quickly and
lasts up to 3 days followed by rash
-Seizures may occur during this period.
-On the fourth day, the fever disappears and the rash appears, first on chest and
trunk, then less prominently on the face and limbs.
-High fever, pink flat or raised rash
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 - ANSWER III first
time audible, IV first time thrill
Fundal height 12 weeks - ANSWER 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? - ANSWER Iron, TIBC
3 months of synthroid, TSH increased, T4 normal, what do you do? - ANSWER
Increase Medication
3 ways to assess cognitive function in patient with signs/symptoms of memory loss -
ANSWER Mini mental exam
4 month old with strabismus, mom is worried...... - ANSWER tell her it is normal.
4 month old wont keep anything down, what is the main thing you look at? -
ANSWER Growth chart
6 month old closed anterior fontanel. - ANSWER XRAY
Abnormal cells on PAP, what do you do next? - ANSWER Refer for Colposcopy
CAGE ACRONYM - ANSWER Cut down
Annoyed by criticism
Guilty about drinking
Eye opener drink
Causes of tachycardia - ANSWER Fever
Anemia
Hypotension
Cranial nerves responsible for extraocular eye movements - ANSWER CN 3,4,6
Definition of metabolic syndrome - ANSWER cluster of conditions that increase risk
of heart disease, stroke, diabetes.
,diagnose trichomoniasis - ANSWER wet prep
Elderly presents with atrophic vaginitis, small uterus, palpable 4x5 ovary, what do
you do next? - ANSWER Pelvic US
Epistaxis is most common in the area of the nose known as kiesselbachs triangle,
where is this located? - ANSWER Anterior septum
Definitive diagnosis of acute bacterial prostatitis - ANSWER urinalysis and culture
GERD treatment - ANSWER H2 is first line, give hs
Grade 3 cells on Pap, treatment? - ANSWER LEEP
excision
Fingernail hematoma treatment? - ANSWER drill hole and drain blood?
Increased risk of ectopic pregnancy - ANSWER Salpingitis, or history of abortion,
PID,
Koplick spots - ANSWER Measles (rubeola). Grains of salt lesions inside mouth in
Measles
Koplick spots - ANSWER Measles (rubeola). Grains of salt lesions inside mouth in
Measles
Legg-Calve-Perthes Disease - ANSWER Avascular necrosis of the proximal femoral
head
Lipid level of 1500, increased risk for? - ANSWER Pancreatitis
Low HGB, Low HCT, High MCV indicates what? - ANSWER Macrocytic anemia,
B12 Def
Man with BPH, prostate feels on digital exam? - ANSWER Enlarged, symmetrical,
smooth
Man with HTN, CAD, present femoral pulses but absent pedal - ANSWER Arterial
Insufficiency
McMurray's Sign
(+) palpable or audible click while extending with varus stress - ANSWER Meniscus
tears
Lachman's Test - ANSWER pivot shift test (ACL tear)
Newborn with foot turned in, what do you do? - ANSWER refer to orthopedist
Osgood-Schlatter disease - ANSWER 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? -
ANSWER 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? - ANSWER
Refer to oncologist
Pt presents with rash on shoulder, erythematous maculopapular rash with center
clearing and scaling? - ANSWER Tinea Corporis
Pt presents with "bag of worms:, indicates? - ANSWER Varicocele
Pt with atopic dermatitis, look for what other diseases? - ANSWER Asthma
Pt with bleeding after menopause - ANSWER endometrial biopsy, need to screen
for cancer
Pt with hx of PID, increased rick for? - ANSWER Infertility
Pt with HIV took high potency anti viral treatments and CD4 is >400, what does this
indicate? - ANSWER This is good. Want higher than 350
Pt with hx of htn and stroke, now having memory loss. What does this indicate? -
ANSWER Vascular dementia
Pregnant teacher with exposure to 5ths disease (SLAP CHEEK), what risk is there to
the fetus? - ANSWER slap cheek, PVB19, rash hands / feet Fetal death and birth
defects
Quick assessment of patients fall risk? Timed Get up and Go - ANSWER Timed Get
up and Go
Red beefy tongue? - ANSWER pernicious anemia
Rotator cuff injury presentation - ANSWER disturbs sleep, arm weakness, dull ache
Shingles near eye - ANSWER immediate referral to ophthalmology
Signs and symptoms of Roseola (6ths disease) ? - ANSWER Viral infection
Can result in a maculopapular rash, but up to 70% of cases proceed without the rash
stage
-Usually accompanied by a high fever (41°C or 105°F) that comes on quickly and
lasts up to 3 days followed by rash
-Seizures may occur during this period.
-On the fourth day, the fever disappears and the rash appears, first on chest and
trunk, then less prominently on the face and limbs.
-High fever, pink flat or raised rash
