AANP BOARD LATEST EXAM WITH DETAILED QUESTIONS
AND VERIFIED CORRECT ANSWERS/ ALREADY GRADED
A++
Increasing fever, n/v, photophobia, myalgia, arthralgias... THEN 2-5 days
later you develop a petechial rash on forearms, ankles, wrists and then
generalized. What condition, dx and treatment? -ANSWER Rocky Mountain
Spotted Fever
Dx:PCR essay with Rickessetti antigen
Tx: Doxycycline
Target bulls-eye rash 7-14 days after deer tick bite. Rash is hot to touch
and flu-like symptoms. (stage 1 Lyme disease) What condition, dx, and
treatment? -ANSWER Erythema Migraines
Dx: B Burgdorferi via ELISA, confirm with western blot
Tx: <7- Amoxicillin >7- Doxycycline
Dark moles, uneven texture, different colors, irregular, over 6mm, could be
itchy -ANSWER Melanoma
Target or bulls-eye rash. Abruptly hives, blisters, petechiae, purpura,
necrosis, or sloughing of tissues. Extensive mucosal involvement and
fevers with flu-like symptoms. What condition, triggers, and at risk? -
ANSWER Steven Johnson Syndrome
Triggers: Allopurinol, anticonvulsants, pcn, sulfonamides, NSAIDS
At risk: people with HIV
Pruritic erythematous plaques, fine silvery white scales on scalps, elbows,
knees, sacrum. What condition and treatment? -ANSWER Psoriasis
Tx: topical steroid
mild- Tar preps Severe- anti TNF
new psoriatic plaques form over skin trauma -ANSWER Koebner
phenomenon
pinpoint bleeding when plaques are removed -ANSWER Auspitz
velvet hyperpigmented patches most common on back of neck or skin folds
due to DM resistance -ANSWER acanthos nigricans
,itching at bedtime. What condition and treatment? -ANSWER Scabies
tx: Permethrin cream- treat everyone and wash sheets and everything in
hot water
Extremely itchy, on flexural folds, neck, hands vesicles. IgE and leave
painful red weepy lesions when itched. What condition and treatment? -
ANSWER Atopic Dermatitis (eczema)
Tx: topical steroids, avoid hot water/soaps, PO antihistamines
ring like itchy rash, slowly enlarge central clearing. What condition and
treatment? -ANSWER Tinea Corporis
tx: topical antifungal (-azole)
severe needs oral Lamisil
precursor to squamous cell carcinoma. numerous dry round and pink to red
lesions with a rough and scaly texture. does not heal. What condition, dx,
and treatment? -ANSWER Actinic Keratosis
Dx: biopsy
tx: small- cryotherapy
large- 5 FU cream- causes skin to ooze, crust, scab
soft round wart light tan to black pasted on. asymptomatic and benign -
ANSWER Seborrheic Keratosis
**multiple questions on this** deep dermis poor demarcated low legs -
ANSWER cellulitis
people with cellulitis are at high risk of: -ANSWER DVT risk
diabetic with cellulitis: watch for? -ANSWER osteomyelitis
upper dermis, clear demarcated on cheeks and shins. what condition and
treatment? -ANSWER Erysipelas
tx: Dicloxacillin QID x 10 days, Cephalexin, Clinda
MRSA treatment -ANSWER Bactrim, Doxy, Mino, Clinda
pearly, waxy, skin lesions, arophic, ulcerated center that does not heal -
ANSWER Basal Cell Carcinoma
,white plug, dome shaped. highly contagious -ANSWER Molloscum
Contagiosum
contagious 48 hours before and until all lesions are crusted over. low grade
fever, generalized lymphadenopathy, intense itching, erythematous
macules, then vesicles erupt, initially on trunk, then scalp and face. What
condition and tx? -ANSWER Varicella Zoster
Tx: supportive, antihistamines, Acyclovir
open/closed comedone with or without small papules. What condition and
treatment? -ANSWER Acne Vulgaris (mild)
tx: Retin-A
Mild acne, retin A not working after 8-12 weeks. what med to add? -
ANSWER Erythromycin or Benzoyl peroxide
papules, pustules with comedones. what condition and tx? -ANSWER Acne
Vulgaris (moderate)
topicals + topical abx
then add oral abx (tetra, mino, doxy)
painful, indurated nodule, cyst, abscess, pustules. What condition and tx? -
ANSWER Acne Vulgaris (severe)
tx: Accutane
What must be done before giving Accutane? -ANSWER check LFT's
2 forms of contraception
monthly preg test and only 1 month supply
chronic small acne like papules/pustules around nose, mouth, and chin.
What condition and treatment? -ANSWER Acne Rosacea
tx: Metrogel, Azelex, low dose tetracycline
gram positive, itchy pink-red lesions, evolve into vesiculopustules that
rupture. What condition? -ANSWER Impetigo
Treatment for bullous-large blisters of impetigo? -ANSWER Keflex,
dicloxacillin
if PCN allergic- Azithromycin, Clinda
, treatment if no bullae of impetigo -ANSWER Bactroban
sandpaper textured pink rash with sore throat, strawberry tongue, rash
starts on head and neck, spreads to trunk. What condition? -ANSWER
Scarlet Fever (scarlantina)
small flat topped, red to purple bumps that may have white scales/flakes.
whispy grey white streak called widhams striae on inner wrists, forearms,
and ankles. If on scalp, will cause hair loss. What condition? -ANSWER
Lichen Planus
fever, chills, n/v, bitten area becomes swollen, red and tender within 24-48
hours. necrotic in center which kills the tissue. What condition and tx? -
ANSWER Spider bite
ice packs to wound to kill toxin
tx like cellulitis of skin, abx ointment
itchy, herald patch, xmax tree pattern, rash on hands/soles of feet. What
condition and dx? -ANSWER Pityoris Rosea
dx: test for seconday syphilis (RPR, FTA-ABS)
fluorescein dye "fern like" CNV. abrupt onset of pain -ANSWER Herpes
keratitis
round and irregular abrasion on eye -ANSWER corneal abrasions
acute/severe halos in vision, cupping optic nerve, cloudy cornea, mid-
dilated oval pupil. What condition and tx? -ANSWER Acute angle-closure
glaucoma
tx: ER STAT
CN2 gradual changes in peripheral vision LOST FIRST, then second
central vision -ANSWER Primary open angle glaucoma
elderly night vision issues -ANSWER cataracts
painless loss of central vision, reports straight lines that appear curved.
periphery is preserved. test with asmler grid -ANSWER macular
degeneration
AND VERIFIED CORRECT ANSWERS/ ALREADY GRADED
A++
Increasing fever, n/v, photophobia, myalgia, arthralgias... THEN 2-5 days
later you develop a petechial rash on forearms, ankles, wrists and then
generalized. What condition, dx and treatment? -ANSWER Rocky Mountain
Spotted Fever
Dx:PCR essay with Rickessetti antigen
Tx: Doxycycline
Target bulls-eye rash 7-14 days after deer tick bite. Rash is hot to touch
and flu-like symptoms. (stage 1 Lyme disease) What condition, dx, and
treatment? -ANSWER Erythema Migraines
Dx: B Burgdorferi via ELISA, confirm with western blot
Tx: <7- Amoxicillin >7- Doxycycline
Dark moles, uneven texture, different colors, irregular, over 6mm, could be
itchy -ANSWER Melanoma
Target or bulls-eye rash. Abruptly hives, blisters, petechiae, purpura,
necrosis, or sloughing of tissues. Extensive mucosal involvement and
fevers with flu-like symptoms. What condition, triggers, and at risk? -
ANSWER Steven Johnson Syndrome
Triggers: Allopurinol, anticonvulsants, pcn, sulfonamides, NSAIDS
At risk: people with HIV
Pruritic erythematous plaques, fine silvery white scales on scalps, elbows,
knees, sacrum. What condition and treatment? -ANSWER Psoriasis
Tx: topical steroid
mild- Tar preps Severe- anti TNF
new psoriatic plaques form over skin trauma -ANSWER Koebner
phenomenon
pinpoint bleeding when plaques are removed -ANSWER Auspitz
velvet hyperpigmented patches most common on back of neck or skin folds
due to DM resistance -ANSWER acanthos nigricans
,itching at bedtime. What condition and treatment? -ANSWER Scabies
tx: Permethrin cream- treat everyone and wash sheets and everything in
hot water
Extremely itchy, on flexural folds, neck, hands vesicles. IgE and leave
painful red weepy lesions when itched. What condition and treatment? -
ANSWER Atopic Dermatitis (eczema)
Tx: topical steroids, avoid hot water/soaps, PO antihistamines
ring like itchy rash, slowly enlarge central clearing. What condition and
treatment? -ANSWER Tinea Corporis
tx: topical antifungal (-azole)
severe needs oral Lamisil
precursor to squamous cell carcinoma. numerous dry round and pink to red
lesions with a rough and scaly texture. does not heal. What condition, dx,
and treatment? -ANSWER Actinic Keratosis
Dx: biopsy
tx: small- cryotherapy
large- 5 FU cream- causes skin to ooze, crust, scab
soft round wart light tan to black pasted on. asymptomatic and benign -
ANSWER Seborrheic Keratosis
**multiple questions on this** deep dermis poor demarcated low legs -
ANSWER cellulitis
people with cellulitis are at high risk of: -ANSWER DVT risk
diabetic with cellulitis: watch for? -ANSWER osteomyelitis
upper dermis, clear demarcated on cheeks and shins. what condition and
treatment? -ANSWER Erysipelas
tx: Dicloxacillin QID x 10 days, Cephalexin, Clinda
MRSA treatment -ANSWER Bactrim, Doxy, Mino, Clinda
pearly, waxy, skin lesions, arophic, ulcerated center that does not heal -
ANSWER Basal Cell Carcinoma
,white plug, dome shaped. highly contagious -ANSWER Molloscum
Contagiosum
contagious 48 hours before and until all lesions are crusted over. low grade
fever, generalized lymphadenopathy, intense itching, erythematous
macules, then vesicles erupt, initially on trunk, then scalp and face. What
condition and tx? -ANSWER Varicella Zoster
Tx: supportive, antihistamines, Acyclovir
open/closed comedone with or without small papules. What condition and
treatment? -ANSWER Acne Vulgaris (mild)
tx: Retin-A
Mild acne, retin A not working after 8-12 weeks. what med to add? -
ANSWER Erythromycin or Benzoyl peroxide
papules, pustules with comedones. what condition and tx? -ANSWER Acne
Vulgaris (moderate)
topicals + topical abx
then add oral abx (tetra, mino, doxy)
painful, indurated nodule, cyst, abscess, pustules. What condition and tx? -
ANSWER Acne Vulgaris (severe)
tx: Accutane
What must be done before giving Accutane? -ANSWER check LFT's
2 forms of contraception
monthly preg test and only 1 month supply
chronic small acne like papules/pustules around nose, mouth, and chin.
What condition and treatment? -ANSWER Acne Rosacea
tx: Metrogel, Azelex, low dose tetracycline
gram positive, itchy pink-red lesions, evolve into vesiculopustules that
rupture. What condition? -ANSWER Impetigo
Treatment for bullous-large blisters of impetigo? -ANSWER Keflex,
dicloxacillin
if PCN allergic- Azithromycin, Clinda
, treatment if no bullae of impetigo -ANSWER Bactroban
sandpaper textured pink rash with sore throat, strawberry tongue, rash
starts on head and neck, spreads to trunk. What condition? -ANSWER
Scarlet Fever (scarlantina)
small flat topped, red to purple bumps that may have white scales/flakes.
whispy grey white streak called widhams striae on inner wrists, forearms,
and ankles. If on scalp, will cause hair loss. What condition? -ANSWER
Lichen Planus
fever, chills, n/v, bitten area becomes swollen, red and tender within 24-48
hours. necrotic in center which kills the tissue. What condition and tx? -
ANSWER Spider bite
ice packs to wound to kill toxin
tx like cellulitis of skin, abx ointment
itchy, herald patch, xmax tree pattern, rash on hands/soles of feet. What
condition and dx? -ANSWER Pityoris Rosea
dx: test for seconday syphilis (RPR, FTA-ABS)
fluorescein dye "fern like" CNV. abrupt onset of pain -ANSWER Herpes
keratitis
round and irregular abrasion on eye -ANSWER corneal abrasions
acute/severe halos in vision, cupping optic nerve, cloudy cornea, mid-
dilated oval pupil. What condition and tx? -ANSWER Acute angle-closure
glaucoma
tx: ER STAT
CN2 gradual changes in peripheral vision LOST FIRST, then second
central vision -ANSWER Primary open angle glaucoma
elderly night vision issues -ANSWER cataracts
painless loss of central vision, reports straight lines that appear curved.
periphery is preserved. test with asmler grid -ANSWER macular
degeneration
