2025 Sarah Michelle NP Review Study Guide & Practice
Questions | AANP & ANCC Exam Prep GRADED A LATEST
VERSION
What are common signs and symptoms of Meniere's Disease? -
CORRECT ANSWER Vertigo, tinnitus, ear pressure, nystagmus
What is our biggest worry for a Meniere's Disease patient? -
CORRECT ANSWER There is a possibility for a potential,
permanent hearing loss.
What is rhinitis meidcamentosa? - CORRECT ANSWER Drug-
induced rebound nasal congestion, this can happen after use of nasal
decongestants like Afrin. These nasal decongestants should ideally
not be used for greater than 3-5 days because of this risk.
What is herpes keratitis? - CORRECT ANSWER This is an
infection of the cornea due to herpes simplex virus
How is herpes keratitis diagnosed? - CORRECT ANSWER By
examining the eye under a black lamp and visualized the cornea, in
herpes keratitis, fern like lines will be seen on the cornea
A child that has a history of mononucleosis is at increased risk for
development for what cancer later in life? And why? - CORRECT
ANSWER Hodgkin's Lymphoma and Burkitt's Lymphoma, this is
due to the exposure of the Epstein-Barr virus
What types of patients will be at a higher risk of pneumonia? -
CORRECT ANSWER Patient with chronic lung diseases: asthma,
COPD, cystic fibrosis.
Why are cough suppressants not helpful in pneumonia patients? -
CORRECT ANSWER Because we WANT them to get that gunk
,out, we do not want them to hold it in their lungs, an expectorant
would be a better option for these patients.
When should a follow up chest X-Ray be completed after treatment of
pneumonia? - CORRECT ANSWER Around 8 week mark
What is COPD? - CORRECT ANSWER Chronic Obstructive
Pulmonary Disease. This is a chronic condition that is made up of
chronic bronchitis and emphysema. It is a progressive inflammatory
lung disease that makes it hard for the patients to breathe, because
the chronic bronchitis leads to mucous build up and the emphysema
portion destroys areas of the lungs.
What signs and symptoms are common in COPD patients? -
CORRECT ANSWER Chronic cough
Sputum production
Dyspnea- difficulty breathing
What signs and symptoms are specific to B12 deficiency anemia? -
CORRECT ANSWER Neurological symptoms, paresthesia
(numbness and tingling in hands and feet), unsteady gait, memory
issues
Beefy red tongue
What diet can result in B12 deficiency? - CORRECT ANSWER
Vegan- oral supplements can be used for treatment
What surgery can result in B12 deficiency? - CORRECT ANSWER
Gastric surgery- patient will lose intrinsic factor that is required to
absorb B12- these patients will require life long IM B12 injections
What patient population is lupus commonly seen? - CORRECT
ANSWER Women of childbearing age- ages 15-45, African
Americans are going to be at higher risk
What is the diagnostic criteria for Lupus? - CORRECT ANSWER
Must have 4/11 diagnostic criteria:
,Malar rash
Discoid rash
Photosensitivity
Oral/nasal ulcers
Non-erosive arthritis
Cardio-pulmonary complaints
Renal complaints
Neurological concerns
Immunological disorders
+ ANA test
Hematologic disorders
What is Sjogren's Syndrome and what is the treatment? - CORRECT
ANSWER Dry eyes and dry mouth- treatment revolves around
symptom management- artificial tears, hard candies, etc.
Common in lupus patients
What is a major concern for lupus patients? How do we monitor this?
- CORRECT ANSWER Impact on the kidneys- Lupus nephritis
Be on the look out for glomerularnephritis as well as proteinuria
These patients will require routine UA for assessment of their kidneys
and protect them
What is the function of the thyroid? - CORRECT ANSWER Viral
hormone gland
Metabolism regulation- impacts every SINGLE cell within the body
Proper growth and development across the entire lifespan
What produces TSH? - CORRECT ANSWER Pituitary gland
What is the function of TSH? - CORRECT ANSWER Tells your
thyroid when to produce and release those critical thyroid hormones-
T3 and T4.
What disorders include hypothyroidism? - CORRECT ANSWER
Iodine deficiency, Hashimoto's, or thyroiditis
, A presence of thyroid peroxidase antibodies indicates that? -
CORRECT ANSWER Hypothyroidism is caused by an
autoimmune process of some sort
What are some signs and symptoms of hypothyroidism? - CORRECT
ANSWER Weight gain, constipation, dry skin, cold intolerance,
fatigue, course hair, facial puffiness, thick tongue, and maybe some
cardiac side effects
What patient education must be included regarding Synthroid
administration? - CORRECT ANSWER Must be taken on an empty
stomach before other medications
What are signs and symptoms of a myxedema coma? - CORRECT
ANSWER Low body temperature, edema, confusion, lethargy,
tongue thickening, difficulty breathing
What medications can precipitate myxedema coma? - CORRECT
ANSWER Lithium or amiodarone
Your patient who is on 75 mcg Synthroid PO daily comes in for a 6
week follow up to check their TSH level. When you get the results,
their TSH is 0.1. What should you do next as the NP? - CORRECT
ANSWER Assess how the patient is taking their Synthroid
What signs and symptoms are common in hyperthyroidism? -
CORRECT ANSWER Anxiety, palpitations, cardiac abnormalities,
tachycardia, diaphoresis, weight loss, and increased appetite,
menstrual irregularities, amenorrhea, tremors, lid lag, exophthalmos
What needs to be considered with PTU medication administration? -
CORRECT ANSWER Need frequent lab work: CBC, and Thyroid
panel
Required to take PTU multiple times a day
What is the most common treatment for Grave's Disease? -
CORRECT ANSWER Radioactive iodine therapy
Questions | AANP & ANCC Exam Prep GRADED A LATEST
VERSION
What are common signs and symptoms of Meniere's Disease? -
CORRECT ANSWER Vertigo, tinnitus, ear pressure, nystagmus
What is our biggest worry for a Meniere's Disease patient? -
CORRECT ANSWER There is a possibility for a potential,
permanent hearing loss.
What is rhinitis meidcamentosa? - CORRECT ANSWER Drug-
induced rebound nasal congestion, this can happen after use of nasal
decongestants like Afrin. These nasal decongestants should ideally
not be used for greater than 3-5 days because of this risk.
What is herpes keratitis? - CORRECT ANSWER This is an
infection of the cornea due to herpes simplex virus
How is herpes keratitis diagnosed? - CORRECT ANSWER By
examining the eye under a black lamp and visualized the cornea, in
herpes keratitis, fern like lines will be seen on the cornea
A child that has a history of mononucleosis is at increased risk for
development for what cancer later in life? And why? - CORRECT
ANSWER Hodgkin's Lymphoma and Burkitt's Lymphoma, this is
due to the exposure of the Epstein-Barr virus
What types of patients will be at a higher risk of pneumonia? -
CORRECT ANSWER Patient with chronic lung diseases: asthma,
COPD, cystic fibrosis.
Why are cough suppressants not helpful in pneumonia patients? -
CORRECT ANSWER Because we WANT them to get that gunk
,out, we do not want them to hold it in their lungs, an expectorant
would be a better option for these patients.
When should a follow up chest X-Ray be completed after treatment of
pneumonia? - CORRECT ANSWER Around 8 week mark
What is COPD? - CORRECT ANSWER Chronic Obstructive
Pulmonary Disease. This is a chronic condition that is made up of
chronic bronchitis and emphysema. It is a progressive inflammatory
lung disease that makes it hard for the patients to breathe, because
the chronic bronchitis leads to mucous build up and the emphysema
portion destroys areas of the lungs.
What signs and symptoms are common in COPD patients? -
CORRECT ANSWER Chronic cough
Sputum production
Dyspnea- difficulty breathing
What signs and symptoms are specific to B12 deficiency anemia? -
CORRECT ANSWER Neurological symptoms, paresthesia
(numbness and tingling in hands and feet), unsteady gait, memory
issues
Beefy red tongue
What diet can result in B12 deficiency? - CORRECT ANSWER
Vegan- oral supplements can be used for treatment
What surgery can result in B12 deficiency? - CORRECT ANSWER
Gastric surgery- patient will lose intrinsic factor that is required to
absorb B12- these patients will require life long IM B12 injections
What patient population is lupus commonly seen? - CORRECT
ANSWER Women of childbearing age- ages 15-45, African
Americans are going to be at higher risk
What is the diagnostic criteria for Lupus? - CORRECT ANSWER
Must have 4/11 diagnostic criteria:
,Malar rash
Discoid rash
Photosensitivity
Oral/nasal ulcers
Non-erosive arthritis
Cardio-pulmonary complaints
Renal complaints
Neurological concerns
Immunological disorders
+ ANA test
Hematologic disorders
What is Sjogren's Syndrome and what is the treatment? - CORRECT
ANSWER Dry eyes and dry mouth- treatment revolves around
symptom management- artificial tears, hard candies, etc.
Common in lupus patients
What is a major concern for lupus patients? How do we monitor this?
- CORRECT ANSWER Impact on the kidneys- Lupus nephritis
Be on the look out for glomerularnephritis as well as proteinuria
These patients will require routine UA for assessment of their kidneys
and protect them
What is the function of the thyroid? - CORRECT ANSWER Viral
hormone gland
Metabolism regulation- impacts every SINGLE cell within the body
Proper growth and development across the entire lifespan
What produces TSH? - CORRECT ANSWER Pituitary gland
What is the function of TSH? - CORRECT ANSWER Tells your
thyroid when to produce and release those critical thyroid hormones-
T3 and T4.
What disorders include hypothyroidism? - CORRECT ANSWER
Iodine deficiency, Hashimoto's, or thyroiditis
, A presence of thyroid peroxidase antibodies indicates that? -
CORRECT ANSWER Hypothyroidism is caused by an
autoimmune process of some sort
What are some signs and symptoms of hypothyroidism? - CORRECT
ANSWER Weight gain, constipation, dry skin, cold intolerance,
fatigue, course hair, facial puffiness, thick tongue, and maybe some
cardiac side effects
What patient education must be included regarding Synthroid
administration? - CORRECT ANSWER Must be taken on an empty
stomach before other medications
What are signs and symptoms of a myxedema coma? - CORRECT
ANSWER Low body temperature, edema, confusion, lethargy,
tongue thickening, difficulty breathing
What medications can precipitate myxedema coma? - CORRECT
ANSWER Lithium or amiodarone
Your patient who is on 75 mcg Synthroid PO daily comes in for a 6
week follow up to check their TSH level. When you get the results,
their TSH is 0.1. What should you do next as the NP? - CORRECT
ANSWER Assess how the patient is taking their Synthroid
What signs and symptoms are common in hyperthyroidism? -
CORRECT ANSWER Anxiety, palpitations, cardiac abnormalities,
tachycardia, diaphoresis, weight loss, and increased appetite,
menstrual irregularities, amenorrhea, tremors, lid lag, exophthalmos
What needs to be considered with PTU medication administration? -
CORRECT ANSWER Need frequent lab work: CBC, and Thyroid
panel
Required to take PTU multiple times a day
What is the most common treatment for Grave's Disease? -
CORRECT ANSWER Radioactive iodine therapy
