ANCC FNP Exam GUARANTEED PASS!!
2025
Treatment for mild allergic conjunctivits - answer- Topical antihistamines/mast cell stabilizer
NSAIDs and topical corticosteroids are not first line
Pt with allergic conjunctivitis often produce inadequate amount of tears (oral antihistamines
may induce dry eye syndrome)
Oral hairy leukoplakia - answer- elongated papilla of the lateral aspect on the tongue
What causes oral hairy leukoplakia? - answer- EBV
Koplik's spot - answer- clusters of small red papules with white centers located on the buccal
mucosa by the lower molars (o = kopliks)
Prodromic viral of measles appears 2-3 days before the rash
Geographic tongue - answer- inflammatory disorder that usually appears on top and side of
the tongue
multiple fissures and irreregular smoother areas on its surface that make it look like a
topographic map
Cheilosis - answer- painful inflammation and cracking of the corners of the mouth
Peritonsillar abscess - answer- severe sore throat, difficulty swallowing, trismus, and muffled
"hot potato" voice
abscess displaces the uvula
,pterygium - answer- yellow, triangular thickening of the conjunctiva that extends across the
cornea on the nasal side
Pinguecula - answer- yellowish, raised growth on the conjunctiva next to the cornea
Chalazion - answer- chronic inflammation of the meibomian gland
hordeolum (stye) - answer- stye
abscess of a hair follicle and sebaceous gland on the eyelid
High risk factors for hearing loss in premature baby - answer- HEARS
Hyperbilirubinemia
Ear infection frequency
low Apgar scores
exposure to Rubella, cytomegalovirus (CMV), toxoplasmosis
Seizures
diabetic retinopathy - answer- cotton wool spots
Normal intraocular pressure - answer- 8-21mm Hg
Intermittent Esotropia - answer- common in infants younger than 20 weeks
resolves spontaneously
refer if present after 20 weeks
Kawasaki Disease - answer- high fever, enlarged lymph nodes, conjunctivitis, dry, cracked lips
strawberry tongue
,most cases under 5 years of age
pharyngitis - answer- acute infection of the pharynx
stuffy nose, rhinitis with clear mucus, and watery eyes
allergic rhinitis - answer- inflammatory changes of the nasal mucosa due to an allergy
response
most common sign: transverse nasal crease (allergic salute)
tonsillitis - answer- inflammation of the tonsils
sore throat, difficulty swallowing, tender lymph nodes
Treatment for otitis externa - answer- Use aluminum acetate solution PRN (provides
soothing, effective relief of minor skin irritations and inflammation)
keep water out of the ear
Polymyxin B-neomycin-hydrocortisone suspension drops QID x 7 days and/or ofloxacin drops
Bullous Myringitis - answer- small, fluid-filled blisters form on the eardrum
First permanent teeth to erupt - answer- first molars at about 6 years of age
viral keratoconjunctivitis - answer- pink eye
treatment- symptomatic
cold compresses and slightly chilled artificial tears
avoid touching eyes, haring towels, frequent eye washing
children should not attend school until symptoms resolve
what causes viral keratoconjunctivits? - answer- adenovirus
, contagious for 10-12 days
self limiting
Transmission of sound through the ear - answer- 1. sound waves are collected in the pinna
2. transmission of vibrations through the hammer, anvil and stirrup
3.nerve impulses stimulate in the inner ear
4. vibrations are transmitted of the cerebral cortex auditory center
5.sound is interpreted by the cerebral cortex
Ishihara chart - answer- screening a patient for colour blindness
Tx for otitis media - answer- 1st line- amoxicillin
blepharitis - answer- chronic condition caused by inflammation of the eyelids
contact lens keratitis - answer- eye pain, redness, excessive tearing, lesion on the cornea
1st line- topical abx
primary angle-closure glaucoma - answer- sudden blockage of the aqueous humor
increased intraocular pressure
Acute Rhinosinusitis - answer- inflammation of the mucosal lining of nasal passages, lasting
up to 4 weeks, caused by allergens
Acute Bacterial Rhinosinusitis - answer- secondary bacterial infection, usually following viral
URI
Diseases caused by S. pneumoniae - answer- COMPS
2025
Treatment for mild allergic conjunctivits - answer- Topical antihistamines/mast cell stabilizer
NSAIDs and topical corticosteroids are not first line
Pt with allergic conjunctivitis often produce inadequate amount of tears (oral antihistamines
may induce dry eye syndrome)
Oral hairy leukoplakia - answer- elongated papilla of the lateral aspect on the tongue
What causes oral hairy leukoplakia? - answer- EBV
Koplik's spot - answer- clusters of small red papules with white centers located on the buccal
mucosa by the lower molars (o = kopliks)
Prodromic viral of measles appears 2-3 days before the rash
Geographic tongue - answer- inflammatory disorder that usually appears on top and side of
the tongue
multiple fissures and irreregular smoother areas on its surface that make it look like a
topographic map
Cheilosis - answer- painful inflammation and cracking of the corners of the mouth
Peritonsillar abscess - answer- severe sore throat, difficulty swallowing, trismus, and muffled
"hot potato" voice
abscess displaces the uvula
,pterygium - answer- yellow, triangular thickening of the conjunctiva that extends across the
cornea on the nasal side
Pinguecula - answer- yellowish, raised growth on the conjunctiva next to the cornea
Chalazion - answer- chronic inflammation of the meibomian gland
hordeolum (stye) - answer- stye
abscess of a hair follicle and sebaceous gland on the eyelid
High risk factors for hearing loss in premature baby - answer- HEARS
Hyperbilirubinemia
Ear infection frequency
low Apgar scores
exposure to Rubella, cytomegalovirus (CMV), toxoplasmosis
Seizures
diabetic retinopathy - answer- cotton wool spots
Normal intraocular pressure - answer- 8-21mm Hg
Intermittent Esotropia - answer- common in infants younger than 20 weeks
resolves spontaneously
refer if present after 20 weeks
Kawasaki Disease - answer- high fever, enlarged lymph nodes, conjunctivitis, dry, cracked lips
strawberry tongue
,most cases under 5 years of age
pharyngitis - answer- acute infection of the pharynx
stuffy nose, rhinitis with clear mucus, and watery eyes
allergic rhinitis - answer- inflammatory changes of the nasal mucosa due to an allergy
response
most common sign: transverse nasal crease (allergic salute)
tonsillitis - answer- inflammation of the tonsils
sore throat, difficulty swallowing, tender lymph nodes
Treatment for otitis externa - answer- Use aluminum acetate solution PRN (provides
soothing, effective relief of minor skin irritations and inflammation)
keep water out of the ear
Polymyxin B-neomycin-hydrocortisone suspension drops QID x 7 days and/or ofloxacin drops
Bullous Myringitis - answer- small, fluid-filled blisters form on the eardrum
First permanent teeth to erupt - answer- first molars at about 6 years of age
viral keratoconjunctivitis - answer- pink eye
treatment- symptomatic
cold compresses and slightly chilled artificial tears
avoid touching eyes, haring towels, frequent eye washing
children should not attend school until symptoms resolve
what causes viral keratoconjunctivits? - answer- adenovirus
, contagious for 10-12 days
self limiting
Transmission of sound through the ear - answer- 1. sound waves are collected in the pinna
2. transmission of vibrations through the hammer, anvil and stirrup
3.nerve impulses stimulate in the inner ear
4. vibrations are transmitted of the cerebral cortex auditory center
5.sound is interpreted by the cerebral cortex
Ishihara chart - answer- screening a patient for colour blindness
Tx for otitis media - answer- 1st line- amoxicillin
blepharitis - answer- chronic condition caused by inflammation of the eyelids
contact lens keratitis - answer- eye pain, redness, excessive tearing, lesion on the cornea
1st line- topical abx
primary angle-closure glaucoma - answer- sudden blockage of the aqueous humor
increased intraocular pressure
Acute Rhinosinusitis - answer- inflammation of the mucosal lining of nasal passages, lasting
up to 4 weeks, caused by allergens
Acute Bacterial Rhinosinusitis - answer- secondary bacterial infection, usually following viral
URI
Diseases caused by S. pneumoniae - answer- COMPS
