ANCC FNP Exam Questions and Answers
Topical antihistamines/mast cell stabilizer
NSAIDs and topical corticosteroids are not first line
Treatment for mild allergic conjunctivits
Pt with allergic conjunctivitis often produce inadequate amount of tears (oral
antihistamines may induce dry eye syndrome)
Oral hairy leukoplakia elongated papilla of the lateral aspect on the tongue
What causes oral hairy leukoplakia? EBV
clusters of small red papules with white centers located on the buccal mucosa by
Koplik's spot the lower molars (o = kopliks)
Prodromic viral of measles appears 2-3 days before the rash
inflammatory disorder that usually appears on top and side of the tongue
Geographic tongue multiple fissures and irreregular smoother areas on its surface that make it look like a
topographic map
Cheilosis painful inflammation and cracking of the corners of the mouth
severe sore throat, difficulty swallowing, trismus, and muffled "hot potato" voice
Peritonsillar abscess
abscess displaces the uvula
yellow, triangular thickening of the conjunctiva that
extends across the cornea on the nasal side
pterygium
yellowish, raised growth on the conjunctiva next to
the cornea
Pinguecula
chronic inflammation of the meibomian gland
Chalazion
, stye
abscess of a hair follicle and sebaceous gland on
hordeolum (stye)
the eyelid
HEARS
Hyperbilirubinemia
High risk factors for hearing loss in Ear infection frequency
premature baby low Apgar scores
exposure to Rubella, cytomegalovirus (CMV), toxoplasmosis
Seizures
cotton wool spots
diabetic retinopathy
Normal intraocular pressure 8-21mm Hg
common in infants younger than 20 weeks
Intermittent Esotropia resolves spontaneously
refer if present after 20 weeks
high fever, enlarged lymph nodes, conjunctivitis, dry, cracked lips
Kawasaki Disease strawberry tongue
most cases under 5 years of age
acute infection of the pharynx
pharyngitis
stuffy nose, rhinitis with clear mucus, and watery eyes
inflammatory changes of the nasal mucosa due to an allergy response
allergic rhinitis
most common sign: transverse nasal crease (allergic salute)
inflammation of the tonsils
tonsillitis
sore throat, difficulty swallowing, tender lymph nodes
Use aluminum acetate solution PRN (provides soothing, effective relief of minor skin
irritations and inflammation)
Treatment for otitis externa keep water out of the ear
Polymyxin B-neomycin-hydrocortisone suspension drops QID x 7 days and/or
ofloxacin drops
small, fluid-filled blisters form on the eardrum
Bullous Myringitis
First permanent teeth to erupt first molars at about 6 years of age
pink eye
treatment- symptomatic
viral keratoconjunctivitis cold compresses and slightly chilled artificial tears
avoid touching eyes, haring towels, frequent eye washing
children should not attend school until symptoms resolve
adenovirus
what causes viral keratoconjunctivits? contagious for 10-12 days
self limiting
Topical antihistamines/mast cell stabilizer
NSAIDs and topical corticosteroids are not first line
Treatment for mild allergic conjunctivits
Pt with allergic conjunctivitis often produce inadequate amount of tears (oral
antihistamines may induce dry eye syndrome)
Oral hairy leukoplakia elongated papilla of the lateral aspect on the tongue
What causes oral hairy leukoplakia? EBV
clusters of small red papules with white centers located on the buccal mucosa by
Koplik's spot the lower molars (o = kopliks)
Prodromic viral of measles appears 2-3 days before the rash
inflammatory disorder that usually appears on top and side of the tongue
Geographic tongue multiple fissures and irreregular smoother areas on its surface that make it look like a
topographic map
Cheilosis painful inflammation and cracking of the corners of the mouth
severe sore throat, difficulty swallowing, trismus, and muffled "hot potato" voice
Peritonsillar abscess
abscess displaces the uvula
yellow, triangular thickening of the conjunctiva that
extends across the cornea on the nasal side
pterygium
yellowish, raised growth on the conjunctiva next to
the cornea
Pinguecula
chronic inflammation of the meibomian gland
Chalazion
, stye
abscess of a hair follicle and sebaceous gland on
hordeolum (stye)
the eyelid
HEARS
Hyperbilirubinemia
High risk factors for hearing loss in Ear infection frequency
premature baby low Apgar scores
exposure to Rubella, cytomegalovirus (CMV), toxoplasmosis
Seizures
cotton wool spots
diabetic retinopathy
Normal intraocular pressure 8-21mm Hg
common in infants younger than 20 weeks
Intermittent Esotropia resolves spontaneously
refer if present after 20 weeks
high fever, enlarged lymph nodes, conjunctivitis, dry, cracked lips
Kawasaki Disease strawberry tongue
most cases under 5 years of age
acute infection of the pharynx
pharyngitis
stuffy nose, rhinitis with clear mucus, and watery eyes
inflammatory changes of the nasal mucosa due to an allergy response
allergic rhinitis
most common sign: transverse nasal crease (allergic salute)
inflammation of the tonsils
tonsillitis
sore throat, difficulty swallowing, tender lymph nodes
Use aluminum acetate solution PRN (provides soothing, effective relief of minor skin
irritations and inflammation)
Treatment for otitis externa keep water out of the ear
Polymyxin B-neomycin-hydrocortisone suspension drops QID x 7 days and/or
ofloxacin drops
small, fluid-filled blisters form on the eardrum
Bullous Myringitis
First permanent teeth to erupt first molars at about 6 years of age
pink eye
treatment- symptomatic
viral keratoconjunctivitis cold compresses and slightly chilled artificial tears
avoid touching eyes, haring towels, frequent eye washing
children should not attend school until symptoms resolve
adenovirus
what causes viral keratoconjunctivits? contagious for 10-12 days
self limiting
