Family Nurse Practitioner Exam ANCC
1. Karposi Sarcoma: Characteristic purple areas on the nose in an HIV-positive
female. A type of cancer that can form in the skin, lymph nodes, or other organs.
The skin lesions are usually purple in color.
2. Retinal Detachment: the retina separates from the layer underneath. Symptoms
include an increase in the number of floaters, flashes of light, and worsening of
the outer part of the visual field.
3. Adolescent with friable nasal turbinates: Cocaine use
4. Aphthous ulcer: a recurrent round or oval sore or ulcer inside the mouth on an
area where the skin is not tightly bound to the underlying bone, such as on the
inside of the lips and cheeks or underneath the tongue. Aphthous ulcers can also
affect the genitalia in males and females.
5. GERD first line tx: h2 then ppi if doesnt work
6. Maxillary Sinusitis: Dental pain
7. Kasmaul Triangle: Anterior epitaxis
8. Roseola infantum: H. fever => small pink dots pink or raised body rash => arms
,10. Acne Roscaca: "adult acne." most often in adults (30-50 years of age). Unlike
acne vulgaris, rosacea is devoid of blackheads and characteristically does not
resolve after puberty. Rosacea strikes both sexes and potentially all ages. It tends
to be more frequent in women but more severe in men. It is very uncommon in
children, and it is less frequent in people with dark skin. Tx with Flagyl
11. AV Nicking: HTN, arteries crossing veins
12. Blepharitis: commonly occurs when the tiny oil glands of the inner eyelid
become inflamed. It often occurs along with other skin conditions or allergies.
Symptoms include red, itchy eyelids that may look greasy and crusted. Dry eyes
also are a symptom.
Treatments include cleaning the eyelids, antibiotic or steroid eye drops and treating
underlying conditions. However, blepharitis tends to come back.
13. Hordelum: Painful stye it hurts
14. chalazion: Non painful lesion to eyelid
15. Cotton Wool: Cotton wool spots are an abnormal finding on funduscopic exam
of the retina of the eye. They appear as fluffy white patches on the retina. They
are caused by damage to nerve fibers and are a result of accumulations of
axoplasmic material within the nerve fiber layer. Systemic HTN, DM
16. Herpes Zoster: Early signs of shingles include a burning sensation or stabbing
pain and tingling or itching on the skin. After a few days, a rash or blisters appear
usually on one side of the body or face. When the rash is at its peak, symptoms
can range from mild itching to extreme and debilitating pain. Tx within 72 hours
Aclovir
17 Retinoblastoma (Rb): Absence of light reflex, it is a rare form of cancer that
rapidly develops from the immature cells of a retina, the light-detecting tissue of the
eye. It is the most common primary malignant intraocular cancer in children, and it
is almost exclusively found in young children.
18. Seborrheic dermatitis (Dandruff): commonly involves portions of the scalp,
brows, mid-face, ears, mid-chest, and mid-back. It is not unusual for it to affect
, .
.
the skin of infants and young children where it often involves the scalp (cradle
cap) and the diaper area. Seborrheic dermatitis is also known as seborrhea.
19. Seborrheic Keratosis: A seborrhoeic keratosis is a harmless warty spot that
appears during adult life as a common sign of skin aging. ... Seborrhoeic
keratosis (or seborrheic keratosis, using American spelling) is also called SK,
basal cell papilloma, senile wart, brown wart or barnacle.
20. Cupping of disc: Intracranial pressure
21. subconjunctival haemorrhage: is bleeding underneath the conjunctiva. It can
occur after a sudden or severe sneeze or cough, heavy lifting, straining,
vomiting or even rubbing one's eyes too roughly. It can also occur as a side
effect of eye surgery or blood thinners.
The main symptom is a bright red patch in the eye that may spread and then
become green or yellow, much like a bruise. Usually it disappears within two weeks.
In most cases, no treatment is required for this condition.
22. Sialolithiasis (also termed salivary calculi, or salivary stones): A condition
where a calcified mass or sialolith forms within a salivary gland, usually in the
duct of the submandibular gland (also termed "Wharton's duct").
23. Honey Crusted lesions: Impetigo is a bacterial infection that involves the
superficial skin.The most common presentation is yellowish crusts on the face,
arms, or legs.Less commonly there may be large blisters which affect the groin
or armpits. The lesions may be painful or itchy. Fever is uncommon.
It is typically due to either Staphylococcus aureus or Streptococcus pyogenes. Risk
factors include attending day care, crowding, poor nutrition, diabetes mellitus,
contact sports, and breaks in the skin such as from mosquito bites, eczema,
scabies, or herpes. With contact it can spread around or between people.Diagnosis
is typically based on the symptoms.
Prevention is by hand washing, avoiding people who are infected, and cleaning
injuries. Treatment is typically with antibiotic creams such as mupirocin or fusidic
acid. Antibiotics by mouth, such as cephalexin, may be used if large areas are
affected. Antibiotic-resistant forms have been found.
24. Mild acne: Skin wash retinol benzol
, 25 moderate acne: retinol plus tetracylines oral abx
26 Retinol reaction: decrease to 3 times a day
27 Well demarcated cellulitis: erysipelas affects the dermis, most commonly on
the legs, and tends to be sharply demarcated. Cellulitis, which typically affects
the lower legs, involves the subcutaneous fat and is often less well demarcated.
... The diagnosis of cellulitis or erysipelas is usually clinical.
28. polymyalgia rheumatica: you feel pain and stiffness in the muscles in your
shoulders and upper arms (shoulder girdle) and hips (pelvic girdle). This feeling
often comes after you've spent time resting, and is most severe upon wakening
from sleep.
29. Fibromyalgia: can also cause muscle pain in the same parts of the body.
But it's more wide-spread and the pain is more severe. People with fibromyalgia
tend to experience other symptoms as well, including:
tiredness trouble
sleeping memory
problems
bowel and bladder problems
30. Temporal arteritis: is a condition in which the temporal arteries, which
supply blood to the head and brain, become inflamed or damaged. It is also
known as cranial arteritis or giant cell arteritis. Although this condition usually
occurs in the temporal arteries, it can occur in almost any medium to large artery
in the body.
31. Temporal arteritis: ESR CRP Biopsy
32. Temporal arteritis: S/SX double vision sudden, permanent loss of vision in
one eye a throbbing headache that's usually in the temples fatigue
weakness
loss of appetite
jaw pain, which sometimes can occur with chewing
fever
1. Karposi Sarcoma: Characteristic purple areas on the nose in an HIV-positive
female. A type of cancer that can form in the skin, lymph nodes, or other organs.
The skin lesions are usually purple in color.
2. Retinal Detachment: the retina separates from the layer underneath. Symptoms
include an increase in the number of floaters, flashes of light, and worsening of
the outer part of the visual field.
3. Adolescent with friable nasal turbinates: Cocaine use
4. Aphthous ulcer: a recurrent round or oval sore or ulcer inside the mouth on an
area where the skin is not tightly bound to the underlying bone, such as on the
inside of the lips and cheeks or underneath the tongue. Aphthous ulcers can also
affect the genitalia in males and females.
5. GERD first line tx: h2 then ppi if doesnt work
6. Maxillary Sinusitis: Dental pain
7. Kasmaul Triangle: Anterior epitaxis
8. Roseola infantum: H. fever => small pink dots pink or raised body rash => arms
,10. Acne Roscaca: "adult acne." most often in adults (30-50 years of age). Unlike
acne vulgaris, rosacea is devoid of blackheads and characteristically does not
resolve after puberty. Rosacea strikes both sexes and potentially all ages. It tends
to be more frequent in women but more severe in men. It is very uncommon in
children, and it is less frequent in people with dark skin. Tx with Flagyl
11. AV Nicking: HTN, arteries crossing veins
12. Blepharitis: commonly occurs when the tiny oil glands of the inner eyelid
become inflamed. It often occurs along with other skin conditions or allergies.
Symptoms include red, itchy eyelids that may look greasy and crusted. Dry eyes
also are a symptom.
Treatments include cleaning the eyelids, antibiotic or steroid eye drops and treating
underlying conditions. However, blepharitis tends to come back.
13. Hordelum: Painful stye it hurts
14. chalazion: Non painful lesion to eyelid
15. Cotton Wool: Cotton wool spots are an abnormal finding on funduscopic exam
of the retina of the eye. They appear as fluffy white patches on the retina. They
are caused by damage to nerve fibers and are a result of accumulations of
axoplasmic material within the nerve fiber layer. Systemic HTN, DM
16. Herpes Zoster: Early signs of shingles include a burning sensation or stabbing
pain and tingling or itching on the skin. After a few days, a rash or blisters appear
usually on one side of the body or face. When the rash is at its peak, symptoms
can range from mild itching to extreme and debilitating pain. Tx within 72 hours
Aclovir
17 Retinoblastoma (Rb): Absence of light reflex, it is a rare form of cancer that
rapidly develops from the immature cells of a retina, the light-detecting tissue of the
eye. It is the most common primary malignant intraocular cancer in children, and it
is almost exclusively found in young children.
18. Seborrheic dermatitis (Dandruff): commonly involves portions of the scalp,
brows, mid-face, ears, mid-chest, and mid-back. It is not unusual for it to affect
, .
.
the skin of infants and young children where it often involves the scalp (cradle
cap) and the diaper area. Seborrheic dermatitis is also known as seborrhea.
19. Seborrheic Keratosis: A seborrhoeic keratosis is a harmless warty spot that
appears during adult life as a common sign of skin aging. ... Seborrhoeic
keratosis (or seborrheic keratosis, using American spelling) is also called SK,
basal cell papilloma, senile wart, brown wart or barnacle.
20. Cupping of disc: Intracranial pressure
21. subconjunctival haemorrhage: is bleeding underneath the conjunctiva. It can
occur after a sudden or severe sneeze or cough, heavy lifting, straining,
vomiting or even rubbing one's eyes too roughly. It can also occur as a side
effect of eye surgery or blood thinners.
The main symptom is a bright red patch in the eye that may spread and then
become green or yellow, much like a bruise. Usually it disappears within two weeks.
In most cases, no treatment is required for this condition.
22. Sialolithiasis (also termed salivary calculi, or salivary stones): A condition
where a calcified mass or sialolith forms within a salivary gland, usually in the
duct of the submandibular gland (also termed "Wharton's duct").
23. Honey Crusted lesions: Impetigo is a bacterial infection that involves the
superficial skin.The most common presentation is yellowish crusts on the face,
arms, or legs.Less commonly there may be large blisters which affect the groin
or armpits. The lesions may be painful or itchy. Fever is uncommon.
It is typically due to either Staphylococcus aureus or Streptococcus pyogenes. Risk
factors include attending day care, crowding, poor nutrition, diabetes mellitus,
contact sports, and breaks in the skin such as from mosquito bites, eczema,
scabies, or herpes. With contact it can spread around or between people.Diagnosis
is typically based on the symptoms.
Prevention is by hand washing, avoiding people who are infected, and cleaning
injuries. Treatment is typically with antibiotic creams such as mupirocin or fusidic
acid. Antibiotics by mouth, such as cephalexin, may be used if large areas are
affected. Antibiotic-resistant forms have been found.
24. Mild acne: Skin wash retinol benzol
, 25 moderate acne: retinol plus tetracylines oral abx
26 Retinol reaction: decrease to 3 times a day
27 Well demarcated cellulitis: erysipelas affects the dermis, most commonly on
the legs, and tends to be sharply demarcated. Cellulitis, which typically affects
the lower legs, involves the subcutaneous fat and is often less well demarcated.
... The diagnosis of cellulitis or erysipelas is usually clinical.
28. polymyalgia rheumatica: you feel pain and stiffness in the muscles in your
shoulders and upper arms (shoulder girdle) and hips (pelvic girdle). This feeling
often comes after you've spent time resting, and is most severe upon wakening
from sleep.
29. Fibromyalgia: can also cause muscle pain in the same parts of the body.
But it's more wide-spread and the pain is more severe. People with fibromyalgia
tend to experience other symptoms as well, including:
tiredness trouble
sleeping memory
problems
bowel and bladder problems
30. Temporal arteritis: is a condition in which the temporal arteries, which
supply blood to the head and brain, become inflamed or damaged. It is also
known as cranial arteritis or giant cell arteritis. Although this condition usually
occurs in the temporal arteries, it can occur in almost any medium to large artery
in the body.
31. Temporal arteritis: ESR CRP Biopsy
32. Temporal arteritis: S/SX double vision sudden, permanent loss of vision in
one eye a throbbing headache that's usually in the temples fatigue
weakness
loss of appetite
jaw pain, which sometimes can occur with chewing
fever
