AANP CERTIFICATION EXAM
QUESTIONS AND ANSWERS
diverticulum can be an infection of - correct answer- both gram
- and + bacteria
Which diuretic should be used for osteoporosis? - correct
answer- Thiazide diuretics:
slows the kidneys excretion of calcium and increases
reabsorption
Lachman maneuver - correct answer- knee instability
tear of ACL
Infections of labia and vagina - correct answer- bacterial
vaginosis, candidiasis, and trichomoniasis
Chlamydia affects - correct answer- cervix, endometrial lining,
fallopian tubes, pelvic cavity
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Acute abdomen symptoms - correct answer- involuntary
guarding, rebound tenderness, board-like abdomen, +obturator
and psoas sign
Care of preecplampsia - correct answer- bed rest, weight and
blood pressure monitoring
Preeclampsia labs - correct answer- urine protein, serum
protein, creatinine, platelet count
Preeclampsia symptoms - correct answer- hypertension,
proteinuria, edema (weight gain)
Preeclampsia complications - correct answer- placental
abruption, coagulopathy (DIC), renal failure, uteroplacental
insufficiency, liver failure, hypertensive encephalopathy, retinal
detachment, pulmonary edema, seizure, death
community acquired pneumonia
Most common bacteria
least common bacteria
Population
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treatment - correct answer- mycolpasma pneumoniae (atypical)
h. influenza, strep pneumoniae
atypical: psuedomonas aeruginosa
college student, school children, military
macrolides: azithromycin, clarithromycin
Mantoux test - correct answer- Positive: 5mm
Positive for recent immigrants: 10mm
Murphy's sign - correct answer- biliary disorders
deep inspiration by patient and deep palpation RUQ below
costovertebral angle
placenta previa - correct answer- implantation of the placenta
over the cervical opening or in the lower region of the uterus
painless bright red blood in the second or third trimester
Order abdominal US
Hashimoto's is most common in which population - correct
answer- middle age to older women
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Hypertension Retinopathy - correct answer- AV nicking and
copper or silver wire arterioles
flame-shaped hemorrhages
threatened abortion - correct answer- vaginal bleeding and
cramping, soft uterus, cervix closed
bacterial vaginosis - correct answer- fishy odor, milky white or
dull gray discharge
pH > 4.5
> 20% clue cells
KOH whiff test
squamous cells dotted with lots of bacteria that obscure
borders - correct answer- clue cells
Lichen sclerosis - correct answer- skin disease, white spots
appear over time, most common genital and rectal
most common in older woman
itching, discomfort, bleeding
order biopsy