100% tevredenheidsgarantie Direct beschikbaar na betaling Zowel online als in PDF Je zit nergens aan vast
logo-home
AANP FNP EXAM QUALIFIED QUESTIONS AND ANSWERS GRADED A+ €12,29   In winkelwagen

Tentamen (uitwerkingen)

AANP FNP EXAM QUALIFIED QUESTIONS AND ANSWERS GRADED A+

 6 keer bekeken  0 keer verkocht
  • Vak
  • Instelling

AANP FNP EXAM QUALIFIED QUESTIONS AND ANSWERS GRADED A+ Basal Cell Carcinoma - ANSWER - -painless, pearly, ulcerated nodule with overlying telangiectasis -found on sun areas Actinic Keratoses - ANSWER - -slightly rough, pink or flesh-colored lesion in sun-exposed area -pharmacological...

[Meer zien]

Voorbeeld 4 van de 50  pagina's

  • 24 april 2024
  • 50
  • 2023/2024
  • Tentamen (uitwerkingen)
  • Vragen en antwoorden
avatar-seller
AANP FNP EXAM QUALIFIED
QUESTIONS AND ANSWERS GRADED
A+

Basal Cell Carcinoma - ANSWER - -painless, pearly, ulcerated nodule with overlying
telangiectasis
-found on sun areas

Actinic Keratoses - ANSWER - -slightly rough, pink or flesh-colored lesion in sun-
exposed area
-pharmacological treatment: 5-fluorouracil (topical chemotherapy)
-non-pharmacological treatment: chemical peel, cryotherapy, laser resurfacing

Tuberculosis - ANSWER - I. Transmission
A. Mycobacterium tuberculosis carried in airborne droplets
B. Active Pulmonary or Laryngeal Tuberculosis transmitted
1. Sneeze, cough, speak, or sing

II. Symptoms
A. Latent Tuberculosis is asymptomatic
B. Active Tuberculosis presentation often mimics cancer presentation
1. Non-specific presentation (most common)
a. Fatigue
b. Weight loss
c. Cachexia
d. Night Sweats
C. Pulmonary Tuberculosis symptoms
1. Productive cough (typically 2-3 weeks)
2. Hemoptysis (uncommon)
3. Pleuritic Chest Pain
4. Dyspnea

III. Signs
A. Sites of Involvement
1. Primary infection: lung involvement
B. Disseminated Disease

IV. Management
A. Latent Tuberculosis
1. Positive PPD without signs of Active Tb

,2. Treatment indicated if risk of Tb Progression from latent to active disease
B. Active Tuberculosis

Gout - ANSWER - I. Pathophysiology
A. *Gout occurs when Uric Acid levels exceed solubility limits*
1. Monosodium urate crystals deposit in joints, Kidney, and soft tissues
2. Crystal deposition triggers a inflammatory response from cytokines and Neutrophils
3. Joint space is irreversibly injured with ongoing attacks

II. Risk Factors
A. Most common
1. Obesity
2. Alcohol use (especially beer)
3. High purine diet (red meats, turkey and wild game, organ meats, seafood)
4. Drinks sweetened with high fructose corn syrup
5. Diuretic therapy including Thiazide Diuretics
6. Other risks
a. Diabetes Mellitus
b. Hyperlipidemia
c. Hypertension
d. Atherosclerosis
e. Renal Insufficiency
f. Myeloproliferative disease

III. Symptoms
A. Associated Symptoms
1. Chills
2. Fever as high as 104 F (40 C)
3. Severity: Very severe pain
a. Unable to bear weight
b. Too painful to put on socks
c. Intollerant to light touch from blankets
B. Regions Lower extremities
1. *First Metatarsophalangeal joint of great toe* (most common)
a. Known as *Podagra*
i. Affected in 50% of first gout attacks
Mid-tarsal joints
2. Ankle Joints
3. Knee Joints
C. Regions upper extremities
1. Fingers
2. Wrists
3. Elbows
D. Characteristics: Joint Pain
1. Excruciating, crushing type pain
2. Timing: Joint Pain

,3. Acute onset of lower extremity Joint Pain
4. Wakens patient from sleep

IV. Signs
A. Acute
1. Joint Inflammation
2. Erythema, tenderness and swelling at affected joint
a. Pain extends well beyond joint
b. Entire foot involved in some cases
3. Asymmetric joint involvement
a. May only involve one side with the first attack
4. Skin over joint is tense and shiny
B. Chronic
1. Gouty Tophi (develop after 10 years)
a. Subcutaneous Nodules of monosodium urate crystals and lipids, proteins and
mucopolysaccharides
C. Chronic Arthritis
1. Chronic deposition occurs with recurrent attacks

Dix-Hallpike Maneuver - ANSWER -

Central Vertigo - ANSWER - I. Findings: Suggestive of central causes
A. Nystagmus
1. Vertical or torsional Nystagmus (pure Horizontal Nystagmus may occur with either
peripheral or central cause)
2. No Nystagmus on Horizontal Head Impulse Test
3. Persists <6 seconds after Dix-Hallpike Maneuver
4. Fixation of eyes on object does not inhibit Nystagmus
5. Requires weeks to months to resolve
B. Episodes last hours to days
C. Severe imbalance impairs standing and walking
D. No Hearing Loss or Tinnitus in most central cases
E. Acute Vestibular Syndrome (Posterior Circulation in 25% of cases)
1. Rapid onset (<1 hour) of acute, persistent, continuous Vertigo or Dizziness
2. Associated with Nystagmus, Nausea or Vomiting, head motion intolerance, and gait
unsteadiness
F. Positive HiNTs Exam Criteria (at least 1 of 3 positive) are suggestive of cerebellar
CVA or Brainstem CVA (100% sensitive, 96% specific)
1. Normal Horizontal Head Impulse Test (no saccade/correction on head rotation) OR
2. Nystagmus that changes direction (or Vertical Nystagmus or torsional Nystagmus)
OR
3. Skew Deviation on Alternate Eye Cover Test in which uncovered eye demonstrates
quick vertical gaze corrections

III. Causes: Central Vertigo
A. Non-Vascular Central Causes of Vertigo (CN 8 or CNS)

, 1. Tumor
a. Acoustic Neuroma (Vestibular Schwannoma)
b. Infratentorial ependymoma
c. Brainstem glioma
d. Medulloblastoma
e. Neurofibromatosis
2. Migraine Headache
3. Multiple Sclerosis
B. Vascular disease related transient cerebral anoxia
1. Specific anoxia to vertebrobasilar system
a. Vessel specific
i. Brainstem Infarct (associated with Hearing Loss)
1. Anterior Inferior Cerebellar Artery Infarction
2. Anterior Vestibular Artery Infarction
ii. Brainstem Infarct (no Hearing Loss)
1. Posterior Inferior Cerebellar Artery infarction
2. Labyrinthine Artery Infarction
b. Precipitating conditions
i

Peripheral Vertigo - ANSWER - I. Findings: Suggestive of peripheral causes
A. Pathognomonic for peripheral cause
1. Sudden onset with brief episodes often on awakening
2. Rotary Illusion with Nausea, Vomiting
B. Nystagmus
1. Combined horizontal and torsional Nystagmus
2. Persists 5-20 seconds after Dix-Hallpike Maneuver
3. Fixation of eyes on object inhibits Nystagmus
C. Moderate imbalance
D. Nausea or Vomiting
E. Associated findings
1. Hearing Loss
2. Tinnitus
F. Tullio's Phenomenon
1. Nystagmus and Vertigo provoked by loud sounds

II. Causes: Common (Peripheral Vertigo)
A. Acute Vestibular Neuronitis
B. Benign Paroxysmal Positional Vertigo
C. Meniere's Disease

III. Causes: Other (Peripheral Vertigo)
A. Ear Infections
1. Serous Otitis Media
2. Chronic Otitis Media
3. Otitis Externa

Voordelen van het kopen van samenvattingen bij Stuvia op een rij:

Verzekerd van kwaliteit door reviews

Verzekerd van kwaliteit door reviews

Stuvia-klanten hebben meer dan 700.000 samenvattingen beoordeeld. Zo weet je zeker dat je de beste documenten koopt!

Snel en makkelijk kopen

Snel en makkelijk kopen

Je betaalt supersnel en eenmalig met iDeal, creditcard of Stuvia-tegoed voor de samenvatting. Zonder lidmaatschap.

Focus op de essentie

Focus op de essentie

Samenvattingen worden geschreven voor en door anderen. Daarom zijn de samenvattingen altijd betrouwbaar en actueel. Zo kom je snel tot de kern!

Veelgestelde vragen

Wat krijg ik als ik dit document koop?

Je krijgt een PDF, die direct beschikbaar is na je aankoop. Het gekochte document is altijd, overal en oneindig toegankelijk via je profiel.

Tevredenheidsgarantie: hoe werkt dat?

Onze tevredenheidsgarantie zorgt ervoor dat je altijd een studiedocument vindt dat goed bij je past. Je vult een formulier in en onze klantenservice regelt de rest.

Van wie koop ik deze samenvatting?

Stuvia is een marktplaats, je koop dit document dus niet van ons, maar van verkoper halleyharriet234. Stuvia faciliteert de betaling aan de verkoper.

Zit ik meteen vast aan een abonnement?

Nee, je koopt alleen deze samenvatting voor €12,29. Je zit daarna nergens aan vast.

Is Stuvia te vertrouwen?

4,6 sterren op Google & Trustpilot (+1000 reviews)

Afgelopen 30 dagen zijn er 85443 samenvattingen verkocht

Opgericht in 2010, al 14 jaar dé plek om samenvattingen te kopen

Start met verkopen
€12,29
  • (0)
  Kopen