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AANP exam 2021/2022 QUESTIONS AND ANSWERS| A RATED
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AANP exam 2021/2022 QUESTIONS AND ANSWERS| A RATED
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AANP examTanner Stage I: Girls Correct Answer: prepubertal
Tanner Stage II: Girls Correct Answer: Breast bud
Tanner Stage III: Girls Correct Answer: Breast and nipple growth, one mound, no separation
Tanner Stage IV: Girls Correct Answer: Nipple/areola elevated from breast, secondary mound
Tanner Stage V: Girls Correct Answer: Adult
Tanner Stage I: Boys Correct Answer: prepubertal
Tanner Stage II: Boys Correct Answer: testes/scrotum enlarges, scrotum darkens, more ruggae
Tanner Stage III: Boys Correct Answer: penis grows longer, scrotum continues to grow
Tanner Stage IV: Boys Correct Answer: penis becomes wider, continues getting longer, scrotum larger,
darker, more ruggae
Tanner Stage V: Boys Correct Answer: adult
kiesselbach's plexus Correct Answer: blood vessels on anterior septum where 90% of nosebleeds
originate
Finkelstein's test Correct Answer: used to dx DeQuervain's tenosynovitis, thumb in fist, bend wrist
towards little finger. positive c pain in wrist on thumb side
anterior drawer test Correct Answer: used to check for ACL injury, pull tibia forward from femur c both
hands on tibia c pt laying and knee flexed at 90 deg, positive c >5mm translation or increase laxity
compared to unaffected side
lachman maneuver Correct Answer: tests ACL integrity, pt on back knee flexed 20-30 deg, one hand
stabilize femur, other applies pressure to back of knee, positive c mushy end point
pivot test Correct Answer: tests ACL integrity, pt on back, knee fully extended, rotate foot internally.
Apply valgus stress while flexing knee. Positive= translation of tibia on femur
McMurray test Correct Answer: checks for meniscus injury, pt supine, knee flexed. medial: apply valgus
force, externally rotate the foot and passively extend knee. lateral: apply varus force, internally rotate
foot and passively extend knee. Positive= audible or palpable snap in knee during extension
diabetic retinopathy Correct Answer: cotton wool spots, hard exudates, neovascularization,
microaneurysms
hypertensive retinopathy Correct Answer: AV nicking, silver and/or copper wire arterioles
, Tinel's sign Correct Answer: Detects irritated nerves, most often c carpal tunnel. Tap on median nerve.
Positive= tingling down thumb, index, and middle finger
Phalen's maneuver Correct Answer: Detects carpal tunnel syndrome. allow wrists to fall into maximum
flexion, hold for 60 seconds. Positive= tingling down thumb, index, and middle finger
Kernig's sign Correct Answer: sign of meningitis. Pt supine, hip flexed at 90, attempt to straighten leg.
Positive= inability to straighten leg
Maculopapular rash in lace like pattern Correct Answer: Fifth's disease
Maculopapular rash with papules, vesicles, and crusts Correct Answer: Varicella
Maculopapular rashes that are oval shaped with herald patch or Christmas tree Correct Answer:
pityriasis rosea
vesicular rashes on an erythematous base Correct Answer: herpes simplex
scarlet fever (scarletina) Correct Answer: caused by group A strep, rash is fine, red, and rough textured.
non-puritic. accompanied by sore throat, stawberry tongue, and peeling of hands and feet. tx c abx for
strep (Penicillin)
S3 Correct Answer: Heard best over pulmonic area (2nd L intercostal space), indicates heart failure,
ventricular overload
psoas sign (ilipsoas muscle sign) Correct Answer: used c acute abdomen, appendicitis. Pt lays on left
side, hyperextends right thigh. Positive= abd pain
obturator sign Correct Answer: used c acute abdomen, appendicitis. Pt supine, flex knee and hip to 90
deg, internally rotate hip. Positive= abd pain (c R leg for appendix)
Rovsing's sign Correct Answer: used c acute abdomen, appendicitis. Palpate LLQ, Positive= pain in RLQ
McBurney's point Correct Answer: 2/3rds of distance from umbilicus to the R anterior superior iliac
spine. Deep tenderness at this point may be indicative of appendicitis
Hirschsprung (Hirschberg) test Correct Answer: aka corneal light reflex. Checks for strabismus.
Rocky Mountain spotted fever Correct Answer: S central US. Red rash on wrists and ankles that spreads
centrally that appears 3rd day after fever (103-105). Can cause death if not tx in 1st 8 days of symptoms
Cholesteatoma Correct Answer: Cauliflower like growth in ear c foul smelling discharge. Can eat through
tm, bone, & nerves. Refer to EENT
Koplik's spots Correct Answer: Small red papules with white center inside cheeks by lower molars.
Indicates measles, before rash.
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