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AANP Exam Study Guide (Latest 2023 – 2024) Verified Answers By Expert
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AANP Exam Study Guide (Latest 2023 – 2024) Verified Answers By Expert
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AANP Exam Study Guide (Latest 2023 – 2024)Verified Answers By Expert
Legg-Calve-Perthes Disease - A 7-year-old male presents with a painless limp,
antalgic gait, muscle spasm, mildly restricted hip abduction and internal rotation,
proximal thigh atrophy, and slightly short stature.
MMR - Initial given at 12 months and second dose 4-6 years. Can give a monovalent
under 12 months if there is an outbreak.
Actinic Keratosis - Patchy, scaly, raised, irregular lesions in sun-exposed areas that
are tri-colored. Pre-malignant and 20% can develop into squamous cell carcinoma.
Seborrheic Keratoses - Chronic benign lesions that are raised, oily, flaky, waxy, wart-
like, erythematous without associated sun exposure.
Malignant Melanoma - 3rd most common type skin cancer. Originates from
pigmented mole (nevus) may be flat or raised, irregular borders, variegated color,
and highly metastatic.
Nodule on Prostate Exam - Assess PSA and hematuria for prostate CA diagnosis.
Prostate CA - Hard and non-tender prostate with exam, hematuria, elevated PSA, and
urinary retention.
Spermatocele
Symptoms/signs - Freely moveable cystic mass and nonviable sperm.
JNC 8 <60 years - Diagnose HTN with BP 140/90
JNC 8 >60 years - Diagnose HTN with BP 150/90
Dacryostenosis - Narrowing of the nasolacrimal duct preventing drainage. Massage
to help open.
Opthalmic Infection
Signs/symptoms - Swelling, erythema, pain and purulence. With extreme swelling
treat with antibacterial-steroid combination.
Trigeminal Neuralgia - Unilateral, sudden onset stabbing, surface pain that lasts
minutes and subsides and then returns. Pain triggered by touch or temperature.
Generally affects women over 50.
, Fibrocystic Breast Disease - Women should be taught to avoid methylxanthines
(coffee, tea, chocolate) to decrease breast pain. Mammography recommended once
at 35 years, then 1-2 years from 40 on and then annually at 50. Oral contraceptives
can help with reduction of cyclical pain and inflammation. Painful bilaterally.
Chlamydia Tx In Pregnancy - Single dose of Azithromycin or Erythromycin QID x 14
days. Doxycycline is contraindicated in pregnancy.
Gonorrhea Tx in Pregnancy - Ceftriaxone
Phalen's Test - Diagnose carpal tunnel. 90 degree wrist flexion for 60 seconds
reproduces symptoms.
Carpal Tunnel Syndrome - Median nerve compression at the wrist with painful
dysesthesia of the palmar surface of the thumb, index finger and third finger.
Salmeterol - Long-acting Beta Agonist. Never use during an attack. Best for regular
treatment and control of asthma symptom control.
GERD in infants
Tx - Smaller more frequent meals, thickening formula with rice cereal, frequent
burping, position at 45 degree angle to reduce gastric content volume and pressure.
Frontal Sinuses Appear
when? - 5-6 years of age, infants are born with maxillary and ethmoid sinuses.
Sphenoid Sinuses - Visible radiographically at 9 years of age.
Intraductal Papilloma - Non-tender mass in the breast with serous or bloody nipple
discharge in the duct near the areola.
Occupational Licensure NP - Responsibility of the individual state.
Delirium vs Dementia - Delirium is reversible, dementia is not.
Microalbuminuria - Protein lost in the urine. Sensitive indicator for renal
compromise in a patient with diabetes.
Cervical Cancer Risks - Smoking, early onset age of sexual activity, multiple sex
partners.
Syndrome X - AKA insulin resistance syndrome is associated with
hypertriglyceredemia, reduced HDL, increased LDL, HTN, CAD, atherosclerotic
plaque formation, and high levels of serum fatty acids stored as fat. NO HEART
ASSOCIATED SYMPTOMS.
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