Exam (elaborations)
AANP FNP Certification Actual Exam Questions and Correct Answers 2023
- Course
- Institution
AANP FNP Certification Actual Exam Questions and Correct Answers 2023
[Show more]
Seller
Follow
samsonronald256
Content preview
AANP FNP Certification Actual ExamQuestions and Correct Answers 2023
Tanner Stage 2 - ANSWERS-Increased rugae of scrotum, testes enlarge. Breast bud.
Straight sparse hair.
Tanner Stage 3 - ANSWERS-Penis elongates. Pencil penis. Scrotal color darkens.
Breast tissue and areola are one mound. Darkened hair, starts to curl.
Tanner 4 - ANSWERS-Penis thickens and increases in size. Areola/nipple separate for
secondary mound. Curly hair, not on medial thigh.
When does menarche begin? - ANSWERS-After Tanner stage 2, within 1-2 years.
Delayed puberty if no secondary sexual characteristics by 12-13 in girls and 14 in boys.
Trisomy 21 - ANSWERS-Down Syndrome. Risk with advanced maternal age.
Microcephaly, flat nose, hypotonia, simian crease.
Marfan's Syndrome - ANSWERS-Pectus excavatum. Tall, wide arm span. Risk of MVP,
aneurysm, aortic regurgitation. Do not clear for sports.
Turner's Syndrome - ANSWERS-FEMALE. Lymphedema in utero, webbed neck, LD,
widely spaced nipples, HTN coarctation of aorta.
Klienfelter's Syndrome - ANSWERS-Extra X in males. More feminine. Will see in
puberty. Infertile, hypogonadism, low testosterone. Tall, lanky, underdeveloped
sexually.
Caput succadeum - ANSWERS-Sutures cross midline, spreads.
Caphalohematoma - ANSWERS-Sutures do not cross midline, more significant.
When does anterior fontanelle close? - ANSWERS-18 months
When does posterior fontanelle close? - ANSWERS-2-3 months
Abrnomal red reflex - ANSWERS-Black or white. Retinoblastoma, cataracts,
osteogenesis perfecta. White specks in down syndrome.
Edward's Syndrome - ANSWERS-Trisomy 18. Small mouth. High pitched cry.
Newborn screening tests - ANSWERS-PKU (phenylalanine), can lead to hyperactivity
and mental retardation. Hypothyroid. If not treated, mental retardation. Sickle cell.
Galactessemia, maple smell to urine, septic.
,Hordeolum - ANSWERS-Stye. Pain, edema. Bacitracin ophthalmic ointment.
STD conjunctivitis. - ANSWERS-Emergency. Rocephin for gonorrhea.
Gonococcola Ophthamlia Neonatorum - ANSWERS-2-4 days after birth. Red eye,
purulent discharge, swollen eyelids. GC culture, Thayer Martin, ROCEPHIN.
Chalmydial Ophthalmia Trachoma - ANSWERS-4-10 days after birth. Edematous, red,
profuse WATERY discharge that becomes purulent. Azithromycin, erythmocycin.
Otitis externa - ANSWERS-Fungal. Odor, black specks. Clotramizole. Pain with
tragus/pinna. Corticosporin
Sensorineuro hearing loss in PEDS - ANSWERS-Syphilis, acoustic neuroma,
aminoglycoside (gentamycin)
Epiglottitis - ANSWERS-Bacterial. Thumb sign on x-ray.
Croup - ANSWERS-Viral. Steeple sign on x-ray.
Bronchioloitis - ANSWERS-RSV, adenovirus. Under 3. Lower respi. URI, fever, nasal
flaring, stridor.If a preemie, synegis.
Intermittent Asthma peds - ANSWERS-SABA, 2 puffs q 4-6 hours. Peak 30 min-2
hours, lasts 4-6.
S. pneumonia (CAP) peds - ANSWERS-Lobar consolidation. Tx with penicillin.
H. influenza pneumonia peds - ANSWERS-Lobar consolidation. Amoxicillin or
cephalosporin.
M. cataralis or mycoplasma - ANSWERS-Linear. Azithromycin.
Neurofibromatosis - ANSWERS-Cafe au lait spots. Neurofibromas. Eye nodules.
Freckling.
Peds IDA - ANSWERS-Slow GI loss, too much whole milk. PICA. Flat shaped nails.
Ferritin low. 6-9 month treatments. 3-6 mg/kg day of iron
Thalassemia peds - ANSWERS-Asymptomatic. Enlarged spleen, tachypnea,
tachycardia, prominence in facial bones. TIBC not increased . Electrophoresis.
Sickle Cell Peds - ANSWERS-Vasocclusive crisis. Symptoms in stress, heat,
overexerting. Howel Jolly Bodies. Reticulocytosis. Hydrate, oxygenate, pain
managemnet.
,Hemophilia - ANSWERS-Factor VIII. Mother/daughter carry gene but presents in males.
Bleed into joints.
Lead Poisoning - ANSWERS-Over 10 refer. IDA. Butonion line, gingival border. Kelation
therapy.
Leukemia peds - ANSWERS-Chronically tired, pale, resp. infections. Blast cells,
peripheral smear, WBC
HIV testing - ANSWERS-ELISA in older child. PCR in infant. Western blot confirms.
More than 800 CD4 count normal, viral load less than 5000 or 0/undetectable.
Cause of fever in less than 2 month old - ANSWERS-Group B strep, e coli
common cause of fever in 2 months and up - ANSWERS-Strep. pneumoniae, and h.
influenza
Preoperational phase, preconceptual - ANSWERS-2-4 years old
Causation, intuitive - ANSWERS-4-7 years old
When is vision 20/20? - ANSWERS-Age 6
Concrete thinking, cognitive tasks, capable - ANSWERS-School age
What can be confused as child abuse in younger children? - ANSWERS-Osteogenesis
imperfecta or Mongolian spot
VSD - ANSWERS-Thrill sometimes felt at LL sternal border. Most common heart defect
in babies. Opening between septum. Holosystolic murmur.
Transposition of great arteries - ANSWERS-RVH. L. lower sternal border. Egg on a
string on x-ray.
Tetralogy of fallot - ANSWERS-VSD. Pulmonary stenosis. Overriding aorta. R. sided
hypertrophy. Systolic ejection murmur and thrill. Squat to slow return of blood to heart.
Aortic stenosis - ANSWERS-Systolic thrill. R. upper sternal border. Ejection click heard
at apex. LVH. X-ray, severe HF. More common in boys than girls, common to see mild
exercise intolerance
Coarctation of aorta - ANSWERS-Ejection murmur heard best at LUSB and L
interscapular area. RVH to LVH. Rib notching. Pressures different in upper and lower
extremities.
OFten seen with mitral regurgitation and Aortic stenosis
, Still's Murmur - ANSWERS-1-3/6, early systolic ejection murmur. Musical / vibratory
(buzz). Left lower sternal border. Turbulence in left ventricle. Innocents. Softens with
standing, Valsalva, sitting. Age 2-6 years
Hemic murmur - ANSWERS-Mild systolic ejection murmur, high-pitched, pulmonic &
aortic areas.
Only heard in increased cardiac output.
Venous hum - ANSWERS-Heard best while sitting, disappears while supine. R and L
upper sternal border, continuous humming murmur. innocent. Disappears in supine
position or when jugular vein compressed. > 3yo
PDA (patent ductus arteriosus) - ANSWERS-2-4/6 continuous heard best over LUSB.
Full pulses. Most common congenital heart defect. More common in girls
MVP - ANSWERS-1-3/6 mid-systolic click w/ late systolic murmur. Heard best at apex.
Louder with standing/squatting. Often seen with pectus excavatum
Pulmonic valve stenosis - ANSWERS-2-5/6 best at LUSB, ejection click @ 2nd L ICS.
Radiates to back.
May involve wide S2. Usually d/t fusion of valves
HTN in peds - ANSWERS-Organ problem or aldosterone. Cushings. Refer to cards
Rheumatic heart disease - ANSWERS-Joints, CNS, post infectious group a strep.
affects mitral valve. Jones criteria (carditis, chorea, erythema marginatum, esr elevated,
arthralgia, fever, prolonged PR interval)
Kawasaki's - ANSWERS-Toxic vasculitis. Fever several days, rash, swelling, peeling,
strawberry tongue, prolonged PR or QT. ASA, refer.
Intusucception - ANSWERS-Surgical emergency. Lethargy, vomiting, jelly stool, mass in
RUQ. Can be from rotavirus ?
Neuroblastoma - ANSWERS-Adrenal gland tumor, before age 5. Mass in abdomen.
Catecholamines elevated. Painful, fixed, crosses midline.
Fetal alcohol syndrome - ANSWERS-Small head, shortened palpebral fissures (narrow
eyes), flat nasal bridge. Thin upper lip.
Port wine stain - ANSWERS-Trigeminal nerve, refer to opthlamology to rule out
congeital glaucoma. Can be a sign of Sturge-Weber syndrome.
Hirschberg Test - ANSWERS-Corneal light reflex, tests for strabismus.
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller samsonronald256. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $18.99. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
80364 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now