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AANP FNP certification Questions & Answers.
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AANP FNP certification Questions & Answers.
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AANP FNP certification Questions &Answers
All diastolic murmurs are pathological. Murmurs Grades I-barely II-audible III- clearly
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audible. IV- first time thrill V-Steth edge VI-entire steth. EXAM - ANS-III first time
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audible, IV first time thrill
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Fundal height 12 weeks - ANS-Fundal Height 12 weeks above symphysis pubis. EXAM
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Fundus 16 weeks between symphysis pubis and umbilicus.
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Fundus at 20 weeks is at umbilicus.
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2 cm more of less from # of wk gestation is normal if more or less order US
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3 month old infant with down syndrome, due to milk intolerance, mom started on goats
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milk; now has pale conjunctiva but otherwise healthy. Low HCT. What additional test
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would you order? - ANS-Iron, TIBC
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3 months of synthroid, TSH increased, T4 normal, what do you do? - ANS-Increase
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Medication
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3 ways to assess cognitive function in patient with signs/symptoms of memory loss -
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ANS-Mini mental exam
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4 month old with strabismus, mom is worried...... - ANS-tell her it is normal.
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4 month old wont keep anything down, what is the main thing you look at? - ANS-
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Growth chart n
6 month old closed anterior fontanel. - ANS-XRAY
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Abnormal cells on PAP, what do you do next? - ANS-Refer for Colposcopy
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CAGE ACRONYM - ANS-Cut down
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Annoyed by criticism n n
Guilty about drinking
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Eye opener drink
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Causes of tachycardia - ANS-Fever
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Anemia
Hypotension
Cranial nerves responsible for extraocular eye movements - ANS-CN 3,4,6
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,Definition of metabolic syndrome - ANS-cluster of conditions that increase risk of heart
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disease, stroke, diabetes.
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diagnose trichomoniasis - ANS-wet prep
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Elderly presents with atrophic vaginitis, small uterus, palpable 4x5 ovary, what do you
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do next? - ANS-Pelvic US
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Epistaxis is most common in the area of the nose known as kiesselbachs triangle,
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where is this located? - ANS-Anterior septum
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Definitive diagnosis of acute bacterial prostatitis - ANS-urinalysis and culture
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GERD treatment - ANS-H2 is first line, give hs
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Grade 3 cells on Pap, treatment? - ANS-LEEP
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excision
Fingernail hematoma treatment? - ANS-drill hole and drain blood?
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Increased risk of ectopic pregnancy - ANS-Salpingitis, or history of abortion, PID,
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Koplick spots - ANS-Measles (rubeola). Grains of salt lesions inside mouth in Measles
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Koplick spots - ANS-Measles (rubeola). Grains of salt lesions inside mouth in Measles
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Legg-Calve-Perthes Disease - ANS-Avascular necrosis of the proximal femoral head n n n n n n n n n
Lipid level of 1500, increased risk for? - ANS-Pancreatitis
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Low HGB, Low HCT, High MCV indicates what? - ANS-Macrocytic anemia, B12 Def
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Man with BPH, prostate feels on digital exam? - ANS-Enlarged, symmetrical, smooth
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Man with HTN, CAD, present femoral pulses but absent pedal - ANS-Arterial
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Insufficiency
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McMurray's Sign n
(+) palpable or audible click while extending with varus stress - ANS-Meniscus tears
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Lachman's Test - ANS-pivot shift test (ACL tear)
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Newborn with foot turned in, what do you do? - ANS-refer to orthopedist
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Osgood-Schlatter disease - ANS-Knee pain. n n n n
, inflammation or irritation of the tibia at its point of attachment with the patellar tendon
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Patient forgot to start Thanksgiving dinner and husband states she has trouble
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remembering tasks and trouble with organization. What is this indicative of? - ANS-
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Alzheimer's
Pt has Barretts Esophagus, insurance no longer covers GI who was treating condition.
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Pt at FNP office wanting refill prescriptions. What do you do? - ANS-Refer to oncologist
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Pt presents with rash on shoulder, erythematous maculopapular rash with center
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clearing and scaling? - ANS-Tinea Corporis
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Pt presents with "bag of worms:, indicates? - ANS-Varicocele
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Pt with atopic dermatitis, look for what other diseases? - ANS-Asthma
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Pt with bleeding after menopause - ANS-endometrial biopsy, need to screen for cancer
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Pt with hx of PID, increased rick for? - ANS-Infertility
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Pt with HIV took high potency anti viral treatments and CD4 is >400, what does this
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indicate? - ANS-This is good. Want higher than 350
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Pt with hx of htn and stroke, now having memory loss. What does this indicate? - ANS-
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Vascular dementia n
Pregnant teacher with exposure to 5ths disease (SLAP CHEEK), what risk is there to
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the fetus? - ANS-slap cheek, PVB19, rash hands / feet Fetal death and birth defects
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Quick assessment of patients fall risk? Timed Get up and Go - ANS-Timed Get up and
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Go
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Red beefy tongue? - ANS-pernicious anemia
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Rotator cuff injury presentation - ANS-disturbs sleep, arm weakness, dull ache
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Shingles near eye - ANS-immediate referral to ophthalmology
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Signs and symptoms of Roseola (6ths disease) ? - ANS-Viral infection
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Can result in a maculopapular rash, but up to 70% of cases proceed without the rash
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nstage
-Usually accompanied by a high fever (41°C or 105°F) that comes on quickly and lasts
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nup to 3 days followed by rash
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-Seizures may occur during this period. n n n n n
-On the fourth day, the fever disappears and the rash appears, first on chest and trunk,
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nthen less prominently on the face and limbs.
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