AANP-FNP exam with correct solutions

AANP-FNP EXAM WITH CORRECT
SOLUTIONS



Hegar's lsign l- lCorrect l lAnswer l- lSoftening lof llower luterine lsegment

Chadwick's lsign l- lCorrect l lAnswer l- lBluish lcolor lof lcervix land lvagina lat l6-8 lweeks

Goodell's lsign l- lCorrect l lAnswer l- lSoftening lof lcervix lat l4+ lweeks

Lipids lin lchronic linactivity l- lCorrect l lAnswer l- lLow lHDL

Lipids lin lunder- lor luntreated lhypothyroidism l- lCorrect l lAnswer l- lElevated ltotal lcholesterol, lTG, land
lLDL


Lipids lin lchronic lrenal linsufficiency l- lCorrect l lAnswer l- lElevated ltotal lcholesterol land lTG

Lipids lin lalcohol labuse l- lCorrect l lAnswer l- lElevated lTG, lHDL, land lLDL

Vaccines lwith llive lattenuated lviruses l- lCorrect l lAnswer l- lMMR, lvaricella, lflu-mist(intranasal),
lZostavax


Drugs lof lchoice lfor labdominal linfection l- lCorrect l lAnswer l- lBeta llactams l+ lmetronidazole l(most
lcommon); lfluoroquinolones


Drugs lof lchoice lfor lurinary ltract linfection l- lCorrect l lAnswer l- lFluoroquinolones l(except lmoxi), lTMP-
SMX, lfluconazole, lb-lactams, lnitrofurantoin, lfosfomycin lif lpt lhas lmany lallergies

Drugs lof lchoice lfor lpulmonary linfections l- lCorrect l lAnswer l- lMacrolides, lresp lfluoroquinolones, lb-
lactams, ldoxycycline l(MRSA, latypical lcoverage)

Drugs lof lchoice lfor lskin land lsoft ltissue linfections l- lCorrect l lAnswer l- lMRSA: lTMP-SMZ, ldoxycycline,
lclindamycin; lb-lactams


Drugs lof lchoice lfor lMRSA l- lCorrect l lAnswer l- lVancomycin, ldaptomycin l, llinezolid, lTMP-SMZ,
ldoxycycline, lceftaroline


Macrolide ldrugs l- lCorrect l lAnswer l- lErythromycin, lclarithromycin, lazithromycin

, Macrolide lAEs l- lCorrect l lAnswer l- lGI, lQT lprolongation

Tetracycline luses l- lCorrect l lAnswer l- lMRSA, lrocky lmtn lspotted lfever, latypicals l(mycoplasma
lpneumonia, lchlamydia), lspirochetes l(Lyme), lh.pylori


Tetracycline lAEs l- lCorrect l lAnswer l- lGI, lteeth, lhepatic ldysfunction, lphotosensitivity

Fluoroquinolone ldrugs l- lCorrect l lAnswer l- lCiprofloxacin, llevofloxacin, lmoxifloxacin

Fluoroquinolone luses l- lCorrect l lAnswer l- lUTI l(cipro lor llevo), latypicals l(mycoplasma, llegionella)

Fluoroquinolones land ldairy lor lvitamins l- lCorrect l lAnswer l- lTake l2 lhrs lbefore lor l4 lhours lafter
l(decrease lconcentrations)


Metronidazole l(Flagyl) luses l- lCorrect l lAnswer l- lC. lDiff, lvaginitis

Metronidazole lAEs l- lCorrect l lAnswer l- lGI, lperipheral lneuropathy, ldisulfiram lreaction

Nitrofurantoin luses l- lCorrect l lAnswer l- lUTI l-not lpyelonephritis ldue lto lno lsystemic labsorption

Nitrofurantoin lAEs, lcontraindications l- lCorrect l lAnswer l- lPulmonary lfibrosis, lcontraindicated lin lCrCl
l<60 l(excludes lmany lelderly)


Aminoglycoside ldrugs l- lCorrect l lAnswer l- lGentamycin, ltobramycin

Aminoglycoside luses l- lCorrect l lAnswer l- lAtypical lcoverage, lresistant linfections, ltobramycin lfor lCF
lonly


Aminoglycoside lAEs l- lCorrect l lAnswer l- lOtotoxicity l(irreversible), lnephrotoxicity l(reversible)

Aminoglycoside lmonitoring l- lCorrect l lAnswer l- lRenal ldose ladjust, lhearing ltest, ldrug llevel lmonitoring

Antifungals l(azoles) l- lCorrect l lAnswer l- lFluconazole, litraconazole

Itraconazole linteractions l- lCorrect l lAnswer l- lAcid lsuppressive ltherapies

Fluconazole ldose ladjust l- lCorrect l lAnswer l- lRenal

Antifungal lAEs l- lCorrect l lAnswer l- lGI, lQTc lprolongation l(fluconazole)

Antifungal ldrug linteractions l- lCorrect l lAnswer l- lQT lprolongation lmeds, lwarfarin

Anti-infectives lnot lfor lpregnant l- lCorrect l lAnswer l- lTetracyclines, lTMP-SMZ

TMP-SMZ lcoverage l- lCorrect l lAnswer l- lG+, lG-, lMRSA, lProtozoa l(toxoplasma lgondii), lfungus
l(pneumocystis ljirovecii), lpoor lanaerobic lactivity


TMP-SMZ lAEs l- lCorrect l lAnswer l- lSulfa lallergy, lphotosensitivity, lhematologic l(anemia, lleukopenia,
lthrombocytopenia)