Exam (elaborations)
AANP FNP FAMILY NURSE PRACTITIONER EXAM
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AANP FNP FAMILY NURSE PRACTITIONER EXAM
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AANP FNP EXAMKarposi Sarcoma - ANSWER Characteristic purple areas on the nose in an HIV-
positive female. Kaposi's sarcoma (KS) is a type of cancer that can form in the skin,
lymph nodes, or other organs. The skin lesions are usually purple in color.
Malodorous single nare - ANSWER Foreign body
Retinal Detachment - ANSWER the retina separates from the layer underneath.
Symptoms include an increase in the number of floaters, flashes of light, and
worsening of the outer part of the visual field.
Adolescent with friable nasal turbinates - ANSWER Cocaine use
Aphthous ulcer - ANSWER a recurrent round or oval sore or ulcer inside the mouth
on an area where the skin is not tightly bound to the underlying bone, such as on the
inside of the lips and cheeks or underneath the tongue. Aphthous ulcers can also
affect the genitalia in males and females.
GERD first line tx - ANSWER H2 Blocker x 4 weeks, change to PPI
Maxillary Sinusitis - ANSWER Dental pain
Kussmaul Triangle - ANSWER Kussmaul sign is a paradoxical rise in jugular
venous pressure (JVP) on inspiration, or a failure in the appropriate fall of the JVP
with inspiration. It can be seen in some forms of heart disease and is usually
indicative of limited right ventricular filling due to right heart dysfunction.
Roseola infantum - ANSWER H. fever => small pink dots pink or raised body rash
=> arms
Acne Roscaca - ANSWER "adult acne." most often in adults (30-50 years of age).
Unlike acne vulgaris, rosacea is devoid of blackheads and characteristically does not
resolve after puberty. Rosacea strikes both sexes and potentially all ages. It tends to
be more frequent in women but more severe in men. It is very uncommon in children,
and it is less frequent in people with dark skin. Tx with Flagyl
AV Nicking - ANSWER HTN, arteries crossing veins
Blepharitis - ANSWER commonly occurs when the tiny oil glands of the inner eyelid
become inflamed. It often occurs along with other skin conditions or allergies.
Symptoms include red, itchy eyelids that may look greasy and crusted. Dry eyes also
are a symptom.
Treatments include cleaning the eyelids, antibiotic or steroid eye drops and treating
underlying conditions. However, blepharitis tends to come back.
Hordelum - ANSWER Painful stye it hurts
,Chalazedium - ANSWER Non painful lesion to eyelid
Cotton Wool - ANSWER Cotton wool spots are an abnormal finding on funduscopic
exam of the retina of the eye. They appear as fluffy white patches on the retina. They
are caused by damage to nerve fibers and are a result of accumulations of
axoplasmic material within the nerve fiber layer. Systemic HTN, DM
Herpes Zoster - ANSWER Early signs of shingles include a burning sensation or
stabbing pain and tingling or itching on the skin. After a few days, a rash or blisters
appear usually on one side of the body or face. When the rash is at its peak,
symptoms can range from mild itching to extreme and debilitating pain. Tx within 72
hours Aclovir
Retinoblastoma (Rb) - ANSWER Absence of light reflex, it is a rare form of cancer
that rapidly develops from the immature cells of a retina, the light-detecting tissue of
the eye. It is the most common primary malignant intraocular cancer in children, and
it is almost exclusively found in young children.
Seborrheic dermatitis (Dandruff) - ANSWER commonly involves portions of the
scalp, brows, mid-face, ears, mid-chest, and mid-back. It is not unusual for it to affect
the skin of infants and young children where it often involves the scalp (cradle cap)
and the diaper area. Seborrheic dermatitis is also known as seborrhea.
Seborrheic Keratosis - ANSWER A seborrhoeic keratosis is a harmless warty spot
that appears during adult life as a common sign of skin aging. ... Seborrhoeic
keratosis (or seborrheic keratosis, using American spelling) is also called SK, basal
cell papilloma, senile wart, brown wart or barnacle.
Cupping of disc - ANSWER Intracranial pressure
subconjunctival haemorrhage - ANSWER is bleeding underneath the conjunctiva. It
can occur after a sudden or severe sneeze or cough, heavy lifting, straining, vomiting
or even rubbing one's eyes too roughly. It can also occur as a side effect of eye
surgery or blood thinners.
The main symptom is a bright red patch in the eye that may spread and then
become green or yellow, much like a bruise. Usually it disappears within two weeks.
In most cases, no treatment is required for this condition.
Sialolithiasis (also termed salivary calculi, or salivary stones) - ANSWER A
condition where a calcified mass or sialolith forms within a salivary gland, usually in
the duct of the submandibular gland (also termed "Wharton's duct").
Honey Crusted lesions - ANSWER Impetigo is a bacterial infection that involves the
superficial skin.The most common presentation is yellowish crusts on the face, arms,
or legs.Less commonly there may be large blisters which affect the groin or armpits.
The lesions may be painful or itchy. Fever is uncommon.
It is typically due to either Staphylococcus aureus or Streptococcus pyogenes. Risk
factors include attending day care, crowding, poor nutrition, diabetes mellitus,
contact sports, and breaks in the skin such as from mosquito bites, eczema, scabies,
,or herpes. With contact it can spread around or between people.Diagnosis is
typically based on the symptoms.
Prevention is by hand washing, avoiding people who are infected, and cleaning
injuries. Treatment is typically with antibiotic creams such as mupirocin or fusidic
acid. Antibiotics by mouth, such as cephalexin, may be used if large areas are
affected. Antibiotic-resistant forms have been found.
Mild acne - ANSWER Skin wash retinol benzol
moderate acne - ANSWER retinol plus tetracylines oral abo
Retinol reaction - ANSWER decrease to 3 times a day
Well demarcated cellulitis - ANSWER erysipelas affects the dermis, most
commonly on the legs, and tends to be sharply demarcated. Cellulitis, which typically
affects the lower legs, involves the subcutaneous fat and is often less well
demarcated. ... The diagnosis of cellulitis or erysipelas is usually clinical.
polymyalgia rheumatica - ANSWER you feel pain and stiffness in the muscles in
your shoulders and upper arms (shoulder girdle) and hips (pelvic girdle). This feeling
often comes after you've spent time resting, and is most severe upon wakening from
sleep.
Fibromyalgia - ANSWER can also cause muscle pain in the same parts of the body.
But it's more wide-spread and the pain is more severe. People with fibromyalgia tend
to experience other symptoms as well, including:
tiredness
trouble sleeping
memory problems
bowel and bladder problems
Temporal arteritis - ANSWER is a condition in which the temporal arteries, which
supply blood to the head and brain, become inflamed or damaged. It is also known
as cranial arteritis or giant cell arteritis. Although this condition usually occurs in the
temporal arteries, it can occur in almost any medium to large artery in the body.
Temporal arteritis - ANSWER ESR CRP Biopsy
Temporal arteritis - ANSWER S/SX double vision
sudden, permanent loss of vision in one eye
a throbbing headache that's usually in the temples
fatigue
weakness
loss of appetite
jaw pain, which sometimes can occur with chewing
fever
unintentional weight loss
shoulder pain, hip pain, and stiffness
, tenderness in the scalp and temple areas
Basal Cell carcinoma - ANSWER Most common form
herpes keratosis - ANSWER acute onset, photophobia, blurred vision
refer to ophthalmologist
Pinworms - ANSWER itching at rectum, worst at noc, scotch tape, also known as
enterobiasis
Cellulitis worsening - ANSWER Suspect DVD
Millera ?? - ANSWER white spots on mouth w/ infants
Scabies - ANSWER weblike lesions on fingers with linear burrows
Kawasaki Disease - ANSWER Redeye, strawberry pharnyx, rash on body, edema
hands and feet
t's most common in infants and young children.
Early stages include a rash and fever. Symptoms include high fever and peeling
skin. In late stages, there may be inflammation of medium-sized blood vessels
(vasculitis). It also affects lymph nodes, skin and mucous membranes, such as
inside the mouth.
Kawasaki disease is usually treatable. Initial treatments include aspirin and
intravenous immunoglobulin therapy given in a medical facility.
Critical: consult a doctor for medical advice
Contact Dermatitis infant - ANSWER Diaper rash
Psoriasis - ANSWER Scaley, sharply defined, auspitx sign, pinpoint bleeding
Osteomylitis - ANSWER infection to bone
varacella - ANSWER chicken pox rash crusted "vesicles"
Heralds Patch - ANSWER Pityriasis rosea is a viral rash which lasts about 6-12
weeks. It is characterised by a herald patch followed by similar, smaller oval red
patches that are located mainly on the chest and back.
Melonoma Diagnosis - ANSWER Asymmetry, irregular Borders, more than one or
uneven distribution of Color, or a large (greater than 6mm) Diameter. Finally, pay
attention to the Evolution of your moles - know what's normal for your skin and check
it regularly for changes.
3 types of hand rashes - ANSWER FHand mouth, sypillis, RMSD
Bulls eye lesion - ANSWER Lymes Disease, Doxy x 21 days
Hand Foot Mouth - ANSWER cocsacki virus
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