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AANP FNP TEST review Questions and Answers

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AANP FNP TEST review Questions and Answers

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  • October 14, 2024
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AANP FNP TEST review Questions and Answers

A 17-year-old female is suspected of having polycystic ovary syndrome. In addition to
testosterone, the most appropriate diagnostic tests to order would be: CORRECT ANS-
follicle-stimulating hormone (FSH), luteinizing hormone (LH), prolactin, and thyroid-
stimulating hormone (TSH).




Barlow's Maneuver CORRECT ANS-Feeling of a slip as the femoral head slips away from the
acetabulum (toward the butt) (good until 6 mo)




Candida vulvovaginitis CORRECT ANS-etiology: candida albican (80-90%)

white, curdy, "cottage-cheese" like, sometimes increased, itching/burning discharge, pH <4.5,
odor is usually absent, microscopic shows mycelia, budding yeast, pseudohyphae w/KOH
prep. Treatment: oral diflucan or vaginal miconazole or terconazole



PSEUDOHYPHAE, CLOTRIMAZOLE CREAM




Proton Inhibitors CORRECT ANS-Increased risk of fractures(postmenopausal women),

Pneumonia, Clostridium difficile infection, hypomagnesemia, B12 and iron malabsorption,
atrophic gastritis, and kidney disease




Bacterial Conjunctivitis tx CORRECT ANS-Eye drops or ointment: Polytrim, trimethoprim,
polymyxin, macrolide

, AANP FNP TEST review Questions and Answers
A patient with an elevated WBC (>11k) accompanied by neutrophilia (>70%) and the presence
of bands is what kind of shift and prognosis? CORRECT ANS--Shift to the left

-Serious bacterial infection




Actinic Keratosis CORRECT ANS-Rough flat, dry crusty, erythematous papules or plaques.
Scaly patch of red brown skin caused by years of SUN exposure. Precursor to squamous cell
carcinoma. Dx. Biopsy. Tx: topical 5 fluroracil 5-FU, cryotherapy.




A patient with macular degeneration has deficit vision in? CORRECT ANS-Central vision




Dacyrocystitis CORRECT ANS-Typical symptoms of acute tear duct infection include:

Pain, redness and swelling of the lower eyelid at the inner corner of the eye

Excessive tearing

Pus or discharge from the eye

Fever

Tx:

lacrimal sac massage- rub down towards mouth.

oral clindamycin (topical tobramycin or moxifloxacin if mild-purulent drainage, no redness)




Pre-DM in children values CORRECT ANS-A1C: 5.7% to 6.4%

Fasting: 100-125

2 hour GTT: 140-199

, AANP FNP TEST review Questions and Answers

Primary Prevention CORRECT ANS-- individual actions: eating nutritious diet, exercise,
seatbelts, gun safety. IMMUNIZATIONS




squamous epithelial cells with stippling appearance, no lactobacilli and many WBCs is
CORRECT ANS-wet mount that shows BV




trigeminal neuralgia manifests CORRECT ANS-electric shock facial pain




The most common sign of cervical cancer is:




1.

postcoital bleeding.

2.

strong odor from vaginal discharge.

3.

itching in the vaginal area.

4.

molluscum contagiosum. CORRECT ANS-postcoital bleeding




To assess a patient's ability to think abstractly, a nurse practitioner could ask the patient:
CORRECT ANS-the meaning of a common proverb.

, AANP FNP TEST review Questions and Answers

Auspitz sign CORRECT ANS-droplets of blood when scales removed = psoriasis




Bacterial vaginosis CORRECT ANS-etiology: unclear, likely polymicrobial, associated with G.
vaginalis, M. hominid, others.

thin, homogeneous, white, gray, adherent, often increased, discharge is foul odor(fishy),
itching is occasionally present, pH 5-7(alkaline- no active bacilli in vagina), "fishy" smell,
microscopic > 20 clue cells/HPF, few or no WBCs. Treatment: metronidazole topical, oral
Flagyl, clindamycin vaginal cream, oral tinidazole (Tindamax)



CLUE CELLS, METRONIDAZOLE GEL OR ORAL, CLINDAMYCIN CREAM




Omeprazole (Prilosec) CORRECT ANS-interacts with with Warfarin (Coumadin),

diazepam (Valium),

Carbamazepine (Tegretol),

Pheytoin (Dilantin),

ketocanazole (Nizoral)




Viral Conjunctivitis tx CORRECT ANS-Antihistamine, decongestant drops (Trigluridine in
herpes conjunctivitis)

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