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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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AANP FNP TEST review Questions and AnswersA 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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