Sarah Michelle AANP Board Exam - In
Depth Diagnosis Study Guide
Lifestyle modifications - answer✔how will you treat stage one HTN with ASCVD risk of <10%?
medications - answer✔how will you treat stage one HTN with ASCVD risk of >10%?
130-139/80-89 - answer✔according to the AHA/ACC guidelines, stage one HTN is defined as
BP of _______-_______/_____-_____
140, 90 - answer✔according to the AHA/ACC guidelines, stage two HTN is defined as BP of
>_______/>_____
lifestyle modifications - answer✔the mainstay of hyperlipidemia treatment, regardless of
medication use as well, is _____________________ ________________________
strep pneumoniae - answer✔the typical culprit of bacterial pneumonia is ___________
_________________________
bacterial, viral - answer✔________________________ pneumonia tends to be more
significant/serious while _______________ pneumonia tends to be more of a "walking"
pneumonia
cough suppressants - answer✔do not given pneumonia patients ____________
_______________________, can give them expectorants
8 - answer✔follow-up CXR from pneumonia should be performed around the ________ week
mark
CAT assessment (COPD assessment test) - answer✔functional assessment tool that we can use
to help us decide how much COPD is affecting our patients daily life, a score >10 is considered
significant day to day disruption
spirometry, 0.70 - answer✔COPD diagnosis is confirmed with ________________________, an
FEV1/FVC ratio score of less than ___________ indicates COPD
dyspnea, sputum, purulence - answer✔what 3 things must be present in order to diagnose a
COPD exacerbation?
1) increased _____________________
2) increased __________________ production
3) increased sputum __________________________
steroids - answer✔treatment options for Bell's palsy include __________________ (started
within 72 hours of symptom onset), antivirals may be utilized depending upon the patient, and
lubricating eye ointment should always be prescribed to avoid corneal abrasions
essential tremor - answer✔tremor that worsens with intent, managed with beta blockers
(propanolol) and regular physical activity
MS (multiple sclerosis) - answer✔demyelination occurring in the CNS, very unpredictable, most
patients go through remissions and exacerbations, commonly diagnosed between ages 20-40
trigeminal neuralgia - answer✔patients with MS are at an increased risk of developing what
condition?
absence seizures - answer✔type of seizure commonly diagnosed in childhood characterized by
brief loss of consciousness lasting around 20-30 seconds, these children are often accused of
daydreaming, most will outgrow this condition
tonic clonic seizures - answer✔also known as convulsive seizures, typically last around 1-3
minutes, biggest concern is safety
serotonin syndrome - answer✔this condition occurs when there is too much circulating
serotonin, symptoms include shivering, seizures, agitation, tachycardia, tremors and possible
death
GAD7 scale - answer✔anxiety screening tool
lupus, 4 - answer✔this condition, ________________, is often known as the "great mimicker"
because the presentation is so vague, in order to diagnose this condition the patient must have
______ of 11 of the following criteria:
-malar rash
-discoid rash
-photosensitivity
-oral/nasal ulcers
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