AANP FNP Certification Exam Study Guide-2023

AANP FNP Certification Exam Study Guide-2023 Cranial nerves responsible for extraoculomotor movements? - CORRECT ANSWER-a. 2, 3, 6? b. 3, 4, 6? Patient with hx of hypertension and stroke, now having memory loss and confusion - indicates what? - CORRECT ANSWER-a. Alzheimer's b. Vascular Dementia? CAGE acronym - CORRECT ANSWER-? Treatment for chronic alcoholism? - CORRECT ANSWER-? Frail elderly mammogram breast tissue? - CORRECT ANSWER-? Patient has Barrett's esophagus, insurance no longer covers gastroenterologist who was treating condition, patient at the FNP office, wanting a prescription for medication... What should the FNP do? - CORRECT ANSWER-a. Refer to oncologist? b. Refill prescription? GERD treatment? - CORRECT ANSWER-a. PPI? Per American College of Gastroenterology, treatment should begin with a PPI. b. H2? An H2 is inferior to PPI's. 3 months on Symmetrel, TSH increased, T4 normal, what do you do? - CORRECT ANSWER-a. Increase medication? b. Decrease medication? Lipid level of 1500, increased risk for? - CORRECT ANSWER-a. pancreatitis? Frail elder, increased creatinine, indication? - CORRECT ANSWER-? Fingernail hematoma treatment? - CORRECT ANSWER-a. drill hole and drain blood? Abnormal cells on PAP, what do you do next? - CORRECT ANSWER-a. Refer for colposcopy? Red beefy tongue? - CORRECT ANSWER-a. Pernicious Anemia? b. Iron Deficiency? c. Folate Deficiency? Low Hemoglobin, Low Hematocrit, High MCV - Indicates what? - CORRECT ANSWER- ? Koplick Spots? - CORRECT ANSWER-a. Measles? Signs and Symptoms of Roseola? - CORRECT ANSWERPregnant teacher, with exposure to Fifths' Disease - what risk is there for the fetus? - CORRECT ANSWER6 Month Old with Closed Anterior Fontanel? - CORRECT ANSWER3 Month Old infant with Down Syndrome, due to milk intolerance, mom started infant on Goat's Milk; now has pale conjunctiva but otherwise healthy; with low Hematocrit, what other test would you order? - CORRECT ANSWER-a. CBC b. Iron, TIBC 4 Month Old with Strabismus, mom worried, what do you tell her? - CORRECT ANSWER-a. Normal? 4 Month Old "won't keep anything down", what is the main thing you look for? - CORRECT ANSWER-a. Dehydration? Man with HTN, CAD, present femoral pulses, but absent pedal pulses? - CORRECT ANSWER-a. DVT? b. Venous Insufficiency? c. Arterial Insufficiency? Diabetic patient with foot laceration, at risk for what? - CORRECT ANSWER-a. foot ulcer? b. acute osteomyelitis Definition of metabolic syndrome? - CORRECT ANSWERTreatment for Gonorrhea? - CORRECT ANSWER-a. Rocephin IM and Zithromax po b. Doxycycline po Diagnose trich? - CORRECT ANSWER-a. Wet Prep? b. KOH? Patient with history of PID, increase risk for? - CORRECT ANSWER-a. Infertility? Increased risk for ectopic pregnancy, history of...? - CORRECT ANSWER-a. Salpingitis Newborn with foot turned in ("toeing in"), what do you do? - CORRECT ANSWER-a. Refer immediately to orthopedist? b. Routine followup? Osgood Schlatter Disease pain location? - CORRECT ANSWERGrowth plate fracture (Salter-Harris fx) location and pain? - CORRECT ANSWERRotator Cuff injury presentation? - CORRECT ANSWERCauses of tachycardia? - CORRECT ANSWER-a. Fever? b. Anemia? c. Hypotension? Definitive diagnosis of acute bacterial proctatitis? - CORRECT ANSWER-a. Urinalysis and Culture b. Vigorous Massage of Prostate to Release Fluid for Culture? c. Urethral Culture? Man with high BPH, perform digital rectal exam - how does prostate feel? - CORRECT ANSWER-a. Asymmetrical, Nodular, Firm b. Symmetrical, Boggy ? Patient present with "bag of worms", what does this indicate? - CORRECT ANSWER-a. Varicocele Legg-Calve-Perthes disease? - CORRECT ANSWER-Avascular necrosis of the proximal femoral head... McMurray's Sign - CORRECT ANSWEREpitaxis is most common in the area of the nose known as Kiesselbach's Triangle, where is this located? - CORRECT ANSWER-a. anterior septum? b. middle turbinate? c. sinus turbinate? Elderly presents with atrophic vaginitis, small uterus, and palpable 4x5 ovary, what do you do? - CORRECT ANSWER-a. Pelvic ultrasound? Grade 3 cells on Pap, treatment? - CORRECT ANSWER-? Patient with bleeding after menopause? - CORRECT ANSWER-a. Endometrial biopsy? Young adult female, wants birth control, forgets to take pills, doesn't want to get pregnant for at least 5 years, what do you suggest? - CORRECT ANSWER-a. Intrauterine Device?