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AANP FNP Questions and Correct
Answers Latest Update, Graded A+
Increased rugae of scrotum, testes enlarge. Breast bud. Straight sparse hair.
o :## Tanner Stage 2
Penis elongates. Pencil penis. Scrotal color darkens. Breast tissue and areola are
one mound. Darkened hair, starts to curl.
o :## Tanner Stage 3
Penis thickens and increases in size. Areola/nipple separate for secondary mound.
Curly hair, not on medial thigh.
o :## Tanner 4
After Tanner stage 2, within 1-2 years. Delayed puberty if no secondary sexual
characteristics by 12-13 in girls and 14 in boys.
o :## When does menarche begin?
Down Syndrome. Risk with advanced maternal age. Microcephaly, flat nose,
hypotonia, simian crease.
o :## Trisomy 21
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Pectus excavatum. Tall, wide arm span. Risk of MVP, aneurysm, aortic
regurgitation. Do not clear for sports.
o :## Marfan's Syndrome
FEMALE. Lymphedema in utero, webbed neck, LD, widely spaced nipples, HTN
coarctation of aorta.
o :## Turner's Syndrome
Extra X in males. More feminine. Will see in puberty. Infertile, hypogonadism, low
testosterone. Tall, lanky, underdeveloped sexually.
o :## Klienfelter's Syndrome
Sutures cross midline, spreads.
o :## Caput succadeum
Sutures do not cross midline, more significant.
o :## Caphalohematoma
18 months
o :## When does anterior fontanelle close?
2-3 months
o :## When does posterior fontanelle close?
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Black or white. Retinoblastoma, cataracts, osteogenesis perfecta. White specks in
down syndrome.
o :## Abrnomal red reflex
Trisomy 18. Small mouth. High pitched cry.
o :## Edward's Syndrome
PKU (phenylalanine), can lead to hyperactivity and mental retardation.
Hypothyroid. If not treated, mental retardation. Sickle cell. Galactessemia, maple
smell to urine, septic.
o :## Newborn screening tests
Stye. Pain, edema. Bacitracin ophthalmic ointment.
o :## Hordeolum
Emergency. Rocephin for gonorrhea.
o :## STD conjunctivitis.
2-4 days after birth. Red eye, purulent discharge, swollen eyelids. GC culture,
Thayer Martin, ROCEPHIN.
o :## Gonococcola Ophthamlia Neonatorum
4-10 days after birth. Edematous, red, profuse WATERY discharge that becomes
purulent. Azithromycin, erythmocycin.
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o :## Chalmydial Ophthalmia Trachoma
Fungal. Odor, black specks. Clotramizole. Pain with tragus/pinna. Corticosporin
o :## Otitis externa
Syphilis, acoustic neuroma, aminoglycoside (gentamycin)
o :## Sensorineuro hearing loss in PEDS
Bacterial. Thumb sign on x-ray.
o :## Epiglottitis
Viral. Steeple sign on x-ray.
o :## Croup
RSV, adenovirus. Under 3. Lower respi. URI, fever, nasal flaring, stridor.If a
preemie, synegis.
o :## Bronchioloitis
SABA, 2 puffs q 4-6 hours. Peak 30 min-2 hours, lasts 4-6.
o :## Intermittent Asthma peds
Lobar consolidation. Tx with penicillin.
o :## S. pneumonia (CAP) peds
Lobar consolidation. Amoxicillin or cephalosporin.
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