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AANP Certification Exam (2023 – 2024) Complete Solution
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AANP Certification Exam (2023 – 2024) Complete Solution
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AANP Certification Exam (2023 – 2024)Complete Solution
Diverticulumscansbesansinfectionsofs-sbothsgrams-sands+sbacteria
Whichsdiureticsshouldsbesusedsforsosteoporosis?s-sThiazidesdiuretics:
slowsstheskidneyssexcretionsofscalciumsandsincreasessreabsorption
Lachmansmaneuvers-skneesinstability
tearsofsACL
Infectionssofslabiasandsvaginas-sbacterialsvaginosis,scandidiasis,sandstrichomoniasis
Chlamydiasaffectss-scervix,sendometrialslining,sfallopianstubes,spelvicscavity
Acutesabdomenssymptomss-sinvoluntarysguarding,sreboundstenderness,sboard-
likesabdomen,s+obturatorsandspsoasssign
Caresofspreecplampsias-sbedsrest,sweightsandsbloodspressuresmonitoring
Preeclampsiaslabss-surinesprotein,sserumsprotein,screatinine,splateletscount
Preeclampsiassymptomss-shypertension,sproteinuria,sedemas(weightsgain)
Preeclampsiascomplicationss-
splacentalsabruption,scoagulopathys(DIC),srenalsfailure,suteroplacentalsinsufficiency,sl
iversfailure,shypertensivesencephalopathy,sretinalsdetachment,spulmonarysedema,sse
izure,sdeath
communitysacquiredspneumonia
Mostscommonsbacteria
leastscommonsbacteria
Population
treatments-smycolpasmaspneumoniaes(atypical)
h.sinfluenza,sstrepspneumoniae
atypical:spsuedomonassaeruginosa
collegesstudent,sschoolschildren,smilitary
macrolides:sazithromycin,sclarithromycin
Mantouxstests-sPositive:s5mm
Positivesforsrecentsimmigrants:s10mm
Murphy'sssigns-sbiliarysdisorders
,deepsinspirationsbyspatientsandsdeepspalpationsRUQsbelowscostovertebralsangle
placentasprevias-
simplantationsofsthesplacentasoversthescervicalsopeningsorsinstheslowersregionsofsthes
uterus
painlesssbrightsredsbloodsinsthessecondsorsthirdstrimester
OrdersabdominalsUS
Hashimoto'ssissmostscommonsinswhichspopulations-smiddlesagestosolderswomen
HypertensionsRetinopathys-sAVsnickingsandscoppersorssilverswiresarterioles
flame-shapedshemorrhages
threatenedsabortions-svaginalsbleedingsandscramping,ssoftsuterus,scervixsclosed
bacterialsvaginosiss-sfishysodor,smilkyswhitesorsdullsgraysdischarge
pHs>s4.5
>s20%scluescells
KOHswhiffstest
squamousscellssdottedswithslotssofsbacteriasthatsobscuresborderss-scluescells
Lichenssclerosiss-
sskinsdisease,swhitesspotssappearsoverstime,smostscommonsgenitalsandsrectal
mostscommonsinsolderswoman
itching,sdiscomfort,sbleeding
ordersbiopsy
AVsvalvess-smitralsandstricuspid
semilunarsvalvess-spulmonarysandsaortic
S1s-ssystole
closuresofsAVsvalves
mitralsregurgitation
aorticsstenosis
S2s-sdiastole
closuresofssemilunarsvalves
mitralsstenosis
aorticsregurgitation
S3s-snormalsvariantsinschildren,shealthysyoungsadults,sandsathletes
heartsfailure
earlysdiastole
,S4s-sleftsventricleshypertrophy
latesdiastole
TannersStagessMales:sIIs-snoschangesstospenis,stestessenlarge
Pubicshairsisssparsesandsstraight
TannersStagessMales:sIIIs-spenisslengthens
hairsdarkersandsstartsstoscurl
TannersStagessMales:sIVs-spenissincreasessinslengthsandswidth
hairscoarse,snotsyetsonsmedialsthigh
TannersStagessFemales:sIIs-sbreastsbuds
pubicshairssparsesandsstraight
TannersStagessFemales:sIIIs-sbreaststissuesandsareolasinsonesmound
hairsdarker,sstartsstoscurl
TannersStagessFemales:sIVs-sareolasseparatessandsformssassecondarysmound
hairscoarse,snotsonsmedialsthighsyet
TORCHsinfectionss-sToxoplasmosis
Other
Rubella
Cytomegalovirus
Herpes
osteoarthritissvssrheomatoidsarthritiss-
sOA:sstiffness,sheberden'ssnodes,sincreasesage,soveruse,sfamilyshistory
RA:sreliessmoresonslabs,sincreasedsESR,sBouchard'ssnodes,sfatigue,sfever,sbodysaches
drawerstests-sinstabilitysofsthesknee
mediolateralsandsanteroposteriorsplane
tornsorsrupturedsligament
fundalsheights12sweekss-sjustsabovespubicsbone
fundalsheights20sweekss-slevelsofsumbilicus
fundalsheights20-35sweekss-snumbersofsweekssgestations+/-s2scm
apraxias-
slosssofsabilitystosperformspurposefulsmovementssinsthesabsencesofssensorysorsmotors
damage
, ectopicspregnancys-
samenorrhea,snewsonsetsofsvaginalsspotting,sleftsadnexalstenderness,sandscervicalsmo
tionstenderness
G6PDsanemias-shereditary,sRBCsbreaksdown,shemolysis
Medssthatscanstrigger:santimalarialsdrugs,saspirin,snitrofurantoin,sNSAIDs,squinidine,s
quinine,ssulfa
Pheochromocytomas-
sasbenignstumorsofsthesadrenalsmedullasthatscausessthesglandstosproducesexcesssepin
ephrinesandsnorepinephrine
theseshormonesscontrolsheartsrate,smetabolism,sandsbloodspressure
Fitz-Hugh-Curtiss-sPerihepaticsinflammations&sfibrosis;
ComplicationsofsChlamydiasandspelvicsinflammatorysdisease
SharpspainsinsRUQ
subconjunctivalshemorrhage
risksfactorss-sBrightsredspatchessinsconjunctivasofseyessduestosrupturedsbloodsvessels
Risksfactors:sDM,sHTN,scoughing,ssneezing,sbloodsthinners,saspirin,sginkgo
Benign,swillsspontaneouslysresolve
atopicsdermatitiss-
sExcesssinflammation;sdrysskin,sredness,sandsitchingsfromsallergiessandsirritants.
linear
Kopliksspotss-sRubeolas(measles)
smallswhitespapulessinsidesthescheekssbysrearsmolars
treponemaspallidum
symptomss-ssyphilis
painlessschancre,smaculopapularsrashsonspalmssandssoles,slymphadenopathy,scondyl
omasacata
hCGsissproducedsbys-splacentasaftersimplantation
majoritysofsAFPsissproducedsbys-sfetalsliver
Inevitablesabortions-
sbleedingsandscramping/painswithscervicalsdilationsbutsnospassagesofstissue
incompletesabortions-
smoderatestosdiffusesvaginalsbleeding,spassagesofstissue,spainfulsuterinescrampingsors
contractions
MMRsandspregnancys-scontraindicated
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