AANP EXAM/ LATEST 2024 WITH ACTUAL QUESTIONS AND
CORRECT VERIFIED ANSWERS/ALREADY GRADED A+ 100%
GUARANTEED TO PASS CONCEPTS(ALL WHAT YOU NEED)
LATEST EDITION 2024
Hemoglobin - ANSWER-normal is 12 for females and 15 for males. Ratio to
hematocrit is 1:3
MCV - ANSWER-determines red blood cell size - normal is 80-96
MCH - ANSWER-reflects hgb content and color, normal is 31-37
RDW - ANSWER-variation of RBC size - normal is 11.5-15%
Normocytic, normochromic , normal RDW - ANSWER-acute blood loss, anemia
of chronic disease
Microcytic, hypochromic anemia, elevated RDW - ANSWER-Iron deficiency
anemia
Microcytic, hypochromic, normal RDW - ANSWER-alpha or beta thalassemia
minor
,Macrocytic, normochromic, elevated RDW - ANSWER-Vitamin B12 deficiency,
folate deficiency, pernicious anemia
Macrocytosis without anemia - ANSWER-use of medications like tegretol, AZT,
depakote, dilantin, alcohol
Heart murmur seen in b12 deficiency - ANSWER-Hemic murmur
Most common pathogen in CAP, ABRS, AOM - ANSWER-S. pneumoniae
Common pathogen in ABRS, AOM, CAP particularly with recurrent infections
and tobacco use - ANSWER-H. influenzae, more than 30% now pcn resistant via
beta lactamase production
First line treatment for Acute Bacterial Rhinosinusitis - ANSWER-Augmentin
500/125 TID or 875/125 BID
Second line treatment for Acute Bacterial Rhinosinusitis - ANSWER-Augmentin
2000/125 BID or doxy 100 mg BID or 200 mg QD
Treatment for ABRS if allergic to PCN, Cephalosporins - ANSWER-Doxy,
Levofloxacin, Moxifloxacin
Treatment for ABRS if antibiotic resistance of failed initial therapy - ANSWER-
Doxy, levofloxacin, moxifloxacin
Presbycusis - ANSWER-slowly progressive hearing loss that is symmetric and
high frequency
, Erythropoetin - ANSWER-90 % renal, 10% hepatic, need supplementation when
GFR is less than 49
Reticulocytes - ANSWER-In health, make up 1-2 % of total RBCs, increased in
response to anema. Absence of reticulocytosis or presence of reticulocytopenia
shows inadequate bone marrow response.
1st line controller therapy in allergic rhinitis - ANSWER-Intranasal
corticosteriods like Flonase, Nasonex, Nasacort, Omnaris. Side effects are that
nasal irritation and bleeding may occur. Optimal efficacy may take 1-2 weeks.
1st line rescue treatment in allergic rhinitis - ANSWER-Nasal antihistamines,
esp if there is nasal congestion. sedation could occur. Drugs like astelin,
Astepro, and patanase
1st generation oral antihistamines - ANSWER-significant potential to cause
sedation and anticholinergic effects so not a first line therapy. Ex. benadryl,
chlor trimeton, dimetapp, vistaril.
2nd generation oral antihistamines - ANSWER-These are preferred over
because no anticholinergic effects but not as helpful with nasal congestion. Ex.
claritin, clarinex, zyrtec, allergra
Oral decongestants - ANSWER-alpha adrenergic agonist so vasoconstrictive.
Take caution with the elderly, young children, HTN, bladder neck obstruction,
glaucoma, and hyperthyroidism. Ex. sudafed
Nasal decongestants - ANSWER-Alpha adrenergic agonist so vasoconstrictive.
Can cause rebound congestion/medicamentosa so limit use to 5-7 days.
