AANP ACTUAL EXAM LATEST UPDATE 2024 WITH CORRECT
DETAILED AND VERIFIED ANSWERS GRADED A+
An elderly male patient complains of a new-onset, left-sided temporal headache
accompanied by scalp tenderness and indurated temporal artery. The NP suspects
temporal arteritis. What screening test would you order to assist with diagnosis? -
✔️CORRECT ANSWER✅-sedimentation rate (expect to be very elevated)
Basal Cell Carcinoma - ✔️CORRECT ANSWER✅-Pearly domed nodule with
overlaying telangiectatic vessels. Could be plaque, papule, possible central
ulceration and crusting. Dx: Biopsy Tx:
Normal, healthy woman of reproductive age - ✔️CORRECT ANSWER✅-white,
clear, flocculent(physiologic leukorrhea), no complaints, pH 3.8-4.2 (toward
acidic), no odor, microscopic shows lactobacilli (gram+bacteria)
Multiple infections from bacteria and fungus? - ✔️CORRECT ANSWER✅-Screen
for HIV
Screening Tests - ✔️CORRECT ANSWER✅-- sensitivity: detect those WITH the
disease. higher the sensitivity is higher the false positives
- Specificty: detect those who DONT have the disease.
erythromycin for chlamydia eye infection in infants - ✔️CORRECT ANSWER✅-...
to assess pts ability to think abstractly a nurse pract could ask the patient -
✔️CORRECT ANSWER✅-the meaning of a common proverb
,The most commonly prescribed medication for mild systemic lupus
erythematosus (SLE) is:
1.
azathioprine (AZA).
2.
belimumab (Benlysta).
3.
ibuprofen (Advil).
4.
cyclophosphamide (Cytoxan). - ✔️CORRECT ANSWER✅-ibuprofen (advil)
A 17-year-old female is suspected of having polycystic ovary syndrome. In
addition to testosterone, the most appropriate diagnostic tests to order would be:
- ✔️CORRECT ANSWER✅-follicle-stimulating hormone (FSH), luteinizing
hormone (LH), prolactin, and thyroid-stimulating hormone (TSH).
Barlow's Maneuver - ✔️CORRECT ANSWER✅-Feeling of a slip as the femoral
head slips away from the acetabulum (toward the butt) (good until 6 mo)
Candida vulvovaginitis - ✔️CORRECT ANSWER✅-etiology: candida albican (80-
90%)
white, curdy, "cottage-cheese" like, sometimes increased, itching/burning
discharge, pH <4.5, odor is usually absent, microscopic shows mycelia, budding
yeast, pseudohyphae w/KOH prep. Treatment: oral diflucan or vaginal miconazole
or terconazole
,PSEUDOHYPHAE, CLOTRIMAZOLE CREAM
Proton Inhibitors - ✔️CORRECT ANSWER✅-Increased risk of
fractures(postmenopausal women),
Pneumonia, Clostridium difficile infection, hypomagnesemia, B12 and iron
malabsorption, atrophic gastritis, and kidney disease
Bacterial Conjunctivitis tx - ✔️CORRECT ANSWER✅-Eye drops or ointment:
Polytrim, trimethoprim, polymyxin, macrolide
A patient with an elevated WBC (>11k) accompanied by neutrophilia (>70%) and
the presence of bands is what kind of shift and prognosis? - ✔️CORRECT
ANSWER✅--Shift to the left
-Serious bacterial infection
Actinic Keratosis - ✔️CORRECT ANSWER✅-Rough flat, dry crusty, erythematous
papules or plaques. Scaly patch of red brown skin caused by years of SUN
exposure. Precursor to squamous cell carcinoma. Dx. Biopsy. Tx: topical 5
fluroracil 5-FU, cryotherapy.
A patient with macular degeneration has deficit vision in? - ✔️CORRECT
ANSWER✅-Central vision
Dacyrocystitis - ✔️CORRECT ANSWER✅-Typical symptoms of acute tear duct
infection include:
Pain, redness and swelling of the lower eyelid at the inner corner of the eye
, Excessive tearing
Pus or discharge from the eye
Fever
Tx:
lacrimal sac massage- rub down towards mouth.
oral clindamycin (topical tobramycin or moxifloxacin if mild-purulent drainage, no
redness)
Pre-DM in children values - ✔️CORRECT ANSWER✅-A1C: 5.7% to 6.4%
Fasting: 100-125
2 hour GTT: 140-199
Primary Prevention - ✔️CORRECT ANSWER✅-- individual actions: eating
nutritious diet, exercise, seatbelts, gun safety. IMMUNIZATIONS
squamous epithelial cells with stippling appearance, no lactobacilli and many
WBCs is - ✔️CORRECT ANSWER✅-wet mount that shows BV
trigeminal neuralgia manifests - ✔️CORRECT ANSWER✅-electric shock facial
pain
The most common sign of cervical cancer is:
1.
postcoital bleeding.