AANP FNP EXAM WITH CORRECT ACTUAL
QUESTIONS AND CORRECTLY WELL
DEFINED ANSWERS LATEST 2024 – 2025
ALREADY GRADED A+
Due to decreased blood flow to kidneys; common cause of acute renal failure.
Findings will include elevated BUN and Cr - ANSWERS-prerenal azotemia
Hemophylis ducrei - ANSWERS-pathogen causing chancroid
Painful, soft ulcer w/ necrotic base
Dense, matted lymphadenopathy on ipsilateral side of lesion
Affected nodes often rupture - ANSWERS-Findings in chancroid
an infection of the lymphatic system caused by three strains of the bacterium
Chlamydia trachomatis, transmitted sexually.
Sx appear 1-4 weeks after infection
Vesicular or ulcerative lesion on external genitalia, painless
,progresses to cause inguinal lymphadenitis or buboes, which can fuse and drain
causing multiple sinus tracts - ANSWERS-Lymphogranuloma venereum (LGV)
<35yo: usu. G&C. Tx w/ IM Rocephin + PO doxycycline
>35yo: usu. g- organism, 2ndary to prostatitis. Tx w/ ciprofloxin and obtain culture
MSM: usu. enteric organism. Tx w/levofloxacin - ANSWERS-acute epididymitis
causes & tx
g- diplococci, n. gonorrhoeae
produces beta-lactamase - ANSWERS-gonorrhea pathogen
After Tanner stage 2, within 1-2 years. Delayed puberty if no secondary sexual
characteristics by 12-13 in girls and 14 in boys. - ANSWERS-When does menarche
begin?
Down Syndrome. Risk with advanced maternal age. Microcephaly, flat nose,
hypotonia, simian crease. - ANSWERS-Trisomy 21
Pectus excavatum. Tall, wide arm span. Risk of MVP, aneurysm, aortic
regurgitation. Do not clear for sports. - ANSWERS-Marfan's Syndrome
FEMALE. Lymphedema in utero, webbed neck, LD, widely spaced nipples, HTN
coarctation of aorta. - ANSWERS-Turner's Syndrome
,Increased rugae of scrotum, testes enlarge. Breast bud. Straight sparse hair. -
ANSWERS-Tanner Stage 2
Penis elongates. Pencil penis. Scrotal color darkens. Breast tissue and areola are
one mound. Darkened hair, starts to curl. - ANSWERS-Tanner Stage 3
Penis thickens and increases in size. Areola/nipple separate for secondary mound.
Curly hair, not on medial thigh. - ANSWERS-Tanner 4
Extra X in males. More feminine. Will see in puberty. Infertile, hypogonadism, low
testosterone. Tall, lanky, underdeveloped sexually. - ANSWERS-Klienfelter's
Syndrome
Sutures cross midline, spreads. - ANSWERS-Caput succadeum
Sutures do not cross midline, more significant. - ANSWERS-Caphalohematoma
18 months - ANSWERS-When does anterior fontanelle close?
2-3 months - ANSWERS-When does posterior fontanelle close?
Black or white. Retinoblastoma, cataracts, osteogenesis perfecta. White specks in
down syndrome. - ANSWERS-Abrnomal red reflex
, Trisomy 18. Small mouth. High pitched cry. - ANSWERS-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. - ANSWERS-Newborn screening tests
Stye. Pain, edema. Bacitracin ophthalmic ointment. - ANSWERS-Hordeolum
Emergency. Rocephin for gonorrhea. - ANSWERS-STD conjunctivitis.
2-4 days after birth. Red eye, purulent discharge, swollen eyelids. GC culture,
Thayer Martin, ROCEPHIN. - ANSWERS-Gonococcola Ophthamlia Neonatorum
4-10 days after birth. Edematous, red, profuse WATERY discharge that becomes
purulent. Azithromycin, erythmocycin. - ANSWERS-Chalmydial Ophthalmia
Trachoma
Fungal. Odor, black specks. Clotramizole. Pain with tragus/pinna. Corticosporin -
ANSWERS-Otitis externa
Syphilis, acoustic neuroma, aminoglycoside (gentamycin) - ANSWERS-
Sensorineuro hearing loss in PEDS