AANP Exam Questions
Terms in this set (209)
A patient tells the nurse D. Sumatriptan (imitrex)
practitioner that she
recently started taking the Sumatriptan (Imitrex) (D) is a medication used to treat
supplement St. John's wort migraines and belongs to a drug class known as
after reading about its serotonin agonists. When used in conjunction with St.
benefits online. Which of John's wort, it may increase the risk of serotonin
the following medications, if syndrome, a potentially life-threatening condition.
being actively consumed,
must be immediately
stopped?
A. Benadryl
B. Famotidine (Pepcid)
C. Metformnin
(Glucophage)
D. Sumatriptan (Imitrex)
Which of the following is B. Hypervigilance
not a symptom of both
major depressive disorder In addition to difficulty concentrating, insomnia, and
and post-traumatic stress irritability, major depressive disorder (MDD) may also
disorder? include symptoms of depressed mood, anhedonia,
weight loss or gain, and low energy. However,
A. Difficulty concentrating hypervigilance (B) is not a symptom associated with this
B. Hypervigilance diagnosis.
C. Insomnia
D. Irritabilty
,A patient with type 1 Insulin Isophane
diabetes presents for a
follow-up visit. He has been The least expensive insulin type listed in this question is
stable on his medication insulin isophane (C) (neutral protamine Hagedorn
regimen but is worried insulin). There are also often pharmacy-specific coupons
because he is between jobs that can be used on insulin, so helping patients apply for
and will be without health and navigate these programs can be instrumental in
insurance coverage for a managing their diabetes. Another inexpensive option is
few months. He asks if there regular insulin.Insulin analogs (glargine, detemir,
are less expensive insulin degludec, lispro, and aspart) are significantly more
options to get him through expensive than human insulin (isophane, regular). Insulins
this time. Which of the modified by manufacturers, especially when sold as
following would be good brand-name medications, tend to be more expensive
options for this patient, due to this modification. While analogs offer alternate
given his circumstance? lengths of action and convenience, there is no well-
Incorrect documented clinical evidence that patient outcomes are
A. improved with differing brands. Therefore, maintaining a
Insulin aspart 70/30 patient's blood glucose level through outcome-focused
treatment is more valuable than a process-focused plan
B. based on medication.
Insulin detemir
C.
Insulin isophane
D.
Insulin degludec
,A 40-year-old woman with A. Add a dose of mealtime insulin aspart (Novolog) at
type 2 diabetes presents to lunch
the clinic with concerns of
spiking blood sugar Insulin aspart (Novolog) (A) is a rapid acting insulin that
between lunch and dinner. is commonly dosed with meals and as a sliding scale
She states she is on a rapid- regimen based on a patient's glucose prior to eating
acting insulin sliding scale (preprandial). It is the appropriate insulin to add as a
and long-acting insulin. mealtime dose when patients experience blood glucose
Which change should be spikes between meals because of its short-acting
implemented to help properties. Peak time action of insulin aspart is 2 hours
prevent or curb this with initial effect within the first 30 minutes, making it an
glycemic spike? ideal choice to control expected postprandial glycemic
spikes
A.
Add a dose of mealtime
insulin aspart (Novolog) at
lunch
B.
Add insulin detemir
(Levemir) at night
C.
Increase her insulin glargine
(Lantus)
D.
Prescribe a dose of neutral
protamine Hagedorn insulin
with dinner
, C. Otitis media
Which of the following
conditions is associated
Causes of conductive hearing loss are otitis media (C),
with an increased risk for
otitis externa, foreign objects in the ear canal, impacted
conductive hearing loss?
ear wax, tumors, congenital anomalies, discontinuity of
middle ear bones, cholesteatoma, and tympanic
A.
membrane rupture. Sound normally travels down the ear
Acoustic neuroma
canal to vibrate the eardrum (tympanic membrane). The
eardrum is connected to three middle ear bones
B.
(malleus, incus, and stapes), which transmit the sound
Ménière disease
into the inner ear (cochlea). The cochlea is the organ that
changes sound vibrations into a nerve signal that travels
C.
to the brain. The four types of hearing loss are
Otitis media
conductive, sensorineural, mixed, and retrocochlear.
Conductive hearing loss occurs when sound cannot
D.
effectively reach the inner ear due to issue in the outer
Presbycusis
ear and middle ear.
Terms in this set (209)
A patient tells the nurse D. Sumatriptan (imitrex)
practitioner that she
recently started taking the Sumatriptan (Imitrex) (D) is a medication used to treat
supplement St. John's wort migraines and belongs to a drug class known as
after reading about its serotonin agonists. When used in conjunction with St.
benefits online. Which of John's wort, it may increase the risk of serotonin
the following medications, if syndrome, a potentially life-threatening condition.
being actively consumed,
must be immediately
stopped?
A. Benadryl
B. Famotidine (Pepcid)
C. Metformnin
(Glucophage)
D. Sumatriptan (Imitrex)
Which of the following is B. Hypervigilance
not a symptom of both
major depressive disorder In addition to difficulty concentrating, insomnia, and
and post-traumatic stress irritability, major depressive disorder (MDD) may also
disorder? include symptoms of depressed mood, anhedonia,
weight loss or gain, and low energy. However,
A. Difficulty concentrating hypervigilance (B) is not a symptom associated with this
B. Hypervigilance diagnosis.
C. Insomnia
D. Irritabilty
,A patient with type 1 Insulin Isophane
diabetes presents for a
follow-up visit. He has been The least expensive insulin type listed in this question is
stable on his medication insulin isophane (C) (neutral protamine Hagedorn
regimen but is worried insulin). There are also often pharmacy-specific coupons
because he is between jobs that can be used on insulin, so helping patients apply for
and will be without health and navigate these programs can be instrumental in
insurance coverage for a managing their diabetes. Another inexpensive option is
few months. He asks if there regular insulin.Insulin analogs (glargine, detemir,
are less expensive insulin degludec, lispro, and aspart) are significantly more
options to get him through expensive than human insulin (isophane, regular). Insulins
this time. Which of the modified by manufacturers, especially when sold as
following would be good brand-name medications, tend to be more expensive
options for this patient, due to this modification. While analogs offer alternate
given his circumstance? lengths of action and convenience, there is no well-
Incorrect documented clinical evidence that patient outcomes are
A. improved with differing brands. Therefore, maintaining a
Insulin aspart 70/30 patient's blood glucose level through outcome-focused
treatment is more valuable than a process-focused plan
B. based on medication.
Insulin detemir
C.
Insulin isophane
D.
Insulin degludec
,A 40-year-old woman with A. Add a dose of mealtime insulin aspart (Novolog) at
type 2 diabetes presents to lunch
the clinic with concerns of
spiking blood sugar Insulin aspart (Novolog) (A) is a rapid acting insulin that
between lunch and dinner. is commonly dosed with meals and as a sliding scale
She states she is on a rapid- regimen based on a patient's glucose prior to eating
acting insulin sliding scale (preprandial). It is the appropriate insulin to add as a
and long-acting insulin. mealtime dose when patients experience blood glucose
Which change should be spikes between meals because of its short-acting
implemented to help properties. Peak time action of insulin aspart is 2 hours
prevent or curb this with initial effect within the first 30 minutes, making it an
glycemic spike? ideal choice to control expected postprandial glycemic
spikes
A.
Add a dose of mealtime
insulin aspart (Novolog) at
lunch
B.
Add insulin detemir
(Levemir) at night
C.
Increase her insulin glargine
(Lantus)
D.
Prescribe a dose of neutral
protamine Hagedorn insulin
with dinner
, C. Otitis media
Which of the following
conditions is associated
Causes of conductive hearing loss are otitis media (C),
with an increased risk for
otitis externa, foreign objects in the ear canal, impacted
conductive hearing loss?
ear wax, tumors, congenital anomalies, discontinuity of
middle ear bones, cholesteatoma, and tympanic
A.
membrane rupture. Sound normally travels down the ear
Acoustic neuroma
canal to vibrate the eardrum (tympanic membrane). The
eardrum is connected to three middle ear bones
B.
(malleus, incus, and stapes), which transmit the sound
Ménière disease
into the inner ear (cochlea). The cochlea is the organ that
changes sound vibrations into a nerve signal that travels
C.
to the brain. The four types of hearing loss are
Otitis media
conductive, sensorineural, mixed, and retrocochlear.
Conductive hearing loss occurs when sound cannot
D.
effectively reach the inner ear due to issue in the outer
Presbycusis
ear and middle ear.
