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AANP Pediatrics FNP Certification Exam With Answers (236 Solved Questions)

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    AANP FNP C ertification Exam : Questions & Answers 3 month old infant with down syndrome, due to milk int olerance, mom started on goats milk; now has pale conjunctiva but otherwise healthy. Low HCT. What additional test would you order? (Ans - Iron, TIBC 3 months of synthroid, TSH increased, T4 normal, what do you do? (Ans - Increase Medication 3 ways to asse ss cognitive function in patient with signs/symptoms of memory loss (Ans - Mini mental exam 4 month old with strabismus, mom is worried...... (Ans - tell her it is normal.

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    4 month old wont keep anything down, what is the main thing you look at? (Ans - Growt h chart 6 month old closed anterior fontanel. (Ans - XRAY Abnormal cells on PAP, what do you do next? (Ans - Refer for Colposcopy CAGE ACRONYM (Ans - Cut down Annoyed by criticism Guilty about drinking Eye opener drink Causes of tachycardia (Ans - Fever An emia Hypotension

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    Cranial nerves responsible for extraocular eye movements (Ans - CN 3,4,6 Definition of metabolic syndrome (Ans - cluster of conditions that increase risk of heart disease, stroke, diabetes . diagnose trichomoniasis (Ans - wet prep Elderly presents with atrophic vaginitis, small uterus, palpable 4x5 ovary, what do you do next? (A ns - Pelvic US Epistaxis is most common in the area of the nose known as kiesselbachs triangle, where is this located? (Ans - Anterior septum Definitive diagnosis of acute bacterial prostatitis (Ans - urinalysis and culture

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    GERD treatment (Ans - H2 is first line, give hs Grade 3 cells on Pap, treatment? (Ans - LEEP excision Fingernail hematoma treatment? (Ans - drill hole and drain blood? Increased risk of ectopic pregnancy (Ans - Salpingitis, or history of abortion, PID , Koplick spots (Ans - Measles (rubeo la). Grains of salt lesions inside mouth in Measles Koplick spots

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    (Ans - Measles (rubeola). Grains of salt lesions inside mouth in Measles Legg - Calve - Perthes Disease (Ans - Avascular necrosis of the proximal femoral head Lipid level of 1500, increased risk for? (Ans - Pancreatitis Low HGB, Low HCT, High MCV indicates what? (Ans - Macrocytic anemia, B12 Def Man with BPH, prostate feels on digital exam? (Ans - Enlarged, symmetrical, smooth Man with HTN, CAD, present femoral pulses but absent pedal (Ans - Arterial Insufficiency McMurray's Sign (+) palpable or audible click while extending with varus stress (Ans - Meniscus tears

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    Lachman's Test (Ans - pivot shift test (ACL tear) Newborn with foot turned in, what do you do? (Ans - refer to orthopedist Osgood - Schlatter disease (Ans - Knee pain. inflammation or irritation of the tibia at its point of attachment with the patellar tendon Patient forgot to start Thanksgiving dinner and husband states she has trouble remembering tasks a nd trouble with organization. What is this indicative of? (Ans - Alzheimer's Pt has Barretts Esophagus, insurance no longer covers GI who was treating condition. Pt at FNP office wanting refill prescriptions. What do you do? (Ans - Refer to oncologist

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    Pt p resents with rash on shoulder, erythematous maculopapular rash with center clearing and scaling? (Ans - Tinea Corporis Pt presents with "bag of worms:, indicates? (Ans - Varicocele Pt with atopic dermatitis, look for what other diseases? (Ans - Asthma Pt w ith bleeding after menopause (Ans - endometrial biopsy, need to screen for cancer Pt with hx of PID, increased rick for? (Ans - Infertility Pt with HIV took high potency anti viral treatments and CD4 is >400, what does this indicate? (Ans - This is good. Want higher than 350 Pt with hx of htn and stroke, now having memory loss. What does this indicate?

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    (Ans - Vascular dementia Pregnant teacher with exposure to 5ths disease (SLAP CHEEK), what risk is there to the fetus? (Ans - slap cheek, PVB19, rash hands / feet Fetal death and birth defects Quick assessment of patients fall risk? Timed Get up and Go (Ans - Timed Get up and Go Red beefy tongue? (Ans - pernicious anemia Rotator cuff injury presentation (Ans - disturbs sleep, arm weakness, dull ache Shingles near eye (Ans - immediate referral to ophthalmology Signs and symptoms of Roseola (6ths disease) ? (Ans - Viral infection

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    Can result in a macu lopapular rash, but up to 70% of cases proceed without the rash stage - Usually accompanied by a high fever (41°C or 105°F) that comes on quickly and lasts up to 3 days followed by rash - Seizures may occur during this period. - On the fourth day, the fever d isappears and the rash appears, first on chest and trunk, then less prominently on the face and limbs. - High fever, pink flat or raised rash Treatment for chronic alcoholism: (Ans - 12 step program Treatment for Gonorrhea? (Ans - Rocephin 250mg IMx1 plus A zithromycin 1 gm orally x1 to cover chlamydia. , or doxy 100 mg BID x7d. Green colored vaginal discharge, friable cervix. EXAM Report to health department Young female want birth control, forgets to take pills, does not want to get pregnant for at least 5 years: (Ans - IUD

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    Basal cell cancer (Ans - Waxy, pearly, telangiectasia, ulcer center lesion - most common type of skin cancer caused by UV exposure. Metasta tic is rare Actinic Keratosis (Ans - Scaly red to yellow located in sun exposed area - a precancerous skin growth that occurs on sun - damaged skin Actinic Keratosis (Ans - Numerous round dry pink to red areas. Scaly red to yellow located in sun exposed area - a pre squamous cell carcinoma occurs on sun - damaged skin biopsy cryo or 5fu cream subungual hematoma tx (Ans - Make a hole and drain the blood Moderate acne treatment (Ans - Without inflammation: Topical retinoid Moderate inflammation: Topical Retinoid o r benzoyl peroxide or Azaleic acic ( very expensive and hard to get covered)

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    PLUS ADD Oral antibiotics: doxycycline or tetracycline or minocycline - (tetracyclines has been proven most affective for inflammatory acne) Minocycline - long term use has been linked with pseudotumor cerebri Oral contraceptives for hormone related Spironolactone heart murmur with holosystolic or pan systolic Heart mumur with mid systolic (Ans - MR - radiate axilla, 5th ICS MCL, apex, AS - radiate neck, 2ICS right sternal border MR ASSH

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    Coarctation of Aorta (Ans - COA: bounding radial and weak femoral pulse increase blood pressure in arms, and lower pressure i n lower legs. - congenital cardiac condition characterized by a narrowing of the aorta - Murmur Grade III - VI (Ans - Loud murmur easily heard JVD caused by (Ans - - tension pneumothorax, - Rt. sided heart failure, - cardiac tamponade, - traumatic axphysia fr om Increase in portal pressure(LIVER) in venous side or cor pulmonale pt. with gradual onset of fever, hemorrhages on nail beds, painful raised red nodules, rash on palms (Ans - endocarditis , painful red spots on fingers olser's nodes, janeway legions ra sh on palms and soles.

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    Know the difference between Peripheral Arterial Disease and Chronic Venous Insufficiency or PVD. There was question about PAD. (Ans - PAD: Absence of pulse, decrease blow flowing down, PAIN, Dx doppler or ABI<0.9, TX exercise by walk ing or antiplatelet, PVD: Volume, edema, discoloration, decrease blood going up, Chronic Bronchitis Treatment (Ans - Smoking cessation Pulmonary rehabilitation Pharmacologic therapy Supplemental oxygen TB... PPD is positive if area of induration is: (Ans - >5 mm in an immunocompromised patient or close contact >10 mm in immigrant, health care workers, drug user >15 mm in a patient who lives in an area where TB is very rare. what condition would make you order Lateral X - ray of the neck. Options include: Drooling, Unable to do ROM of the neck / stiff neck. (Ans - Croup/Epiglottitis

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    AV nicking (Arterioles pressing on vein of the eye) (Ans - HTN retinopathy intraocular pressure (IOP) (Ans - Fluid pressure insi de the eye; measured with tonometry Rovsing sign (Ans - pain in the RLQ when the LLQ is palpated (indicative of appendicitis) Pencil - like stools occur in an obstruction of what (Ans - Sigmoid descending colon It's a thin narrow stool and possible causes i nclude colon cancer, diarrhea, IBS. Refer for GI colonoscopy headache after trauma (Ans - SDH migraine headache (Ans - - paroxysmal (sudden, periodic) attacks of mostly unilateral headache, often accompanied by disordered vision, nausea, or vomiting, lastin g hours or days and caused by dilation of arteries. 4 - 12 hours,

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