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

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AANP FNPCertificationExam: Questions &Answers3 month old infant with down syndrome, due to milk intolerance,mom started on goats milk; now has pale conjunctiva butotherwise healthy. Low HCT. What additional test would youorder?(Ans-Iron, TIBC3 months of synthroid, TSH increased, T4 normal, what do youdo?(Ans-Increase Medication3 ways to assess cognitive function in patient withsigns/symptoms of memory loss(Ans-Mini mental exam4 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 youlook at?(Ans-Growth chart6 month old closed anterior fontanel.(Ans-XRAYAbnormal cells on PAP, what do you do next?(Ans-Refer for ColposcopyCAGE ACRONYM(Ans-Cut downAnnoyed by criticismGuilty about drinkingEye opener drinkCauses of tachycardia(Ans-FeverAnemiaHypotension

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Cranial nerves responsible for extraocular eye movements(Ans-CN 3,4,6Definition of metabolic syndrome(Ans-cluster of conditions that increase risk of heart disease,stroke, diabetes.diagnose trichomoniasis(Ans-wet prepElderly presents with atrophic vaginitis, small uterus, palpable 4x5ovary, what do you do next?(Ans-Pelvic USEpistaxis is most common in the area of the nose known askiesselbachs triangle, where is this located?(Ans-Anterior septumDefinitive diagnosis of acute bacterial prostatitis(Ans-urinalysis and culture

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GERD treatment(Ans-H2 is firstline, give hsGrade 3 cells on Pap, treatment?(Ans-LEEPexcisionFingernail hematoma treatment?(Ans-drill hole and drain blood?Increased risk of ectopic pregnancy(Ans-Salpingitis, or history of abortion, PID,Koplick spots(Ans-Measles (rubeola). Grains of salt lesions inside mouth inMeaslesKoplick spots

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(Ans-Measles (rubeola). Grains of salt lesions inside mouth inMeaslesLegg-Calve-Perthes Disease(Ans-Avascular necrosis of the proximal femoral headLipid level of 1500, increased risk for?(Ans-PancreatitisLow HGB, Low HCT, High MCV indicates what?(Ans-Macrocytic anemia, B12 DefMan with BPH, prostate feels on digital exam?(Ans-Enlarged, symmetrical, smoothMan with HTN, CAD, present femoralpulses but absent pedal(Ans-Arterial InsufficiencyMcMurray'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 orthopedistOsgood-Schlatter disease(Ans-Knee pain.inflammation or irritation of the tibia at its point of attachment withthe patellar tendonPatient forgot to start Thanksgiving dinner and husband statesshe has trouble remembering tasks and trouble with organization.What is this indicative of?(Ans-Alzheimer'sPt has Barretts Esophagus, insurance no longer covers GI whowas treating condition. Pt at FNP office wanting refillprescriptions. What do you do?(Ans-Refer to oncologist

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

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(Ans-Vascular dementiaPregnant teacherwith exposure to 5ths disease (SLAP CHEEK),what risk is there to the fetus?(Ans-slap cheek, PVB19, rash hands / feet Fetal death and birthdefectsQuick assessment of patients fall risk? Timed Get up and Go(Ans-Timed Get up and GoRed beefy tongue?(Ans-pernicious anemiaRotator cuff injury presentation(Ans-disturbs sleep, arm weakness, dull acheShingles near eye(Ans-immediate referral to ophthalmologySigns and symptoms of Roseola (6ths disease) ?(Ans-Viral infection

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Can result in a maculopapular rash, but up to 70% of casesproceed without the rash stage-Usually accompanied by a high fever (41°C or 105°F) that comeson quickly and lasts up to 3 days followed by rash-Seizures may occur during this period.-On the fourth day, the fever disappears and the rash appears,first on chest and trunk, then less prominently on the face andlimbs.-High fever, pink flat or raised rashTreatment for chronic alcoholism:(Ans-12 step programTreatment for Gonorrhea?(Ans-Rocephin 250mg IMx1 plusAzithromycin 1 gm orally x1 to cover chlamydia. , or doxy 100 mgBID x7d. Green colored vaginal discharge, friable cervix. EXAMReport to health departmentYoung female want birth control, forgets to take pills, does notwant 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.Metastatic is rareActinic Keratosis (Ans-Scaly red to yellow located in sun exposedarea-a precancerous skin growth that occurs on sun-damaged skinActinic 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 skinbiopsycryo or 5fu creamsubungual hematoma tx (Ans-Make a hole and drain the bloodModerate acne treatment (Ans-Without inflammation: TopicalretinoidModerate inflammation: Topical Retinoid or benzoyl peroxide orAzaleic acic ( very expensive and hard to get covered)

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PLUS ADDOral antibiotics: doxycycline or tetracycline or minocycline-(tetracyclines has been proven most affective for inflammatoryacne)Minocycline-long term use has beenlinked with pseudotumorcerebriOral contraceptives for hormone relatedSpironolactoneheart murmur with holosystolic or pan systolicHeart mumur with mid systolic (Ans-MR-radiate axilla, 5th ICSMCL, apex,AS-radiate neck, 2ICS right sternal borderMR ASSH

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Coarctation of Aorta (Ans-COA: bounding radial and weakfemoral pulseincrease blood pressure in arms, and lower pressure in lowerlegs.-congenital cardiac condition characterized by a narrowing of theaorta-Murmur Grade III-VI (Ans-Loud murmur easily heardJVD caused by (Ans--tension pneumothorax,-Rt. sided heart failure,-cardiac tamponade,-traumatic axphysia fromIncrease in portal pressure(LIVER) in venous side or corpulmonalept. with gradual onset of fever, hemorrhages on nail beds, painfulraised red nodules, rash on palms (Ans-endocarditis , painful redspots on fingers olser's nodes, janeway legions rash on palmsand soles.

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Know the difference between Peripheral Arterial Disease andChronic Venous Insufficiency or PVD. There was question aboutPAD. (Ans-PAD: Absence of pulse, decrease blow flowing down,PAIN, Dx doppler or ABI<0.9, TX exercise by walking orantiplatelet,PVD: Volume, edema, discoloration, decrease blood going up,Chronic Bronchitis Treatment (Ans-Smoking cessationPulmonary rehabilitationPharmacologic therapySupplemental oxygenTB... PPD is positive if area of induration is: (Ans->5 mm in animmunocompromised 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 youorder Lateral X-ray of the neck.Options include: Drooling, Unable to do ROM of the neck / stiffneck. (Ans-Croup/Epiglottitis

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AV nicking (Arterioles pressing on vein of the eye) (Ans-HTNretinopathyintraocular pressure (IOP) (Ans-Fluid pressure inside the eye;measured with tonometryRovsing sign (Ans-pain in the RLQ when the LLQ is palpated(indicative of appendicitis)Pencil-like stools occur in an obstruction of what (Ans-Sigmoiddescending colonIt's a thin narrow stool and possible causes include colon cancer,diarrhea, IBS. Refer for GI colonoscopyheadache after trauma (Ans-SDHmigraine headache (Ans--paroxysmal (sudden, periodic) attacksof mostly unilateral headache, often accompanied by disorderedvision, nausea, or vomiting, lasting hours or days and caused bydilation of arteries.4-12 hours,

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