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Which of the following best tests for irritable bowel syndrome?
colonoscopy
rectal exam
urinalysis
stool examination
Correct Answer:
stool examination
Stool is examined to test for irritable bowel syndrome- negative for blood, ova, parasite,
pathogenic bacteria, and Giardia-specific antigen. CBC, thyroid screen, chemical analysis-
normal. Barium enema- decreased motility; otherwise normal.
Proctosigmoidoscopy- normal.
A 67 year female patient has been diagnosed with chronic obstructive pulmonary disease.
Her arterial blood gases were measured. Partial pressure of oxygen in arterial blood (PaO2)
declines with normal aging. What PaO2 level indicates chronic hypoxemia?
<55 mm Hg.
<65 mm Hg.
< 75 mm Hg.
Presence of aphasia, apraxia, agnosia and/or disturbance of executive function.
Correct Answer:
<55 mm Hg.
A PaO2 level <55 mm Hg indicates chronic hypoxemia. A patient with this measurement will require
continuous oxygen therapy.
,The ANP prescribed a Systemic Antifungal for the skin disorder of her 32-year-old
patient. Which of the following would he NOT prescribe?
Sulconazole nitrate 1%.
Caspofungin.
Terbinafine.
Itraconazole.
Correct answer: Sulconazole nitrate 1% All of the options listed are examples of Antifungal
medications that can be used to treat skin disorders. However, Caspofungin, Terbinafine,
and Itraconazole are systemic, while Sulconazole nitrate 1% is topical.
Which of the following is the recommended maximum daily dose of Celebrex for
managing pain in older adults?
1000 mg.
500 mg.
750 mg.
100 mg.
Correct Answer 100 mg The maximum recommended daily dose for Celebrex in older
patients is 100 mg. This drug may require aspirin supplementation in those patients
requiring cardioprotection. This may also lead to need for gastrointestinal protection,
especially in geriatric patients.
,The ANP is consulting with her pregnant patient who was recently diagnosed with
gestational diabetes. What is the best method of treatment she can put the patient on that is
safe for her and her fetus?
Regular insulin.
Oral salt tablets.
Controlled diet.
Nothing at all.
Correct Answer:
Controlled diet.
Insulin or oral medicines are not recommended for a patient with gestational diabetes
because they can affect the growing fetus and interfere with glucose absorption, so
controlled diet and exercise is usually the best way to treat it.
You have a 62-year-old male patient who has just recovered from an acute attack of gout.
You want to prescribe a maintenance medication for this patient. Which of the following
gout medications would you prescribe?
Indometacin
Colchicine
Naproxen
Allopurinol
Correct Answer:
Allopurinol
Allopurinol is a maintenance medication for gout sufferers. Maintenance drugs are
prescribed to be used at least 4 to 6 weeks after the acute phase is over. They may be used
daily for years to lifetime.
, 4/2/26, 7:39 PM AANP Test 2 for Boards
You are treating a patient with acute anxiety and she is having an acute attack in the
office. The ANP has knowledge that the fastest relief of symptoms is:
a TCA
a beta-blocker
a benzodizepine
an SSRI
Correct answer:
benzodiazepine
The fastest relief of anxiety symptoms will occur with a benzodiazepine. The other choices
list agents that will require multiple doses for results. With daily continued use of
benzodiazepines, the anti-anxiety effect may become diminished.
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