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ANCC FNP Exam Questions
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Treatment for mild allergic conjunctivits
✓ Topical antihistamines/mast cell stabilizer
✓ NSAIDs and topical corticosteroids are not first line
✓ Pt with allergic conjunctivitis often produce inadequate amount of
tears (oral antihistamines may induce dry eye syndrome)
Oral hairy leukoplakia
✓ elongated papilla of the lateral aspect on the tongue
What causes oral hairy leukoplakia?
✓ EBV
Koplik's spot
✓ clusters of small red papules with white centers located on the
buccal mucosa by the lower molars (o = kopliks)
✓ Prodromic viral of measles appears 2-3 days before the rash
Geographic tongue
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✓ inflammatory disorder that usually appears on top and side of the
tongue
✓ multiple fissures and irreregular smoother areas on its surface that
make it look like a topographic map
Cheilosis
✓ painful inflammation and cracking of the corners of the mouth
Peritonsillar abscess
✓ severe sore throat, difficulty swallowing, trismus, and muffled "hot
potato" voice
✓ abscess displaces the uvula
pterygium
✓ yellow, triangular thickening of the conjunctiva that extends across
the cornea on the nasal side
Pinguecula
✓ yellowish, raised growth on the conjunctiva next to the cornea
Chalazion
✓ chronic inflammation of the meibomian gland
hordeolum (stye)
✓ stye
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✓ abscess of a hair follicle and sebaceous gland on the eyelid
High risk factors for hearing loss in premature baby
✓ HEARS
✓ Hyperbilirubinemia
✓ Ear infection frequency
✓ low Apgar scores
✓ exposure to Rubella, cytomegalovirus (CMV), toxoplasmosis
✓ Seizures
diabetic retinopathy
✓ cotton wool spots
Normal intraocular pressure
✓ 8-21mm Hg
Intermittent Esotropia
✓ common in infants younger than 20 weeks
✓ resolves spontaneously
✓ refer if present after 20 weeks
Kawasaki Disease
✓ high fever, enlarged lymph nodes, conjunctivitis, dry, cracked lips
✓ strawberry tongue
✓ most cases under 5 years of age
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pharyngitis
✓ acute infection of the pharynx
✓ stuffy nose, rhinitis with clear mucus, and watery eyes
allergic rhinitis
✓ inflammatory changes of the nasal mucosa due to an allergy
response
✓ most common sign: transverse nasal crease (allergic salute)
tonsillitis
✓ inflammation of the tonsils
✓ sore throat, difficulty swallowing, tender lymph nodes
Treatment for otitis externa
✓ Use aluminum acetate solution PRN (provides soothing, effective
relief of minor skin irritations and inflammation)
✓ keep water out of the ear
✓ Polymyxin B-neomycin-hydrocortisone suspension drops QID x 7
days and/or ofloxacin drops
Bullous Myringitis
✓ small, fluid-filled blisters form on the eardrum
First permanent teeth to erupt
✓ first molars at about 6 years of age
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