certification Exam
Review | Verified study | A+ Graded |
Actual Questions and Answers |
2026 Updates
Murphy's sign (how to)
- ANSWER- on deep inspiration (pt), palpate firmly RUQ below the
costovertebral angel
Murphy's sign (diagnostic of?)
- ANSWER- biliary disorders gallbladder comes in contact w/fingers and may
elect pain (+) to be positive, same maneuver must not elicit pain on left side
-breath in, diaphragm moves down, abd contents move down, -hold breath,
gallbladder comes by fingers antihypertensive to avoid in emphysema
- ANSWER- Beta-blockers
-reduction in forced expiratory volume
-increased airway hyperresponsiveness
-inhibition of bronchodilator response to beta agonists
threatened abortion (definition)
- ANSWER- vaginal bleeding and cramping present, but cervix remains closed
milky white discharge (increased) alkaline pH cells with blurred margins
(microscope)
- ANSWER- BV also: fishy odor, adherent discharge pos whiff (when discharge
mixed w/ KOH) = fishy odor low levels of alpha fetoprotein and estriol w/ high
levels of hcg (what to order and what does it mean?)
- ANSWER- ultrasound down syndrome or fetal demise
normally elevated lab in someone expecting twins
AANP FNP
,- ANSWER- alpha fetoprotein AFP produced by fetal (and mother's) liver,
common to be higher if having twins "Triple Screen" (prenatal screening)
AANP FNP
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vs. Quad screen
- ANSWER- between 15 - 22 weeks:
AFP (high in NTD, low in Downs)
Estradiol (abnormal in Downs)
HCG (abnormal in Downs) w/
inhibin A (hormone released by
placenta)
why doesn't Chlamydia affect the labia or vagina?
- ANSWER- typically affects cervix, endometrial lining, fallopian
tubes and pelvic cavity positive obturator sign (definition)
if positive
- ANSWER- acute appendicitis pain evicted by internal rotation of
the right hip from 90degrees flexion psoas sign (definition)
if positive
- ANSWER- acute appendicitis
pain w/ passive extension of the thigh while pt is lying on side w/
bent knees -or- knee moves
posterior (behind the patient) causing tightness in abd cavity
treatment for mild preeclampsia
- ANSWER- best rest w/ BR privileges monitor wight and bp monitor
urinary protein serum creatine and plts
pap (cytology) comes back normal but there is "inflammation" noted -
what to do?
AANP FNP
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- ANSWER- pt needs STI testing may have cervicitis TORCH what is
this acronym stand for?
- ANSWER- fetal abnormalities
T: toxoplasmosis
O: other
R: rubella
C: cytomegalovirus
H: herpes
T/F
HPV of the larynx can cause laryngeal cancer
- ANSWER- true what are Heberden's nodes
- ANSWER- bony overgrowth classic sign of osteoarthritis hard
nontender nodules at distal interphalangeal joints enlarged
middle phalangeal joints are called Bouchard's node
What do order if fundal height is more than 3cm off the weeks of
gestation age - ANSWER- order an ultrasound more than
2cm either way is abnormal anhedonia - definition
- ANSWER- loss of interest in activities that the patient finds
pleasurable apraxia - definition
- ANSWER- loss of ability to execute purposeful movements despite
desire to perform them
-disorder of motor planning from cerebrum not a sign
of depression apathy - definition
- ANSWER- lack of interest, enthusiasm, or concern Signs of an ectopic
pregnancy
- ANSWER- amenorrhea w/ new onset of bloody spotting
AANP FNP