lOMoARcPSD|66458793
AANP EXAM REVIEW QUESTIONS AND
ANSWERS STUDY GUIDE 2023/2024
Multiple infections from bacteria and fungus? - CORRECT ANSWER-Screen for HIV
A patient with macular degeneration has deficit vision in? - CORRECT ANSWER-
Central vision
Central clearing lesion after camping trip flu like symptoms with muscle aches for
m
several days is? and treated by? - CORRECT ANSWER-Lyme disease; doxycycline
co
Diverticulitis: Treatment s/s: - CORRECT ANSWER-Antibiotics and clear liquids and
increased fiber (some say no nuts or seeds). (7 to 10 days ABT) e.
Ciprofloxacin (500 mg PO twice daily) plus metronidazole (500 mg PO three times
on
daily). Amoxicillin-clavulanate (875/125 mg twice daily) is an acceptable alternative.
The criteria for patients with acute uncomplicated diverticulitis to be treated in the
D
outpatient setting include:
er
●Reliability to return for medical reevaluation if condition worsens
w
ns
●Compliance with outpatient treatment plan
●Abdominal pain is not severe
A
●No higher than a low-grade fever
●Can tolerate oral intake
●No or minimal comorbid illnesses
●Available support system
Approximately six weeks following the resolution of symptoms of acute diverticulitis,
patients who have not had a recent colonoscopy should undergo one to exclude other
possible diagnoses (such as colonic neoplasia) and to evaluate the extent of the
diverticulosis.
Recomendations for surgery: Patients in whom elective surgery has been
recommended following a single attack of diverticulitis include younger patients
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, lOMoARcPSD|66458793
(variously defined in the literature as less than 40 or 50 years of age) and those who are
immunosuppressed.
Diverticulosis: Treatment s/s: - CORRECT ANSWER-Diverticu-lO-sis has nO
inflamation: Both diverticulitis and *osis are similar to umbilical hernia in that a vein
running through the muscle of the bowel muscle weakens the area and pressure causes
a hernia "out pouching".
Bacterial vaginosis: s/s and treatment - CORRECT ANSWER-Clue cells such as:
stipling of squamous epithelial cells with indistinct borders, no lactobacillus rods, many
white blood cells
Nonpregnant women
Drugs — Metronidazole or clindamycin administered either orally or intravaginally
results in a high rate of clinical cure (70 to 80 percent at four weeks of follow-up) (table
4) [88-91]. Oral medication is more convenient, but associated with a higher rate of
m
systemic side effects than vaginal administration.
co
Side effects of metronidazole (oral or vaginal) include a metallic taste, nausea (in 10
percent of patients), transient neutropenia (7.5 percent), a disulfiram-like effect with
e.
alcohol, prolongation of International Normalized Ratio in patients taking vitamin K
on
antagonists (eg, warfarin), and peripheral neuropathy.
10 month old child with runny nose, rash, cough, with tiny white papules with red areola
D
in mouth what does this suggest? - CORRECT ANSWER-Measles
er
Trunk like rash: - CORRECT ANSWER-Roseola: measles
w
ns
Other Childlike rashes: Key characteristics: - CORRECT ANSWER-INSERT HERE
A
Erythema toxicum - CORRECT ANSWER-A rash of small yellow or white bumps
surrounded by red skin. Can appear anywhere on the body. Disappears on its own in
about two weeks. Common in newborns, usually showing up two to five days after birth.
Fifth disease - CORRECT ANSWER-Starts with a slight fever, achiness, and cold
symptoms, followed a few days later by bright red cheeks and a lacy, red, sometimes
itchy rash on the trunk and feet. Also called slapped cheeks disease or erythema
infectiosum. Most common in preschool and school-age children.
Folliculitis - CORRECT ANSWER-Pimples or pustules form around hair follicles and
may crust over. Typically occurs on the neck and in the underarm or groin area.
Uncommon before age 2.
Hand, foot, and mouth disease - CORRECT ANSWER-Fever, loss of appetite, and a
sore throat, followed by painful, blisterlike sores in the mouth. Rash on the palms of the
hands, the soles of the feet, and sometimes the buttocks. The rash starts as small flat
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, lOMoARcPSD|66458793
red dots that may turn into bumps or blisters. Most common in preschoolers but can
occur at any age.
Impetigo - CORRECT ANSWER-Small red bumps that may be itchy. Often develops
around the nose and mouth but can easily spread to other parts of the body. Bumps
become pus-filled blisters that may burst and develop a soft yellowish-brown crust.
Child may have a fever and swollen lymph glands in the neck. Most common in children
between 2 and 6 years old.
Measles - CORRECT ANSWER-Starts with fever; a runny nose; red, watery eyes; and
a cough. Red bumps with tiny white dots appear a few days later on the inside of the
cheeks. Next, a rash appears on the face and progresses down the back and trunk to
the arms and hands and finally to the legs and feet. The rash starts as flat, red patches
but eventually develops bumps and may be itchy. It lasts about five days, then fades to
a brownish color, leaving skin dry and flaky. Rare due to vaccinations; most likely to
occur in unvaccinated children.
m
Milia - CORRECT ANSWER-Tiny white or yellow pearly bumps on the nose, chin, and
co
cheeks. Common in newborns. They go away without treatment in a few weeks.
e.
Molloscum contagiosum - CORRECT ANSWER-Flesh-colored, dome-shaped lesions
on
that can be pearly in appearance and have a dimpled center. May be itchy. Uncommon
before the first birthday.
D
Roseola - CORRECT ANSWER-Usually starts with a sudden relatively high fever, often
er
over 103 degrees Fahrenheit, that typically lasts three to five days. A pink rash on torso
and neck follows and may spread to the arms, legs, and face. Child may be irritable and
w
may have diarrhea or vomiting. Most common in children between 6 months and 3
ns
years old.
A
Ringworm - CORRECT ANSWER-Rash of one or several red rings, ranging from dime-
to quarter-size. Rings are usually crusty or scaly on the outside and smooth in the
center and may get larger over time. May also appear as dandruff or bald spots on
scalp. Most common in children 2 and older.
Rubella (German measles) - CORRECT ANSWER-Pink-red rash that appears first on
the face, then spreads over the body and lasts two to three days. Child may have a mild
fever, swollen lymph nodes behind the ears, a runny or stuffy nose, a headache, and a
sore throat. Rare due to vaccinations; most likely to occur in unvaccinated children.
Scabies - CORRECT ANSWER-Severely itchy rash of scattered red bumps, usually
between the fingers, around the wrists, in the armpits and diaper area, and around the
elbows. May also show up on the kneecaps, palms, soles, scalp, or face. May leave
curvy white or thin red lines or little blisters on nearby skin. Itching is most intense after
a hot bath or at night and may keep the child awake. May occur at any age.
Downloaded by answer done ()
AANP EXAM REVIEW QUESTIONS AND
ANSWERS STUDY GUIDE 2023/2024
Multiple infections from bacteria and fungus? - CORRECT ANSWER-Screen for HIV
A patient with macular degeneration has deficit vision in? - CORRECT ANSWER-
Central vision
Central clearing lesion after camping trip flu like symptoms with muscle aches for
m
several days is? and treated by? - CORRECT ANSWER-Lyme disease; doxycycline
co
Diverticulitis: Treatment s/s: - CORRECT ANSWER-Antibiotics and clear liquids and
increased fiber (some say no nuts or seeds). (7 to 10 days ABT) e.
Ciprofloxacin (500 mg PO twice daily) plus metronidazole (500 mg PO three times
on
daily). Amoxicillin-clavulanate (875/125 mg twice daily) is an acceptable alternative.
The criteria for patients with acute uncomplicated diverticulitis to be treated in the
D
outpatient setting include:
er
●Reliability to return for medical reevaluation if condition worsens
w
ns
●Compliance with outpatient treatment plan
●Abdominal pain is not severe
A
●No higher than a low-grade fever
●Can tolerate oral intake
●No or minimal comorbid illnesses
●Available support system
Approximately six weeks following the resolution of symptoms of acute diverticulitis,
patients who have not had a recent colonoscopy should undergo one to exclude other
possible diagnoses (such as colonic neoplasia) and to evaluate the extent of the
diverticulosis.
Recomendations for surgery: Patients in whom elective surgery has been
recommended following a single attack of diverticulitis include younger patients
Downloaded by answer done ()
, lOMoARcPSD|66458793
(variously defined in the literature as less than 40 or 50 years of age) and those who are
immunosuppressed.
Diverticulosis: Treatment s/s: - CORRECT ANSWER-Diverticu-lO-sis has nO
inflamation: Both diverticulitis and *osis are similar to umbilical hernia in that a vein
running through the muscle of the bowel muscle weakens the area and pressure causes
a hernia "out pouching".
Bacterial vaginosis: s/s and treatment - CORRECT ANSWER-Clue cells such as:
stipling of squamous epithelial cells with indistinct borders, no lactobacillus rods, many
white blood cells
Nonpregnant women
Drugs — Metronidazole or clindamycin administered either orally or intravaginally
results in a high rate of clinical cure (70 to 80 percent at four weeks of follow-up) (table
4) [88-91]. Oral medication is more convenient, but associated with a higher rate of
m
systemic side effects than vaginal administration.
co
Side effects of metronidazole (oral or vaginal) include a metallic taste, nausea (in 10
percent of patients), transient neutropenia (7.5 percent), a disulfiram-like effect with
e.
alcohol, prolongation of International Normalized Ratio in patients taking vitamin K
on
antagonists (eg, warfarin), and peripheral neuropathy.
10 month old child with runny nose, rash, cough, with tiny white papules with red areola
D
in mouth what does this suggest? - CORRECT ANSWER-Measles
er
Trunk like rash: - CORRECT ANSWER-Roseola: measles
w
ns
Other Childlike rashes: Key characteristics: - CORRECT ANSWER-INSERT HERE
A
Erythema toxicum - CORRECT ANSWER-A rash of small yellow or white bumps
surrounded by red skin. Can appear anywhere on the body. Disappears on its own in
about two weeks. Common in newborns, usually showing up two to five days after birth.
Fifth disease - CORRECT ANSWER-Starts with a slight fever, achiness, and cold
symptoms, followed a few days later by bright red cheeks and a lacy, red, sometimes
itchy rash on the trunk and feet. Also called slapped cheeks disease or erythema
infectiosum. Most common in preschool and school-age children.
Folliculitis - CORRECT ANSWER-Pimples or pustules form around hair follicles and
may crust over. Typically occurs on the neck and in the underarm or groin area.
Uncommon before age 2.
Hand, foot, and mouth disease - CORRECT ANSWER-Fever, loss of appetite, and a
sore throat, followed by painful, blisterlike sores in the mouth. Rash on the palms of the
hands, the soles of the feet, and sometimes the buttocks. The rash starts as small flat
Downloaded by answer done ()
, lOMoARcPSD|66458793
red dots that may turn into bumps or blisters. Most common in preschoolers but can
occur at any age.
Impetigo - CORRECT ANSWER-Small red bumps that may be itchy. Often develops
around the nose and mouth but can easily spread to other parts of the body. Bumps
become pus-filled blisters that may burst and develop a soft yellowish-brown crust.
Child may have a fever and swollen lymph glands in the neck. Most common in children
between 2 and 6 years old.
Measles - CORRECT ANSWER-Starts with fever; a runny nose; red, watery eyes; and
a cough. Red bumps with tiny white dots appear a few days later on the inside of the
cheeks. Next, a rash appears on the face and progresses down the back and trunk to
the arms and hands and finally to the legs and feet. The rash starts as flat, red patches
but eventually develops bumps and may be itchy. It lasts about five days, then fades to
a brownish color, leaving skin dry and flaky. Rare due to vaccinations; most likely to
occur in unvaccinated children.
m
Milia - CORRECT ANSWER-Tiny white or yellow pearly bumps on the nose, chin, and
co
cheeks. Common in newborns. They go away without treatment in a few weeks.
e.
Molloscum contagiosum - CORRECT ANSWER-Flesh-colored, dome-shaped lesions
on
that can be pearly in appearance and have a dimpled center. May be itchy. Uncommon
before the first birthday.
D
Roseola - CORRECT ANSWER-Usually starts with a sudden relatively high fever, often
er
over 103 degrees Fahrenheit, that typically lasts three to five days. A pink rash on torso
and neck follows and may spread to the arms, legs, and face. Child may be irritable and
w
may have diarrhea or vomiting. Most common in children between 6 months and 3
ns
years old.
A
Ringworm - CORRECT ANSWER-Rash of one or several red rings, ranging from dime-
to quarter-size. Rings are usually crusty or scaly on the outside and smooth in the
center and may get larger over time. May also appear as dandruff or bald spots on
scalp. Most common in children 2 and older.
Rubella (German measles) - CORRECT ANSWER-Pink-red rash that appears first on
the face, then spreads over the body and lasts two to three days. Child may have a mild
fever, swollen lymph nodes behind the ears, a runny or stuffy nose, a headache, and a
sore throat. Rare due to vaccinations; most likely to occur in unvaccinated children.
Scabies - CORRECT ANSWER-Severely itchy rash of scattered red bumps, usually
between the fingers, around the wrists, in the armpits and diaper area, and around the
elbows. May also show up on the kneecaps, palms, soles, scalp, or face. May leave
curvy white or thin red lines or little blisters on nearby skin. Itching is most intense after
a hot bath or at night and may keep the child awake. May occur at any age.
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