AANP Board Exam 2023 Questions and Answers (Verified
Answers)
INR values below ____ increase stroke risk sixfold.
2
What allergy contradicts the use of thiazide diuretics?
Sulfa
Why should ACE-Is be avoided with renal stenosis?
Leads to ARF
Adverse effects of aldosterone antagonists (Aldactone)
Galactorrhea and hyperkalemia
What are beta blocker indications?
HTN, post-MI< angina, arrhythmias, migraine prophylaxis, hyperthyroidism
1st line BP med for DM?
ACE or ARB
Grapefruit juice should be avoided in what 1st line antihypertensive medication?
CCB
Alternative antibiotic treatment for patients with gram positive baterial infections that are
allergic to PCN:
macrolides
Initial treatment of COPD
Ipratropium bromide (anticholinergic)
1st line treatment for gonorrheal infections
Rocephin IM
Treatment of anthrax
Cipro 500mg BID 7-10 days
Treatment of traveler's diarrhea
Cipro 500mg BID 3 days
What can increase the risk of tendon rupture when on a quinolone?
age and steroids
How long does ASA suppress platelet function?
up to 7 days
What is the FDA category and dose of finasteride?
5mg PO QD and category X
What drug category should not be given with warfarin?
sulfa drugs
When should routine screening for breast cancer start?
40
If a patient had only one dose of the hep B vaccine what is recommended?
Do not restart series; Start with 2nd dose
What is done if a patient has a tetanus-prone wound and an unknown vaccination
status?
Administer immediate dose of Td and the teatnus immunoglobulin injection
If a person is vaccinated with pneumovax prior to 65 what is recommended?
Give a booster dose of pneumovax 5 years after initial dose
, When should Zostavax be given?
age 60
How far apart should the varicella vaccines be given?
4 weeks
Treatment for otitis externa
Cortisporin otic drops
Common bacterial pathogen of otitis externa
Pseudomonas
What is cholesteatoma a complication of?
periorbital sinusitis
What indicates an abnormal Rinne test?
BC>AC
What kind of hearing loss is found with an abnormal Rinne if BC>AC?
conductive
What kind of hearing loss is associated with lateralization to affected ear when Weber
test is performed
Conductive
What kind of hearing loss is associated with lateralization to unaffected ear when Weber
test is performed
sensorurial
What does 20/40 vision mean?
A person can see 20 ft whereas normal vision can see 40
Common treatment of cerumenosis
Carbamide peroxide
What route should HIV esophageal candida infections
Oral systemic
Where is a scabies rash located?
Interdigital webs and/or penis
Antibiotic treatment for human, dog, or cat bite
Augmentin
A herald patch or "Christmas tree" pattern is associated with what disease?
PItyriasis rosea
What class of meds are used to treat PHN?
TCAs
What is the treatment for rosacea?
Metronidazole gel
What areas of the body have thicker skin and call for higher potency steroids?
scalp, back, soles
How do you check for pulsus paradoxus?
BP cuff and stethoscope and the apical pulse
What findings are associated with hypertensive retinopathy?
copper and silver wire arterioles, AV nicking
What findings are associated with diabetic retinopathy?
Neovascularization, microaneurysms, hard exudates, cotton wool spots
What class of anti-hypertensives are used for isolated HTN in the elderly?
CCB
Answers)
INR values below ____ increase stroke risk sixfold.
2
What allergy contradicts the use of thiazide diuretics?
Sulfa
Why should ACE-Is be avoided with renal stenosis?
Leads to ARF
Adverse effects of aldosterone antagonists (Aldactone)
Galactorrhea and hyperkalemia
What are beta blocker indications?
HTN, post-MI< angina, arrhythmias, migraine prophylaxis, hyperthyroidism
1st line BP med for DM?
ACE or ARB
Grapefruit juice should be avoided in what 1st line antihypertensive medication?
CCB
Alternative antibiotic treatment for patients with gram positive baterial infections that are
allergic to PCN:
macrolides
Initial treatment of COPD
Ipratropium bromide (anticholinergic)
1st line treatment for gonorrheal infections
Rocephin IM
Treatment of anthrax
Cipro 500mg BID 7-10 days
Treatment of traveler's diarrhea
Cipro 500mg BID 3 days
What can increase the risk of tendon rupture when on a quinolone?
age and steroids
How long does ASA suppress platelet function?
up to 7 days
What is the FDA category and dose of finasteride?
5mg PO QD and category X
What drug category should not be given with warfarin?
sulfa drugs
When should routine screening for breast cancer start?
40
If a patient had only one dose of the hep B vaccine what is recommended?
Do not restart series; Start with 2nd dose
What is done if a patient has a tetanus-prone wound and an unknown vaccination
status?
Administer immediate dose of Td and the teatnus immunoglobulin injection
If a person is vaccinated with pneumovax prior to 65 what is recommended?
Give a booster dose of pneumovax 5 years after initial dose
, When should Zostavax be given?
age 60
How far apart should the varicella vaccines be given?
4 weeks
Treatment for otitis externa
Cortisporin otic drops
Common bacterial pathogen of otitis externa
Pseudomonas
What is cholesteatoma a complication of?
periorbital sinusitis
What indicates an abnormal Rinne test?
BC>AC
What kind of hearing loss is found with an abnormal Rinne if BC>AC?
conductive
What kind of hearing loss is associated with lateralization to affected ear when Weber
test is performed
Conductive
What kind of hearing loss is associated with lateralization to unaffected ear when Weber
test is performed
sensorurial
What does 20/40 vision mean?
A person can see 20 ft whereas normal vision can see 40
Common treatment of cerumenosis
Carbamide peroxide
What route should HIV esophageal candida infections
Oral systemic
Where is a scabies rash located?
Interdigital webs and/or penis
Antibiotic treatment for human, dog, or cat bite
Augmentin
A herald patch or "Christmas tree" pattern is associated with what disease?
PItyriasis rosea
What class of meds are used to treat PHN?
TCAs
What is the treatment for rosacea?
Metronidazole gel
What areas of the body have thicker skin and call for higher potency steroids?
scalp, back, soles
How do you check for pulsus paradoxus?
BP cuff and stethoscope and the apical pulse
What findings are associated with hypertensive retinopathy?
copper and silver wire arterioles, AV nicking
What findings are associated with diabetic retinopathy?
Neovascularization, microaneurysms, hard exudates, cotton wool spots
What class of anti-hypertensives are used for isolated HTN in the elderly?
CCB
