Family Nurse Practitioner Exam ANCC
(Study guide Solutions)
1. Karposi Sarcoma: Characteristic purple areas on the nose in an female. A type of cancer that
can form in the skin, lymph nodes, or o The skin lesions are usually purple in color.
2. Malodorous single nare: Foreign body
3. Retinal Detachment: the retina separates from the layer underneath. Symp- toms include an
increase in the number of floaters, flashes of light, and worsening of the outer part of the visual
field.
4. Adolescent with friable nasal turbinates: Cocaine use
5. Aphthous ulcer: a recurrent round or oval sore or ulcer inside the mouth on an area where the
skin is not tightly bound to the underlying bone, such as on the inside of the lips and cheeks or
underneath the tongue. Aphthous ulcers can also affect the genitalia in males and females.
6. GERD first line tx: h2 then ppi if doesnt work
7. Maxillary Sinusitis: Dental pain
8. Kasmaul Triangle: Anterior epitaxis
9. Roseola infantum: H. fever => small pink dots pink or raised body rash => arms
10. Acne Roscaca: "adult acne." most often in adults (30-50 years of age). Unlike acne vulgaris,
rosacea is devoid of blackheads and characteristically does not resolve after puberty. Rosacea
,strikes both sexes and potentially all ages. It tends to be more frequent in women but more severe
in men. It is very uncommon in children, and it is less frequent in people with dark skin. Tx with
Flagyl
11. AV Nicking: HTN, arteries crossing veins
12. Blepharitis: commonly occurs when the tiny oil glands of the inner eyelid become inflamed.
It often occurs along with other skin conditions or allergies. Symptoms include red, itchy eyelids
that may look greasy and crusted. Dry eyes also are a symptom.
Treatments include cleaning the eyelids, antibiotic or steroid eye drops and treating underlying
conditions. However, blepharitis tends to come back.
13. Hordelum: Painful stye it hurts
14. chalazion: Non painful lesion to eyelid
15. Cotton Wool: Cotton wool spots are an abnormal finding on funduscopic exam of the retina of
the eye. They appear as fluffy white patches on the retina. They are caused by damage to nerve
fibers and are a result of accumulations of axoplasmic material within the nerve fiber layer.
Systemic HTN, DM
16. Herpes Zoster: Early signs of shingles include a burning sensation or stabbing pain and
tingling or itching on the skin. After a few days, a rash or blisters appear usually on one side of
the body or face. When the rash is at its peak, symptoms can range from mild itching to extreme
and debilitating pain. Tx within 72 hours Aclovir
17. Retinoblastoma (Rb): Absence of light reflex, it is a rare form of cancer that rapidly
develops from the immature cells of a retina, the light-detecting tissue of the eye. It is the most
common primary malignant intraocular cancer in children, and it is almost exclusively found in
young children.
,18. Seborrheic dermatitis (Dandruff): commonly involves portions of the scalp, brows, mid-
face, ears, mid-chest, and mid-back. It is not unusual for it to affect the skin of infants and young
children where it often involves the scalp (cradle cap) and the diaper area. Seborrheic dermatitis
is also known as seborrhea.
19. Seborrheic Keratosis: A seborrhoeic keratosis is a harmless warty spot that appears during
adult life as a common sign of skin aging. ... Seborrhoeic keratosis (or seborrheic keratosis, using
American spelling) is also called SK, basal cell papilloma, senile wart, brown wart or barnacle.
20. Cupping of disc: Intracranial pressure
21. subconjunctival haemorrhage: is bleeding underneath the conjunctiva. It can occur after a
sudden or severe sneeze or cough, heavy lifting, straining, vomiting or even rubbing one's eyes
too roughly. It can also occur as a side effect of eye surgery or blood thinners.
The main symptom is a bright red patch in the eye that may spread and then become green or
yellow, much like a bruise. Usually it disappears within two weeks. In most cases, no treatment is
required for this condition.
22. Sialolithiasis (also termed salivary calculi, or salivary stones): A condition where a calcified
mass or sialolith forms within a salivary gland, usually in the duct of the submandibular gland (also
termed "Wharton's duct").
23. Honey Crusted lesions: Impetigo is a bacterial infection that involves the superficial
skin.The most common presentation is yellowish crusts on the face, arms, or legs.Less commonly
there may be large blisters which affect the groin or armpits. The lesions may be painful or itchy.
Fever is uncommon.
It is typically due to either Staphylococcus aureus or Streptococcus pyogenes. Risk factors
include attending day care, crowding, poor nutrition, diabetes mellitus, contact sports, and breaks
in the skin such as from mosquito bites, eczema, scabies, or herpes.With contact it can spread
around or between people.Diagnosis is typically based on the symptoms.
, Prevention is by hand washing, avoiding people who are infected, and cleaning injuries.
Treatment is typically with antibiotic creams such as mupirocin or fusidic acid. Antibiotics by
mouth, such as cephalexin, may be used if large areas are affected. Antibiotic-resistant forms
have been found.
24. Mild acne: Skin wash retinol benzol
25. moderate acne: retinol plus tetracylines oral abx
26. Retinol reaction: decrease to 3 times a day
27. Well demarcated cellulitis: erysipelas affects the dermis, most commonly on the legs, and
tends to be sharply demarcated. Cellulitis, which typically affects the lower legs, involves the
subcutaneous fat and is often less well demarcated. ... The diagnosis of cellulitis or erysipelas is
usually clinical.
28. polymyalgia rheumatica: you feel pain and stiffness in the muscles in your shoulders and
upper arms (shoulder girdle) and hips (pelvic girdle). This feeling often comes after you've spent
time resting, and is most severe upon wakening from sleep.
29. Fibromyalgia: can also cause muscle pain in the same parts of the body. But it's more wide-
spread and the pain is more severe. People with fibromyalgia tend to experience other symptoms
as well, including:
tiredness
trouble sleeping memory problems
bowel and bladder problems
(Study guide Solutions)
1. Karposi Sarcoma: Characteristic purple areas on the nose in an female. A type of cancer that
can form in the skin, lymph nodes, or o The skin lesions are usually purple in color.
2. Malodorous single nare: Foreign body
3. Retinal Detachment: the retina separates from the layer underneath. Symp- toms include an
increase in the number of floaters, flashes of light, and worsening of the outer part of the visual
field.
4. Adolescent with friable nasal turbinates: Cocaine use
5. Aphthous ulcer: a recurrent round or oval sore or ulcer inside the mouth on an area where the
skin is not tightly bound to the underlying bone, such as on the inside of the lips and cheeks or
underneath the tongue. Aphthous ulcers can also affect the genitalia in males and females.
6. GERD first line tx: h2 then ppi if doesnt work
7. Maxillary Sinusitis: Dental pain
8. Kasmaul Triangle: Anterior epitaxis
9. Roseola infantum: H. fever => small pink dots pink or raised body rash => arms
10. Acne Roscaca: "adult acne." most often in adults (30-50 years of age). Unlike acne vulgaris,
rosacea is devoid of blackheads and characteristically does not resolve after puberty. Rosacea
,strikes both sexes and potentially all ages. It tends to be more frequent in women but more severe
in men. It is very uncommon in children, and it is less frequent in people with dark skin. Tx with
Flagyl
11. AV Nicking: HTN, arteries crossing veins
12. Blepharitis: commonly occurs when the tiny oil glands of the inner eyelid become inflamed.
It often occurs along with other skin conditions or allergies. Symptoms include red, itchy eyelids
that may look greasy and crusted. Dry eyes also are a symptom.
Treatments include cleaning the eyelids, antibiotic or steroid eye drops and treating underlying
conditions. However, blepharitis tends to come back.
13. Hordelum: Painful stye it hurts
14. chalazion: Non painful lesion to eyelid
15. Cotton Wool: Cotton wool spots are an abnormal finding on funduscopic exam of the retina of
the eye. They appear as fluffy white patches on the retina. They are caused by damage to nerve
fibers and are a result of accumulations of axoplasmic material within the nerve fiber layer.
Systemic HTN, DM
16. Herpes Zoster: Early signs of shingles include a burning sensation or stabbing pain and
tingling or itching on the skin. After a few days, a rash or blisters appear usually on one side of
the body or face. When the rash is at its peak, symptoms can range from mild itching to extreme
and debilitating pain. Tx within 72 hours Aclovir
17. Retinoblastoma (Rb): Absence of light reflex, it is a rare form of cancer that rapidly
develops from the immature cells of a retina, the light-detecting tissue of the eye. It is the most
common primary malignant intraocular cancer in children, and it is almost exclusively found in
young children.
,18. Seborrheic dermatitis (Dandruff): commonly involves portions of the scalp, brows, mid-
face, ears, mid-chest, and mid-back. It is not unusual for it to affect the skin of infants and young
children where it often involves the scalp (cradle cap) and the diaper area. Seborrheic dermatitis
is also known as seborrhea.
19. Seborrheic Keratosis: A seborrhoeic keratosis is a harmless warty spot that appears during
adult life as a common sign of skin aging. ... Seborrhoeic keratosis (or seborrheic keratosis, using
American spelling) is also called SK, basal cell papilloma, senile wart, brown wart or barnacle.
20. Cupping of disc: Intracranial pressure
21. subconjunctival haemorrhage: is bleeding underneath the conjunctiva. It can occur after a
sudden or severe sneeze or cough, heavy lifting, straining, vomiting or even rubbing one's eyes
too roughly. It can also occur as a side effect of eye surgery or blood thinners.
The main symptom is a bright red patch in the eye that may spread and then become green or
yellow, much like a bruise. Usually it disappears within two weeks. In most cases, no treatment is
required for this condition.
22. Sialolithiasis (also termed salivary calculi, or salivary stones): A condition where a calcified
mass or sialolith forms within a salivary gland, usually in the duct of the submandibular gland (also
termed "Wharton's duct").
23. Honey Crusted lesions: Impetigo is a bacterial infection that involves the superficial
skin.The most common presentation is yellowish crusts on the face, arms, or legs.Less commonly
there may be large blisters which affect the groin or armpits. The lesions may be painful or itchy.
Fever is uncommon.
It is typically due to either Staphylococcus aureus or Streptococcus pyogenes. Risk factors
include attending day care, crowding, poor nutrition, diabetes mellitus, contact sports, and breaks
in the skin such as from mosquito bites, eczema, scabies, or herpes.With contact it can spread
around or between people.Diagnosis is typically based on the symptoms.
, Prevention is by hand washing, avoiding people who are infected, and cleaning injuries.
Treatment is typically with antibiotic creams such as mupirocin or fusidic acid. Antibiotics by
mouth, such as cephalexin, may be used if large areas are affected. Antibiotic-resistant forms
have been found.
24. Mild acne: Skin wash retinol benzol
25. moderate acne: retinol plus tetracylines oral abx
26. Retinol reaction: decrease to 3 times a day
27. Well demarcated cellulitis: erysipelas affects the dermis, most commonly on the legs, and
tends to be sharply demarcated. Cellulitis, which typically affects the lower legs, involves the
subcutaneous fat and is often less well demarcated. ... The diagnosis of cellulitis or erysipelas is
usually clinical.
28. polymyalgia rheumatica: you feel pain and stiffness in the muscles in your shoulders and
upper arms (shoulder girdle) and hips (pelvic girdle). This feeling often comes after you've spent
time resting, and is most severe upon wakening from sleep.
29. Fibromyalgia: can also cause muscle pain in the same parts of the body. But it's more wide-
spread and the pain is more severe. People with fibromyalgia tend to experience other symptoms
as well, including:
tiredness
trouble sleeping memory problems
bowel and bladder problems
