NURS HEALTH AANP EXAM QUESTIONS WITH
COPLETE SOLUTIONS GRADED A+
Classic ECG finding in atrial flutter. - Answer - "Sawtooth" P waves
Definition of unstable angina. - Answer - Angina is new, is worsening, or
occurs at rest
Antihypertensive for a diabetic patient with proteinuria. - Answer - ACEI
Beck's triad for cardiac tamponade. - Answer - Hypotension, distant heart
sounds, and JVD
Drugs that slow AV node transmission. - Answer - β-blockers, digoxin, calcium
channel blockers
Hypercholesterolemia treatment that → flushing and pruritus. - Answer -
Niacin
Treatment for atrial fibrillation. - Answer - Anticoagulation, rate control,
cardioversion
Treatment for ventricular fibrillation. - Answer - Immediate cardioversion
Autoimmune complication occurring 2-4 weeks post-MI. - Answer - Dressler's
syndrome: fever, pericarditis, ↑ ESR
Diagnostic test for hypertrophic cardiomyopathy. - Answer - Echocardiogram
(showing thickened left ventricular wall and outflow obstruction)
A fall in systolic BP of > 10 mmHg with inspiration. - Answer - Pulsus
paradoxus (seen in cardiac tamponade)
Classic ECG findings in pericarditis. - Answer - Low-voltage, diffuse ST-
segment elevation
Definition of hypertension. - Answer - BP > 140/90 on three separate
occasions two weeks apart
Eight surgically correctable causes of hypertension. - Answer - Renal
artery stenosis, coarctation of the aorta, pheochromocytoma, Conn's
syndrome, Cushing's syndrome, unilateral renal parenchymal disease,
hyperthyroidism, hyperparathyroidism
Evaluation of a pulsatile abdominal mass and bruit. - Answer - Abdominal
ultrasound and CT
Indications for surgical repair of abdominal aortic aneurysm. - Answer - > 5.5
cm, rapidly enlarging, symptomatic, or ruptured
,NURS HEALTH AANP EXAM QUESTIONS WITH
COPLETE SOLUTIONS GRADED A+
Treatment for acute coronary syndrome. - Answer - Morphine, O2, sublingual
nitroglycerin, ASA, IV β-blockers, heparin
What is the metabolic syndrome? - Answer - Abdominal obesity, high
triglycerides, low HDL, hypertension, insulin resistance, prothrombotic or
proinflammatory states
Appropriate diagnostic test?
■ A 50-year-old male with angina can exercise to 85% of maximum
predicted heart rate.
- Answer - Exercise stress treadmill with ECG
Appropriate diagnostic test?
■ A 65-year-old woman with left bundle branch block and severe
osteoarthritis has unstable angina. - Answer - Pharmacologic stress test
(e.g., dobutamine echo)
Signs of active ischemia during stress testing. - Answer - -Angina
-ST-segment changes on ECG
-↓ BP
ECG findings suggesting MI. - Answer - -ST-segment elev (depression =
ischemia),
-flattened T waves
-Q waves
A young patient has angina at rest with ST-segment elevation. Cardiac
enzymes are normal. - Answer - Prinzmetal's angina
The diagnostic test for pulmonary embolism. - Answer - V/Q scan
An agent that reverses the effects of heparin. - Answer - Protamine
The coagulation parameter affected by warfarin. - Answer - PT
A young patient with a family history of sudden death collapses and dies
while exercising. - Answer - Hypertrophic cardiomyopathy
Endocarditis prophylaxis regimens. - Answer - -Oral surgery—amoxicillin;
-GI or GU procedures—ampicillin and gentamicin before and amoxicillin after
The 6 P's of ischemia due to peripheral vascular disease. - Answer - Pain,
pallor, pulselessness, paralysis, paresthesia, poikilothermia
Virchow's triad. - Answer - Stasis, hypercoagulability, endothelial damage
The most common cause of hypertension in young women. - Answer - OCPs
The most common cause of hypertension in young men. - Answer - Excessive
EtOH
,NURS HEALTH AANP EXAM QUESTIONS WITH
COPLETE SOLUTIONS GRADED A+
"Stuck-on" appearance. - Answer - Seborrheic keratosis
Red plaques with silvery-white scales and sharp margins. - Answer - Psoriasis
The most common type of skin cancer; the lesion is a pearly-colored papule
with a translucent surface and telangiectasias. - Answer - Basal cell carcinoma
Honey-crusted lesions. - Answer - Impetigo
A febrile patient with a history of diabetes presents with a red, swollen,
painful lower extremity. - Answer - Cellulitis
A 55-year-old obese patient presents with dirty, velvety patches on the back
of the neck.
- Answer - Acanthosis nigricans. Check fasting blood sugar to rule out
diabetes
Dermatomal distribution. - Answer - Varicella zoster
Flat-topped papules. - Answer - Lichen planus
Iris-like target lesions. - Answer - Erythema multiforme
A lesion characteristically occurring in a linear pattern in areas where skin
comes into contact with clothing or jewelry. - Answer - Contact dermatitis
Presents with a herald patch, Christmas-tree pattern. - Answer - Pityriasis
rosea
A 16-year-old presents with an annular patch of alopecia with broken-off,
stubby hairs. - Answer - Alopecia areata (autoimmune process)
Pinkish, scaling, flat lesions on the chest and back. KOH prep has a
"spaghetti-and- meatballs" appearance. - Answer - Pityriasis versicolor
Four characteristics of a nevus suggestive of melanoma. - Answer -
Asymmetry, border irregularity, color variation, large diameter
Premalignant lesion from sun exposure that can → squamous cell carcinoma. -
Answer
- Actinic keratosis
"Dewdrop on a rose petal." - Answer - Lesions of 1° varicella
"Cradle cap." - Answer - Seborrheic dermatitis. Treat with antifungals
Associated with Propionibacterium acnes and changes in androgen levels. -
Answer - Acne vulgaris
, NURS HEALTH AANP EXAM QUESTIONS WITH
COPLETE SOLUTIONS GRADED A+
A painful, recurrent vesicular eruption of mucocutaneous surfaces. - Answer -
Herpes simplex
Inflammation and epithelial thinning of the anogenital area, predominantly in
postmenopausal women. - Answer - Lichen sclerosus
nodula
r
opaqu
e
sun-exposed area
ulcerating
non-distinct borders
*associated with a risk of metastasis* - Answer - Squamous cell carcinoma
The most common cause of hypothyroidism. - Answer - Hashimoto's
thyroiditis
Lab findings in Hashimoto's thyroiditis. - Answer - High TSH, low T4,
antimicrosomal antibodies
Exophthalmos, pretibial myxedema, and ↓ TSH. - Answer - Graves' disease
The most common cause of Cushing's syndrome. - Answer -
Iatrogenic steroid administration. The second most common cause is
Cushing's disease
A patient presents with signs of hypocalcemia, high phosphorus, and low PTH.
- Answer
- Hypoparathyroidism
"Stones, bones, groans, psychiatric overtones." - Answer - Signs and
symptoms of hypercalcemia
A patient complains of headache, weakness, and polyuria; exam reveals
hypertension and tetany. Labs reveals hypernatremia, hypokalemia, and
metabolic alkalosis. - Answer - 1° hyperaldosteronism (due to Conn's
syndrome or bilateral adrenal hyperplasia)
A patient presents with tachycardia, wild swings in BP, headache, diaphoresis,
altered mental status, and a sense of panic. - Answer - Pheochromocytoma
Should α- or β-antagonists be used first in treating pheochromocytoma? -
Answer - α- antagonists (phentolamine and phenoxybenzamine)
A patient with a history of lithium use presents with copious amounts of dilute
urine. - Answer - Nephrogenic diabetes insipidus (DI)
An antidiabetic agent associated with lactic acidosis. - Answer - Metformin
COPLETE SOLUTIONS GRADED A+
Classic ECG finding in atrial flutter. - Answer - "Sawtooth" P waves
Definition of unstable angina. - Answer - Angina is new, is worsening, or
occurs at rest
Antihypertensive for a diabetic patient with proteinuria. - Answer - ACEI
Beck's triad for cardiac tamponade. - Answer - Hypotension, distant heart
sounds, and JVD
Drugs that slow AV node transmission. - Answer - β-blockers, digoxin, calcium
channel blockers
Hypercholesterolemia treatment that → flushing and pruritus. - Answer -
Niacin
Treatment for atrial fibrillation. - Answer - Anticoagulation, rate control,
cardioversion
Treatment for ventricular fibrillation. - Answer - Immediate cardioversion
Autoimmune complication occurring 2-4 weeks post-MI. - Answer - Dressler's
syndrome: fever, pericarditis, ↑ ESR
Diagnostic test for hypertrophic cardiomyopathy. - Answer - Echocardiogram
(showing thickened left ventricular wall and outflow obstruction)
A fall in systolic BP of > 10 mmHg with inspiration. - Answer - Pulsus
paradoxus (seen in cardiac tamponade)
Classic ECG findings in pericarditis. - Answer - Low-voltage, diffuse ST-
segment elevation
Definition of hypertension. - Answer - BP > 140/90 on three separate
occasions two weeks apart
Eight surgically correctable causes of hypertension. - Answer - Renal
artery stenosis, coarctation of the aorta, pheochromocytoma, Conn's
syndrome, Cushing's syndrome, unilateral renal parenchymal disease,
hyperthyroidism, hyperparathyroidism
Evaluation of a pulsatile abdominal mass and bruit. - Answer - Abdominal
ultrasound and CT
Indications for surgical repair of abdominal aortic aneurysm. - Answer - > 5.5
cm, rapidly enlarging, symptomatic, or ruptured
,NURS HEALTH AANP EXAM QUESTIONS WITH
COPLETE SOLUTIONS GRADED A+
Treatment for acute coronary syndrome. - Answer - Morphine, O2, sublingual
nitroglycerin, ASA, IV β-blockers, heparin
What is the metabolic syndrome? - Answer - Abdominal obesity, high
triglycerides, low HDL, hypertension, insulin resistance, prothrombotic or
proinflammatory states
Appropriate diagnostic test?
■ A 50-year-old male with angina can exercise to 85% of maximum
predicted heart rate.
- Answer - Exercise stress treadmill with ECG
Appropriate diagnostic test?
■ A 65-year-old woman with left bundle branch block and severe
osteoarthritis has unstable angina. - Answer - Pharmacologic stress test
(e.g., dobutamine echo)
Signs of active ischemia during stress testing. - Answer - -Angina
-ST-segment changes on ECG
-↓ BP
ECG findings suggesting MI. - Answer - -ST-segment elev (depression =
ischemia),
-flattened T waves
-Q waves
A young patient has angina at rest with ST-segment elevation. Cardiac
enzymes are normal. - Answer - Prinzmetal's angina
The diagnostic test for pulmonary embolism. - Answer - V/Q scan
An agent that reverses the effects of heparin. - Answer - Protamine
The coagulation parameter affected by warfarin. - Answer - PT
A young patient with a family history of sudden death collapses and dies
while exercising. - Answer - Hypertrophic cardiomyopathy
Endocarditis prophylaxis regimens. - Answer - -Oral surgery—amoxicillin;
-GI or GU procedures—ampicillin and gentamicin before and amoxicillin after
The 6 P's of ischemia due to peripheral vascular disease. - Answer - Pain,
pallor, pulselessness, paralysis, paresthesia, poikilothermia
Virchow's triad. - Answer - Stasis, hypercoagulability, endothelial damage
The most common cause of hypertension in young women. - Answer - OCPs
The most common cause of hypertension in young men. - Answer - Excessive
EtOH
,NURS HEALTH AANP EXAM QUESTIONS WITH
COPLETE SOLUTIONS GRADED A+
"Stuck-on" appearance. - Answer - Seborrheic keratosis
Red plaques with silvery-white scales and sharp margins. - Answer - Psoriasis
The most common type of skin cancer; the lesion is a pearly-colored papule
with a translucent surface and telangiectasias. - Answer - Basal cell carcinoma
Honey-crusted lesions. - Answer - Impetigo
A febrile patient with a history of diabetes presents with a red, swollen,
painful lower extremity. - Answer - Cellulitis
A 55-year-old obese patient presents with dirty, velvety patches on the back
of the neck.
- Answer - Acanthosis nigricans. Check fasting blood sugar to rule out
diabetes
Dermatomal distribution. - Answer - Varicella zoster
Flat-topped papules. - Answer - Lichen planus
Iris-like target lesions. - Answer - Erythema multiforme
A lesion characteristically occurring in a linear pattern in areas where skin
comes into contact with clothing or jewelry. - Answer - Contact dermatitis
Presents with a herald patch, Christmas-tree pattern. - Answer - Pityriasis
rosea
A 16-year-old presents with an annular patch of alopecia with broken-off,
stubby hairs. - Answer - Alopecia areata (autoimmune process)
Pinkish, scaling, flat lesions on the chest and back. KOH prep has a
"spaghetti-and- meatballs" appearance. - Answer - Pityriasis versicolor
Four characteristics of a nevus suggestive of melanoma. - Answer -
Asymmetry, border irregularity, color variation, large diameter
Premalignant lesion from sun exposure that can → squamous cell carcinoma. -
Answer
- Actinic keratosis
"Dewdrop on a rose petal." - Answer - Lesions of 1° varicella
"Cradle cap." - Answer - Seborrheic dermatitis. Treat with antifungals
Associated with Propionibacterium acnes and changes in androgen levels. -
Answer - Acne vulgaris
, NURS HEALTH AANP EXAM QUESTIONS WITH
COPLETE SOLUTIONS GRADED A+
A painful, recurrent vesicular eruption of mucocutaneous surfaces. - Answer -
Herpes simplex
Inflammation and epithelial thinning of the anogenital area, predominantly in
postmenopausal women. - Answer - Lichen sclerosus
nodula
r
opaqu
e
sun-exposed area
ulcerating
non-distinct borders
*associated with a risk of metastasis* - Answer - Squamous cell carcinoma
The most common cause of hypothyroidism. - Answer - Hashimoto's
thyroiditis
Lab findings in Hashimoto's thyroiditis. - Answer - High TSH, low T4,
antimicrosomal antibodies
Exophthalmos, pretibial myxedema, and ↓ TSH. - Answer - Graves' disease
The most common cause of Cushing's syndrome. - Answer -
Iatrogenic steroid administration. The second most common cause is
Cushing's disease
A patient presents with signs of hypocalcemia, high phosphorus, and low PTH.
- Answer
- Hypoparathyroidism
"Stones, bones, groans, psychiatric overtones." - Answer - Signs and
symptoms of hypercalcemia
A patient complains of headache, weakness, and polyuria; exam reveals
hypertension and tetany. Labs reveals hypernatremia, hypokalemia, and
metabolic alkalosis. - Answer - 1° hyperaldosteronism (due to Conn's
syndrome or bilateral adrenal hyperplasia)
A patient presents with tachycardia, wild swings in BP, headache, diaphoresis,
altered mental status, and a sense of panic. - Answer - Pheochromocytoma
Should α- or β-antagonists be used first in treating pheochromocytoma? -
Answer - α- antagonists (phentolamine and phenoxybenzamine)
A patient with a history of lithium use presents with copious amounts of dilute
urine. - Answer - Nephrogenic diabetes insipidus (DI)
An antidiabetic agent associated with lactic acidosis. - Answer - Metformin
