2023 AANP FNP Certification Exam GRADED A

All diastolic murmurs are pathological. Murmurs Grades I-barely II-audible III- clearly audible. IV- first time thrill V-Steth edge VI-entire steth. EXAM Correct answer- III first time audible, IV first time thrill Fundal height 12 weeks Correct answer- Fundal Height 12 weeks above symphysis pubis. EXAM Fundus 16 weeks between symphysis pubis and umbilicus. Fundus at 20 weeks is at umbilicus. 2 cm more of less from # of wk gestation is normal if more or less order US 3 month old infant with down syndrome, due to milk intolerance, mom started on goats milk; now has pale conjunctiva but otherwise healthy. Low HCT. What additional test would you order? Correct answer- Iron, TIBC 3 months of synthroid, TSH increased, T4 normal, what do you do? Correct answer- Increase Medication 3 ways to assess cognitive function in patient with signs/symptoms of memory loss Correct answer- Mini mental exam 4 month old with strabismus, mom is worried...... Correct answer- tell her it is normal. 4 month old wont keep anything down, what is the main thing you look at? Correct answer- Growth chart 6 month old closed anterior fontanel. Correct answer- XRAY Abnormal cells on PAP, what do you do next? Correct answer- Refer for Colposcopy CAGE ACRONYM Correct answer- Cut down Annoyed by criticism Guilty about drinking Eye opener drinkCauses of tachycardia Correct answer- Fever Anemia Hypotension Cranial nerves responsible for extraocular eye movements Correct answer- CN 3,4,6 Definition of metabolic syndrome Correct answer- cluster of conditions that increase risk of heart disease, stroke, diabetes. diagnose trichomoniasis Correct answer- wet prep Elderly presents with atrophic vaginitis, small uterus, palpable 4x5 ovary, what do you do next? Correct answer- Pelvic US Epistaxis is most common in the area of the nose known as kiesselbachs triangle, where is this located? Correct answer- Anterior septum Definitive diagnosis of acute bacterial prostatitis Correct answer- urinalysis and culture GERD treatment Correct answer- H2 is first line, give hs Grade 3 cells on Pap, treatment? Correct answer- LEEP excision Fingernail hematoma treatment? Correct answer- drill hole and drain blood? Increased risk of ectopic pregnancy Correct answer- Salpingitis, or history of abortion, PID, Koplick spots Correct answer- Measles (rubeola). Grains of salt lesions inside mouth in Measles Koplick spots Correct answer- Measles (rubeola). Grains of salt lesions inside mouth in Measles Legg-Calve-Perthes DiseaseCorrect answer- Avascular necrosis of the proximal femoral head Lipid level of 1500, increased risk for? Correct answer- Pancreatitis Low HGB, Low HCT, High MCV indicates what? Correct answer- Macrocytic anemia, B12 Def Man with BPH, prostate feels on digital exam? Correct answer- Enlarged, symmetrical, smooth Man with HTN, CAD, present femoral pulses but absent pedal Correct answer- Arterial Insufficiency McMurray's Sign (+) palpable or audible click while extending with varus stress Correct answer- Meniscus tears Lachman's Test Correct answer- pivot shift test (ACL tear) Newborn with foot turned in, what do you do? Correct answer- refer to orthopedist Osgood-Schlatter disease Correct answer- Knee pain. inflammation or irritation of the tibia at its point of attachment with the patellar tendon Patient forgot to start Thanksgiving dinner and husband states she has trouble remembering tasks and trouble with organization. What is this indicative of? Correct answer- Alzheimer's Pt has Barretts Esophagus, insurance no longer covers GI who was treating condition. Pt at FNP office wanting refill prescriptions. What do you do? Correct answer- Refer to oncologist Pt presents with rash on shoulder, erythematous maculopapular rash with center clearing and scaling? Correct answer- Tinea Corporis Pt presents with "bag of worms:, indicates? Correct answer- Varicocele Pt with atopic dermatitis, look for what other diseases? Correct answer- Asthma