AGPCNP Adult-Gerontology Primary Care Nurse
ANCC Exam questions and answers
Brown Recluse spider bite - ANSWER -halo bite with canchre
RMSF - ANSWER -rash on palms, soles
Lyme Disease - ANSWER -Target lesion aka erythema migrans
Lyme and RMSF treatment - ANSWER -Doxy
Measles aka Rubeola - ANSWER -cough, congestion, conjunctivitis, Kolpik's spots
Mumps - ANSWER -parotid gland swelling, mass under chin
cialithiasis - ANSWER -salivary gland stone
AK precursor for - ANSWER -SCC
AK tx - ANSWER -5Fu or cryotherapy
Cafe O lay spots - ANSWER -benign, more than 6? may have neurofibromatosis
SK - ANSWER -pasted on benign lesions
Basal cell - ANSWER -waxy with telangiectasis, rolled borders
Atopic dermatitis - ANSWER -on flexor surfaces, itch/scratch/itch/scratch
atopic dermatitis tx - ANSWER -topical steroids
Plaque psoriasis - ANSWER -thick scales, tx with topical steroids
Auspitz spot - ANSWER -plaques scratched and pinpoint bleeding occurs
Koebners - ANSWER -trauma leads to plaque forming
shingles - ANSWER -vesicular, follows dermatomes
Shingrix - ANSWER -can give whenever after age 50
slough and can't see? - ANSWER -unstageable
Nonblancable but intact? - ANSWER -stage 1
,scabies - ANSWER -pruritic b/w fingers and toes
scabies tx - ANSWER -prometherin cream, wash everything in hot water
Lice tx - ANSWER -prometherin and combed out
Rosacea - ANSWER -does NOT space the nose folds (on nose)
Rosacea tx - ANSWER -Flagyl gel
Mulloscum contagiosum - ANSWER -dome shaped, waxy, umbilicated papules 2-5mm
in diameter
benign growth secondary to pox virus infection
NOT a vesicle
kids-transmitted by touching, pool
adults-STI
Anthrax lesion - ANSWER -painless ulcer, cattle farmer
Anthrax tx - ANSWER -Ciprofloxacin
Folliculitis tx - ANSWER -mupirocin (topical)
Lupus - ANSWER -malar rash that spares nasolabial folds, butterful rash
What goes hand in hand with Lupus? - ANSWER -sjorgrams syndrome (dry eyes,
mouth)
Erysipelas - ANSWER -superficial cellulitis with well demarcated lines
Erysipelas tx - ANSWER -PCN or Keflex
Purulent cellulitis - ANSWER -Bactrim
Clindamycin
Doxycycline
nonpurulent cellulitis - ANSWER -keflex or PCN
Acne tx - ANSWER -clindamyocin or doxy
Leukoplakia - ANSWER -can't scrape it off- hairy
,Oral Candidiasis - ANSWER -can scrape it off
Fifths dx - ANSWER -slapped cheek rash
fever
red cheek
lack rash on body
Ringworm rash - ANSWER -Annular
cruris - ANSWER -groin ringworm
barbae - ANSWER -beard ringworm
vesicolor - ANSWER -ringworm all over body
pinworm - ANSWER -pruritis genitals at night
scotch tape test
pinworm tx - ANSWER -albendazole, mebendazol
give 1 dose then another 2 weeks later
Dog bite tx? - ANSWER -Augmentin
Lichen planus - ANSWER -seen with AI disease, exacerbated by stress, on flexor
surfaces
lichen planus tx - ANSWER -topical steroids, antihistamines
Simplex chronicus - ANSWER -lichenification of skin
Sclerosus - ANSWER -always white and usually on genitalia, topical steroids!!!!
1st degree burn - ANSWER -superficial, only epidermis, do not blister (sunburn)
2nd degree burn - ANSWER -partial thickness, dermis and epidermis, blister
3rd degree burn - ANSWER -Full thickness damage through skin into nerves and
muscles
When to refer burn - ANSWER ->10% or 2nd degree
RO9: head and neck - ANSWER -9%
RO9 upper limbs - ANSWER -9% each
RO9 trunk - ANSWER -36%
, RO9 genitalia - ANSWER -1%
RO9 lower limbs - ANSWER -18% each
Most potent vehicle? - ANSWER -1. ointment
2. cream
3. lotion
4. solution
Steroids classification - ANSWER -Class 1 is most potent
Class VII least potent
mupirocin preg - ANSWER -contraindicated!
nystagmus - ANSWER -Involuntary rapid eye movements
amblyopia - ANSWER -lazy eye
legally blind - ANSWER -20/200
color blindness - ANSWER -ishara chart
Retinal arteries are __________ - ANSWER -thinner and lighter
Should a red reflex be present on fundoscopic exam? - ANSWER -yes
HTN and eyes - ANSWER -copper wire
AV nicking
flame hemmorrages
Diabetic eye - ANSWER -cotton wool spots
neovascularization
microaneurysm
Dot and blot hemorrhages
Sudden severe eye pain, blurry, increase OP - ANSWER -acute closed angle
glaucoma
curtain being pulled over eye, floaters, blurred vision - ANSWER -Retinal detachment
pterygium - ANSWER -benign overgrowth on eye, encroaches cornea
Pinguecula - ANSWER -yellow mass that does NOT encroach cornea
Hordeolum - ANSWER -stye
ANCC Exam questions and answers
Brown Recluse spider bite - ANSWER -halo bite with canchre
RMSF - ANSWER -rash on palms, soles
Lyme Disease - ANSWER -Target lesion aka erythema migrans
Lyme and RMSF treatment - ANSWER -Doxy
Measles aka Rubeola - ANSWER -cough, congestion, conjunctivitis, Kolpik's spots
Mumps - ANSWER -parotid gland swelling, mass under chin
cialithiasis - ANSWER -salivary gland stone
AK precursor for - ANSWER -SCC
AK tx - ANSWER -5Fu or cryotherapy
Cafe O lay spots - ANSWER -benign, more than 6? may have neurofibromatosis
SK - ANSWER -pasted on benign lesions
Basal cell - ANSWER -waxy with telangiectasis, rolled borders
Atopic dermatitis - ANSWER -on flexor surfaces, itch/scratch/itch/scratch
atopic dermatitis tx - ANSWER -topical steroids
Plaque psoriasis - ANSWER -thick scales, tx with topical steroids
Auspitz spot - ANSWER -plaques scratched and pinpoint bleeding occurs
Koebners - ANSWER -trauma leads to plaque forming
shingles - ANSWER -vesicular, follows dermatomes
Shingrix - ANSWER -can give whenever after age 50
slough and can't see? - ANSWER -unstageable
Nonblancable but intact? - ANSWER -stage 1
,scabies - ANSWER -pruritic b/w fingers and toes
scabies tx - ANSWER -prometherin cream, wash everything in hot water
Lice tx - ANSWER -prometherin and combed out
Rosacea - ANSWER -does NOT space the nose folds (on nose)
Rosacea tx - ANSWER -Flagyl gel
Mulloscum contagiosum - ANSWER -dome shaped, waxy, umbilicated papules 2-5mm
in diameter
benign growth secondary to pox virus infection
NOT a vesicle
kids-transmitted by touching, pool
adults-STI
Anthrax lesion - ANSWER -painless ulcer, cattle farmer
Anthrax tx - ANSWER -Ciprofloxacin
Folliculitis tx - ANSWER -mupirocin (topical)
Lupus - ANSWER -malar rash that spares nasolabial folds, butterful rash
What goes hand in hand with Lupus? - ANSWER -sjorgrams syndrome (dry eyes,
mouth)
Erysipelas - ANSWER -superficial cellulitis with well demarcated lines
Erysipelas tx - ANSWER -PCN or Keflex
Purulent cellulitis - ANSWER -Bactrim
Clindamycin
Doxycycline
nonpurulent cellulitis - ANSWER -keflex or PCN
Acne tx - ANSWER -clindamyocin or doxy
Leukoplakia - ANSWER -can't scrape it off- hairy
,Oral Candidiasis - ANSWER -can scrape it off
Fifths dx - ANSWER -slapped cheek rash
fever
red cheek
lack rash on body
Ringworm rash - ANSWER -Annular
cruris - ANSWER -groin ringworm
barbae - ANSWER -beard ringworm
vesicolor - ANSWER -ringworm all over body
pinworm - ANSWER -pruritis genitals at night
scotch tape test
pinworm tx - ANSWER -albendazole, mebendazol
give 1 dose then another 2 weeks later
Dog bite tx? - ANSWER -Augmentin
Lichen planus - ANSWER -seen with AI disease, exacerbated by stress, on flexor
surfaces
lichen planus tx - ANSWER -topical steroids, antihistamines
Simplex chronicus - ANSWER -lichenification of skin
Sclerosus - ANSWER -always white and usually on genitalia, topical steroids!!!!
1st degree burn - ANSWER -superficial, only epidermis, do not blister (sunburn)
2nd degree burn - ANSWER -partial thickness, dermis and epidermis, blister
3rd degree burn - ANSWER -Full thickness damage through skin into nerves and
muscles
When to refer burn - ANSWER ->10% or 2nd degree
RO9: head and neck - ANSWER -9%
RO9 upper limbs - ANSWER -9% each
RO9 trunk - ANSWER -36%
, RO9 genitalia - ANSWER -1%
RO9 lower limbs - ANSWER -18% each
Most potent vehicle? - ANSWER -1. ointment
2. cream
3. lotion
4. solution
Steroids classification - ANSWER -Class 1 is most potent
Class VII least potent
mupirocin preg - ANSWER -contraindicated!
nystagmus - ANSWER -Involuntary rapid eye movements
amblyopia - ANSWER -lazy eye
legally blind - ANSWER -20/200
color blindness - ANSWER -ishara chart
Retinal arteries are __________ - ANSWER -thinner and lighter
Should a red reflex be present on fundoscopic exam? - ANSWER -yes
HTN and eyes - ANSWER -copper wire
AV nicking
flame hemmorrages
Diabetic eye - ANSWER -cotton wool spots
neovascularization
microaneurysm
Dot and blot hemorrhages
Sudden severe eye pain, blurry, increase OP - ANSWER -acute closed angle
glaucoma
curtain being pulled over eye, floaters, blurred vision - ANSWER -Retinal detachment
pterygium - ANSWER -benign overgrowth on eye, encroaches cornea
Pinguecula - ANSWER -yellow mass that does NOT encroach cornea
Hordeolum - ANSWER -stye
