AANP REVIEW QUESTIONS FREQUENT TESTED WITH
ACCURATE ANSWERS
1.A 64 year old with HTN and DM presents with productive cough, fever, body aches.
What diagnosis is most likely?
a. Acute bronchitis
b. Chronic bronchitis
c. Pneumonia
d. Pertussis: c. Pneumonia
1st clue: 64 year old
2nd clue: multiple
comorbidities 3rd clue:
cough, fever
what was the stem of the question?
,2.Indications for a chest xray with acute cough: abnormal vital signs (increased
RR or HR, temp >38c, 100.4F
rales, consolidation
> or equal 75 years of age with cough***
***Pneumonia in older patient: tachypnea, decreased O2 sat, OR change
in mental status or behavior
3.A 75 year old patient wo smokes and has COPD presents with a worsening cough,
weight loss, fatigue, and an enlarged right supraclavicular node. Which finding is most
indicative of a right lung tumor?
1. worsening cough
2. weight loss
3. fatigue
4. supraclavicular node: 4. supraclavicular node
most important stem clue because this lymph node drains the chest
and breast. It's a BIG deal!
If the stem gives a unilateral finding, look for a unilateral diagnosis
,4.What symptoms most commonly accompany acute bronchitis?
1. Fever, runny nose
2. Cough, fever
3. Cough and URI symptoms
4. Cough, URI, and headache: 3. Cough and URI symptoms
Remember that bronchitis is an inflammation of the bronchioles, bronchi
and trachea; usually follows an upper respiratory infection
Starts above the shoulders and drops down into chest.
5.A 35 year old patient with acute bronchitis has no underlying lung disease. He asks,
"How long before my cough goes aways?" The NP responds:
1. <1 week
2. about 1 week
3. 1-3 weeks
4. >3 weeks: 3. 1-3 weeks
The patient with bronchitis will have evidence of upper AND lower airway
symptoms. COUGH, COUGH, COUGH, usually worse at night!
, 6.What is the management of bronchitis?: Treat symptoms!
Time is the only thing for bronchitis
ABX usually prescribed, but usually not necessary
7.Differential Diagnosis for Acute Bronchitis: PND
Asthma
PNA
Pertussi
s TB
8.Supraclavicular nodes: associated with high rates of malignancy. What organs
are on the right vs left?: RT: Lungs, mediastinum, esophagus
LT: Abdominal malignancy: stomach GB liver pancreas ovaries prostate
9.Pneumonia Vaccine
Who?
Who else?
When is it given again?: Who-Prevention: Pneumococcal polysaccharide
vaccina- tion (PPSV) given once in a lifetime to immunocompetent
adults > or equal 65 years Who else-Adults 19-64 with
ACCURATE ANSWERS
1.A 64 year old with HTN and DM presents with productive cough, fever, body aches.
What diagnosis is most likely?
a. Acute bronchitis
b. Chronic bronchitis
c. Pneumonia
d. Pertussis: c. Pneumonia
1st clue: 64 year old
2nd clue: multiple
comorbidities 3rd clue:
cough, fever
what was the stem of the question?
,2.Indications for a chest xray with acute cough: abnormal vital signs (increased
RR or HR, temp >38c, 100.4F
rales, consolidation
> or equal 75 years of age with cough***
***Pneumonia in older patient: tachypnea, decreased O2 sat, OR change
in mental status or behavior
3.A 75 year old patient wo smokes and has COPD presents with a worsening cough,
weight loss, fatigue, and an enlarged right supraclavicular node. Which finding is most
indicative of a right lung tumor?
1. worsening cough
2. weight loss
3. fatigue
4. supraclavicular node: 4. supraclavicular node
most important stem clue because this lymph node drains the chest
and breast. It's a BIG deal!
If the stem gives a unilateral finding, look for a unilateral diagnosis
,4.What symptoms most commonly accompany acute bronchitis?
1. Fever, runny nose
2. Cough, fever
3. Cough and URI symptoms
4. Cough, URI, and headache: 3. Cough and URI symptoms
Remember that bronchitis is an inflammation of the bronchioles, bronchi
and trachea; usually follows an upper respiratory infection
Starts above the shoulders and drops down into chest.
5.A 35 year old patient with acute bronchitis has no underlying lung disease. He asks,
"How long before my cough goes aways?" The NP responds:
1. <1 week
2. about 1 week
3. 1-3 weeks
4. >3 weeks: 3. 1-3 weeks
The patient with bronchitis will have evidence of upper AND lower airway
symptoms. COUGH, COUGH, COUGH, usually worse at night!
, 6.What is the management of bronchitis?: Treat symptoms!
Time is the only thing for bronchitis
ABX usually prescribed, but usually not necessary
7.Differential Diagnosis for Acute Bronchitis: PND
Asthma
PNA
Pertussi
s TB
8.Supraclavicular nodes: associated with high rates of malignancy. What organs
are on the right vs left?: RT: Lungs, mediastinum, esophagus
LT: Abdominal malignancy: stomach GB liver pancreas ovaries prostate
9.Pneumonia Vaccine
Who?
Who else?
When is it given again?: Who-Prevention: Pneumococcal polysaccharide
vaccina- tion (PPSV) given once in a lifetime to immunocompetent
adults > or equal 65 years Who else-Adults 19-64 with
