NEW AANP FNP ACTUAL EXAM WITH 300 REAL EXAM QUESTIONS AND CORRECT ANSWERS (100 CORRECT VERIFIED ANSWERS) ANNP FNP AGPCNP PSI AANP EXAM REVIEW 2024 (BRAND NEW!!)

AANP FNP EXAM TEST (QUESTIONS A
g g g g g


ND ANSWERS) 2023/2024
g g




BasalgCellgCarcinomag-gCORRECTgANSWER--
painless,gpearly,gulceratedgnodulegwithgoverlyinggtelangiectasis
-foundgongsungareas

ActinicgKeratosesg-gCORRECTgANSWER--slightlygrough,gpinkgorgflesh-
coloredglesiongingsun-exposedgarea
-pharmacologicalgtreatment:g5-fluorouracilg(topicalgchemotherapy)
-non-pharmacologicalgtreatment:gchemicalgpeel,gcryotherapy,glasergresurfacing

Tuberculosisg-gCORRECTgANSWER-I.gTransmission
A. Mycobacteriumgtuberculosisgcarriedgingairbornegdroplets
B. ActivegPulmonarygorgLaryngealgTuberculosisgtransmitted
1.gSneeze,gcough,gspeak,gorgsing

II. Symptoms
A. LatentgTuberculosisgisgasymptomatic
B. ActivegTuberculosisgpresentationgoftengmimicsgcancergpresentation
1. Non-specificgpresentationg(mostgcommon)
a. Fatigue
b. Weightgloss
c. Cachexia
d. NightgSweats
C. PulmonarygTuberculosisgsymptoms
1. Productivegcoughg(typicallyg2-3gweeks)
2. Hemoptysisg(uncommon)
3. PleuriticgChestgPain
4. Dyspnea

III. Signs
A. SitesgofgInvolvement
1. Primaryginfection:glungginvolvement
B. DisseminatedgDisease

IV. Management
A. LatentgTuberculosis

,1. PositivegPPDgwithoutgsignsgofgActivegTb
2. TreatmentgindicatedgifgriskgofgTbgProgressiongfromglatentgtogactivegdisease
B. ActivegTuberculosis

Goutg-gCORRECTgANSWER-I.gPathophysiology
A. *GoutgoccursgwhengUricgAcidglevelsgexceedgsolubilityglimits*
1. Monosodiumgurategcrystalsgdepositgingjoints,gKidney,gandgsoftgtissues
2. CrystalgdepositiongtriggersgaginflammatorygresponsegfromgcytokinesgandgNeutrophils
3. Jointgspacegisgirreversiblyginjuredgwithgongoinggattacks

II. RiskgFactors
A. Mostgcommon
1. Obesity
2. Alcoholguseg(especiallygbeer)
3. Highgpurinegdietg(redgmeats,gturkeygandgwildggame,gorgangmeats,gseafood)
4. Drinksgsweetenedgwithghighgfructosegcorngsyrup
5. DiureticgtherapygincludinggThiazidegDiuretics
6. Othergrisks
a. DiabetesgMellitus
b. Hyperlipidemia
c. Hypertension
d. Atherosclerosis
e. RenalgInsufficiency
f. Myeloproliferativegdisease

III. Symptoms
A. AssociatedgSymptoms
1. Chills
2. Fevergasghighgasg104gFg(40gC)
3. Severity:gVerygseveregpain
a. Unablegtogbeargweight
b. Toogpainfulgtogputgongsocks
c. Intollerantgtoglightgtouchgfromgblankets
B. RegionsgLowergextremities
1. *FirstgMetatarsophalangealgjointgofggreatgtoe*g(mostgcommon)
a. Knowngasg*Podagra*
i.gAffectedging50%gofgfirstggoutgattack
sgMid-tarsalgjoints
2. AnklegJoints
3. KneegJoints
C. Regionsguppergextremities
1. Fingers
2. Wrists
3. Elbows
D. Characteristics:gJointgPain
1. Excruciating,gcrushinggtypegpain

,2. Timing:gJointgPain
3. AcutegonsetgofglowergextremitygJointgPain
4. Wakensgpatientgfromgsleep

IV. Signs
A. Acute
1. JointgInflammation
2. Erythema,gtendernessgandgswellinggatgaffectedgjoint
a. Paingextendsgwellgbeyondgjoint
b. Entiregfootginvolvedgingsomegcases
3. Asymmetricgjointginvolvement
a. Maygonlyginvolvegonegsidegwithgthegfirstgattack
4. Skingovergjointgisgtensegandgshiny
B. Chronic
1. GoutygTophig(developgafterg10gyears)
a.gSubcutaneousgNodulesgofgmonosodiumgurategcrystalsgandglipids,gproteinsgandgmucopoly
saccharides
C. ChronicgArthritis
1. Chronicgdepositiongoccursgwithgrecurrentgattacks

Dix-HallpikegManeuverg-gCORRECTgANSWER-

CentralgVertigog-gCORRECTgANSWER-I.gFindings:gSuggestivegofgcentralgcauses
A. Nystagmus
1. VerticalgorgtorsionalgNystagmusg(puregHorizontalgNystagmusgmaygoccurgwithgeithe
rgperipheralgorgcentralgcause)
2. NogNystagmusgongHorizontalgHeadgImpulsegTest
3. Persistsg<6gsecondsgaftergDix-HallpikegManeuver
4. FixationgofgeyesgongobjectgdoesgnotginhibitgNystagmus
5. Requiresgweeksgtogmonthsgtogresolve
B. Episodesglastghoursgtogdays
C. Severegimbalancegimpairsgstandinggandgwalking
D. NogHearinggLossgorgTinnitusgingmostgcentralgcases
E. AcutegVestibulargSyndromeg(PosteriorgCirculationging25%gofgcases)
1. Rapidgonsetg(<1ghour)gofgacute,gpersistent,gcontinuousgVertigogorgDizziness
2. AssociatedgwithgNystagmus,gNauseagorgVomiting,gheadgmotiongintolerance,gandggai
tgunsteadiness
F. PositivegHiNTsgExamgCriteriag(atgleastg1gofg3gpositive)garegsuggestivegofgcerebell
argCVAgorgBrainstemgCVAg(100%gsensitive,g96%gspecific)
1. NormalgHorizontalgHeadgImpulsegTestg(nogsaccade/correctiongongheadgrotation)gOR
2. Nystagmusgthatgchangesgdirectiong(orgVerticalgNystagmusgorgtorsionalgNystagmus
)gOR
3. SkewgDeviationgongAlternategEyegCovergTestgingwhichguncoveredgeyegdemonstrate
sgquickgverticalggazegcorrections

III.gCauses:gCentralgVertigo

, A. Non-VasculargCentralgCausesgofgVertigog(CNg8gorgCNS)
1. Tumor
a. AcousticgNeuromag(VestibulargSchwannoma)
b. Infratentorialgependymoma
c. Brainstemgglioma
d. Medulloblastoma
e. Neurofibromatosis
2. MigrainegHeadache
3. MultiplegSclerosis
B. Vasculargdiseasegrelatedgtransientgcerebralganoxia
1. Specificganoxiagtogvertebrobasilargsystem
a. Vesselgspecific
i. BrainstemgInfarctg(associatedgwithgHearinggLoss)
1. AnteriorgInferiorgCerebellargArterygInfarction
2. AnteriorgVestibulargArterygInfarction
ii. BrainstemgInfarctg(nogHearinggLoss)
1. PosteriorgInferiorgCerebellargArteryginfarction
2. LabyrinthinegArterygInfarction
b. Precipitatinggconditions
i. Arteriosclerosis
ii. Hypertension
iii. Anemia
iv. AtrialgFibrillation
C. OthergCauses
1. PosturalgHypotension
2. Syncope

PeripheralgVertigog-gCORRECTgANSWER-I.gFindings:gSuggestivegofgperipheralgcauses
A. Pathognomonicgforgperipheralgcause
1. Suddengonsetgwithgbriefgepisodesgoftengongawakening
2. RotarygIllusiongwithgNausea,gVomiting
B. Nystagmus
1. CombinedghorizontalgandgtorsionalgNystagmus
2. Persistsg5-20gsecondsgaftergDix-HallpikegManeuver
3. FixationgofgeyesgongobjectginhibitsgNystagmus
C. Moderategimbalance
D. NauseagorgVomiting
E. Associatedgfindings
1. HearinggLoss
2. Tinnitus
F. Tullio'sgPhenomenon
1. NystagmusgandgVertigogprovokedgbygloudgsounds

II.gCauses:gCommong(PeripheralgVertigo)
A. AcutegVestibulargNeuronitis
B. BenigngParoxysmalgPositionalgVertigo