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AANP FNP certification
1. 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: III first time audible, IV first time thrill
2. Fundal height 12 weeks: 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. 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?: Iron, TIBC
4. 3 months of synthroid, TSH increased, T4 normal, what do you do?: Increase Medication
5. 3 ways to assess cognitive function in patient with signs/symptoms of memory loss: Mini mental exam
6. 4 month old with strabismus, mom is worried......: tell her it is normal.
7. 4 month old wont keep anything down, what is the main thing you look at?: Growth chart
8. 6 month old closed anterior fontanel.: XRAY
9. Abnormal cells on PAP, what do you do next?: Refer for Colposcopy
10. CAGE ACRONYM: Cut down
Annoyed by criticism
Guilty about drinking
Eye opener drink
11. Causes of tachycardia: Fever
Anemia
Hypotension
12. Cranial nerves responsible for extraocular eye movements: CN 3,4,6
13. Definition of metabolic syndrome: cluster of conditions that increase risk of heart disease, stroke, diabetes.
14. diagnose trichomoniasis: wet prep
15. Elderly presents with atrophic vaginitis, small uterus, palpable 4x5 ovary, what do you do next?: Pelvic US
16. Epistaxis is most common in the area of the nose known as kiesselbachs triangle, where is this located?:
Anterior septum
17. Definitive diagnosis of acute bacterial prostatitis: urinalysis and culture 18. GERD treatment: H2 is first line, give
hs
19. Grade 3 cells on Pap, treatment?: LEEP excision
20. Fingernail hematoma treatment?: drill hole and drain blood?
,21. Increased risk of ectopic pregnancy: Salpingitis, or history of abortion, PID, 22. Koplick spots: Measles (rubeola).
Grains of salt lesions inside mouth in Measles
23. Legg-Calve-Perthes Disease: Avascular necrosis of the proximal femoral head
24. Lipid level of 1500, increased risk for?: Pancreatitis
25. Low HGB, Low HCT, High MCV indicates what?: Macrocytic anemia, B12 Def 26. Man with BPH, prostate feels
on digital exam?: Enlarged, symmetrical, smooth
27. Man with HTN, CAD, present femoral pulses but absent pedal: Arterial Insufficiency
28. McMurray's Sign
(+) palpable or audible click while extending with varus stress: Meniscus tears
29. Lachman's Test: pivot shift test (ACL tear)
30. Newborn with foot turned in, what do you do?: refer to orthopedist 31. Osgood-Schlatter disease: Knee pain.
inflammation or irritation of the tibia at its point of attachment with the patellar tendon 32. Patient forgot to start
Thanksgiving dinner and husband states she has trouble remembering tasks and trouble with organization.
What is this indicative of?: Alzheimer's
33. Pt has Barretts Esophagus, insurance no longer covers GI who was treating condition. Pt at FNP office
wanting refill prescriptions. What do you do?: Refer to oncologist
34. Pt presents with rash on shoulder, erythematous maculopapular rash with center clearing and scaling?:
Tinea Corporis
35. Pt presents with "bag of worms:, indicates?: Varicocele
36. Pt with atopic dermatitis, look for what other diseases?: Asthma
37. Pt with bleeding after menopause: endometrial biopsy, need to screen for cancer
38. Pt with hx of PID, increased rick for?: Infertility
39. Pt with HIV took high potency anti viral treatments and CD4 is >400, what does this indicate?: This is good.
Want higher than 350
40. Pt with hx of htn and stroke, now having memory loss. What does this indicate?: Vascular dementia
41. Pregnant teacher with exposure to 5ths disease (SLAP CHEEK), what risk is there to the fetus?: slap cheek,
PVB19, rash hands / feet Fetal death and birth defects
42. Quick assessment of patients fall risk? Timed Get up and Go: Timed Get up and Go
43. Red beefy tongue?: pernicious anemia
44. Rotator cuff injury presentation: disturbs sleep, arm weakness, dull ache
45. Shingles near eye: immediate referral to ophthalmology
46. Signs and symptoms of Roseola (6ths disease) ?: Viral infection
Can result in a maculopapular rash, but up to 70% of cases proceed without the rash stage
-Usually accompanied by a high fever (41°C or 105°F) that comes on quickly and lasts up to 3 days followed by rash -Seizures
may occur during this period.
, 1
-On the fourth day, the fever disappears and the rash appears, first on chest and trunk, then less prominently on the face and
limbs.
-High fever, pink flat or raised rash
47. Treatment for chronic alcoholism:: 12 step program
48. Treatment for Gonorrhea?: Rocephin 250mg IMx1 plus
Azithromycin 1 gm orally x1 to cover chlamydia. , or doxy 100 mg BID x7d. Green colored vaginal discharge, friable cervix. EXAM
Report to health department
49. Young female want birth control, forgets to take pills, does not want to get pregnant for at least 5 years::
IUD
50. Basal cell cancer: Waxy, pearly, telangiectasia, ulcer center lesion
-most common type of skin cancer caused by UV exposure. Metastatic is rare
51. Actinic Keratosis: Scaly red to yellow located in sun exposed area
-a precancerous skin growth that occurs on sun-damaged skin
52. Actinic Keratosis: Numerous round dry pink to red areas. Scaly red to yellow located in sun exposed area
-a pre squamous cell carcinoma occurs on sun-damaged skin biopsy
cryo or 5fu cream
53. subungual hematoma tx: Make a hole and drain the blood
54. Moderate acne treatment: Without inflammation: Topical retinoid
Moderate inflammation: Topical Retinoid or benzoyl peroxide or Azaleic acic ( very expensive and hard to get covered)
PLUS ADD
Oral antibiotics: doxycycline or tetracycline or minocycline- (tetracyclines has been proven most affective for inflammatory acne)
Minocycline- long term use has been linked with pseudotumor cerebri
Oral contraceptives for hormone related
Spironolactone
55. heart murmur with holosystolic or pan systolic
Heart mumur with mid systolic: MR - radiate axilla, 5th ICS MCL, apex,
AS - radiate neck, 2ICS right sternal border
AANP FNP certification
1. 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: III first time audible, IV first time thrill
2. Fundal height 12 weeks: 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. 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?: Iron, TIBC
4. 3 months of synthroid, TSH increased, T4 normal, what do you do?: Increase Medication
5. 3 ways to assess cognitive function in patient with signs/symptoms of memory loss: Mini mental exam
6. 4 month old with strabismus, mom is worried......: tell her it is normal.
7. 4 month old wont keep anything down, what is the main thing you look at?: Growth chart
8. 6 month old closed anterior fontanel.: XRAY
9. Abnormal cells on PAP, what do you do next?: Refer for Colposcopy
10. CAGE ACRONYM: Cut down
Annoyed by criticism
Guilty about drinking
Eye opener drink
11. Causes of tachycardia: Fever
Anemia
Hypotension
12. Cranial nerves responsible for extraocular eye movements: CN 3,4,6
13. Definition of metabolic syndrome: cluster of conditions that increase risk of heart disease, stroke, diabetes.
14. diagnose trichomoniasis: wet prep
15. Elderly presents with atrophic vaginitis, small uterus, palpable 4x5 ovary, what do you do next?: Pelvic US
16. Epistaxis is most common in the area of the nose known as kiesselbachs triangle, where is this located?:
Anterior septum
17. Definitive diagnosis of acute bacterial prostatitis: urinalysis and culture 18. GERD treatment: H2 is first line, give
hs
19. Grade 3 cells on Pap, treatment?: LEEP excision
20. Fingernail hematoma treatment?: drill hole and drain blood?
,21. Increased risk of ectopic pregnancy: Salpingitis, or history of abortion, PID, 22. Koplick spots: Measles (rubeola).
Grains of salt lesions inside mouth in Measles
23. Legg-Calve-Perthes Disease: Avascular necrosis of the proximal femoral head
24. Lipid level of 1500, increased risk for?: Pancreatitis
25. Low HGB, Low HCT, High MCV indicates what?: Macrocytic anemia, B12 Def 26. Man with BPH, prostate feels
on digital exam?: Enlarged, symmetrical, smooth
27. Man with HTN, CAD, present femoral pulses but absent pedal: Arterial Insufficiency
28. McMurray's Sign
(+) palpable or audible click while extending with varus stress: Meniscus tears
29. Lachman's Test: pivot shift test (ACL tear)
30. Newborn with foot turned in, what do you do?: refer to orthopedist 31. Osgood-Schlatter disease: Knee pain.
inflammation or irritation of the tibia at its point of attachment with the patellar tendon 32. Patient forgot to start
Thanksgiving dinner and husband states she has trouble remembering tasks and trouble with organization.
What is this indicative of?: Alzheimer's
33. Pt has Barretts Esophagus, insurance no longer covers GI who was treating condition. Pt at FNP office
wanting refill prescriptions. What do you do?: Refer to oncologist
34. Pt presents with rash on shoulder, erythematous maculopapular rash with center clearing and scaling?:
Tinea Corporis
35. Pt presents with "bag of worms:, indicates?: Varicocele
36. Pt with atopic dermatitis, look for what other diseases?: Asthma
37. Pt with bleeding after menopause: endometrial biopsy, need to screen for cancer
38. Pt with hx of PID, increased rick for?: Infertility
39. Pt with HIV took high potency anti viral treatments and CD4 is >400, what does this indicate?: This is good.
Want higher than 350
40. Pt with hx of htn and stroke, now having memory loss. What does this indicate?: Vascular dementia
41. Pregnant teacher with exposure to 5ths disease (SLAP CHEEK), what risk is there to the fetus?: slap cheek,
PVB19, rash hands / feet Fetal death and birth defects
42. Quick assessment of patients fall risk? Timed Get up and Go: Timed Get up and Go
43. Red beefy tongue?: pernicious anemia
44. Rotator cuff injury presentation: disturbs sleep, arm weakness, dull ache
45. Shingles near eye: immediate referral to ophthalmology
46. Signs and symptoms of Roseola (6ths disease) ?: Viral infection
Can result in a maculopapular rash, but up to 70% of cases proceed without the rash stage
-Usually accompanied by a high fever (41°C or 105°F) that comes on quickly and lasts up to 3 days followed by rash -Seizures
may occur during this period.
, 1
-On the fourth day, the fever disappears and the rash appears, first on chest and trunk, then less prominently on the face and
limbs.
-High fever, pink flat or raised rash
47. Treatment for chronic alcoholism:: 12 step program
48. Treatment for Gonorrhea?: Rocephin 250mg IMx1 plus
Azithromycin 1 gm orally x1 to cover chlamydia. , or doxy 100 mg BID x7d. Green colored vaginal discharge, friable cervix. EXAM
Report to health department
49. Young female want birth control, forgets to take pills, does not want to get pregnant for at least 5 years::
IUD
50. Basal cell cancer: Waxy, pearly, telangiectasia, ulcer center lesion
-most common type of skin cancer caused by UV exposure. Metastatic is rare
51. Actinic Keratosis: Scaly red to yellow located in sun exposed area
-a precancerous skin growth that occurs on sun-damaged skin
52. Actinic Keratosis: Numerous round dry pink to red areas. Scaly red to yellow located in sun exposed area
-a pre squamous cell carcinoma occurs on sun-damaged skin biopsy
cryo or 5fu cream
53. subungual hematoma tx: Make a hole and drain the blood
54. Moderate acne treatment: Without inflammation: Topical retinoid
Moderate inflammation: Topical Retinoid or benzoyl peroxide or Azaleic acic ( very expensive and hard to get covered)
PLUS ADD
Oral antibiotics: doxycycline or tetracycline or minocycline- (tetracyclines has been proven most affective for inflammatory acne)
Minocycline- long term use has been linked with pseudotumor cerebri
Oral contraceptives for hormone related
Spironolactone
55. heart murmur with holosystolic or pan systolic
Heart mumur with mid systolic: MR - radiate axilla, 5th ICS MCL, apex,
AS - radiate neck, 2ICS right sternal border
