SARAH MICHELLE AANP BOARD EXAM - IN DEPTH
DIAGNOSIS QUESTIONS
How will you treat stage one HTN with ASCVD risk of <10%? - Answer -lifestyle
modifications
How will you treat stage one HTN with ASCVD risk of >10%? - Answer -medications
According to the AHA/ACC guidelines, stage one HTN is defined as BP of _______-
_______/_____-_____ - Answer -130-139/80-89
According to the AHA/ACC guidelines, stage two HTN is defined as BP of
>_______/>_____ - Answer -140, 90
The mainstay of hyperlipidemia treatment, regardless of medication use as well, is
_____________________ ________________________ - Answer -lifestyle
modifications
The typical culprit of bacterial pneumonia is ___________
_________________________ - Answer -strep pneumoniae
________________________ pneumonia tends to be more significant/serious while
_______________ pneumonia tends to be more of a "walking" pneumonia - Answer -
bacterial, viral
Do not given pneumonia patients ____________ _______________________, can give
them expectorants - Answer -cough suppressants
Follow-up CXR from pneumonia should be performed around the ________ week mark
- Answer -8
Functional assessment tool that we can use to help us decide how much COPD is
affecting our patients daily life, a score >10 is considered significant day to day
disruption - Answer -CAT assessment (COPD assessment test)
COPD diagnosis is confirmed with ________________________, an FEV1/FVC ratio
score of less than ___________ indicates COPD - Answer -spirometry, 0.70
What 3 things must be present in order to diagnose a COPD exacerbation?
1) increased _____________________
2) increased __________________ production
3) increased sputum __________________________ - Answer -dyspnea, sputum,
purulence
, Treatment options for Bell's palsy include __________________ (started within 72
hours of symptom onset), antivirals may be utilized depending upon the patient, and
lubricating eye ointment should always be prescribed to avoid corneal abrasions -
Answer -steroids
This condition occurs when there is too much circulating serotonin, symptoms include
shivering, seizures, agitation, tachycardia, tremors and possible death - Answer -
serotonin syndrome
Anxiety screening tool - Answer -GAD7 scale
This condition, ________________, is often known as the "great mimicker" because the
presentation is so vague, in order to diagnose this condition the patient must have
______ of 11 of the following criteria:
-malar rash
-discoid rash
-photosensitivity
-oral/nasal ulcers
-non-erosive arthritis
-cardiopulmonary complaints
-renal complaints
-neurological concerns
-immunological disorder
-hematological disorders
-positive ANA test - Answer -lupus, 4
Lupus is most commonly seen in women of __________________________ age and in
__________________ Americans - Answer -childbearing, African
Which specialty should we refer lupus patients to? - Answer -rheumatology
Life-threatening condition associated with hypothyroidism, symptoms include
abnormally low body temperature, swelling (including tongue thickening), confusion,
lethargy and difficulty breathing. Can be precipitated by lithium and amiodarone -
Answer -myxedema coma
____________ is diagnosed through an HIV1/HIV2 antigen/antibody immunoassay, if
this test is positive than order an HIV1/HIV2 antibody differentiation immunoassay, we
no longer use the western blot - Answer -HIV
____________ count must be monitored after a patients has been diagnosed with HIV -
Answer -CD4
Antiretroviral drugs should be initiated at a CD4 count of ___________ or less - Answer
-350
DIAGNOSIS QUESTIONS
How will you treat stage one HTN with ASCVD risk of <10%? - Answer -lifestyle
modifications
How will you treat stage one HTN with ASCVD risk of >10%? - Answer -medications
According to the AHA/ACC guidelines, stage one HTN is defined as BP of _______-
_______/_____-_____ - Answer -130-139/80-89
According to the AHA/ACC guidelines, stage two HTN is defined as BP of
>_______/>_____ - Answer -140, 90
The mainstay of hyperlipidemia treatment, regardless of medication use as well, is
_____________________ ________________________ - Answer -lifestyle
modifications
The typical culprit of bacterial pneumonia is ___________
_________________________ - Answer -strep pneumoniae
________________________ pneumonia tends to be more significant/serious while
_______________ pneumonia tends to be more of a "walking" pneumonia - Answer -
bacterial, viral
Do not given pneumonia patients ____________ _______________________, can give
them expectorants - Answer -cough suppressants
Follow-up CXR from pneumonia should be performed around the ________ week mark
- Answer -8
Functional assessment tool that we can use to help us decide how much COPD is
affecting our patients daily life, a score >10 is considered significant day to day
disruption - Answer -CAT assessment (COPD assessment test)
COPD diagnosis is confirmed with ________________________, an FEV1/FVC ratio
score of less than ___________ indicates COPD - Answer -spirometry, 0.70
What 3 things must be present in order to diagnose a COPD exacerbation?
1) increased _____________________
2) increased __________________ production
3) increased sputum __________________________ - Answer -dyspnea, sputum,
purulence
, Treatment options for Bell's palsy include __________________ (started within 72
hours of symptom onset), antivirals may be utilized depending upon the patient, and
lubricating eye ointment should always be prescribed to avoid corneal abrasions -
Answer -steroids
This condition occurs when there is too much circulating serotonin, symptoms include
shivering, seizures, agitation, tachycardia, tremors and possible death - Answer -
serotonin syndrome
Anxiety screening tool - Answer -GAD7 scale
This condition, ________________, is often known as the "great mimicker" because the
presentation is so vague, in order to diagnose this condition the patient must have
______ of 11 of the following criteria:
-malar rash
-discoid rash
-photosensitivity
-oral/nasal ulcers
-non-erosive arthritis
-cardiopulmonary complaints
-renal complaints
-neurological concerns
-immunological disorder
-hematological disorders
-positive ANA test - Answer -lupus, 4
Lupus is most commonly seen in women of __________________________ age and in
__________________ Americans - Answer -childbearing, African
Which specialty should we refer lupus patients to? - Answer -rheumatology
Life-threatening condition associated with hypothyroidism, symptoms include
abnormally low body temperature, swelling (including tongue thickening), confusion,
lethargy and difficulty breathing. Can be precipitated by lithium and amiodarone -
Answer -myxedema coma
____________ is diagnosed through an HIV1/HIV2 antigen/antibody immunoassay, if
this test is positive than order an HIV1/HIV2 antibody differentiation immunoassay, we
no longer use the western blot - Answer -HIV
____________ count must be monitored after a patients has been diagnosed with HIV -
Answer -CD4
Antiretroviral drugs should be initiated at a CD4 count of ___________ or less - Answer
-350
