AANP FNP CERTIFICATION
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,Questions
Question 1
presbycusis
Correct Answer
a gradual loss of sensorineural hearing that occurs as the body ages
Question 2
Metformin
Correct Answer
Metformin - monitor BUN, Creatinine.
contraindicated renal and liver disease
ARF creatinine up and GFR down.
affects liver enzymes, weight loss, avoid in alcohol drinkers, lactic acidosis, diarrhea flatulence
CT: hold 24 hr before and 48hr after
Question 3
ADHD
Correct Answer
A behavioral problem characterized by short attention span, restless movement, and impaired learning capacity.
Question 4
Varus Stress Test
Correct Answer
application of a lateral force to the medial aspect of a joint in an attempt to create a gap in the lateral joint line, thereby testing
the stability of the lateral aspect of the joint
LCL
,Question 5
retinal detachment
Correct Answer
floaters, curtain, flashes
Question 6
Varicella Zoster
Correct Answer
"contagious 48 h. before, until all lesions crusted over" low grade fever, generalized lymphadenopathy, intense itching,
erythematous macules, papules develop over macules, then vesicles erupt. "initially on trunk, then scalp and face"
TREATMENT supportive, antihistamines, acyclovir 20mg/kg 5xd. If given first 24 hours works best. EXAM
Question 7
Man with HTN, CAD, present femoral pulses but absent pedal
Correct Answer
Arterial Insufficiency
Question 8
Parathyroid hormone
Correct Answer
PTH is responsible for calcium loss or gain from bones, kidneys, and GI tract. EXAM
Question 9
Tanner 4
Correct Answer
Tanner 4- female nipples and areola become elevated from breast, secondary mound Male penis grows wider grows in length,
darker scrotum
, Question 10
Koplik spots
Correct Answer
Koplik Spots- "clusters sm. Size red papules w/ white centers in the buccal mucosa by lower molars". Rubeolla. Fever,
conjunctivitis, coryza, cough (3c). Morbiliform rash. EXAM
Question 11
Acne Rosacea
Correct Answer
- chronic small acne like papules/pustules around nose mouth chin. TREATMENT- Metrogel, Azelex. Low dose tetracycline.
Clindamycin. EXAM
Question 12
BPH and urge incontinence
Correct Answer
TX anticholinergics/oxybutynin,
impamine/tricyclic antidepressant
Question 13
diagnose trichomoniasis
Correct Answer
wet prep