AANP FNP Certification Exam Study Guide Questions and Answers, Exams of Advanced Education

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AANP FNP Certification Exam

Study Guide Questions and

Answers

Cranial nerves responsible for extraoculomotor movements? Correct Ans

• a. 2, 3, 6? b. 3, 4, 6? Patient with hx of hypertension and stroke, now having memory loss and confusion - indicates what? Correct Ans - a. Alzheimer's b. Vascular Dementia? CAGE acronymCorrect Ans-? Treatment for chronic alcoholism? Correct Ans -? Frail elderly mammogram breast tissue? Correct Ans -? Patient has Barrett's esophagus, insurance no longer covers gastroenterologist who was treating condition, patient at the FNP office, wanting a prescription for medication... What should the FNP do? Correct Ans - a. Refer to oncologist? b. Refill prescription? GERD treatment? Correct Ans - a. PPI? Per American College of Gastroenterology, treatment should begin with a PPI. b. H2? An H2 is inferior to PPI's. 3 months on Symmetrel, TSH increased, T4 normal, what do you do? Correct Ans
• a. Increase medication? b. Decrease medication? Lipid level of 1500, increased risk for? Correct Ans- a. pancreatitis? Frail elder, increased creatinine, indication? Correct Ans -? Fingernail hematoma treatment? Correct Ans - a. drill hole and drain blood? Abnormal cells on PAP, what do you do next? Correct Ans

• a. Refer for colposcopy? Red beefy tongue? Correct Ans - a. Pernicious Anemia? b. Iron Deficiency? c. Folate Deficiency?

Low Hemoglobin, Low Hematocrit, High MCV - Indicates what? Correct Ans

-? Koplick Spots? Correct Ans- a. Measles? Signs and Symptoms of Roseola? Correct Ans - Pregnant teacher, with exposure to Fifths' Disease - what risk is there for the fetus? Correct Ans - 6 Month Old with Closed Anterior Fontanel? Correct Ans - 3 Month Old infant with Down Syndrome, due to milk intolerance, mom started infant on Goat's Milk; now has pale conjunctiva but otherwise healthy; with low Hematocrit, what other test would you order? Correct Ans

• a. CBC b. Iron, TIBC 4 Month Old with Strabismus, mom worried, what do you tell her? Correct Ans - a. Normal? 4 Month Old "won't keep anything down", what is the main thing you look for? Correct Ans - a. Dehydration? Man with HTN, CAD, present femoral pulses, but absent pedal pulses? Correct Ans
  • a. DVT? b. Venous Insufficiency? c. Arterial Insufficiency? Diabetic patient with foot laceration, at risk for what? Correct Ans - a. foot ulcer? b. acute osteomyelitis Definition of metabolic syndrome? Correct Ans - Treatment for Gonorrhea? Correct Ans - a. Rocephin IM and Zithromax po b. Doxycycline po Diagnose trich? Correct Ans - a. Wet

Prep? b. KOH? Patient with history of PID, increase risk for? Correct Ans - a. Infertility?

Increased risk for ectopic pregnancy, history of...? Correct Ans - a. Salpingitis Newborn with foot turned in ("toeing in"), what do you do? Correct Ans - a. Refer immediately to orthopedist? b. Routine followup? Osgood Schlatter Disease pain location? Correct Ans - Growth plate fracture (Salter-Harris fx) location and pain? Correct Ans - Rotator Cuf f injury presentation? Correct Ans - Causes of tachycardia? Correct Ans - a. Fever? b. Anemia? c. Hypotension? Definitive diagnosis of acute bacterial proctatitis? Correct Ans

• a. Urinalysis and Culture b. Vigorous Massage of Prostate to Release Fluid for Culture? c. Urethral Culture? Man with high BPH, perform digital rectal exam - how does prostate feel? Correct Ans - a. Asymmetrical, Nodular, Firm b. Symmetrical, Boggy ? Patient present with "bag of worms", what does this indicate? Correct Ans
• a. Varicocele Legg-Calve-Perthes disease? Correct Ans - Avascular necrosis of the proximal femoral head... McMurray's Sign Correct Ans - Epitaxis is most common in the area of the nose known as Kiesselbach's Triangle, where is this located? Correct Ans - a. anterior septum? b. middle turbinate?

c. sinus turbinate? Elderly presents with atrophic vaginitis, small uterus, and palpable 4x5 ovary, what do you do? Correct Ans - a. Pelvic ultrasound? Grade 3 cells on Pap, treatment? Correct Ans -?

Patient with bleeding after menopause? Correct Ans - a. Endometrial biopsy? Young adult female, wants birth control, forgets to take pills, doesn't want to get pregnant for at least 5 years, what do you suggest? Correct Ans - a. Intrauterine Device? Shingles near eye, patient wants cream and analgesic, what do you do? Correct Ans

• a. Order Acyclovir cream and analgesic? b. Immediate referral to opthamologist? Patient presents with rash on shoulder, erythematous maculopapular rash with center clearing, and scaling? Correct Ans - a. Tinea Pedis? b. Tinea Corporis? c. Psoriasis? Peripheral vision loss =? Central vision loss =? Correct Ans - Patient with Atopic Dermatitis, look for what other diseases? Correct Ans
• a. Asthma? Patient forgot to start Thanksgiving dinner, and husband states that she has trouble remembering tasks and has trouble with organization... What is this indicative of? Correct Ans - a. Alzheimer's? b. Delerium? Quick assessment of patients fall risk? Correct Ans - a. Timed Get up and Go? Mitral Regurgitation = sound and heard best at? Mitral Stenosis = " " " " " "? Mitral Prolapse = " " " " " "? Mitral Sclerosis = " " " " " "? Aortic Stenois = " " " " " "? Aortic Regurgitation = " " " " " "? Aortic Sclerosis = " " " " " "? Correct Ans - 3 ways to assess cognitive function in patient with signs/symptoms of memory loss - all but which of the

following? Correct Ans - a. Mini Mental b. Depression Screen c. d.

Patient voices aching when ambulating? This question did not specify if it was bilateral or unilateral Mentioned something about "rubor" but I can't remember what it said exactly... Correct Ans - a. DVT? b. Venous Insufficiency? c. Arterial Insufficiency? Patient with HIV took high-potency anti-viral treatments and CD is >400, what does this indicate? Correct Ans - a. Patient has full-blown AIDS as defined by the CDC? ? Patient has following labs: listed serology for Hepatitis, and then had to know if they had an active infection or immune, etc... Correct Ans