Download AANP FNP certification Flashcards and more Exams Laboratory Practices and Management in PDF only on Docsity!
AANP FNP CERTIFICATION FLASHCARDS EXAMINATION 2026 A+
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 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 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 3 months of synthroid, TSH increased, T4 normal, what do you do? Increase Medication
3 ways to assess cognitive function in patient with signs/symptoms of memory loss Mini mental exam 4 month old with strabismus, mom is worried...... tell her it is normal. 4 month old wont keep anything down, what is the main thing you look at? Growth chart 6 month old closed anterior fontanel. XRAY Abnormal cells on PAP, what do you do next? Refer for Colposcopy
wet prep Elderly presents with atrophic vaginitis, small uterus, palpable 4x5 ovary, what do you do next? Pelvic US Epistaxis is most common in the area of the nose known as kiesselbachs triangle, where is this located? Anterior septum Definitive diagnosis of acute bacterial prostatitis urinalysis and culture GERD treatment H2 is first line, give hs Grade 3 cells on Pap, treatment?
LEEP
excision Fingernail hematoma treatment? drill hole and drain blood? Increased risk of ectopic pregnancy Salpingitis, or history of abortion, PID, Koplick spots Measles (rubeola). Grains of salt lesions inside mouth in Measles Koplick spots Measles (rubeola). Grains of salt lesions inside mouth in Measles Legg-Calve-Perthes Disease
Meniscus tears Lachman's Test pivot shift test (ACL tear) Newborn with foot turned in, what do you do? refer to orthopedist Osgood-Schlatter disease Knee pain. inflammation or irritation of the tibia at its point of attachment with the patellar tendon 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
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 Pt presents with rash on shoulder, erythematous maculopapular rash with center clearing and scaling? Tinea Corporis Pt presents with "bag of worms:, indicates? Varicocele Pt with atopic dermatitis, look for what other diseases? Asthma Pt with bleeding after menopause endometrial biopsy, need to screen for cancer
pernicious anemia Rotator cuff injury presentation disturbs sleep, arm weakness, dull ache Shingles near eye immediate referral to ophthalmology 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.
- 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 Treatment for chronic alcoholism:
12 step program 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 Young female want birth control, forgets to take pills, does not want to get pregnant for at least 5 years: IUD Basal cell cancer Waxy, pearly, telangiectasia, ulcer center lesion
- most common type of skin cancer caused by UV exposure. Metastatic is rare Actinic Keratosis Scaly red to yellow located in sun exposed area
- a precancerous skin growth that occurs on sun-damaged skin
Minocycline- long term use has been linked with pseudotumor cerebri Oral contraceptives for hormone related Spironolactone 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 MR ASSH Coarctation of Aorta COA: bounding radial and weak femoral pulse increase blood pressure in arms, and lower pressure in lower legs.
- congenital cardiac condition characterized by a narrowing of the aorta
Murmur Grade III - VI Loud murmur easily heard JVD caused by
- tension pneumothorax,
- Rt. sided heart failure,
- cardiac tamponade,
- traumatic axphysia from Increase in portal pressure(LIVER) in venous side or cor pulmonale pt. with gradual onset of fever, hemorrhages on nail beds, painful raised red nodules, rash on palms endocarditis , painful red spots on fingers olser's nodes, janeway legions rash on palms and soles. Know the difference between Peripheral Arterial Disease and Chronic Venous Insufficiency or PVD. There was question about PAD. PAD: Absence of pulse, decrease blow flowing down, PAIN, Dx doppler or ABI<0.9, TX exercise by walking or antiplatelet,
AV nicking (Arterioles pressing on vein of the eye) HTN retinopathy intraocular pressure (IOP) Fluid pressure inside the eye; measured with tonometry Rovsing sign pain in the RLQ when the LLQ is palpated (indicative of appendicitis) Pencil-like stools occur in an obstruction of what Sigmoid descending colon It's a thin narrow stool and possible causes include colon cancer, diarrhea, IBS. Refer for GI colonoscopy headache after trauma SDH
migraine headache
- paroxysmal (sudden, periodic) attacks of mostly unilateral headache, often accompanied by disordered vision, nausea, or vomiting, lasting hours or days and caused by dilation of arteries. 4 - 12 hours, abortive triptans prophylaxis propranolol, TCA amitriptyline, anticonvulsants topiramate Vitamin B Folate shares a close relationship with this other B Vitamin. Vitamin B Cognitive deficits, glossitis, pernicious anemia, Folate shares a close relationship with this other B Vitamin. 88/yr. old patient in for follow up secondary. She's been treated with Tylenol for Joint arthritis. Her SED rate was checked after 6 weeks of treatment and it was 28. Normal range is from something to 25. How would you treat the pt.
Chlamydia trachomatis Doxycycline (+ ceftriaxone for gonorrhea coinfection) Genital warts treatment Cryotherapy OR Podophyllotoxin cream - OR Imiquimod (Aldara cream) HIV pt. with antiviral and CD4 count still less than 200. What should NP tell the pt. tell the pt. that he is qualified to be diagnosed with AIDS according to CDC Most common cause of death in children motor vehicle Tanner 2
Tanner 2- female breast bud areola develops Male testes scrotum start to enlarge, scrotum gets darker Tanner 4 Tanner 4- female nipples and areola become elevated from breast, secondary mound Male penis grows wider grows in length, darker scrotum pt. expericieng memory loss, and increase in confusion and she has a history of stroke, HTN, What type of Alzheimer. vascular dementia presbycusis a gradual loss of sensorineural hearing that occurs as the body ages a pregnant female at slightly above symphysis pubic and Fundal height is 32cm (above the umbilical). What should be done Ultrasound
