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AANP COMPLETE PACKAGE DEAL 2023 |GUARANTEED SUCCESSS
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[Show more]Erythropoetin 
90 % renal, 10% hepatic, need supplementation when GFR is less than 49 
 
 
 
Reticulocytes 
In health, make up 1-2 % of total RBCs, increased in response to anema. Absence of reticulocytosis or presence of reticulocytopenia shows inadequate bone marrow response. 
 
 
 
 
 
 
00:09 
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Add to cartErythropoetin 
90 % renal, 10% hepatic, need supplementation when GFR is less than 49 
 
 
 
Reticulocytes 
In health, make up 1-2 % of total RBCs, increased in response to anema. Absence of reticulocytosis or presence of reticulocytopenia shows inadequate bone marrow response. 
 
 
 
 
 
 
00:09 
 ...
A mother complains that her 3 mth old infant becomes constipated easily. Using suppositories makes her fussy and have diarrhea stools. What is your recommendation? 
Encourage adding 1-2 tsp Karo syrup to bottle BID. Corn syrup will act as osmotic agent to increase water concentration of fecal materi...
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Add to cartA mother complains that her 3 mth old infant becomes constipated easily. Using suppositories makes her fussy and have diarrhea stools. What is your recommendation? 
Encourage adding 1-2 tsp Karo syrup to bottle BID. Corn syrup will act as osmotic agent to increase water concentration of fecal materi...
microcytic hypochromic anemias 
MCV <80 MCHC <31 
 
Iron deficiency Anemia 
 
Thalassemia Minor 
 
always check ferritin and serum Fe with microcytic anemias to determine which one 
 
 
 
Iron deficiency anemia 
microcytic hypochromic 
low: h/h, ferritin, serum Fe, RBC 
high: RDW* 
periph smea...
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Add to cartmicrocytic hypochromic anemias 
MCV <80 MCHC <31 
 
Iron deficiency Anemia 
 
Thalassemia Minor 
 
always check ferritin and serum Fe with microcytic anemias to determine which one 
 
 
 
Iron deficiency anemia 
microcytic hypochromic 
low: h/h, ferritin, serum Fe, RBC 
high: RDW* 
periph smea...
INR values below ____ increase stroke risk sixfold. 
2 
 
 
 
What allergy contradicts the use of thiazide diuretics? 
Sulfa 
 
 
 
 
 
 
00:19 
 
04:17 
Why should ACE-Is be avoided with renal stenosis? 
Leads to ARF 
 
 
 
Adverse effects of aldosterone antagonists (Aldactone) 
Galactorrhea and hy...
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Add to cartINR values below ____ increase stroke risk sixfold. 
2 
 
 
 
What allergy contradicts the use of thiazide diuretics? 
Sulfa 
 
 
 
 
 
 
00:19 
 
04:17 
Why should ACE-Is be avoided with renal stenosis? 
Leads to ARF 
 
 
 
Adverse effects of aldosterone antagonists (Aldactone) 
Galactorrhea and hy...
A 65-year-old woman presents for a follow-up examination after a new patient visit. She has not seen a healthcare provider for several years. She is a smoker and her hypertension is now adequately controlled with medication. Her mother died at age 40 from a heart attack. The fasting lipid profile sh...
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Add to cartA 65-year-old woman presents for a follow-up examination after a new patient visit. She has not seen a healthcare provider for several years. She is a smoker and her hypertension is now adequately controlled with medication. Her mother died at age 40 from a heart attack. The fasting lipid profile sh...
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...
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Add to cartAll 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...
Measles (Rubeola) 
What RNA virus is associated with cough, coryza, and conjunctivitis with photophobia, rash that starts on head or face? 
 
 
 
Ortolani maneuver 
technique for checking hip integrity. unequal movement suggests the hip is dislocated 
 
 
 
varicocele 
enlarged, dilated veins near t...
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Add to cartMeasles (Rubeola) 
What RNA virus is associated with cough, coryza, and conjunctivitis with photophobia, rash that starts on head or face? 
 
 
 
Ortolani maneuver 
technique for checking hip integrity. unequal movement suggests the hip is dislocated 
 
 
 
varicocele 
enlarged, dilated veins near t...
Gestational diabetes screening occurs between what weeks gestation? 
24-48 
 
 
 
When you ask the patient to take a deep breath in and then palpate over the RUQ abdomen. Positive when pain is elicited. This is a sign of ___________. 
Murphy's sign; cholecystitis 
 
 
 
 
 
 
00:22 
 
04:17 
What a...
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Add to cartGestational diabetes screening occurs between what weeks gestation? 
24-48 
 
 
 
When you ask the patient to take a deep breath in and then palpate over the RUQ abdomen. Positive when pain is elicited. This is a sign of ___________. 
Murphy's sign; cholecystitis 
 
 
 
 
 
 
00:22 
 
04:17 
What a...
Classic ECG finding in atrial flutter. 
"Sawtooth" P waves 
 
 
 
Definition of unstable angina. 
Angina is new, is worsening, or occurs at rest 
 
 
 
Antihypertensive for a diabetic patient with proteinuria. 
ACEI 
 
 
 
Beck's triad for cardiac tamponade. 
Hypotension, distant heart sounds, an...
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Add to cartClassic ECG finding in atrial flutter. 
"Sawtooth" P waves 
 
 
 
Definition of unstable angina. 
Angina is new, is worsening, or occurs at rest 
 
 
 
Antihypertensive for a diabetic patient with proteinuria. 
ACEI 
 
 
 
Beck's triad for cardiac tamponade. 
Hypotension, distant heart sounds, an...
ADA screening for DM in Children 
-symptomatic children (polyuria, polydipsia, polyphagia, blurred vision) regardless of risk factors 
-asymptomatic children after puberty or 10 years of age or older if overweight or obese (>85th percentile). Plus 1 of the following: 
*T2DM in 1st or 2nd degree r...
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Add to cartADA screening for DM in Children 
-symptomatic children (polyuria, polydipsia, polyphagia, blurred vision) regardless of risk factors 
-asymptomatic children after puberty or 10 years of age or older if overweight or obese (>85th percentile). Plus 1 of the following: 
*T2DM in 1st or 2nd degree r...
You are treating a patient with acute anxiety and she is having an acute attack in the office. The ANP has knowledge that the fastest relief of symptoms is: 
 
a TCA 
a beta-blocker 
a benzodizepine 
an SSRI 
Correct answer: 
benzodiazepine 
 
The fastest relief of anxiety symptoms will occur with a...
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Add to cartYou are treating a patient with acute anxiety and she is having an acute attack in the office. The ANP has knowledge that the fastest relief of symptoms is: 
 
a TCA 
a beta-blocker 
a benzodizepine 
an SSRI 
Correct answer: 
benzodiazepine 
 
The fastest relief of anxiety symptoms will occur with a...
COPD 
Gold 1-2- SABA or SAMA ON EXAM.. BASICALLY ANTICHOLINERGIC FIRST LINE FOR COPD ON EXAM, Gold 1-2 that are poor controlled- LAMA or LABA. May use SABA for rescue. Gold 3-4 LAMA first line. If poor use LAMA plus LABA. Alternative is LABA + ICS. Gold 3-4- refer. COPD long term is OXYGEN 
 
 
 
SA...
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Add to cartCOPD 
Gold 1-2- SABA or SAMA ON EXAM.. BASICALLY ANTICHOLINERGIC FIRST LINE FOR COPD ON EXAM, Gold 1-2 that are poor controlled- LAMA or LABA. May use SABA for rescue. Gold 3-4 LAMA first line. If poor use LAMA plus LABA. Alternative is LABA + ICS. Gold 3-4- refer. COPD long term is OXYGEN 
 
 
 
SA...
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