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AANP FNP certification 2024/2025 already graded A+
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AANP FNP certification 2024/2025 already graded A+
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AANP FNP certificationAll diastolic murmurs are pathological. Murmurs Grades I-barely II-audible III- clearly audible. IV-
first time thrill V-Steth edge VI-entire steth. EXAM - ANSIII first time audible, IV first time thrill
Fundal height 12 weeks - ANSFundal 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? - ANSIron, TIBC
3 months of synthroid, TSH increased, T4 normal, what do you do? - ANSIncrease Medication
3 ways to assess cognitive function in patient with signs/symptoms of memory loss - ANSMini
mental exam
4 month old with strabismus, mom is worried...... - ANStell her it is normal.
4 month old wont keep anything down, what is the main thing you look at? - ANSGrowth chart
6 month old closed anterior fontanel. - ANSXRAY
Abnormal cells on PAP, what do you do next? - ANSRefer for Colposcopy
CAGE ACRONYM - ANSCut down
Annoyed by criticism
Guilty about drinking
Eye opener drink
Causes of tachycardia - ANSFever
Anemia
Hypotension
Cranial nerves responsible for extraocular eye movements - ANSCN 3,4,6
Definition of metabolic syndrome - ANScluster of conditions that increase risk of heart disease,
stroke, diabetes.
,diagnose trichomoniasis - ANSwet prep
Elderly presents with atrophic vaginitis, small uterus, palpable 4x5 ovary, what do you do next? -
ANSPelvic US
Epistaxis is most common in the area of the nose known as kiesselbachs triangle, where is this
located? - ANSAnterior septum
Definitive diagnosis of acute bacterial prostatitis - ANSurinalysis and culture
GERD treatment - ANSH2 is first line, give hs
Grade 3 cells on Pap, treatment? - ANSLEEP
excision
Fingernail hematoma treatment? - ANSdrill hole and drain blood?
Increased risk of ectopic pregnancy - ANSSalpingitis, or history of abortion, PID,
Koplick spots - ANSMeasles (rubeola). Grains of salt lesions inside mouth in Measles
Koplick spots - ANSMeasles (rubeola). Grains of salt lesions inside mouth in Measles
Legg-Calve-Perthes Disease - ANSAvascular necrosis of the proximal femoral head
Lipid level of 1500, increased risk for? - ANSPancreatitis
Low HGB, Low HCT, High MCV indicates what? - ANSMacrocytic anemia, B12 Def
Man with BPH, prostate feels on digital exam? - ANSEnlarged, symmetrical, smooth
Man with HTN, CAD, present femoral pulses but absent pedal - ANSArterial Insufficiency
McMurray's Sign
(+) palpable or audible click while extending with varus stress - ANSMeniscus tears
Lachman's Test - ANSpivot shift test (ACL tear)
Newborn with foot turned in, what do you do? - ANSrefer to orthopedist
Osgood-Schlatter disease - ANSKnee 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? - ANSAlzheimer'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? - ANSRefer to oncologist
Pt presents with rash on shoulder, erythematous maculopapular rash with center clearing and
scaling? - ANSTinea Corporis
Pt presents with "bag of worms:, indicates? - ANSVaricocele
Pt with atopic dermatitis, look for what other diseases? - ANSAsthma
Pt with bleeding after menopause - ANSendometrial biopsy, need to screen for cancer
Pt with hx of PID, increased rick for? - ANSInfertility
Pt with HIV took high potency anti viral treatments and CD4 is >400, what does this indicate? -
ANSThis is good. Want higher than 350
Pt with hx of htn and stroke, now having memory loss. What does this indicate? - ANSVascular
dementia
Pregnant teacher with exposure to 5ths disease (SLAP CHEEK), what risk is there to the fetus?
- ANSslap cheek, PVB19, rash hands / feet Fetal death and birth defects
Quick assessment of patients fall risk? Timed Get up and Go - ANSTimed Get up and Go
Red beefy tongue? - ANSpernicious anemia
Rotator cuff injury presentation - ANSdisturbs sleep, arm weakness, dull ache
Shingles near eye - ANSimmediate referral to ophthalmology
Signs and symptoms of Roseola (6ths disease) ? - ANSViral 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: - ANS12 step program
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