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Family Nurse Practitioner Exam ANCC/350 Questions with Answers
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Family Nurse Practitioner ExamANCC/350 Questions with Answers
Karposi Sarcoma - -Characteristic purple areas on the nose in an HIV-
positive female. A type of cancer that can form in the skin, lymph nodes, or
other organs. The skin lesions are usually purple in color.
-Malodorous single nare - -Foreign body
-Retinal Detachment - -the retina separates from the layer underneath.
Symptoms include an increase in the number of floaters, flashes of light, and
worsening of the outer part of the visual field.
-Adolescent with friable nasal turbinates - -Cocaine use
-Aphthous ulcer - -a recurrent round or oval sore or ulcer inside the mouth
on an area where the skin is not tightly bound to the underlying bone, such
as on the inside of the lips and cheeks or underneath the tongue. Aphthous
ulcers can also affect the genitalia in males and females.
-GERD first line tx - -h2 then ppi if doesnt work
-Maxillary Sinusitis - -Dental pain
-Kasmaul Triangle - -Anterior epitaxis
-Roseola infantum - -H. fever => small pink dots pink or raised body rash
=> arms
-Acne Roscaca - -"adult acne." most often in adults (30-50 years of age).
Unlike acne vulgaris, rosacea is devoid of blackheads and characteristically
does not resolve after puberty. Rosacea strikes both sexes and potentially all
ages. It tends to be more frequent in women but more severe in men. It is
very uncommon in children, and it is less frequent in people with dark skin.
Tx with Flagyl
-AV Nicking - -HTN, arteries crossing veins
-Blepharitis - -commonly occurs when the tiny oil glands of the inner eyelid
become inflamed. It often occurs along with other skin conditions or
allergies.
Symptoms include red, itchy eyelids that may look greasy and crusted. Dry
eyes also are a symptom.
,Treatments include cleaning the eyelids, antibiotic or steroid eye drops and
treating underlying conditions. However, blepharitis tends to come back.
-Hordelum - -Painful stye it hurts
-chalazion - -Non painful lesion to eyelid
-Cotton Wool - -Cotton wool spots are an abnormal finding on funduscopic
exam of the retina of the eye. They appear as fluffy white patches on the
retina. They are caused by damage to nerve fibers and are a result of
accumulations of axoplasmic material within the nerve fiber layer. Systemic
HTN, DM
-Herpes Zoster - -Early signs of shingles include a burning sensation or
stabbing pain and tingling or itching on the skin. After a few days, a rash or
blisters appear usually on one side of the body or face. When the rash is at
its peak, symptoms can range from mild itching to extreme and debilitating
pain. Tx within 72 hours Aclovir
-Retinoblastoma (Rb) - -Absence of light reflex, it is a rare form of cancer
that rapidly develops from the immature cells of a retina, the light-detecting
tissue of the eye. It is the most common primary malignant intraocular
cancer in children, and it is almost exclusively found in young children.
-Seborrheic dermatitis (Dandruff) - -commonly involves portions of the
scalp, brows, mid-face, ears, mid-chest, and mid-back. It is not unusual for it
to affect the skin of infants and young children where it often involves the
scalp (cradle cap) and the diaper area. Seborrheic dermatitis is also known
as seborrhea.
-Seborrheic Keratosis - -A seborrhoeic keratosis is a harmless warty spot
that appears during adult life as a common sign of skin aging. ... Seborrhoeic
keratosis (or seborrheic keratosis, using American spelling) is also called SK,
basal cell papilloma, senile wart, brown wart or barnacle.
-Cupping of disc - -Intracranial pressure
-subconjunctival haemorrhage - -is bleeding underneath the conjunctiva. It
can occur after a sudden or severe sneeze or cough, heavy lifting, straining,
vomiting or even rubbing one's eyes too roughly. It can also occur as a side
effect of eye surgery or blood thinners.
The main symptom is a bright red patch in the eye that may spread and then
become green or yellow, much like a bruise. Usually it disappears within two
weeks.
In most cases, no treatment is required for this condition.
, -Sialolithiasis (also termed salivary calculi, or salivary stones) - -A condition
where a calcified mass or sialolith forms within a salivary gland, usually in
the duct of the submandibular gland (also termed "Wharton's duct").
-Honey Crusted lesions - -Impetigo is a bacterial infection that involves the
superficial skin.The most common presentation is yellowish crusts on the
face, arms, or legs.Less commonly there may be large blisters which affect
the groin or armpits. The lesions may be painful or itchy. Fever is
uncommon.
It is typically due to either Staphylococcus aureus or Streptococcus
pyogenes. Risk factors include attending day care, crowding, poor nutrition,
diabetes mellitus, contact sports, and breaks in the skin such as from
mosquito bites, eczema, scabies, or herpes. With contact it can spread
around or between people.Diagnosis is typically based on the symptoms.
Prevention is by hand washing, avoiding people who are infected, and
cleaning injuries. Treatment is typically with antibiotic creams such as
mupirocin or fusidic acid. Antibiotics by mouth, such as cephalexin, may be
used if large areas are affected. Antibiotic-resistant forms have been found.
-Mild acne - -Skin wash retinol benzol
-moderate acne - -retinol plus tetracylines oral abx
-Retinol reaction - -decrease to 3 times a day
-Well demarcated cellulitis - -erysipelas affects the dermis, most commonly
on the legs, and tends to be sharply demarcated. Cellulitis, which typically
affects the lower legs, involves the subcutaneous fat and is often less well
demarcated. ... The diagnosis of cellulitis or erysipelas is usually clinical.
-polymyalgia rheumatica - -you feel pain and stiffness in the muscles in
your shoulders and upper arms (shoulder girdle) and hips (pelvic girdle). This
feeling often comes after you've spent time resting, and is most severe upon
wakening from sleep.
-Fibromyalgia - -can also cause muscle pain in the same parts of the body.
But it's more wide-spread and the pain is more severe. People with
fibromyalgia tend to experience other symptoms as well, including:
tiredness
trouble sleeping
memory problems
bowel and bladder problems
, -Temporal arteritis - -is a condition in which the temporal arteries, which
supply blood to the head and brain, become inflamed or damaged. It is also
known as cranial arteritis or giant cell arteritis. Although this condition
usually occurs in the temporal arteries, it can occur in almost any medium to
large artery in the body.
-Temporal arteritis - -ESR CRP Biopsy
-Temporal arteritis - -S/SX double vision
sudden, permanent loss of vision in one eye
a throbbing headache that's usually in the temples
fatigue
weakness
loss of appetite
jaw pain, which sometimes can occur with chewing
fever
unintentional weight loss
shoulder pain, hip pain, and stiffness
tenderness in the scalp and temple areas
-Basal Cell carcinoma - -Most common form
-herpes keratosis - -acute onset, photophobia, blurred vision
refer to ophthalmologist
-Pinworms - -itching at rectum, worst at noc, scotch tape, also known as
enterobiasis
-Cellulitis worsening - -Suspect DVD
-Millia - -white spots on mouth w/ infants
-Kawasaki Disease - -Redeye, strawberry pharnyx, rash on body, edema
hands and feet
t's most common in infants and young children.
Early stages include a rash and fever. Symptoms include high fever and
peeling skin. In late stages, there may be inflammation of medium-sized
blood vessels (vasculitis). It also affects lymph nodes, skin and mucous
membranes, such as inside the mouth.
Kawasaki disease is usually treatable. Initial treatments include aspirin and
intravenous immunoglobulin therapy given in a medical facility.
Critical: consult a doctor for medical advice
-varicella - -chicken pox rash crusted "vesicles"
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