AANP FNP EXAM 2024/ RECENT UPDATE FNP
(AANP) STUDY GUIDE QUESTIONS AND
CORRECT ANSWERS | GRADED A+
Polymerase chain reaction (PCR) - ANSWER: May be performed on skin
scrapings, serum, or blood to confirm a heretic diagnosis
Treatment for psoriasis - ANSWER: High potency steroid creams or
systemic agents
Direct Fluorescent Antibody (DFA) - ANSWER: Most common test
employed for shingles diagnosis; it can be rapidly performed; offers results
in about 90 minutes
Treatment for nodulocystic acne - ANSWER: Isotretinoin (Accutane);
disease is characterized by nodules and cysts
Most common symptom of atopic dermatitis - ANSWER: Itching
Most common initial serologic test for screening of Lyme disease -
ANSWER: ELISA
Herald patch is the hallmark sign of what? - ANSWER: Pityriasis rosea
Common causes of clubbing of the fingers - ANSWER: COPD; cirrhosis;
cystic fibrosis; pulmonary fibrosis; cyanotic heart disease
Folliculitis - ANSWER: Superficial inflammation of hair follicles cause
by bacteria
Common antibiotics associated with photosensitivity - ANSWER:
Tetracyclines Sulfa drugs
Fluoroquinolones
Koilonychia - ANSWER: Spoon shaped nail; long standing IDA
Tachyphylaxis - ANSWER: Gradual and progressively poorer clinical
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response to a treatment or medication; drug free intervals are important to
prevent tachyphylaxis
Weakest of all vehicles - ANSWER: Lotions
Type of vehicle to use in hairy areas of the body - ANSWER: Foams
because they spread easy and are transparent
What 2 hormones does the thyroid produce? - ANSWER: Thyroxine (T4)
Triiodothyronine (T3)
Symptoms associated with hypothyroidism - ANSWER: Thick, dry skin
"Hung up" patellar reflex (hyporeflexia)
Slow thought process Constipation Menorrhagia
Easily chilled Small weight gain
Symptoms associated with hyperthyroidism - ANSWER: Smooth, silky
skin Hyperreflexia
Mind racing Weight loss Loose stool Oligomenorrhea Heat intolerance
Etiology of Hashimoto thyroiditis - ANSWER: Autoimmune
Etiology of post-radioactive iodine treatment - ANSWER: S/P Graves'
disease tx or thyroid cancer tx
Medications that may have an effect on the thyroid? (Hypo/Hyper) -
ANSWER: Lithium (hypo)
Amiodarone (both) Interferon (both)
Microcytic Anemias - ANSWER: IDA, Thalassemia, Lead Toxicity
Macrocytic Anemias - ANSWER: B12 Deficiency and Folate deificiency
IDA - ANSWER: Microcytic, hypochromic
Patient Presentation with microcytic anemia - ANSWER: Weakness,
headache, irritability, fatigue, and exercise intolerance. Worsening of
angina or dementia
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TIBC - ANSWER: Elevated with IDA
Average lifespan of RBCs - ANSWER: 100-120 days
RDW <15% - ANSWER: Longstanding anemia in that all cells are small
RDW > 15% - ANSWER: New onset anemia; There is a mixture of
normal and small RBCs
Iron Rich foods - ANSWER: Organ meats, red meats, dried peas and
beans, whole grains, and dark, green, leafy vegetables
Iron Replacement - ANSWER: 150-200 mg/d Elemental Iron x4-6 months
Beta Thalassemia - ANSWER: Avoid excessive iron consumption and
will need genetic counseling
Alpha Thalassemia - ANSWER: Asians, Mediterranean origin, avoid
inappropriate exposure to iron, no therapy needed in minima and minor
Liver - ANSWER: Where excess iron is stored
Thalassemia Lab Results - ANSWER: Decrease hct, hgb, MCV, and
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