Family Nurse Practitioner Exam AANP With
Correct Answers
Karposi Sarcoma - ANS-Characteristic purple areas on the nose in an HIV-positive female.
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Kaposi's sarcoma (KS) is a type of cancer that can form in the skin, lymph nodes, or other
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organs. The skin lesions are usually purple in color.
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Malodorous single nare - ANS-Foreign body n n n n n
Retinal Detachment - ANS-the retina separates from the layer underneath. Symptoms
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include an increase in the number of floaters, flashes of light, and worsening of the outer
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part of the visual field.
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Adolescent with friable nasal turbinates - ANS-Cocaine use
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Aphthous ulcer - ANS-a recurrent round or oval sore or ulcer inside the mouth on an area
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where the skin is not tightly bound to the underlying bone, such as on the inside of the
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lips and cheeks or underneath the tongue. Aphthous ulcers can also affect the genitalia in
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males and females.
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GERD first line tx - ANS-PPI
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Maxillary Sinusitis - ANS-Dental pain n n n n
Kasmaul Triangle - ANS-Anterior epitaxis
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Roseola infantum - ANS-H. fever => small pink dots pink or raised body rash => arms
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Acne Roscaca - ANS-"adult acne." most often in adults (30-50 years of age). Unlike acne
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vulgaris, rosacea is devoid of blackheads and characteristically does not resolve after
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puberty. Rosacea strikes both sexes and potentially all ages. It tends to be more frequent
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in women but more severe in men. It is very uncommon in children, and it is less frequent
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in people with dark skin. Tx with Flagyl
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AV Nicking - ANS-HTN, arteries crossing veins
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Blepharitis - ANS-commonly occurs when the tiny oil glands of the inner eyelid become
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inflamed. It often occurs along with other skin conditions or allergies.
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Symptoms include red, itchy eyelids that may look greasy and crusted. Dry eyes also are a
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symptom.
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Treatments include cleaning the eyelids, antibiotic or steroid eye drops and treating
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underlying conditions. However, blepharitis tends to come back.
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,Hordelum - ANS-Painful stye it hurts n n n n n
Chalazedium - ANS-Non painful lesion to eyelid n n n n n n
Cotton Wool - ANS-Cotton wool spots are an abnormal finding on funduscopic exam of the
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retina of the eye. They appear as fluffy white patches on the retina. They are caused by
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damage to nerve fibers and are a result of accumulations of axoplasmic material within
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the nerve fiber layer. Systemic HTN, DM
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Herpes Zoster - ANS-Early signs of shingles include a burning sensation or stabbing pain
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and tingling or itching on the skin. After a few days, a rash or blisters appear usually on
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one side of the body or face. When the rash is at its peak, symptoms can range from mild
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itching to extreme and debilitating pain. Tx within 72 hours Aclovir
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Retinoblastoma (Rb) - ANS-Absence of light reflex, it is a rare form of cancer that rapidly
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develops from the immature cells of a retina, the light-detecting tissue of the eye. It is the
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most common primary malignant intraocular cancer in children, and it is almost
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exclusively found in young children.
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Seborrheic dermatitis (Dandruff) - ANS-commonly involves portions of the scalp, brows,
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mid-face, ears, mid-chest, and mid-back. It is not unusual for it to affect the skin of infants
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and young children where it often involves the scalp (cradle cap) and the diaper area.
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Seborrheic dermatitis is also known as seborrhea.
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Seborrheic Keratosis - ANS-A seborrhoeic keratosis is a harmless warty spot that appears
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during adult life as a common sign of skin aging. ... Seborrhoeic keratosis (or seborrheic
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keratosis, using American spelling) is also called SK, basal cell papilloma, senile wart,
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brown wart or barnacle.
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Cupping of disc - ANS-Intracranial pressure
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subconjunctival haemorrhage - ANS-is bleeding underneath the conjunctiva. It can occur
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nafter a sudden or severe sneeze or cough, heavy lifting, straining, vomiting or even
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nrubbing one's eyes too roughly. It can also occur as a side effect of eye surgery or blood
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nthinners.
The main symptom is a bright red patch in the eye that may spread and then become
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ngreen or yellow, much like a bruise. Usually it disappears within two weeks.
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In most cases, no treatment is required for this condition.
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Sialolithiasis (also termed salivary calculi, or salivary stones) - ANS-A condition where a
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calcified mass or sialolith forms within a salivary gland, usually in the duct of the
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submandibular gland (also termed "Wharton's duct").
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Honey Crusted lesions - ANS-Impetigo is a bacterial infection that involves the superficial
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skin.The most common presentation is yellowish crusts on the face, arms, or legs.Less
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,n commonly there may be large blisters which affect the groin or armpits. The lesions may
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n be painful or itchy. Fever is uncommon.
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It is typically due to either Staphylococcus aureus or Streptococcus pyogenes. Risk factors
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ninclude attending day care, crowding, poor nutrition, diabetes mellitus, contact sports,
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nand breaks in the skin such as from mosquito bites, eczema, scabies, or herpes. With
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ncontact it can spread around or between people.Diagnosis is typically based on the
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nsymptoms.
Prevention is by hand washing, avoiding people who are infected, and cleaning injuries.
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Treatment is typically with antibiotic creams such as mupirocin or fusidic acid.
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Antibiotics by mouth, such as cephalexin, may be used if large areas are affected.
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Antibiotic-resistant forms have been found.
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Mild acne - ANS-Skin wash retinol benzol
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moderate acne - ANS-retinol plus tetracylines oral abo
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Retinol reaction - ANS-decrease to 3 times a day
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Well demarcated cellulitis - ANS-erysipelas affects the dermis, most commonly on the legs,
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and tends to be sharply demarcated. Cellulitis, which typically affects the lower legs,
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involves the subcutaneous fat and is often less well demarcated. ... The diagnosis of
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cellulitis or erysipelas is usually clinical.
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polymyalgia rheumatica - ANS-you feel pain and stiffness in the muscles in your shoulders
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and upper arms (shoulder girdle) and hips (pelvic girdle). This feeling often comes after
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you've spent time resting, and is most severe upon wakening from sleep.
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Fibromyalgia - ANS-can also cause muscle pain in the same parts of the body. But it's
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more wide-spread and the pain is more severe. People with fibromyalgia tend to
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experience other symptoms as well, including:
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n tiredness
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n bowel and bladder problems
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Temporal arteritis - ANS-is a condition in which the temporal arteries, which supply blood
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to the head and brain, become inflamed or damaged. It is also known as cranial arteritis
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or giant cell arteritis. Although this condition usually occurs in the temporal arteries, it
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can occur in almost any medium to large artery in the body.
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Temporal arteritis - ANS-ESR CRP Biopsy n n n n n
Temporal arteritis - ANS-S/SX double vision n n n n n
, n sudden, permanent loss of vision in one eye
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n a throbbing headache that's usually in the temples
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n fatigue
n weakness
n loss of appetite
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n jaw pain, which sometimes can occur with chewing
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n fever
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n shoulder pain, hip pain, and stiffness
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n tenderness in the scalp and temple areas n n n n n n
Basal Cell carcinoma - ANS-Most common form
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herpes keratosis - ANS-acute onset, photophobia, blurred vision
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refer to ophthalmologist
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Pinworms - ANS-itching at rectum, worst at noc, scotch tape, also known as enterobiasis
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Cellulitis worsening - ANS-Suspect DVD
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Millera - ANS-white spots on mouth w/ infants
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Scabies - ANS-weblike lesions on fingers with linear burrows
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Kawasaki Disease - ANS-Redeye, strawberry pharnyx, rash on body, edema hands and feet
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t's most common in infants and young children.
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Early stages include a rash and fever. Symptoms include high fever and peeling skin. In
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nlate stages, there may be inflammation of medium-sized blood vessels (vasculitis). It also
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naffects lymph nodes, skin and mucous membranes, such as inside the mouth.
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Kawasaki disease is usually treatable. Initial treatments include aspirin and intravenous
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nimmunoglobulin therapy given in a medical facility. n n n n n n
Critical: consult a doctor for medical advice
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Contact Dermatitis infant - ANS-Diaper rash
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Psoriasis - ANS-Scaley, sharply defined, auspitx sign, pinpoint bleeding
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Osteomylitis - ANS-infection to bone n n n n
varacella - ANS-chicken pox rash crusted "vesicles"
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Heralds Patch - ANS-Pityriasis rosea is a viral rash which lasts about 6-12 weeks. It is
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characterised by a herald patch followed by similar, smaller oval red patches that are
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located mainly on the chest and back.
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