AANP FNP certification Exam ALL
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3 months of synthroid, TSH increased, T4 normal, what do you do?
- ANSWER Increase Medication
3 ways to assess cognitive function in patient with signs/symptoms of memory loss
- ANSWER Mini mental exam
Dacrocystitis
- ANSWER Darcryotosis lacrimal sac, rub down towards mouth. If think secondary infection abx.
EXAM how it presents.
Acne Rosacea
- ANSWER Acne Rosacea- chronic small acne like papules/pustules around nose mouth chin.
TREATMENT- Metrogel, Azelex. Low dose tetracycline. EXAM
Parathyroid hormone
- ANSWER PTH is responsible for calcium loss or gain from bones, kidneys, and GI tract. EXAM
Diabetic Retinopathy
,- ANSWER Diabetic Retinopathy-Cotton wool spots (moderate retinopathy), micro-aneurysms.
ALSO RETINAL HEMORRHAGES ON CENTER OF EYE APPEAR ORANGE RED
HTN Retinopathy
- ANSWER Hypertensive Retinopathy- Copper/silver wire arterioles. AV nicking(mild
retinopathy). Retinal Hemorrhages. EXAM
Wilms Tumor
- ANSWER Wilms tumor (Nephroblastoma)- Not painful. Asymptomatic abd mass does NOT
cross the midline. 2-3 y. o.d. do not palpate. Do ABD US. PUNT. Think Nephro doesn't cross.
Stays where kidney is. EXAM
Primary Amenorrhea
- ANSWER Primary amenorrhea: NO menarche by 15 y. with or w/o secondary sex
characteristics.
Aphthous stomatitis
- ANSWER Cancer sores. Aphthous stomatitis: painful shallow ulcers heal 7-10 days. Magic
mouthwash.
Temporal arteritis
- ANSWER Temporal arteritis- one temple indurated cord like gold stand. Biopsy. Abrupt visual
changes blindness, inc. ESR. CPR. Most have POLYMYALGIA RHEUMATICA. Treat high dose
steroids.
Atopic Dermatitis (eczema)
- ANSWER Inherited. Extremely itchy. On flexural folds, neck, hands. Inc. IgE. "small vesicles that
rupture leaving painful, bright-red, weepy lesions" they become lichenified from itching. First
line: Topical steroids. Avoid hot water/soaps. PO antihistamines. EXAM
,Tinea Corporis
- ANSWER ring like itchy rash, slowly enlarge central clearing"-Treatment: most respond to
topical antifungals, if severe do oral Lamisil. EXAM AZOLE ending
Cellulitis
- ANSWER Deep dermis poor demarcated low legs. EXAM/ MULTIPLE QUESTIONS. DVT RISK,
DM WITH CELLULITIS WATCH FOR OSTEOMYLITIS.
Erysipelas
- ANSWER Group A strep, painful, Upper dermis, clear demarcated, cheeks, shins.
TREATMENT- Dicloxacillin QID x10d. Cephalexin, Clinda. PCN ALLERGY? Do Azithro x5d.
MRSA TREATMENT: Bactrim, doxy, mino, clinda. If sulfa allergy do not use Bactrim.
Varicella Zoster
- ANSWER "contagious 48 h. before, until all lesions crusted over" low grade fever, generalized
lymphadenopathy, intense itching, erythematous macules, papules develop over macules, then
vesicles erupt. "initially on trunk, then scalp and face" TREATMENT supportive, antihistamines,
acyclovir 20mg/kg 5xd. If given first 24 hours works best. EXAM
Impetigo
- ANSWER Impetigo-Gram positive. Itchy pink-red lesions, evolve into vesiculopustules that
rupture. If bullous-large blisters. Severe- Keflex, dicloxacillin. PCN Allergic-Azithro, clinda. If NO
BULLAE- Bactroban. EXAM
Scarlet fever- scarlantina
- ANSWER "sandpaper textured-pink rash with sore throat" strawberry tongue, rash starts on
head and neck, spreads to trunk. The skin THEN desquamates. EXAM
Lichen planus
, - ANSWER LICHEN PLANUS: SMALL FLAT TOPPED, RED TO PURPLE BUMPS THAT MAY HAVE
WHITE SCALES/FLAKES.. WHISPY GREY WHITE STREAKS CALLED WICHHAMS STRIAE. INNER
WRISTS FOREARMS, AND ANKLES. IF ON SCALP CAUSE HAIR LOSS. Causes hep C, medications,
contact with chemicals. EXAM
Spider bite
- ANSWER fever chills, n/v, located arms, upper legs, or the trunk. Biten area becomes swollen,
red, and tender, and blisters appear within 24-48 hours. Necrotic in center, which kills the
tissue. Ice packs to wound and cold inactivates the toxin, tx like cellulitis of the skin, abx
ointment at first, watch etc. Exam
Pityoris rosea
- ANSWER Pityoris rosea itchy, herald patch, xmas tree pattern, rash hands soles/feet think to
test for secondary syphilis RPR then VDRL are screening, then dx FTA-ABS. EXAM
Corneal abrasion
- ANSWER Corneal Abrasions- Round/Irregular. Was on EXAM.
Acute Angle Closure Glaucoma
- ANSWER acute/severe halos, cupping optic nerve, cloudy cornea, mid-dilated oval pupil. ER
STAT. EXAM
Conductive
- ANSWER Conductive: Lateralization to bad ear. Rinne- BC > AC.
Rinne (1st mastoid, 2 front of ear, time each area).
Weber: Tunning fork midline. CN 8 (acoustic). EXAM
Koplik spots
- ANSWER Koplik Spots- "clusters sm. Size red papules w/ white centers in the buccal mucosa by
lower molars". Rubeolla. Fever, conjunctivitis, coryza, cough (3c). Morbiliform rash. EXAM
