AANP FNP Certification Complete Exam Questions and Answers
All diastolic murmurs are pathological. Murmurs Grades I-barely II-audible III- clearly
audible. IV- first time thrill V-Steth edge VI-entire steth. EXAM - Ans III first time audible,
IV first time thrill
Fundal height 12 weeks - Ans Fundal 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? - Ans Iron, TIBC
3 months of synthroid, TSH increased, T4 normal, what do you do? - Ans Increase
Medication
3 ways to assess cognitive function in patient with signs/symptoms of memory loss - Ans
Mini mental exam
4 month old with strabismus, mom is worried...... - Ans tell her it is normal.
4 month old wont keep anything down, what is the main thing you look at? - Ans Growth
chart
6 month old closed anterior fontanel. - Ans XRAY
Abnormal cells on PAP, what do you do next? - Ans Refer for Colposcopy
CAGE ACRONYM - Ans Cut down
Annoyed by criticism
Guilty about drinking
Eye opener drink
Causes of tachycardia - Ans Fever
Anemia
Hypotension
Cranial nerves responsible for extraocular eye movements - Ans CN 3,4,6
Definition of metabolic syndrome - Ans cluster of conditions that increase risk of heart
disease, stroke, diabetes.
diagnose trichomoniasis - Ans wet prep
Elderly presents with atrophic vaginitis, small uterus, palpable 4x5 ovary, what do you do
next? - Ans Pelvic US
,Epistaxis is most common in the area of the nose known as kiesselbachs triangle, where is
this located? - Ans Anterior septum
Definitive diagnosis of acute bacterial prostatitis - Ans urinalysis and culture
GERD treatment - Ans H2 is first line, give hs
Grade 3 cells on Pap, treatment? - Ans LEEP
excision
Fingernail hematoma treatment? - Ans drill hole and drain blood?
Increased risk of ectopic pregnancy - Ans Salpingitis, or history of abortion, PID,
Koplick spots - Ans Measles (rubeola). Grains of salt lesions inside mouth in Measles
Koplick spots - Ans Measles (rubeola). Grains of salt lesions inside mouth in Measles
Legg-Calve-Perthes Disease - Ans Avascular necrosis of the proximal femoral head
Lipid level of 1500, increased risk for? - Ans Pancreatitis
Low HGB, Low HCT, High MCV indicates what? - Ans Macrocytic anemia, B12 Def
Man with BPH, prostate feels on digital exam? - Ans Enlarged, symmetrical, smooth
Man with HTN, CAD, present femoral pulses but absent pedal - Ans Arterial Insufficiency
McMurray's Sign
(+) palpable or audible click while extending with varus stress - Ans Meniscus tears
Lachman's Test - Ans pivot shift test (ACL tear)
Newborn with foot turned in, what do you do? - Ans refer to orthopedist
Osgood-Schlatter disease - Ans Knee 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? - Ans Alzheimer'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? - Ans Refer to oncologist
Pt presents with rash on shoulder, erythematous maculopapular rash with center clearing
and scaling? - Ans Tinea Corporis
Pt presents with "bag of worms:, indicates? - Ans Varicocele
Pt with atopic dermatitis, look for what other diseases? - Ans Asthma
, Pt with bleeding after menopause - Ans endometrial biopsy, need to screen for cancer
Pt with hx of PID, increased rick for? - Ans Infertility
Pt with HIV took high potency anti viral treatments and CD4 is >400, what does this
indicate? - Ans This is good. Want higher than 350
Pt with hx of htn and stroke, now having memory loss. What does this indicate? - Ans
Vascular dementia
Pregnant teacher with exposure to 5ths disease (SLAP CHEEK), what risk is there to the
fetus? - Ans slap cheek, PVB19, rash hands / feet Fetal death and birth defects
Quick assessment of patients fall risk? Timed Get up and Go - Ans Timed Get up and Go
Red beefy tongue? - Ans pernicious anemia
Rotator cuff injury presentation - Ans disturbs sleep, arm weakness, dull ache
Shingles near eye - Ans immediate referral to ophthalmology
Signs and symptoms of Roseola (6ths disease) ? - Ans Viral 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: - Ans 12 step program
Treatment for Gonorrhea? - Ans Rocephin 250mg IMx1 plus
Azithromycin 1 gm orally x1 to cover chlamydia. , or doxy 100 mg BID x7d. Green colored
vaginal discharge, friable cervix. EXAM
Report to health department
Young female want birth control, forgets to take pills, does not want to get pregnant for at
least 5 years: - Ans IUD
Basal cell cancer - Ans Waxy, pearly, telangiectasia, ulcer center lesion
-most common type of skin cancer caused by UV exposure. Metastatic is rare
Actinic Keratosis - Ans Scaly red to yellow located in sun exposed area
-a precancerous skin growth that occurs on sun-damaged skin
Actinic Keratosis - Ans Numerous round dry pink to red areas. Scaly red to yellow located in
sun exposed area
-a pre squamous cell carcinoma occurs on sun-damaged skin
biopsy
cryo or 5fu cream
