AANP FNP certification Exam Questions With Complete
Solutions
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? Correct Answer Iron, TIBC
3 months of synthroid, TSH increased, T4 normal, what do you
do? Correct Answer Increase Medication
3 ways to assess cognitive function in patient with
signs/symptoms of memory loss Correct Answer Mini mental
exam
4 month old with strabismus, mom is worried...... Correct
Answer tell her it is normal.
4 month old wont keep anything down, what is the main thing
you look at? Correct Answer Growth chart
6 month old closed anterior fontanel. Correct Answer XRAY
88/yr. old patient in for follow up secondary. She's been treated
with Tylenol for Joint arthritis. Her SED rate was checked after
6 weeks of treatment and it was 28. Normal range is from
something to 25. How would you treat the pt. Correct Answer
be changed to NSAID, SED rate is a sign of inflammation
,a pregnant female at slightly above symphysis pubic and Fundal
height is 32cm (above the umbilical). What should be done
Correct Answer Ultrasound
A1C > 9 Correct Answer If you are already on TWO oral drugs
for diabetes and A1c is 9 or higher, start BASAL insulin. If you
cannot tolerate metformin and your A1c is 9 or higher start
BASAL insulin. ON EXAM
Abnormal cells on PAP, what do you do next? Correct Answer
Refer for Colposcopy
Acne Rosacea Correct Answer - chronic small acne like
papules/pustules around nose mouth chin. TREATMENT-
Metrogel, Azelex. Low dose tetracycline. Clindamycin. EXAM
Acne Rosacea Correct Answer Acne Rosacea- chronic small
acne like papules/pustules around nose mouth chin.
TREATMENT- Metrogel, Azelex. Low dose tetracycline.
EXAM
Acne Vulgaris Correct Answer common acne. Retin-A, acne
worsens 4-6 weeks if no improvement in 8-12 weeks increase
dose or add erythromycin, benzoyl peroxide.
,actinic keratoses Correct Answer Precursor to squamous cell
carcinoma. "numerous dry round and pink to red lesions" with a
rough and scaly texture. Does not heal. Slow growing in sun
exposed areas. Diagnosis: BIOPSY Golden Standard.
Treatment: Sm. (cryotherapy), Lrg. (5-FU cream)- which causes
ur skin to ooze, crust, scab, redness EXAM
Actinic Keratosis Correct Answer 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
Actinic Keratosis Correct Answer Scaly red to yellow located
in sun exposed area
-a precancerous skin growth that occurs on sun-damaged skin
Acute Bacterial Pneumonia- CXR Correct Answer middle lobe.
ON EXAM
Acute Closed Angle Glaucoma
Vs
Open Angle Correct Answer Acute: Sudden pain, halos,
cupping, dilated, cloudy , IOP, HA, refer ED
Open (primary) : CN 2, gradual loss peripheral vision first
, Acyclovir (cheapest) Correct Answer 200mg 5 x day
Addison's Correct Answer Addison's- deficient in cortisol
(think low sodium, blood sugar, but Increase K. You must give
cortisol. (Diagnosis Plasma Cortisol <5 mcg/dl @ 0800.) EXAM
ADHD Correct Answer A behavioral problem characterized by
short attention span, restless movement, and impaired learning
capacity.
All diastolic murmurs are pathological. Grades Murmurs
Correct Answer I-barely II-audible III- clearly audible. IV- first
time thrill V-Steth edge VI-entire steth. EXAM
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 Correct Answer III first time
audible, IV first time thrill
Allergic Conjunctivitis Correct Answer "stringy; increased
tearing" PO antihistamines. Type I sensitivity. Typically
bilateral. Rhinitis and allergic shiner.
allergic rhinitis Correct Answer blue pale turbinate clear
drainage. Tx inhaled corticosteroids
Assessment on patient with ascites Correct Answer Dullness
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