AANP Review 2024 Expected Questions and Answers (Verified by Expert)
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Course
AANP
Institution
AANP
AANP Review 2024 Expected Questions and Answers (Verified by Expert)
AANP Review 2024 Expected Questions and Answers (Verified by Expert)
AANP Review 2024 Expected Questions and Answers (Verified by Expert)
AANP Review 2024 Expected Questions and Answers (Verified by Expert)
1. A 64 year old wi...
1.A 64 year old with HTN and DM presents with productive cough, fever, body aches.
What diagnosis is most likely?
a. Acute bronchitis
b. Chronic bronchitis
c. Pneumonia
d. Pertussis
: c. Pneumonia
1st clue: 64 year old
2nd clue: multiple comorbidities
3rd clue: cough, fever
what was the stem of the question?
2. Indications for a chest xray with acute cough
: abnormal vital signs (in- creased RR or HR, temp >38c, 100.4F
rales, consolidation
> or equal 75 years of age with cough***
1/
,***Pneumonia in older patient: tachypnea, decreased O2 sat, OR change in mental status
or behavior
3. A 75 year old patient wo smokes and has COPD presents with a worsening cough,
weight loss, fatigue, and an enlarged right supraclavicular node. Which finding is most
indicative of a right lung tumor?
1. worsening cough
2. weight loss
3. fatigue
4. supraclavicular node
: 4. supraclavicular node
most important stem clue because this lymph node drains the chest and breast. It's a
BIG deal!
If the stem gives a unilateral finding, look for a unilateral diagnosis
4. What symptoms most commonly accompany acute bronchitis?
1. Fever, runny nose
2. Cough, fever
3. Cough and URI symptoms
4. Cough, URI, and headache
2/
, : 3. Cough and URI symptoms
Remember that bronchitis is an inflammation of the bronchioles, bronchi, and
3/
, trachea; usually follows an upper respiratory infection
Starts above the shoulders and drops down into chest.
5. A 35 year old patient with acute bronchitis has no underlying lung disease. He asks,
"How long before my cough goes aways?" The NP responds:
1. <1 week
2. about 1 week
3. 1-3 weeks
4. >3 weeks
: 3. 1-3 weeks
The patient with bronchitis will have evidence of upper AND lower airway symp-
toms.
COUGH, COUGH, COUGH, usually worse at night!
6. What is the management of bronchitis
?: Treat symptoms! Time is the only thing for bronchitis
ABX usually prescribed, but usually not necessary
7. Differential Diagnosis for Acute Bronchitis
4/
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