ANCC FNP EXAM AND PRACTICE EXAM LATEST 2024-2025
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Treatment for mild allergic conjunctivits - ANSWER-Topical antihistamines/mast
cell stabilizer
NSAIDs and topical corticosteroids are not first line
Pt with allergic conjunctivitis often produce inadequate amount of tears (oral
antihistamines may induce dry eye syndrome)
Oral hairy leukoplakia - ANSWER-elongated papilla of the lateral aspect on the
tongue
What causes oral hairy leukoplakia? - ANSWER-EBV
Koplik's spot - ANSWER-clusters of small red papules with white centers located
on the buccal mucosa by the lower molars (o = kopliks)
Prodromic viral of measles appears 2-3 days before the rash
Geographic tongue - ANSWER-inflammatory disorder that usually appears on
top and side of the tongue
multiple fissures and irreregular smoother areas on its surface that make it look
like a topographic map
Cheilosis - ANSWER-painful inflammation and cracking of the corners of the
mouth
,Peritonsillar abscess - ANSWER-severe sore throat, difficulty swallowing,
trismus, and muffled "hot potato" voice
abscess displaces the uvula
pterygium - ANSWER-yellow, triangular thickening of the conjunctiva that
extends across the cornea on the nasal side
Pinguecula - ANSWER-yellowish, raised growth on the conjunctiva next to the
cornea
Chalazion - ANSWER-chronic inflammation of the meibomian gland
hordeolum (stye) - ANSWER-stye
abscess of a hair follicle and sebaceous gland on the eyelid
High risk factors for hearing loss in premature baby - ANSWER-HEARS
Hyperbilirubinemia
Ear infection frequency
low Apgar scores
exposure to Rubella, cytomegalovirus (CMV), toxoplasmosis
Seizures
diabetic retinopathy - ANSWER-cotton wool spots
Normal intraocular pressure - ANSWER-8-21mm Hg
,Intermittent Esotropia - ANSWER-common in infants younger than 20 weeks
resolves spontaneously
refer if present after 20 weeks
Kawasaki Disease - ANSWER-high fever, enlarged lymph nodes, conjunctivitis,
dry, cracked lips
strawberry tongue
most cases under 5 years of age
pharyngitis - ANSWER-acute infection of the pharynx
stuffy nose, rhinitis with clear mucus, and watery eyes
allergic rhinitis - ANSWER-inflammatory changes of the nasal mucosa due to an
allergy response
most common sign: transverse nasal crease (allergic salute)
tonsillitis - ANSWER-inflammation of the tonsils
sore throat, difficulty swallowing, tender lymph nodes
Treatment for otitis externa - ANSWER-Use aluminum acetate solution PRN
(provides soothing, effective relief of minor skin irritations and inflammation)
keep water out of the ear
Polymyxin B-neomycin-hydrocortisone suspension drops QID x 7 days and/or
ofloxacin drops
Bullous Myringitis - ANSWER-small, fluid-filled blisters form on the eardrum
, First permanent teeth to erupt - ANSWER-first molars at about 6 years of age
viral keratoconjunctivitis - ANSWER-pink eye
treatment- symptomatic
cold compresses and slightly chilled artificial tears
avoid touching eyes, haring towels, frequent eye washing
children should not attend school until symptoms resolve
what causes viral keratoconjunctivits? - ANSWER-adenovirus
contagious for 10-12 days
self limiting
Transmission of sound through the ear - ANSWER-1. sound waves are collected
in the pinna
2. transmission of vibrations through the hammer, anvil and stirrup
3.nerve impulses stimulate in the inner ear
4. vibrations are transmitted of the cerebral cortex auditory center
5.sound is interpreted by the cerebral cortex
Ishihara chart - ANSWER-screening a patient for colour blindness
Tx for otitis media - ANSWER-1st line- amoxicillin
blepharitis - ANSWER-chronic condition caused by inflammation of the eyelids
contact lens keratitis - ANSWER-eye pain, redness, excessive tearing, lesion on
the cornea
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