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AANP EXAM > AANP EXAM NOTES 1 > Flashcards

AANP EXAM NOTES 1 Flashcards

1
Q

IF A PT MISSES 7AM ORAL CONTRACEPTIVE AND IT IS NOW 1PM, WHEN SHOULD THE PT TAKE HER PILL?

A.ASAP
B. TWO PILLS TOMORROW
C. DISCONTINUE TAKING PILLS
D. OMIT TODAY’S PILL AND CONTINUE TAKING AS DIRECTED STARTING TOMORROW

A

ASAP

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2
Q

WHICH OF THE FOLLOWING WILL LIKELY LEAD TO TACHYCARDIA?

A. HYPERTENSION, ANEMIA AND PERICARDITIS
B. FEVER, HYPOTENSION, ANEMIA
C. HYPOTENSION, ANEMIA, HYPOTHROIDISM
D. FEVER, HYPERTENSION, TARDICARDITIS

A

B. FEVER, HYPOTENSION, ANEMIA, (ALSO: SMOKING, DRINKING, CAFFEINE, ILLEGAL DRUGS)

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3
Q

WHAT IS ALTERNATIVE HERBAL THERAPY MEDICATION FOR MENOPAUSAL SYMPTOMS

A. CAVA CAVA
B. NATURAL PROGESTERONE CREAM
C. YAM
D. SOY BEAN
E. ISOFLAVONES

A

BLACK COHOSH, RED CLOVER, FLAXSEED, SAGE, ST JOHNS WORT, GINKGO BILOBA,

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4
Q

WHAT ARE THE CHARACTERISTICS OF GINKGO AS IT RELATES TO BLEEDING

A

Increases risk of bleeding

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5
Q

WHAT ARE THE CHARACTERISTICS OF KAVA KAVA RELATED TO ANXIETY AND INSOMNIA

A

Helps to regulate stress improve sleeping

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6
Q

WHAT ARE THE CHARACTERISTCS OF SAW PALMETTO AS IT RELATES TO BPH

A

It increases Blood pressure

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7
Q

WHAT ARE THE CHARACTERISTICS OF CINNAMON AS IT RELATES TO BLOOD SUGAR AND CHOLESTEROL

A

Helps to lower blood sugar & cholesterol

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8
Q

WHAT ARE THE CHARACTERISTICS OF ST JOHNS WART AS IT RELATES TO DEPRESSION

A

Improves mood

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9
Q

WHAT ARE THE CHARACTERISTICS OF TURMERIC AS IT RELATES TO ALHEIZEMERS, ARTHRITIS AND CANCER

A

Stimulate stem cells to make new brain & decrease pain

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10
Q

WHAT ARE THE CHARACTERISTICS OF FISH OIL OR OMEGA 3 AS IT RELATES TO HEART DZ, HIGH CHOLESTEROL, ARTHRITIS

A

Help decrease lipids & reduce heart disease

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11
Q

ELDERLY MAN OF MEDITERRANEAN DESCENT HAS A ROUTINE CBC DONE FOR PHYSICAL WITH FOLLOWING LAB RESULTS:

HGB 12.0
HCT 39%
MCV 72

TSA RESULTS SHOW 3.2
UA NEGATIVE

WHICH OF THE FOLLOWING TESTS ARE INDICATED FOR THIS PT?

A. SERUM IRON, SERUM FERRITIN, TIBC, RDW
B . SERUM VIT B12 AND FOLATE LWITH PERIPHERAL SMEAR
C. CBC WITH DIFF AND U/A
D. URING C&S

A

A. SERUM IRON, SERUM FERRITIN, TIBC, RDW

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12
Q

BACTERIAL VAGINITIS

  • SIGNS & SYMPTOMS
  • Diagnostic test & results
  • 1st Line tx
A

s/s: Vaginal pain, burning, fishy odor.
Test: Whiff test, + KOH, PH>4.5, & clue cells. 1st line Tx: Metronidazole (Flagyl) 500mg BID x 7 days.

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13
Q

Vaginal candidal vaginitis
*Signs & Symptoms
* Diagnostic with results
*Treatment

A

S/s: White cheesy/curd like discharge, pruritis, swelling, & redness. Test: Wet prep shows pseudohyphae & spores. Tx: OTC Monistat or Lotrimin. Rx: Fluconazole (Diflucan) 150mg po x1 + 1 dose terconazole (Terazol 3) cream/suppository (do not Rx diflucan to pregnant women).

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14
Q

TRICHomoniasis
*Signs & symptoms

A

redness, intense itching, burning, irritation, & dysuria/frequency. Copious grey/green bubbly discharge & Strawberry cervix. Diagnostic: Mobile unicellular organism with flagella & NAAT test. RX: Metronidazole (Flagyl) 2g po x 1 dose (or 500mg BID x 7days).

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15
Q

WHAT BP MED CAUSES ANKLE EDEMA?

A

CCB

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16
Q

Bilateral breast bud & arolea with no separation is which TANNER stage?

A

Stage 2

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17
Q

ADOLESCENT MALE WITH C/O BREAST DEVELOPMENT. WHICH OF THE FOLLOWING IS ASSOCIATED WITH THIS CONDX? WHAT P/E? WHAT IS IMPORTANT TO DOCUMENT IN PT CHART?

A. REDUCE INTAKE OF FAT (OR SOMETHING ELSE) IN DIET
B. FREE WEIGHTS
C. MARIJUANA USE
D. COCAINE USE

A

Ask about marijuana use

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18
Q

ELDERLY MAN HAS DIFFICULTY BUTTONING SHIRT AND FORGETS THINGS. PT HAS HX OF HIGH BP AND PREVIOUS STROKE.

A. FRONTAL LOBE DEMENTIA
B. VASCULAR DEMENTIA
c. ONGOING ALHEIZEMERS
D. STEP WISE DEMENTIA
E. LEWEY BODY DEMENTIA

A

A. frontal lobe dimentia

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19
Q

CHARACTERISTICS OF MAOI CLASS OF DRUGS?

A

Avoid high tyramine/fermented foods (e.g., cheese, fava beans, wine). Do not combine with SSRIs.

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20
Q

PT HAS C/O DISCHARGE AND FOUL SMELLING DISCHARGE FROM EAR. WHAT CONDX IS THE LIKELY CAUSE?

A. CHRONIC OM
B. ACUTE OE
C. POLYPS
D.CHOLESTEOMA

A

Chronic OM
cholesteoma

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21
Q

DIABETIC PT HAS LACERATION TO FOOT . WHAT SHOULD THE NP FOCUS ON DURING EXAM?

A. ASSESS FOR DIABETIC NEUROPATHAPY
B. CHARIOTS FOOT

A

? ASSESS FOR DIABETIC NEUROPATHY.

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22
Q

BEST TOOL TO DX COGNITIVE STATUS

A. MINI COG
B. MINI MENTAL STATE EXAM
C. PAGE
D.DRAW A CLOCK

A

MINI COG

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23
Q

(CURB 65) HOSPITALIZATION CRITERIA - PT MEETS ALL CRITERIA EXCEPT?

A. New onset CONFUSION
B. 65 OR OLDER
C. BLOOD PRESSURE <90
SBP or </= 60 DBP
D. BUN > 7
E. Respiratory rate =/> 30
F. Pulse > 100

A

F. Pulse > 100

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24
Q

TX FOR UTI IN CHILDREN. WHICH ABX ? ABD ULTRA SOUND OR CT?

A

Bactrum 1st drug (if on test)

Cefloasporin (Keflex), amoxicillin, nitrofurantoin.

F/u in 2 days

Renal US after treating the 1st UTI [febrile, age 2 & 24 months regardless of fever)] If they 1st flunk the renal US, then a voiding cystourethrogram (VCUG) is ordered

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25
Q

TX FOR UTI DURING PREGNANCY

A

NITROFURANTOIN (MACROBID)

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26
Q

Examples of CYP450 INHIBITORs

A

Macrolides, antifungals, Lithium, & postassium sparing diuretics

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27
Q

QUESTION ABOUT Schizophrenia Medication

A. Haldol, clozapine, thioridazine, geodon, & seroquel may cause?
B. Other drugs used for schizophrenia include?

A

Haldol, clozapine, thioridazine, geodon, & seroquel may cause QT prolongation (torsade de pointes).

Latuda, Zyprexa, Risperdal & clonazipine.

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28
Q

Coumadin INR goal for Afib & Prosthetic heart valve?

A

Afib: Between 2 & 3
Prosthetic heart valve: Between 2.5 & 3.5

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29
Q

SYPHILIS - WHAT ARE POTENTIAL EFFECTS ON NEW BORN IF MOTHER IS SYPHILIS POSITIVE?

A

May cause baby to be born stillborn or die from infection as a newborn.

May have health problems (e.g., skin rashes, jaundice, enlarged liver/spleen, severe anemia, developmental delay, or seizures)

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30
Q

FETAL ALCOHOL SYNDROME CHARACTERISTICS.

A
  • Small head facies (microcephaly)
  • Shortened papheral fissures (narrow eyes)
  • epicanthal folds & flat nasal bridge
    *Thin upper lip (smooth philtrum)
  • Small jaw
    *Underdeveloped ears
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31
Q

What will eye exam reveal in pt. with HTN?

A

AV Nicking

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32
Q

Narrow QRS preceded by rapid regular P waves in rapid uncoordinated atrial contraction (Sawtooth)?

A

Atrial Flutter

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33
Q

PAD - ENCOURAGE AMBULATION - THROMBOEMBOLIC HOSE - WHICH ONE DO YOU NOT USE?

A
34
Q

KNOW QUESTIONS WITH TOTAL CHLORESTEROL/LIPID VALUES

A
35
Q

SILDENAFIL (Viagra) - BP MEDICATION that SHOULD NOT BE USED?

A. TRANSDERMAL CATAPRESS (nitrate)
B. PROPRANLOL (BB)

A

No nitrates (isosorbide), alpha blockers (tamsulosin/flomax or doxazosin/cardura), ARBs, CCB, & diuretics. Avoid grapefruit juice & alcohol.

36
Q

QUESTIONS ON STROKE AND/OR TIA

A
37
Q

PT WITH RIGHT SIDE WEAKNESS AND FACIAL DROOPING, SLURRED SPEECH. HOW DO YOU TREAT PT?

A. GIVE ASPRIN AND RECEHCK BP
B. CALL 911
C. SEND TO ER

A
38
Q

PT EXPERIENCING RIGHT SIDE WEAKNESS, FACIAL DROOPING, SLURRED SPEECH FOR 24 HOURS. WHAT CONDX IS MOST LIKELY?

A. TRIGEMINAL NEURALGIA
B. TIA
C. STROKE

A
39
Q

QUESTION ABOUT METABOLIC SYNDROME. WHAT HTN MEDS DO YOU AVOID?

A

Avoid thiazide diuretics (e.g., HCTZ)
ACE or CCB are best

40
Q

DERMITITIS PT WITH SKIN LESION ON NECK - Pink, DARK BLUE, BLACK, WHAT KIND OF WOUND IS IT?

A. MELANOMA
B. PSYROSIS
C. Brown recluse spider bite

A

Brown recluse spider bite

41
Q

DERMO QUESTION - RASH X FEW DAYS AGO, NOW HAS CRUSTED EXTERIOR WITH CENTRAL CLEARING. WHAT IS CAUSE?

A

Early Lyme Dz: Erythema Migrans

42
Q

QUESTION ABOUT WHAT RASH AND WEB FINGERS …

A

Scabies

43
Q

QUESTION ABOUT LEISION ON A SINGLE FINGER … HERPATIC WHITLOW?

A
44
Q

CHILD HAS C/O NODULE ON LIP AND SOMETHING ELSE … WHITE …

A. HAND, FOOT, AND MOUTH DZ

A
45
Q

WHAT CONDX IS DESCRIBED BY A PT FACE WITH WARM RED RASH?

A. ERYFITELAS -

A
46
Q

HIDRADENITIS SUPPURAPIVA

  • TX
  • SIGNS/SYMPTOMS
A
47
Q

ADOLESCENT PT WITH ACNE WHO IS TAKING ADELAIC ACID WITHOUT IMPROVEMENT AFTER 2 WEEKS. WHAT SHOULD THE NP DO?

A. INCREASE MEDICATION
B. REFER TO DERMOTOLOGIST
C. DECREASE MILK/CHANGE DIET
D. STOP MEDICATION

A
48
Q

ROCKY MTN SPOTTED FEVER

  • SIGNS/SYMPTOMS
  • TX
A
49
Q

PT EXPOSED TO ANIMAL HIDES CONTRACTS CUTANIOUS ANTHRAX . WHAT IS TX?

A. DOXYCYCLONE, CIPRO, LEVOFLOXIN

A

Ciprofloxacin 500mg bid x 60 days

50
Q

4 PTS WITH BMI OF 25. WHO IS MOST AT RISK FOR DM?

A. FEMALE WHO JUST HAD 9 LB BABY
B. ELDERLY WHITE MAN SEDENTARY LIFESTYLE
C. AA WHO EXERCISES EVERYDAY
D.

A

Risk factors:
Gestational diabetes
Sedentary lifestyle
Sibling with DM

51
Q

GRAVES DZ. WHAT MEDICATIONS ARE CONTRAINDICATED.

A

Anti thyroid meds (propylthiouracil & methimazole/tapazole); Beta blockers

52
Q

HASHIMOTO DZ AS IT RELATES TO THYROID

A
53
Q

ADDISON’S DISEASE QUESTION

A
54
Q

SUBCONJUNCTIVAL HEMMORAGE QUESTION.

A. ANTERIOR UVEITIS

  • S/S
  • TX
A
55
Q

CORNEAL ABRASION QUESTION. PT FELT FOREIGN BODY SENSATION.
WHAT IS FIRST THING NP SHOULD DO?

A. VISUAL EXAM
B. FLUORESCEIN EXAM
C. REFER TO OPTHAMOLOGIST

A
56
Q

QUESTION ABOUT NEW BORN WITH DISCHARGE ON EYE AND CONTINUED.

A. DACROSTENOSIS

A
57
Q

TEENAGE PT HAD NYSTAGNAS AND SOMETHING ABOUT GAZE

A. LEISION ON CN 3 AND CN 5
B . BENIGN VERTIGO
C.

A
58
Q

VERTIGO QUESTION

A. DIX HALLPIPE MANEUVER

A
59
Q

LISTENING TO TESTICLE YOU HEAR BOWEL SOUNDS. WHAT IS THE MOST LIKELY CONDX?

A. HERNIA
B. VAROTEL
C. HYDROCELE

A
60
Q

CHILD FELL OFF BIKE WITH OUTSTRETCHED ARM TO BREAK THE FALL. WHAT IS MOST LIKELY CONDX?

A. NAVICULAR (SCATHOID) FRACTURE

A

B. NAVICULAR FRACTURE

61
Q

CHOOSE THALASSEMIA OR ANEMIA OF CHRONIC DZ FOR VARIOUS VALUES OF

FERROTIN, TIBC, RDW VALUES -AND ELECTROPHORESIS

A
62
Q

QUESTION ABOUT TX FOR PROSTATITIS

A.

A
63
Q

QUESTION ABOUT TX FOR MASTATITIS

A
64
Q

THE FINKLESTEIN TEST IS USED TO DIAGNOSE WHAT CONDITION?

A. DE QUEVAINS TENDONITIS

A
65
Q

QUESTION ABOUT NODULE FELT BETWEEN 3RD AND 4TH METATARFALS

A. MORTON NEUROMA

A
66
Q

QUESTION ABOUT TORN MCL AND ACL ?

S/S
DX TEST
TX

A
67
Q

QUESTIONS ABOUT BURSITIS. ELBOW AND PETELLAR (KNEE)

A
68
Q

QUESTION ABOUT ASSESSING PT BACK PAIN WITH TAP ON HEAD, WHAT IS INDICATED?

A
69
Q

QUESTION ABOUT CHADWICK SIGN

A
70
Q

QUESTION ABOUT MILESTONE FOR 6 MONTH OLD INFANT

A. INFANT MORO REFLEX AND RAISING HEAD WHILE ON TUMMY

A
71
Q

ENCOPREFIS QUESTION. DEGRESSION IN BOWEL MOVEMENT IN TODDLERS.

A
72
Q

KAWASAKI DZ. KNOW S/S. 1ST LINE TX.

A
73
Q

MEDICATIONS TO TREAT TREMORS.

A. PROPANOLOL

A
74
Q

WHAT TEST IS USED TO ASSESS RISK FOR FALLS?

A. GET UP AND GO TEST FOR FALLS

A
75
Q

USING SPIROMETER TESTING FOR OBSTRUCTIVE LUNG DZ IN RELATION TO FEV 95, BEFORE AND AFTER BRONCHO DIALATOR …

A
76
Q

QUESTIONS ABOUT RHINITIS.

A
77
Q

HIV QUESTION.

A
78
Q

PT WITH C/O EXTERNAL LEISIONS TO VAGINAL AREA THAT ARE PAINLESS.

A. CONDYLOMA ACUMINATA.

A
79
Q

ELDERLY FEMALE TAKING ANTIPSYCHOTIC MED (XANEX)

A. TAPER MEDICATION
B. STOP MED ABRUPTLY
C.

A
80
Q

A. LATEX ALERGY

A

AANP EXAM (8 decks)

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