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AANP FNP Exam Review: 900+ Questions & Answers for Certification, Exams of Nursing

Purdue University GlobalNursing

A compilation of exam questions and answers related to the aanp fnp (american association of nurse practitioners family nurse practitioner) certification. It covers a wide range of medical topics and conditions, offering concise answers and key points relevant to clinical practice. The content is structured as a test bank, making it useful for exam preparation and review. It includes information on various diseases, diagnostic tests, and treatment options, serving as a quick reference for medical professionals and students. The document emphasizes practical knowledge and clinical decision-making, aiding in the understanding of common medical scenarios and their management. It also touches on differential diagnosis, helping users distinguish between similar conditions based on key symptoms and findings. The material is presented in a question-and-answer format, facilitating efficient learning and retention of critical information.

Typology: Exams

2024/2025

Available from 06/05/2025

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AANP FNP EXAM REVIEW TESTBANK|900+ REAL
EXAM QUESTIONS WITH DETAILED AND VERIFIED
ANSWERS| AANP FNP CERTIFICATION |2025-2026|A+
GRADE ASSURED
A 70-year-old patient presents to the clinic complaining of dyspnea, palpitations, and fatigue.
The patient reports a 2-week history of blackened stools, which the patient attributes to
drinking berry juice. Assessment reveals vital signs of BP = 110/60, P = 100, R = 24; Hgb = 4.5
g/dL; Hct = 16%. What is the most appropriate immediate intervention?
1.
Order serum iron, total iron-binding capacity (TIBC), and ferritin.
2.
Refer to a gastroenterologist.
3.
Send to the emergency room.
4.
Order a complete blood count (CBC) with differential.
- ANS:->>-Send to emergency room
The symptoms of benign prostatic hypertrophy are often overlooked because the older male:
1.
understands that surgery is the only cure for this condition.
2.
considers urinary problems to be a normal part of aging.
3.
is fearful of the side effects of additional medication.
4.
is concerned that he will no longer be able to obtain an erection.
- ANS:->>-considers urinary problems to be normal part of aging
Upon admission to a nursing home, an 85-year-old patient receives a negative result on the
purified protein derivative (PPD) test. To determine TB status in the frail elderly, a second PPD
should be performed in:
1.
72 hours.
2.
1 week.
3.
3 months.
4.
6 months.
- ANS:->>-1 week
Which of the following is NOT used for therapy of an acute attack of gout?
1.
Colchicine (Colcrys)
2.
Indomethacin (Indocin)
3.
Methylprednisolone (Solumedrol)
4.
Allopurinol (Zyloprim)
- ANS:->>-allopurinol (zyloprim)
A 26-year-old female presents with abdominal distention, bloating, and intermittent crampy
abdominal pain relieved by defecation. She has four to six loose stools a day when stressed.
Between bouts of diarrhea, she often has constipation. Physical examination results are normal.
The CBC was normal. The most likely diagnosis is:
1.
diverticulitis.
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Download AANP FNP Exam Review: 900+ Questions & Answers for Certification and more Exams Nursing in PDF only on Docsity!

AANP FNP EXAM REVIEW TESTBANK| 900 + REAL

EXAM QUESTIONS WITH DETAILED AND VERIFIED

ANSWERS| AANP FNP CERTIFICATION | 2025 - 2026 |A+

GRADE ASSURED

A 70 - year-old patient presents to the clinic complaining of dyspnea, palpitations, and fatigue. The patient reports a 2-week history of blackened stools, which the patient attributes to drinking berry juice. Assessment reveals vital signs of BP = 110/60, P = 100, R = 24; Hgb = 4. g/dL; Hct = 16%. What is the most appropriate immediate intervention?

  1. Order serum iron, total iron-binding capacity (TIBC), and ferritin.
  2. Refer to a gastroenterologist.
  3. Send to the emergency room.
  4. Order a complete blood count (CBC) with differential. - ANS:->> - Send to emergency room The symptoms of benign prostatic hypertrophy are often overlooked because the older male:
  5. understands that surgery is the only cure for this condition.
  6. considers urinary problems to be a normal part of aging.
  7. is fearful of the side effects of additional medication.
  8. is concerned that he will no longer be able to obtain an erection. - ANS:->>-considers urinary problems to be normal part of aging Upon admission to a nursing home, an 85 - year-old patient receives a negative result on the purified protein derivative (PPD) test. To determine TB status in the frail elderly, a second PPD should be performed in:
  9. 72 hours.
  10. 1 week.
  11. 3 months.
  12. 6 months. - ANS:->>- 1 week Which of the following is NOT used for therapy of an acute attack of gout?
  13. Colchicine (Colcrys)
  14. Indomethacin (Indocin)
  15. Methylprednisolone (Solumedrol)
  16. Allopurinol (Zyloprim) - ANS:->>- allopurinol (zyloprim) A 26-year-old female presents with abdominal distention, bloating, and intermittent crampy abdominal pain relieved by defecation. She has four to six loose stools a day when stressed. Between bouts of diarrhea, she often has constipation. Physical examination results are normal. The CBC was normal. The most likely diagnosis is:
  17. diverticulitis.
  1. viral gastroenteritis.
  2. inflammatory bowel disease.
  3. irritable bowel syndrome - ANS:->>- irritable bowel syndrome A mother has just noticed that her 15-month-old, 15-kg child has recently ingested an unknown quantity of iron tablets. The mother has ipecac syrup and activated charcoal on hand. The mother should be advised to:
  4. take the child to the primary care provider.
  5. give ipecac per recommendation on the bottle label.
  6. take the child to the emergency room.
  7. give the child 30 g of activated charcoal diluted with water - ANS:->>- take child to emergency room A 13-year-old is concerned because she has not yet begun to menstruate. Physical examination indicates that the patient is at Tanner stage IV and is of average height and weight. Which of the following would be the most appropriate response to this patient?
  8. "We'll need to refer you to an endocrinologist for a complete workup."
  9. "We'll need to do some tests to find out why you are not having periods."
  10. "I'll give you some pills that will make your periods start."
  11. "Your development is exactly as expected for your age; you'll probably begin to have periods within a year." - ANS:->>-" Your development is exactly as expected for your age; you'll probably begin to have periods within a year." The most common bacterial cause of cellulitis in patients with diabetes mellitus is:
  12. Pseudomonas aeruginosa.
  13. group B beta-hemolytic Streptococcus.
  14. Staphylococcus aureus.
  15. Staphylococcus saprophyticus. – ANSWER:->>- Staphylococcus aureus A 46 - year-old female found a lump in her breast this morning. History includes: no prior breast disease; G2P2 (first birth, age 22); maternal aunt diagnosed with breast cancer at age 72; last menstrual period was 2.5 weeks ago. On examination, a nurse practitioner palpates a 2-cm round, soft, mobile, tender lesion in the upper outer quadrant of the right breast. Mammogram is negative. Which of the following actions is most appropriate?
  16. Reassure the patient that no further action is necessary.
  17. Repeat unilateral right mammogram in 3 months.
  18. Schedule a right-breast ultrasound.
  19. Refer for genetic testing if the lump increases in size. - ANS:->>- schedule a right breast ultrasound Risk factors for genital herpes include:
  20. multiple sexual partners and years of sexual activity.
  21. genetic transmission.
  1. Doxycycline (Doryx)
  2. Cefuroxime (Ceftin) - ANS:->>- cefuroxime (ceftin) An 86 - year-old patient is experiencing radiculopathy-associated lower back pain that has not improved over the past 4 weeks. The medical history includes a lumbar discectomy. The best type of imaging study for evaluating this patient would be a/an:
  3. MRI.
  4. spinal X-ray.
  5. myelography.
  6. nuclear bone scan. - ANS:->>- MRI A 30 - month-old with a history of frequent ear infections was seen in September after a symptom-free summer. Examination revealed bilateral bulging eardrums. After two separate courses of antibiotics, fluid is noted in both ears. The parent reports speech difficulties. The most likely diagnosis is:
  7. otitis media with effusion.
  8. myringitis.
  9. recurrent acute otitis.
  10. Esutachian tube dysfunction. - ANS:->>- otiti media with effusion A 19 - year-old patient who has used oral contraceptives for 3 years plans to discontinue the pill at the end of her current cycle to become pregnant. Which of the following daily supplements would receive the highest priority?
  11. Calcium carbonate
  12. Folic acid
  13. Ferrous sulfate
  14. Multivitamin - ANS:->>- folic acid A frail elderly widow presents to the senior clinic with a 3- to 4-day history of confusion that became worse the evening before but currently seems a little better, although her speech is rambling and difficult to follow. During the examination, the patient is anxious and agitated. She is on cardiac medications, an antidepressant, and insulin. The most likely diagnosis is:
  15. mild stroke.
  16. polypharmacy.
  17. electrolyte imbalance.
  18. agitated depression. ANSWER:->>-polypharmacy

The nurse practitioner prescribes amitriptyline (Elavil) for a patient with neuropathic pain secondary to diabetes mellitus. On follow-up, the patient complains of urine retention and dry mouth. The practitioner would:

  1. discontinue amitriptyline and begin ibuprofen (Motrin).
  2. refer to physical therapy.
  3. start methocarbamol (Robaxin).
  4. discontinue amitriptyline and begin gabapentin (Neurontin). - ANS:->>- discontinue amitriptyline and begin gabapentin (neurontin ) A 17-year-old male with rheumatoid arthritis is being treated with an NSAID and omeprazole (Prilosec). The patient complains of headache, abdominal pain, and gas. These symptoms are most likely:
  5. associated with the omeprazole.
  6. related to the underlying condition.
  7. the result of the NSAID.
  8. caused by viral gastroenteritis. - ANS:->>- associated with the omeprazole The medication of choice for the initial treatment of juvenile rheumatoid arthritis is:
  9. acetaminophen.
  10. prednisone.
  11. aspirin.
  12. ibuprofen. - ANS:->>- ibuprofen A 12-year-old with sickle cell anemia has recently experienced a sickle cell crisis and presents for a follow-up examination after a recent hospitalization. It is most important to continue monitoring growth, development, and:
  13. white blood cell levels.
  14. fecal occult blood test.
  15. hemoglobin levels.
  16. urine dipsticks. - ANS:->>- hemoglobin levels A 90 - year-old female is brought to the clinic by her neighbor. She states that everything is fine, but the nurse practitioner notes that she has poor hygiene and bruises on her trunk. The neighbor is concerned that the patient often has no money to buy food, despite income from social security and a coal miner's pension. The nurse practitioner suspects abuse. Which of the following is the nurse practitioner obligated to do next?
  17. Report the case to the proper authorities.
  1. acute coronary ischemia.
  2. right ventricular hypertrophy.
  3. atrial hypertrophy.
  4. hyperkalemia. - ANS:->>-acute coronary ischemia The 16-year-old mother of a 2-month-old presents the infant, reporting that the child is very irritable and does not feed well. During physical examination, the child's head drops back and the child exhibits sudden flexing of the extremities. As the flexing stops, the child cries uncontrollably. Funduscopic examination reveals retinal hemorrhages. Which of the following diagnostic tests should be ordered?
  5. Skull X-rays
  6. MRI
  7. CT scan
  8. Pet scan - ANS:->>-CT scan The most important diagnostic factor in evaluating angina pectoris is the patient's:
  9. King of Heart's monitor.
  10. physical examination.
  11. history.
  12. echocardiogram. - ANS:->>-history There are three reasons for latex allergies. Which of the following does NOT cause the problem?
  13. Immediate hypersensitivity
  14. Irritant contact of dermatitis
  15. Cytotoxic hypersensitivity
  16. Immune complex reaction - ANS:->>-cytotoxic hypersensitivity A patient on warfarin (Coumadin) therapy for recurrent deep vein thrombosis (DVT) is about to have lumbar spinal fusion surgery. The patient's warfarin is put on hold starting 5 days prior to the surgery and subcutaneous Lovenox has been ordered for DVT prophylaxis until the resumption of the warfarin. The nurse practitioner knows that the patient's postoperative warfarin dose should be restarted based on the:
  17. value of her morning Prothrombin time.
  18. loading dose of 10 mg, plus the previous warfarin dose.
  19. baseline PT and INR values.
  20. target INR of 2. - ANS:->>-caseline PT and INR values An 87 - year-old patient presents with round, pruritic plaques and small vesicles on the lower legs. The most likely diagnosis is:
  21. allergic contact dermatitis.
  22. plaque psoriasis.
  23. cutaneous T-cell lymphoma.
  24. nummular eczema - ANS:->>-nummular eczema

A 3 - year-old presents with a 2 - day history of acute diarrhea with a total of 8 watery stools without blood or mucus, and 2 episodes of vomiting in the past 48 hours. Assessment reveals no current antibiotic therapy, dehydration <5%, soft abdomen with hyperactive bowel sounds, no masses or organomegaly; other physical findings are normal. Which of the following is the most appropriate management plan?

  1. Stool culture; Immodium AD liquid.
  2. No laboratory workup; instruct parents on signs and symptoms of dehydration; diet of clear liquids, advancing to bananas, rice cereal, Jell-O, and soup.
  3. Start diet of clear liquids, advancing to bananas, rice cereal, Jell-O, and soup over next 72 hours; Imodium AD liquid, 1 mg/sml
  4. Stool for ova and parasites; advise parents of likely sources of Giardia; prescribe furazolidone (Furoxone) - ANS:->>-No laboratory workup; instruct parents on signs and symptoms of dehydration; diet of clear liquids, advancing to bananas, rice cereal, Jell-O, and soup. A mother presents her 12-month-old child with concern because the child does not yet say "mama" or "dada." The mother reports that in the first months of life, the child loved listening to music and being talked to. The past medical history is negative for ear infections. The nurse practitioner should:
  5. evaluate for hearing loss.
  6. refer to speech therapy.
  7. re-evaluate in 3 months.
  8. check for cerumen impaction. - ANS:->>-evaluate for hearing loss The most common side effect of the oral ribavirin used in the treatment of hepatitis C is:
  9. hemolytic anemia.
  10. weight loss.
  11. depression.
  12. hypothyroidism. - ANS:->>-hemolytic anemia An 86 - year-old patient presents with pinguecula, a yellow triangular degenerative tissue thickening of the bulbar conjunctiva. This condition is:
  13. cured by eye drops.
  14. a genetic process.
  15. a malignant growth.
  16. a solar-induced lesion - ANS:->>-a solar-induced lesion During a well-child examination of an 18-month-old, premature tooth decay and inflamed gums, particularly of the maxillary incisors, are noted. The approach to this problem includes:
  17. referring the child to a dentist, assessing for bottle feeding and fluoride in local water.

distended abdomen. Laboratory serum values indicate elevated alkaline phosphatase, amylase, and serum lipase. The most likely diagnosis is:

  1. alcoholic liver disease.
  2. acute mesenteric ischemia.
  3. viral hepatitis.
  4. acute pancreatitis. - ANS:->>-acute pancreatitis An otherwise healthy adult female presents complaining of vaginal burning and itching during urination. She has a social history of two sexual partners. She denies fever or vaginal discharge, but has noted a lesion on one labium. The nurse practitioner should order all of the following EXCEPT:
  5. wet mount and potassium hydroxide.
  6. dark-field microscopy of fluid from the lesion.
  7. nucleic acid amplification testing for gonorrhea.
  8. serology for Haemophilus ducreyi. - ANS:->>-dark-field microscopy of fluid from lesion A 3-year-old female has been diagnosed with bacterial meningitis. She attends preschool daily at a local church day care program. The day before her diagnosis, she ate lunch with her mother at a local restaurant. For which contact(s) would chemoprophylaxis with rifampin be recommended?
  9. Preschool contacts in the past 7 days
  10. A friend of the patient's sister who visited after school yesterday
  11. The checkout employee at the grocery store yesterday
  12. Diners at the restaurant during lunch the day the patient ate there - ANS:->>- preschool contacts in past 7 days Congenital dysplasia of the hip:
  13. more commonly affects both hips.
  14. occurs more commonly in females.
  15. is correctable at any age.
  16. typically self-corrects by 12 weeks of age. - ANS:->>-more commonly affects both hips Anticholinergic agents such as ipratropium (Atrovent) and tiotropium (Spiriva) are used in COPD primarily to:
  17. induce bronchodilation.
  18. decrease airway inflammation.
  19. expand the lung fields.
  20. treat hypoxemia. - ANS:->>-induce bronchodilation

The clinical presentation of placenta previa that develops during the third trimester includes:

  1. intermittent dark-red spotting.
  2. occult bleeding with abdominal or back pain.
  3. sudden onset of painless and profuse bleeding.
  4. painless occult bleeding that becomes visible upon onset of labor. - ANS:->>-sudden onset of painless and profuse bleeding A 27 - year-old male patient, who works as a janitor, presents with a 6 - month history of an intermittent rash on his hands. History reveals itching and occasional burning. Examination reveals irregularly-distributed scaly maculopapular erythematous patches extending from the dorsum of the hand several inches up the forearms, and dry palms with no nail involvement. The most likely diagnosis is:
  5. contact dermatitis.
  6. scabies infestation.
  7. psoriasis.
  8. eczema. - ANS:->>-contact dermatitis Anorexia nervosa occurs most commonly in which of the following?
  9. Painters
  10. Only children
  11. High-level athletes
  12. Individuals from large families - ANS:->>-high level athletes A frail elderly patient presents with constipation. Which of the following normal physiologic changes seen with aging is the most likely cause?
  13. Decreased bowel muscle tone
  14. Increased bile secretion
  15. Increased absorption of calcium
  16. Decreased pancreatic secretions - ANS:->>-decreased bowel muscle tone A patient reports to your office, having been struck on the right cheek with a baseball bat. On examination, you notice tenderness and swelling over the cheek. The patient is unable to gaze laterally with his left eye, and he complains of double vision when he attempts to do so. This is most likely associated with:
  17. retinal hemorrhage.
  18. orbital rim fracture.
  19. subarachnoid hemorrhage.
  20. periorbital cellulitis. - ANS:->>-orbital rim fractures

A nurse practitioner places a 76-year-old patient on nifedipine (Procardia) 10 mg t.i.d. for angina. The patient is unable to remember to take the medication at the scheduled times. The practitioner should:

  1. discontinue the issue with the patient's daughter.
  2. change the dose to extended release 30 mg daily.
  3. reinforce the importance of taking the medication.
  4. increase the dosage to 20 mg b.i.d. - ANS:->>-change the dose to extended release 30mg daily A pediatric male is present with his mother, who states that he is extremely restless at night and constantly scratches his anal area. Which diagnostic procedure would confirm a diagnosis of pinworm infestation?
  5. The patch test
  6. Examination of bed linens
  7. Examination of transparent tape sample from perianal skin
  8. Blood tests for anemia and eosinophilia - ANS:->>-examination of transparent tape sample from perianal skin Which of the following microorganisms are most frequently associated with acute bacterial rhino-sinusitis?
  9. Staphylococcus aureus and Mycoplasma pneumonia
  10. Staphylococcus aureus and Methicillin Resistant Staph aureus
  11. Streptococcus pneumoniae and Haemophilus influenzae
  12. Streptococcus pneumoniae and Pseudomonas aeruginosa - ANS:->>- strep pneumo and haemophilus influenzae A child is being treated with methylphenidate (Ritalin) for attention-deficit disorder. The following are all side effects of Ritalin EXCEPT:
  13. muscle cramps
  14. mild irritability.
  15. increased heart rate.
  16. slight increase in growth velocity. - ANS:->>-slight increase in growth velocity A geriatric female presents for her annual examination. She has been on antihypertensive medications for over 20 years, with good control. Laboratory values are within normal ranges. The nurse practitioner is concerned about the patient's cardiac health risks, due her to weight and her waist circumference. According to the AHA guidelines, which of the following goals is expected for this patient?
  17. Physical activity for 60 minutes daily, for a minimum of 6 days a week
  18. Physical activity for 30 minutes daily, 7 days a week
  1. Physical activity for 30 minutes daily, for a minimum of 5 days a week
  2. Physical activity for 60 minutes daily, 7 days a week - ANS:->>-physical activity for 30 minutes daily, for a minimum of 5 days a week The management of COPD in the elderly is best guided by:
  3. spirometry.
  4. arterial blood gases.
  5. radiologic imaging.
  6. symptomatology. - ANS:->>-symptomatology A young, athletic adult presents with shoulder pain and inability to raise the arm above the shoulder. The most likely diagnosis is:
  7. frozen shoulder syndrome.
  8. cervical radiculopathy.
  9. rotator cuff tear.
  10. polymyositis. - ANS:->>-rotator cuff tear A 50-year-old male presents with bruises and abrasions on the left leg and forearm, claiming to have had a number of minor accidents at home and at work. The patient reports general feelings of depression, forgetfulness, and, despite the fact that he is regularly employed, a mounting collection of unpaid and overdue bills. In taking the patient's history, a significant pattern of parental alcohol abuse, stroke, TIA, and MI emerges. During questioning to elicit a more thorough diagnosis, the patient becomes hostile and leaves the clinic without further treatment. The most likely explanation for this behavior is:
  11. Alzheimer's disease.
  12. chronic alcoholism.
  13. cancer.
  14. carotid artery stenosis. - ANS:->>-chronic alcoholism A 28-year-old patient presents with profuse yellow vaginal discharge, odor, and local irritation. She reports completing a 7 - day course of oral metronidazole (Flagyl), 500 mg b.i.d. 4 weeks ago. She has had multiple recurrences over the last 18 months. Microscopic examination reveals presence of clue cells. What is the most appropriate treatment intervention?
  15. Oral metronidazole (Flagyl), 500 mg b.i.d., plus metronidazole vaginal gel (MetroGel), for 5 days
  16. Treat both patient and partner(s) with oral metronidazole (Flagyl), 500 mg b.i.d., for 7 days
  17. Metronidazole vaginal gel (MetroGel) twice weekly for 4 to 6 months
  1. progesterone challenge.
  2. serum prolactin level.
  3. thyroid-stimulating hormone (TSH). - ANS:->>-urine pregnancy test ADA screening for DM in Children - ANS:->>--symptomatic children (polyuria, polydipsia, polyphagia, blurred vision) regardless of risk factors
  • asymptomatic children after puberty or 10 years of age or older if overweight or obese (>85th percentile). Plus 1 of the following: *T2DM in 1st or 2nd degree relative *high risk racial/ethnic group *signs of insulin resistance (HTN, dyslipidemia, acanthosis nigricans, PCOS, SGA) *maternal hx of DM or GDM during the child's gestation Statistics - ANS:->>-- leading causes of death: Heart disease, cancer, lung disease
  • leading cause of cancer death: lung
  • leading cause of death in adolescents: accidents
  • most common cancer: skin.
  • in males: prostate. in females: breast suicide: males more successful, women more attempts. highest rate is older white males. Osgood-Schlatter: - ANS:->>-knee pain in young adults, overuse. Repetitive stress pain, tenderness, swelling at the tendon's insertion site. The tibial tuberosity. Rule out avulsion fracture if there is an acute onset and order a lateral xray. RICE. Usually stops when the growth stops. If patient has right sided weakness, etc. the CVA occurred where - ANS:->>-left side initial evaluation of symptoms of acute prostatitis - ANS:->>-Urinalysis and urine culture A 65 - year-old woman presents for a follow-up examination after a new patient visit. She has not seen a healthcare provider for several years. She is a smoker and her hypertension is now adequately controlled with medication. Her mother died at age 40 from a heart attack. The fasting lipid profile shows cholesterol = 240 mg/dL, HDL = 30, and LDL = 200. In addition to starting Therapeutic Lifestyle Changes, the nurse practitioner should start the patient on:
  1. bile acid sequestrant.
  2. a statin drug.
  3. a cholesterol absorption inhibitor.
  4. low-dose aspirin. - ANS:->>-A statin drug Ortolani's Click - ANS:->>-a click is heard or felt as dislocation is reduced (developmental dysplasia of hip) (good until one year) Which of the following laboratory tests should a nurse practitioner order when the suspected diagnosis is temporal arteritis? - ANS:->>-Erythrocyte sedimentation rate (ESR)

What are narrow therapeutic index drugs? - ANS:->>-1. Warfarin sodium (Coumadin): monitor INR

  1. Digoxin (lanoxin): monitor digoxin level, EKG, electrolytes(potassium, magnesium, calcium)
  2. Theophylline: monitor blood levels
  3. Carbamazepime (Tegretol) and Phenytoin (Dilantin): Monitor blood levels
  4. Levothyroxine: Monitor TSH
  5. Lithium: Monitor blood levels, TSH (risk of hypothyroidism) Otitis Externa tx - ANS:->>-Fluoroquinolone & Polymyxin B cortisporin drops An elderly male patient complains of a new-onset, left-sided temporal headache accompanied by scalp tenderness and indurated temporal artery. The NP suspects temporal arteritis. What screening test would you order to assist with diagnosis? - ANS:->>-sedimentation rate (expect to be very elevated) Basal Cell Carcinoma - ANS:->>-Pearly domed nodule with overlaying telangiectatic vessels. Could be plaque, papule, possible central ulceration and crusting. Dx: Biopsy Tx: Normal, healthy woman of reproductive age - ANS:->>-white, clear, flocculent(physiologic leukorrhea), no complaints, pH 3.8-4.2 (toward acidic), no odor, microscopic shows lactobacilli (gram+bacteria) Multiple infections from bacteria and fungus? - ANS:->>-Screen for HIV

A patient with an elevated WBC (>11k) accompanied by neutrophilia (>70%) and the presence of bands is what kind of shift and prognosis? - ANS:->>--Shift to the left

  • Serious bacterial infection Actinic Keratosis - ANS:->>-Rough flat, dry crusty, erythematous papules or plaques. Scaly patch of red brown skin caused by years of SUN exposure. Precursor to squamous cell carcinoma. Dx. Biopsy. Tx: topical 5 fluroracil 5-FU, cryotherapy. A patient with macular degeneration has deficit vision in? - ANS:->>- Central vision Dacyrocystitis - ANS:->>-Typical symptoms of acute tear duct infection include: Pain, redness and swelling of the lower eyelid at the inner corner of the eye Excessive tearing Pus or discharge from the eye Fever Tx: lacrimal sac massage- rub down towards mouth. oral clindamycin (topical tobramycin or moxifloxacin if mild-purulent drainage, no redness) Pre-DM in children values - ANS:->>-A1C: 5.7% to 6.4% Fasting: 100- 125 2 hour GTT: 140 - 199 Primary Prevention - ANS:->>-- individual actions: eating nutritious diet, exercise, seatbelts, gun safety. IMMUNIZATIONS squamous epithelial cells with stippling appearance, no lactobacilli and many WBCs is - ANS:-

-wet mount that shows BV trigeminal neuralgia manifests - ANS:->>-electric shock facial pain The most common sign of cervical cancer is:

postcoital bleeding.

strong odor from vaginal discharge. 3. itching in the vaginal area. 4. molluscum contagiosum. - ANS:->>-postcoital bleeding

To assess a patient's ability to think abstractly, a nurse practitioner could ask the patient: - ANS:->>-the meaning of a common proverb. Auspitz sign - ANS:->>-droplets of blood when scales removed = psoriasis Bacterial vaginosis - ANS:->>-etiology: unclear, likely polymicrobial, associated with G. vaginalis, M. hominid, others. thin, homogeneous, white, gray, adherent, often increased, discharge is foul odor(fishy), itching is occasionally present, pH 5 - 7(alkaline- no active bacilli in vagina), "fishy" smell, microscopic > 20 clue cells/HPF, few or no WBCs. Treatment: metronidazole topical, oral Flagyl, clindamycin vaginal cream, oral tinidazole (Tindamax) CLUE CELLS, METRONIDAZOLE GEL OR ORAL, CLINDAMYCIN CREAM Omeprazole (Prilosec) - ANS:->>-interacts with with Warfarin (Coumadin), diazepam (Valium), Carbamazepine (Tegretol), Pheytoin (Dilantin), ketocanazole (Nizoral) Viral Conjunctivitis tx - ANS:->>-Antihistamine, decongestant drops (Trigluridine in herpes conjunctivitis) What is the common presentation of a navicular fracture? - ANS:->>- Tenderness at the "N spot," which is defined as the proximal dorsal portion of the navicular (see the image below). This is the most important physical finding. Melanoma - ANS:->>-ABCDE: asymmetry, border irregularity, color variation, diameter greater than .6 mm, elevation above skin level. Type 2 DM in children values - ANS:->>-A1C: >6.5% Fasting: > 2 hour GTT: > Random: > Central clearing lesion after camping trip flu like symptoms with muscle aches for several days is? and treated by? - ANS:->>-Lyme disease; doxycycline Wilms tumor - ANS:->>-(Nephroblastoma)- Not painful. Asymptomatic abd mass does NOT cross the midline. 2 - 3 y. o.d. do not palpate. Do ABD US. PUNT. Think Nephro doesn't cross. Stays where kidney is. the headache of an intracranial tumor - ANS:->>-focal neurological signs and pain worse in supine position