AANP Practice Exam Questions and
Answers Rated A
wet-mount results confirms a preliminary diagnosis of bacterial vaginosis
Squamous epithelial cells with stippling appearance and indistinct borders, no lactobacillus r
...
AANP Practice Exam Questions and
Answers Rated A
wet-mount results confirms a preliminary diagnosis of bacterial vaginosis
Squamous epithelial cells with stippling appearance and indistinct borders, no lactobacillus rods,
and many white blood cells
explanation: microscopically detectable change in vaginal microflora from
the Lactobacillus morphotype, with or without the Gardnerella morphotype (normal), to a mixed
flora with few or no Lactobacillus morphotypes (BV) can be used in the diagnosis of BV
"some herb" she bought at a health food store for migraines and menstrual cramps
Feverfew
polycystic ovary syndrome tests
testosterone
follicle-stimulating hormone (FSH), luteinizing hormone (LH), prolactin, and thyroidstimulating hormone (TSH).
A patient with macular degeneration has difficulty seeing objects
in the center of the visual field.
acute appendicitis
Rebound tenderness at McBurney's point
headaches due to an intracranial tumor
Pain worse in supine position; focal neurological signs
fat pad sign
potential finding on elbow radiography which suggests a fracture of one or more bones at the
elbow. It is may indicate an occult fracture that is not directly visible.
(also known as the sail sign)
macrocytic anemia
larger than 100
B12 (intrinsic factor) = pernicious anemia
Folate def anemia
Drugs & Alcohol
Trigeminal neuralgia (tic douloureux)
electric-shock-like unilateral facial pain
recurring episodes of intense stabbing pain in trigeminal nerve area (near mouth or nose)
pain triggered by touch, drinking, washing face
treatment may require cutting nerve
Polymyalgia rheumatica
geriatric inflammatory disorder of the muscles and joints characterized by pain and stiffness in
the neck, shoulders, upper arms, and hips and thighs
shoulder and pelvic girdle pain for the past 6 months. She reports recent unintentional weight
loss. On physical examination, there is pain on ROM, with no weakness noted. Laboratory
studies show a low hemoglobin and an elevated sedimentation rate.
10-month-old presents with a rash, runny nose, and cough. Examination reveals a cluster of tiny
white papules with an erythematous base on the buccal mucosa
Measles
20-year-old male presents with a 1-month history of a "bump on my testicle."
Cancer of the testicles
newest standard for determining the presence of diabetes mellitus based on fasting plasma sugar
level is a value equal to or greater than
126
sudden loss of vision in the right eye characterized by "a bunch of lights" and a feeling that "a
curtain came down."
retinal detachment
administer to a patient who has a corneal abrasion
Gentamicin ophthalmic (Genoptic)
Topical antibiotics
Bacitracin (AK-Tracin)
Chloramphenicol (Chloroptic)
Ciprofloxacin (Ciloxan)
Erythromycin
Gentamycin
Ofloxacin
class of antihypertensive agents has been associated with acute renal failure and is
contraindicated in patients with bilateral renal artery stenosis
Angiotensin-converting enzyme (ACE) inhibitors
"renal protective" except with renal stenosis or heart failure
antihypertensives for heart failure
β-blockers, angiotensin-converting enzyme inhibitiors, angiotensin receptor blockers,
aldosterone receptor blockers, hydralazine and nitrates
patient with a diagnosis of diverticulosis presents with localized left lower quadrant discomfort, a
palpable mass, mild leukocytosis, and T = 100°F (37.8°C). The patient does not appear toxic and
can tolerate fluids. An appropriate plan should include
clear liquids and oral antibiotics
alternative to erythromycin
...
Mycoplasma pneumoniae
“atypical” mild infections of the respiratory system.
“walking pneumonia” since symptoms tend to be milder than pneumonia caused by other
germs.
improve the longevity of a patient who has COPD
oxygen
camping trip, an 11-year-old is seen for a target lesion with central clearing, located in the
inguinal area. The patient has had a severe headache, malaise, fatigue, and generalized
musculoskeletal pain for several days. Pharmacologic management
doxycycline
psyllium (Metamucil), polycarbophil (FiberCon), and methylcellulose (Citrucel)
bulk-forming laxatives
rectal pain and itching. He reports a past history of constipation and finding spots of bright red
blood on toilet paper several times a week. Rectal examination reveals a tender, swollen, bluish,
ovoid mass. The stool guaiac test is negative.
bulk-forming agents and hydrocortisone suppositories
maxillary facial pain and yellow nasal discharge for 14 days
Amoxicillin-Clavulanate (Augmentin)
polymyalgia rheumatica
tx
prednisone
treatment plan for an 84-year-old patient with hypothyroidism, the nurse practitioner must keep
in mind the possibility of the worsening of
osteoporosis
acute bronchitis tx (bacterial)
Start with macrolides
eg clarithromycin, azithromycin, erythromycin
then doxycycline
trim/sulf
bugs = Mycoplasma pneumoniae, Chlamydia pneumoniae, Bordetella pertussis, Moraxella
catarrhalis
digoxin, 0.25 mg daily; hydrochlorothiazide, 25 mg daily; metformin, 500 mg daily; glipizide, 10
mg daily; and atorvastatin (Lipitor), 20 mg
The hydrochlorothiazide will predispose the patient to digoxin toxicity.
classic appendicitis signs
Psoas - pain R thigh extension
Obturator - pain with internal rotation
Rovsing's sign - RLQ pain when press on LLQ
[Show More]