AANP Exam 61 Questions with Answers,100% CORRECT

AANP Exam 61 Questions with Answers Primary Prevention - CORRECT ANSWER Immunizations; counseling about safety, injury and disease prevention Secondary Prevention - CORRECT ANSWER Screening tests such as BP check ...

AANP Exam 61 Questions with Answers Primary Prevention - CORRECT ANSWER Immunizations; counseling about safety, injury and disease prevention Secondary Prevention - CORRECT ANSWER Screening tests such as BP check, mammograms, colonoscopy Tertiary Prevention - CORRECT ANSWER Adjusting therapy to avoid further TOD Rubella - CORRECT ANSWER Most tetrogenic virus to fetus Diphtheria - CORRECT ANSWER Children died from upper airway disease Herd Immunity - CORRECT ANSWER Resistance of a group to an infectious agent. Active immunity - CORRECT ANSWER Response to an antigen (infecting or vaccination) characterized by the presence of an antibody produced by the host. Passive immunity - CORRECT ANSWER Produced by another host, acquired naturally by infant from mother OR artificially by antibody containing serum (IG) Active - CORRECT ANSWER Onset within a month Duration is lifetime (or a long time) Passive - CORRECT ANSWER Onset is immediate Duration is short (usually 6-9 months) LAV - CORRECT ANSWER MMR; varicella; Intranasal influenza (H1N1 and seasonal); Varicella zoster (Shingles) Contraindications for LAV - CORRECT ANSWER Pregnancy; immune suppression; HIV when CD4 counts <200. Contraindications for LAIV (flu) - CORRECT ANSWER <2 or <49; anaphylactic to egg; children on chronic ASA therapy; hx of Guillain Barre; reactive airway disease; COPD; cardiac disorders; pregnancy; Alcohol Abuse Lab Findings - CORRECT ANSWER Macrocytosis w/o anemia; Isolated hypertriglyceridemia CAGE questionnaire - CORRECT ANSWER Cut down; Annoyed by criticism; Guilty about driving; need and Eye opening drink? Leading causes of death in US - CORRECT ANSWER Heart disease; cancer; stroke; resp disease Top cancer cases in men - CORRECT ANSWER Prostate; lung; colon Top cancer cases in women - CORRECT ANSWER Breast; lung; colon Top cancer death in men - CORRECT ANSWER Lung; prostate; colon Top cancer death in women - CORRECT ANSWER Lung; breast; colon Mammograms - CORRECT ANSWER Yearly starting at age 40 Colorectal screen - CORRECT ANSWER Colonoscopy Every 10 years starting at age 50 Prostate screening - CORRECT ANSWER Discuss with men @ 50; PSA & DRE if they desire & have LE >10 years Normal reticulocyte count - CORRECT ANSWER 1-2% of TRBC GRF <40ml/min - CORRECT ANSWER Erythropoietin supply is diminished Microcytic - CORRECT ANSWER MCV <80 Normocytic - CORRECT ANSWER MCV 80-100 Macrocytic - CORRECT ANSWER MCV >100 RDW - CORRECT ANSWER RBC distribution width - NL 10-15% Most common anemia in elderly - CORRECT ANSWER ACD Worldwide - most common anemia - CORRECT ANSWER IDA then ACD S pneumonia - CORRECT ANSWER Most common bacterial pathogen in ABRS, AOM, CAP with 25% with DRSP H influenzae - CORRECT ANSWER ABS, AOM, CAP especially with recurrent infections and tobacco users. 30% are PCN resistant M. catarrhalis, _______ resistant - CORRECT ANSWER 90% are PCN resistant When to treat ABS - CORRECT ANSWER S/S of an URI for 7-10 or worse after 5-7 days Seasonal allergies - CORRECT ANSWER Controller -> rescue meds as needed Rescue meds - SA - CORRECT ANSWER 1st gen oral AH; 2nd gen oral AH; AH nasal spray (Astelin); eye gtts; short term oral steriods Rescue meds for nasal discharge - CORRECT ANSWER Atrovent or Astelin nasal spray Rescue meds for min. nasal discharge - CORRECT ANSWER Oral & nasal decongestants Retinal vessels - CORRECT ANSWER Found on the nasal side - more arteries than veins. Arteries brighter Macula - CORRECT ANSWER Found on the temple side - sensitive. Responsible for vision, allows for reading, vision. Presbyopia, caused by ______ - CORRECT ANSWER hardening on the lens Senile cataracts, caused by _________ - CORRECT ANSWER lens clouding resulting in distance vision problems Open angle glaucoma - CORRECT ANSWER Painless gradual onset Closed angle glaucoma, Usually _______, ______,_______ eye. Pt sees________ - CORRECT ANSWER Sudden increase in IOP resulting in unilateral, red, painful eye with vision changes including halos. Macular degeneration, caused by_________ , results in _______ - CORRECT ANSWER Thickening of the retinal basement, changes in central vision Anosmia hyposmia is __________ - CORRECT ANSWER neural degeneration resulting in loss of smell and taste Presbycusis - CORRECT ANSWER Loss of 8th cranial nerves resulting in difficulty hearing in loud, noisy environment. AOM tx - CORRECT ANSWER High dose Amoxil (3-4gm/day) or HD Augmentin or consider a ceph. Pharyngitis tx - CORRECT ANSWER PVK or PCN IM. Alternatives can be macrolides but up to 35% of strep pathogens are resistant. Lichenification - CORRECT ANSWER Skin thickening. Example: callus Erosion - CORRECT ANSWER Loss of epidermis Ulcer - CORRECT ANSWER Loss of epidermis and dermis Fissure - CORRECT ANSWER Narrow linear crack into epidermis, exposing dermis. Example: athletes foot. BCC - CORRECT ANSWER More common; sun exposed areas; arise de novo; pearly or waxy appearance; low metastatic risk. Hypothyroidism, dosing?______ - CORRECT ANSWER Hypothryoidism Levo: 1.6mg/kg adults High TSH and NL FT4 - CORRECT ANSWER Treat if TSH is >5 TSH level should be - CORRECT ANSWER 0.5 - 2.0 in patients who have hypothryoidism Thryoid nodule - CORRECT ANSWER Need a biospy Tension type headaches, where?______, characterization - CORRECT ANSWER Bilateral, non pulsating. Mild to moderate. Migraine w/aura, aura last ____________ - CORRECT ANSWER Aura lasts <1 hour