SOUTH UNIV NSG 6101 AANP Questions and Answers
2. Erysipelas of the face presents as painful, sharply demarcated erythema and edema.
3. Meniere's
... [Show More] disease presents as horizontal nystagmus during an attack.
4. A pediatric patient with true allergy to PCN and cephalosporins, who has n/v to erythromycin, has otitis media. Can take azithromycin.
5. Pediatric patient with unilateral flank mass and hematuria has Wilms tumor.
6. Retinoblastoma clinically presents as leukocoria.
7. It is important to not massage too vigorously when obtaining expressed prostatic secretions because this may cause bacteremia.
8. A geriatric patient with creatinine increasing from 0.8-1.2 on digoxin shows substantial decrease of GFR.
9. A geriatric patient who initiates diuretic therapy has a bunch of lab work that all shows acute renal failure.
10. Infant with purulent discharge from medial canthal region has dacryocystitis, and requires topical antibiotic treatment.
11. College student with single, painful, intra-oral lesion with yellow center and erythematous base has aphthous ulcer.
12. Most common cause of ectopic pregnancy is salpingitis.
13. Slutty adolescent girl should be told that ACOG recommends Pap smears starting at age 21.
14. Treatment for chlamydia is azithromycin.
15. Most common pathogen for pediatric otitis media is Streptococcus pneumoniae.
16. A hippy chick wants a “more natural” form of hormone replacement therapy. She can take roasted soybeans.
17. Hormone replacement therapy should not be given to someone who just had a stroke.
18. A patient was taking hormone-replacement therapy but now has ostoporosis. She should be taken off HRT and put on risedronate.
19. One risk factor for ovarian cancer is family history.
20. Risk factors for ostoporosis do not include obesity.
21. During a geriatric breast exam, must remember that glandular tissue atrophies and is replaced by fat.
22. A pelvic mass palpated during a post-menopausal pelvic exam requires an ultrasound.
23. A pregnant patient with self-estimated gestational age of 18 weeks presents with fundal height 2 fingers above umbilicus. She should receive ultrasound to check real gestational age or multiparity.
24. Gestational age when fundus is just over symphysis pubis is 12 weeks.
25. Correct screening test for anemia is H/H.
26. HIV patient was started on HAART. Repeat testing shows CD4+ below 200. The patient should be told treatment failed and you now have AIDS.
27. To assess MCL condition, valgus stress is applied.
28. Osgood-Schlatter Disease presents as tibial tubercle inflammation and pain.
29. Legg-Calve-Perthes disease is avascular necrosis of the proximal femoral head.
30. To rule out bicep tendon rupture, assess for mass in upper arm and arm strength.
31. Cocaine use can cause cardiac ischemia and MI.
32. Geriatric patient with back pain and reduced liver and renal function should not be given narcotics.
33. IV drug user with fever and hemorrhagic lesions over hands and feet has infectious endocarditis.
34. Systolic cardiac murmur at the apex, radiating to the neck is mitral regurgitation.
35. Carotid bruits can be caused by carotid narrowing.
36. Sickle Cell patient should be given all routine imminizations.
37. One class of drugs not used as antidepressants are benzodiazepines.
38. One mental health drug that can cause hyperglycemia is risperdal.
39. Very high triglyceride levels puts a patient at risk of pancreatitis.
40. A fat guy with high cholesterol should have initial intervention strategy of diet control and weight loss regimen.
41. The most effective medication for migraines in the prodromal period is . The answers are triptans or ergotamine. I know triptans are more effective once the migraine starts, but I don't know about the prodromal period.
42. Patient with calf pain upon exercise and reduced pedal pulses has arterial insufficiency.
43. A patient with hyperpigmentation and swelling of lower legs has chronic venous insufficiency.
44. A patient with hyperthyroidism and a “hot spot” on imaging has toxic nodular goiter.
45. A patient with hyperthyroidism should be treated with antithryoid drugs, beta blockers, and NSAIDS.
46. Geriatric patient with tremor that improves with wine should be treated with propranolol.
47. Wet mount of patient with vaginal discharge will not show WBC casts.
49. Primary amenorrhea is defined as lack of menses at age 16 with other secondary sex characteristics.
50. CHF is present in patient with S3 heart sound, orthopnea, and paroxysmal nocturnal dyspnea.
51. Secondary prevention of cardiac ischemia after MI includes using beta blockers.
52. First-line treatment of chronic bronchitis is short-acting beta-agonists.
54. A patient with acne, treated with Retin-A, reports skin irritation. This could be helped by reducing the frequency of application to three times per week.
56. Differential diagnosis of patient with sore throat, difficulty swallowing, erythematous pharynx, and swollen single tonsil includes peritonsilar abscess, EBV, and strep throat.
57. Patient with EBV 3 months ago comes to clinic requesting clearance for sports. He has no abdominal pain or organomegaly. Patient may return to sports immediately. Not 100% positive on this one. Other answers included “in 3 months” and “in 6 months.”
58. In a patient with left ear infection, Weber test should lateralize to the left ear.
59. Presbyacus is sensorineural hearing loss, especially at higher frequencies.
60. Highest suicide rate is in middle-aged males.
61. Erythematous, scaly, pruritic, annular lesion with central clearing should be treated with a topical azole antifungal.
62. Pustular acne in doxycycline-allergic patient with recent exposure to MRSA can be treated with Bactrim.
63. Molluscum contagiosum is small, dome-shaped flesh-colored lesions with central umbilication.
64. Pruritic, angular, reddish-purple lesions with white lines in the center is lichen planus.
65. A pediatric patient with a red, maculopapular rash that spreads from the trunk and face ot the rest of the body has . Answers include measles, rubella, and varicella.
66. Most-specific test for an inflammatory intestinal condition is C.diff.
67. Person most likely to get C.diff is a patient who has taken abx recently for cellulitis.
68. External HPV warts can be treated with trichloroacetic acid.
69. Test for Fifth's disease in adults is Parovirus IgM titer.
70. Diabetic patient with microalbuminuria should keep his BP below 140/90.
71. Long-term treatment of COPD does not include oral corticosteroids.
72. Polymyalgia rheumatica is treated with prednisone 20mg daily, with extremely slow taper over the course of a year.
73. Definitive diagnostic test for giant-cell arteritis is temporal artery biopsy.
74. Patients on metformin should be monitored for lactic acidosis.
75. Old women complaining of fatigue, who is on multiple medications that contain sulfonylureas and ace inhibitors, could have hypotension, hypoglycemia, and polypharmacy, but not hypocalcemia.
76. Old woman who can no longer manage her time to get Thanksgiving dinner ready on time is demonstrating a decreased executive function.
77. Elderly patient with mildly elevated TSH and mildly decreased vitamin D wants to decrease her risk of fracture. Answers for correct medication include calcium carbonate 600mg and vitamin D 800IU. I don't know which is more effective.
78. Urinalysis given that shows 2+ bacteria, something like 15 WBC, and moderate squamous cells. The answers for interpretation include positive UTI and contamination.
79. One can distinguish rheumatoid arthritis from degenerative joint disease by bilateral presentation and extraarticular manifestations.
80. Pain and numbness between 3rd and 4th pedal digits is Morton's neuroma.
81. Fevers decrease the seizure threshold.
82. A patient with positive HepBag and positive HepBc IgM has acute hepatitis B.
83. Actinic keratosis can lead to squamous cell carcinoma.
84. Treatment for subungal hematoma is make a hole in the nail.
85. A III/VI murmur is described as having moderate intensity.
86. Patient with hypertension and left-sided abdominal bruit most likely has renovascular hypertension.
87. PPD is positive in HIV patient at 5mm.
88. AV nicking is caused by hypertension.
89. Geriatric patient with progressive loss of vision and probable open-angle glaucoma can have notching of optic disc and changes in cup-to-disc ratio.
90. Extra-ocular movements are caused by cranial nerves 3,4, and 6.
91. Strawberry cervix and green discharge in Trichomoniasis.
92. Most common cause of death in women is heart disease.
94. Medicines that can exacerbate GERD include calcium-channel blockers.
95. Treatment for otitis externa is ciprofloxacin/hydrocortisone drops.
96. For psoriasis, Auspitz sign is bleeding upon removal of scale.
97. Easy blushing with papules around the nose, mouth, and chin is acne rosacea.
98. Diabetic with foot laceration needs to be monitored closely to pick up the early signs of a foot ulcer.
99. Prolonged PR interval is first-degree heart block.
100. Geriatric arrhythmias can be caused by sinoatrial fibrosis.
101. Patient with DVT on coumadin with an INR of 1.2 should increase dosage.
102. COPD patient with nighttime SpO2 of 88% should be placed on oxygen.
103. Hypercalcemia, hypophosphatemia, and bone pain are signs of hyperparathyroidism.
104. Best exercise for osteoporosis prevention. Answers include rowing, walking, and swimming.
105. Foods that exacerbate GERD include chocolate, mints, caffeine, but not high-protein food.
106. Before initiating statin therapy, you should check AST/ALT.
107. Medications for a patient with arthritis that can exacerbate CHF are NSAIDS.
108. For a geriatric patient with protein in the urine, you should assess BUN/creatinine/GFR.
109. For geriatric patient with cognitive decline, must check for causes of delirium with CBC/CMP.
110. Acute treatment of generalized anxiety: Ativan.
111. Long-term treatment of panic disorder: SSRI's.
112. Patient was struck in the eye and c/o irritation and foreign body. Initial assessment is visual acuity.
113. Orthostatic hypotension in a diabetic is most likely caused by autonomic neuropathy.
114. One pathologic mechanism of isolated systolic hypertension in the elderly is loss of vascular tissue elasticity.
115. Patient with unilateral facial weakness and inability to move forehead has Bell's palsy.
118. First-line treatment of mild persistent asthma is low-dose inhaled corticosteroid.
119. Elderly patient with change in bowel habits, pencil-like stools, and tenesmus probability has descending colon cancer.
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