58 Questions
In the context of sickle cell disease, what is one way to prevent exacerbations?
Avoid sunlight or exposure to the sun
What is the recommended action for a female patient with external genital warts showing a flower-like appearance?
Perform a Pap Smear and treat external genital warts
Which diagnostic test result indicates effective treatment for an elderly patient on oral iron supplements?
Ferritin level
What is the most common cause of jaundice within 5 to 10 days after birth due to infrequent feeding?
infrequent feeding
For a pediatric patient at 6 months of age, which condition would warrant a referral to an ophthalmologist?
Strabismus
In the context of asthma, what does an FEV1 value greater than 80% suggest about the condition?
Well controlled asthma
Which reflex in a 9-month-old well-child visit should prompt further evaluation?
Moro reflex
An adolescent with menorrhagia and frequent epistaxis is likely to be diagnosed with:
Von Willebrand disease
Which medication contributed to the sudden development of shortness of breath and congestive heart failure in a patient with osteoarthritis?
NSAID
What is the likely causative agent of acute otitis media?
Haemophilus influenzae
In a patient with grade 3 and 4 acne who is allergic to Tetracycline, what would be an appropriate alternative antibiotic?
Clindamycin
For a patient treated for Lyme disease with Doxycycline but returns with incomplete resolution of symptoms, what would be the next appropriate step?
Prescribe 21 days of the same Doxycycline
What lab test should be ordered to further evaluate a hypercalcemic patient with a calcium level of 11.0?
Parathyroid hormone (PTH) and ultrasound
In a patient with atrophic vaginitis, what is the appropriate treatment?
Topical estrogen
A patient on inhaled corticosteroids for asthma shows understanding of the medication if they mention it will:
Decrease swelling of the airway
What is the most appropriate next step in the management of a patient with pneumonia who did not have complete symptom resolution after treatment with Amoxicillin?
Start AmoxicillinClavulanic/Augmentin
In a patient with ischemic heart disease, which medication is the best option?
Calcium channel blocker
A male adolescent presents with gynecomastia. What is the initial management approach?
Monitor and expect resolution within 2 years
What is the most appropriate action for a pregnant woman with no detected Rubella titer?
Administer Rubella vaccine immediately postpartum
In a patient with persistent pain and symptoms after falling on outstretched hands, what diagnostic test should be ordered?
Repeat hand x-ray
What is the most appropriate next step in the management of a patient post-MVA with normal scan but neck pain?
Apply a cervical collar for not more than 72 hours
For a female presenting with knees unusually close and feet unusually apart, what is the likely diagnosis?
Genu valgum
In a patient with mild redness of oropharynx, clear nasal discharge, and no fever or adenopathy, what is the likely diagnosis?
Allergic rhinitis
A patient with an A1C of 6.3%, LDL of 195, and triglycerides of 148 on metformin, hypertension, and diabetes, should start which medication?
Start atorvastatin for hyperlipidemia
What is the recommended action for a patient with mild uterine prolapse experiencing difficulty and pain in walking?
Abdominal sacrocolpopexy (ASC)
Which organism is a common causative agent of olecranon septic bursitis?
Staphylococcus aureus
What is the correct action to take for a patient with GERD who recently developed Barrett's esophagus and has had their insurance stop covering the specialist?
Refer to Oncologist for evaluation and further management
What is the diagnosis for a patient who complains of arms becoming shorter and reports visual issues?
Presbyopia
What is the fluorescent stain used to diagnose dendritic lesions associated with herpetic simplex keratitis?
Fluorescein stain
What is the most appropriate action to take for a patient presenting with unsteady gait, bilateral resting tremors, and intact memory?
Initiate immediate physical therapy for gait training
For a female patient with external genital warts resembling a flower-like appearance, what would be the most appropriate next step?
Conduct a Pap Smear and treat the external genital warts
A patient presents with angina, what medication would be most appropriate according to new studies?
Clopidogrel
What is the most likely diagnosis for a patient complaining of pounding headache pain relieved by analgesics?
Cluster headache
In a patient diagnosed with actinic keratosis, what type of cancer is most likely to develop if left untreated?
Squamous cell carcinoma
For a male patient presenting with ABCDE features of malignant melanoma, what would be the most likely diagnosis?
Malignant Melanoma
What test should be ordered for a patient who presents with persistent pain and symptoms in the scaphoid bone 10 days after falling on outstretched hands?
MRI of the hand
In a hyperlipidemic patient who started on simvastatin and presents with muscle pain, fatigue, and CPK of 450, what should be the next step?
Switch to Rosuvastatin
For a female patient with knees unusually close together and feet apart, what diagnosis is most likely?
Genu valgum
A patient with progressively decreasing renal function should discontinue which medication?
ACE Inhibitor
What is the recommended treatment for a patient with COPD on LABA who needs the next step in therapy?
Add Ipratropium
In a pregnant woman with no detected Rubella titer, when should the Rubella vaccine be administered?
Immediately postpartum
What is a potential complication of using Echinacea herbal daily in an asthmatic patient?
Worsening of asthma symptoms
Which of the following conditions is not a differential diagnosis for right lower quadrant pain?
Cystocel
Which scenario is not typically associated with Salmonella infection?
Female patient with rash and joint pain
What symptom is characteristic of descending colon cancer?
Ribbon-like stool
Which lab result would indicate improvement in an elderly patient's health after 3 months of dietary and lifestyle changes?
Decreased LDL levels
What is a risk factor for the development of breast cancer?
Menopause at age 61
What is the next recommended action for a patient with Barrett's esophagus who had their insurance coverage dropped by the specialist?
Refer to Oncologist for evaluation and further management
Which organism is commonly associated with olecranon septic bursitis?
Staphylococcus aureus
What is the correct diagnosis for a patient who experiences presbyopia?
Presbyopia
What daily calcium dose is recommended for pregnancy?
$100$ milligrams
In a patient presenting with mild uterine prolapse and difficulty in walking, what surgical procedure is recommended?
Abdominal sacrocolpopexy (ASC)
Which lab test should be ordered for further evaluation in a hypercalcemic patient with a calcium level of 11.0?
Vitamin D level and bone density scan
In a patient with ischemic heart disease, which medication is the best option for management?
Beta-blocker
A patient's spouse on Olanzapine (Zyprexa) reports persistent depression and excessive sleep. What initial action should be taken before adjusting medications?
Check thyroid-stimulating hormone (TSH) level
What diagnosis is most likely in a patient with plaque-like scaly and itchy skin on the elbows, knees, and trunk, with a positive Auspitz sign?
Psoriasis
For a 61-year-old female with atrophic vaginitis, what is the most appropriate treatment?
Topical estrogen
In a male adolescent with gynecomastia that persists beyond 2 years, what is the recommended course of action?
Monitor and expect resolution over time
Test your knowledge of the AANP FNP exam recollection from 12.19.23 with questions on topics like pediatric reflex evaluations, adolescent health conditions, and infectious diseases. See how well you remember concepts related to child development, bleeding disorders, and common infections.
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