AANP exam-with 100% verified solutions-2024-2025-tutor verified.docx, Exams of Nursing

Download AANP exam-with 100% verified solutions-2024-2025-tutor verified.docx and more Exams Nursing in PDF only on Docsity! AANP exam-with 100% verified solutions-2024-2025- tutor verified Treatment for Gonorrhea Rocephin (Ceftriaxone) 250mg IM and Azithromycin 1 gm po x1 or doxy 100mg BID x7 days Treatment for Chlamydia Azithromycin 1 gm po x1 or doxy 100 mg BID x 7 days or Amoxicillin 500 mg po TID x 7 days test for cure 3 weeks after completion of treatment. No doxy for preggo Treatment for Bacterial vaginosis Flagyl BID x 7 days Candidia vaginitis treatment diflucan 100mg x1 Treatment for trichomonias ... Fever, chills, N/v, photophobia, myalgia, arthralgias usually present then report development of a petechial rash on forearms, ankles, wrists, that spreads towards trunk and becomes generalized. Pt usually reports spending time in the woods. Rocky Mountain Spotted Fever What is the diagnosis and treatment for Rocky Mountain Spotted Fever? PCR essay with Rickessetti antigen tx: doxycycline What is the diagnosis and treatment for lyme disease (erythema migraines)? Dx: B. Burgdorferi via ELISA then confirm with western blot TX: doxycycline or amoxicillin if less than 7 yo Dark moles, uneven texture, different colors, irregular, > 6mm, an itch melanoma Target or bulls-eye. Abruptly, hives, blisters, peticiae, purpura, necrosis, sloughing of tissues. Extensive mucosal involvement. Prodrome of fevers with flu like symptoms. Usually triggered by medication Stevens Johnson Syndrome What medications are more likely to cause Stevens Johnson Syndrome? Allopurinol, anticonvulsants, pcn, sulfonamides, NSAIDS. Pt with HIV is at increased risk Inherited. Pruritic erythematous plaques, fine silvery-white scales with pitted fingernails. Can occur on scalp, elbows, knees, sacrum, or intergluteal folds. psoriasis What is the koebner phenomenon? new psoriatic plaques form over skin trauma What is the auspitz sign? pinpoint bleeding when plaques are removed What is the treatment for psoriasis? mild: topical steroids, tar preps if severe: anti-TNF (-mab (Humira)), methotrexate, or other immunologic therapy What is acanthros nigricans indicative of? insulin resistance What is the treatment for scabies? Permethrin cream x1, treat the whole household, wash belongings in hot water Extremely itchy. Appears on flexural folds, neck, hands. Small vesicles that rupture leaving painful, bright-red, weepy lesions that become lichenified from itching. atopic dermatitis (eczema) What is the treatment for atopic dermatitis? topical steroids, avoid hot water/soaps If more sever consider po antihistamines lichen planus What are some causes of lichen planus? Hep C, medications, or contact with chemicals What is the treatment of spider bite? ice packs to inactivate the toxin, antibiotic ointmnet at first, treat like cellulitis What is the treatment for a cat bite? Augmentin What should you consider when a patient presents with pityoris rosea? Test for syphilis: screen with RPR then VDRL What is the rule of 9's? Head and neck - 9% Each arm - 9% Each leg - 18% Anterior trunk - 18% Posterior trunk - 18% Affects CN V, abrupt onset of pain, fluorescein dye shows "fern like" pattern herpes keratitis Acute/severe halos, cupping optic nerve, cloudy cornea, mid-dilated oval pupil acute angle closure glaucoma ER STAT CN2 is affected, gradual changes in peripheral vision then second central vision primary open angle glaucoma Opaque appearance on eye exam. Elderly pt complains of issues with nigh vision cataracts Painless loss of central vision. Straight lines appear curved. Periphery is intact. macular degeneration (give asmler grid) Floaters, curtain pulled down over vision, flashes of light, painless retinal detachment swelling of optic disc with blurred edges papilledema (think incresaed ICP) What are the signs of hypertensive retinopathy? - copper/silver wire arterioles - AV nicking - retinal hemorrhages What are the signs of diabetic retinopathy? - Cotton wool spots - micro-aneurysms - can also have retinal hemorrhages Clusters of small, red papules with white centers in the buccal mucosa often close to lower molars koplik spots Koplik spots, 3 c's, morbiliform rash measles (rubeola) BC>AC, lateralization to bad ear conductive hearing loss Test of CN VIII done with tuning fork on midline of head Weber test Test that measures AC and BC Rinne test Painful, swollen, red warm abscess of the eyelid hordeolum TX: hot compresses, erythromycin or penicillin drops What is the treatment for otitis media: - amoxicillin - or cephalosporin (omnicef) or fluroquinolone (levaquin) - if allergic to pcn azithromycin or clarithromycin if recurrent amoxicillin-clavulate What is the treatment for otitis externa? coritcosporin drops or cipro What is the treatment for anthrax? Doxycycline or ciprofloxacin/levaquin What is the name of the test for mono? monospot- heterophile antibody test What is the main antibiotic for EENT disorders? amoxicillin or augmentin - if allergic give a macrolide What is the treatment for otitis media with effusion? treat it like an allergy: decongrestants and or nasal steroid college aged pt comes in with difficulty eating and drinking, ulceration in mouth on inside of cheeks or inside of the lip abcess stomatitis baby doesn't want to eat or drink and she has ulcerations in her mouth viral stomatitis What is the initial assessment of any vision complaint or eye complaint? visual acuity yellow fat pads around the eyes xanthelasma - get lipid panel What is CURB-65? criteria for hospital admission: if 1 point hospitalize - confusion - BUN > 19.6 - RR > 30 - BP < 90/60 - 65 or older Antibiotics for pnemonia < 5 yr: viral child > 5yr (S. pnemo): amoxicillin 90mg/kg/day young adult to adult (M. pnemo): Macrolide or doxy > 65 yr or comorbidities: Respiratory quinilone (Levaquin, NOT CIPRO) Smoker (H. influenza): Augmentin two possible causes of abdominal bruit AAA or renal vascular stenosis/renal HTN Treatment for hyperthyroidism (Graves disease) PTU (propylthiouracil) How soon to recheck thyroid? 6 weeks Gold standard for diagnosing Hashimotos TPO (but always check TSH first then thyroid panel) What does the pancreas excrete? glucagon and digestive enzymes What is the parathyroid gland responsible for? calcium loss/gain from bones, kidneys, and GI tract What is the next step in treatment if pt is already on two po drugs for DM and AIC is 9% or higher? start basal insulin (if cannot tolerate Metformin and AIC is 9 of higher start basal insulin) central obesity moon face, purple straie, hairy, HTN, elevated AM cortisol, elevated BG and Na, decreased K Cushing's syndrome Cortisol deficiency. Low Na and BG. Increased K. Addison's (must give cortisol) What is the treatment for secondary hyperparathyroidism? Think elevated calcium because the parathyroid is releasing too much from bones. Tx: biphosphanates