AANP exam 2022 questions and answers| graded A

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AANP exam Tanner Stage I: Girls Correct Answer: prepubertal Tanner Stage II: Girls Correct Answer: Breast bud Tanner Stage III: Girls Correct Answer: Breast and nipple growth, one mound, n... o separation Tanner Stage IV: Girls Correct Answer: Nipple/areola elevated from breast, secondary mound Tanner Stage V: Girls Correct Answer: Adult Tanner Stage I: Boys Correct Answer: prepubertal Tanner Stage II: Boys Correct Answer: testes/scrotum enlarges, scrotum darkens, more ruggae Tanner Stage III: Boys Correct Answer: penis grows longer, scrotum continues to grow Tanner Stage IV: Boys Correct Answer: penis becomes wider, continues getting longer, scrotum larger, darker, more ruggae Tanner Stage V: Boys Correct Answer: adult kiesselbach's plexus Correct Answer: blood vessels on anterior septum where 90% of nosebleeds originate Finkelstein's test Correct Answer: used to dx DeQuervain's tenosynovitis, thumb in fist, bend wrist towards little finger. positive c pain in wrist on thumb side anterior drawer test Correct Answer: used to check for ACL injury, pull tibia forward from femur c both hands on tibia c pt laying and knee flexed at 90 deg, positive c >5mm translation or increase laxity compared to unaffected side lachman maneuver Correct Answer: tests ACL integrity, pt on back knee flexed 20-30 deg, one hand stabilize femur, other applies pressure to back of knee, positive c mushy end point pivot test Correct Answer: tests ACL integrity, pt on back, knee fully extended, rotate foot internally. Apply valgus stress while flexing knee. Positive= translation of tibia on femur McMurray test Correct Answer: checks for meniscus injury, pt supine, knee flexed. medial: apply valgus force, externally rotate the foot and passively extend knee. lateral: apply varus force, internally rotate foot and passively extend knee. Positive= audible or palpable snap in knee during extension diabetic retinopathy Correct Answer: cotton wool spots, hard exudates, neovascularization, microaneurysms hypertensive retinopathy Correct Answer: AV nicking, silver and/or copper wire arterioles Tinel's sign Correct Answer: Detects irritated nerves, most often c carpal tunnel. Tap on median nerve. Positive= tingling down thumb, index, and middle finger Phalen's maneuver Correct Answer: Detects carpal tunnel syndrome. allow wrists to fall into maximum flexion, hold for 60 seconds. Positive= tingling down thumb, index, and middle finger Kernig's sign Correct Answer: sign of meningitis. Pt supine, hip flexed at 90, attempt to straighten leg. Positive= inability to straighten leg Maculopapular rash in lace like pattern Correct Answer: Fifth's disease Maculopapular rash with papules, vesicles, and crusts Correct Answer: Varicella Maculopapular rashes that are oval shaped with herald patch or Christmas tree Correct Answer: pityriasis rosea vesicular rashes on an erythematous base Correct Answer: herpes simplex scarlet fever (scarletina) Correct Answer: caused by group A strep, rash is fine, red, and rough textured. non-puritic. accompanied by sore throat, stawberry tongue, and peeling of hands and feet. tx c abx for strep (Penicillin) S3 Correct Answer: Heard best over pulmonic area (2nd L intercostal space), indicates heart failure, ventricular overload psoas sign (ilipsoas muscle sign) Correct Answer: used c acute abdomen, appendicitis. Pt lays on left side, hyperextends right thigh. Positive= abd pain obturator sign Correct Answer: used c acute abdomen, appendicitis. Pt supine, flex knee and hip to 90 deg, internally rotate hip. Positive= abd pain (c R leg for appendix) Rovsing's sign Correct Answer: used c acute abdomen, appendicitis. Palpate LLQ, Positive= pain in RLQ McBurney's point Correct Answer: 2/3rds of distance from umbilicus to the R anterior superior iliac spine. Deep tenderness at this point may be indicative of appendicitis Hirschsprung (Hirschberg) test Correct Answer: aka corneal light reflex. Checks for strabismus. Rocky Mountain spotted fever Correct Answer: S central US. Red rash on wrists and ankles that spreads centrally that appears 3rd day after fever (103-105). Can cause death if not tx in 1st 8 days of symptoms Cholesteatoma Correct Answer: Cauliflower like growth in ear c foul smelling discharge. Can eat through tm, bone, & nerves. Refer to EENT Koplik's spots Correct Answer: Small red papules with white center inside cheeks by lower molars. Indicates measles, before rash. hordeolum Correct Answer: stye. infection on hair follicle of eye lash. [Show More]

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