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HevnaweANCC / AANP Test TopicsAfter going through the post of the ones who took a high consideration to post subjects they recall on the test, which is more helpful than constant “I Pass” shootouts, I took their postings and combined them as best as time allows and gave it to people to test and thus far the five persons who used the suggestions posted by some on this site were able to pass without live reviews. I figure I repost the subjects here. Just know that this is a combination of both ANCC and AANP.If one uses a bit of a common sense it is obvious that if a subject is none clinical it applies to ANCC, if it is pediatric in nature then it is FNP, otherwise it is AG. Clinical subjects apply to both ANCC and AANP.Many have continue to mention that the test changes, Of course the test changes because people talk and this makes it easier for other aspiring NP’S to pass, but the one thing that has not changed in years even decades is the material, the applied science. Once again allow me to thank the New Grad NP’s who passed the test and placed a useful and very helpful post to help others pass, by giving us a heads up on what might be on our exams. Arteriovenous NickingIndentation (nicking) of retinal veins by stiff (arteriosclerotic) retinal arteriesCommonest cause is chronic hypertensionValuable sign of chronic systemic hypertension that has also caused damage to arteries elsewhere in body (heart, kidneys, brain)Using ophthalmoscope, find these vessels at their emergence from optic disc and follow them as far out as you can, looking for arteriovenous nicking, which is usually found within 5 disc diameters of optic discMeasure blood pressure and inquire after other arteriosclerotic risk factorsIt is thought that, since the arteriole and venule share a common sheath, the arteriole'sthicker walls push against those of the venule forcing the venule to collapse. This makes the venule form an hourglass shape around the arteriole. Other theories suggestthat this results not from compression from the arteriole but from sclerotic thickening or glial cell proliferation at the site where the two vessels crossHypertensive retinopathy is damage to the retina and retinal circulation due to high blood pressureMeyerson’s sign 1
HevnaweIs when you tap the (glabella) forehead of a patient with Parkinson, early dementia, or neurological disease and after the tap they blink excessively. AnemiaPernicious anemia will produce positive Babinski, glossitis, and Romberg Rank Hierarchy of EvidenceLevel I: Evidence from a systematic review or meta-analysis of all relevant RCTs (randomized controlled trial) or evidence-based clinical practice guidelines based on systematic reviews of RCTs or three or more RCTs of good quality that have similar results.