AANP Exam Study Guide (Latest 2023 – 2024) Verified Answers By ExpertLegg-Calve-Perthes Disease - A 7-year-old male presents with a painless limp, antalgic gait, muscle spasm, mildly restricted hip abduction and internal rotation, proximal thigh atrophy, and slightly short stature.MMR - Initial given at 12 months and second dose 4-6 years. Can give a monovalent under 12 months if there is an outbreak.Actinic Keratosis - Patchy, scaly, raised, irregular lesions in sun-exposed areas that are tri-colored. Pre-malignant and 20% can develop into squamous cell carcinoma.Seborrheic Keratoses - Chronic benign lesions that are raised, oily, flaky, waxy, wart-like, erythematous without associated sun exposure.Malignant Melanoma - 3rd most common type skin cancer. Originates from pigmented mole (nevus) may be flat or raised, irregular borders, variegated color, and highly metastatic.Nodule on Prostate Exam - Assess PSA and hematuria for prostate CA diagnosis.Prostate CA - Hard and non-tender prostate with exam, hematuria, elevated PSA, and urinary retention.SpermatoceleSymptoms/signs - Freely moveable cystic mass and nonviable sperm.JNC 8 <60 years - Diagnose HTN with BP 140/90JNC 8 >60 years - Diagnose HTN with BP 150/90Dacryostenosis - Narrowing of the nasolacrimal duct preventing drainage. Massage to help open.Opthalmic InfectionSigns/symptoms - Swelling, erythema, pain and purulence.