AANP Certification Exam
Questions and Answers 2023
(Verified Answers)
All diastolic murmurs are pathological. Murmurs Grades I-barely II-audible III- clearly audible. IV-
first time thrill V-Steth edge VI-entire steth. EXAM - ANS III first time audible, IV first time thrill
Fundal height 12 weeks - ANS Fundal Height 12 weeks above symphysis pubis. EXAM
Fundus 16 weeks between symphysis pubis and umbilicus.
Fundus at 20 weeks is at umbilicus.
2 cm more of less from # of wk gestation is normal if more or less order US
3 month old infant with down syndrome, due to milk intolerance, mom started on goats milk;
now has pale conjunctiva but otherwise healthy. Low HCT. What additional test would you
order? - ANS Iron, TIBC
3 months of synthroid, TSH increased, T4 normal, what do you do? - ANS Increase Medication
3 ways to assess cognitive function in patient with signs/symptoms of memory loss - ANS Mini
mental exam
4 month old with strabismus, mom is worried...... - ANS tell her it is normal.
4 month old wont keep anything down, what is the main thing you look at? - ANS Growth chart
6 month old closed anterior fontanel. - ANS XRAY
Abnormal cells on PAP, what do you do next? - ANS Refer for Colposcopy
CAGE ACRONYM - ANS Cut down
Annoyed by criticism
Guilty about drinking
Eye opener drink
Causes of tachycardia - ANS Fever
,Anemia
Hypotension
Cranial nerves responsible for extraocular eye movements - ANS CN 3,4,6
Definition of metabolic syndrome - ANS cluster of conditions that increase risk of heart disease,
stroke, diabetes.
diagnose trichomoniasis - ANS wet prep
Elderly presents with atrophic vaginitis, small uterus, palpable 4x5 ovary, what do you do next? -
ANS Pelvic US
Epistaxis is most common in the area of the nose known as kiesselbachs triangle, where is this
located? - ANS Anterior septum
Definitive diagnosis of acute bacterial prostatitis - ANS urinalysis and culture
GERD treatment - ANS H2 is first line, give hs
Grade 3 cells on Pap, treatment? - ANS LEEP
excision
Fingernail hematoma treatment? - ANS drill hole and drain blood?
Increased risk of ectopic pregnancy - ANS Salpingitis, or history of abortion, PID,
Koplick spots - ANS Measles (rubeola). Grains of salt lesions inside mouth in Measles
Koplick spots - ANS Measles (rubeola). Grains of salt lesions inside mouth in Measles
Legg-Calve-Perthes Disease - ANS Avascular necrosis of the proximal femoral head
Lipid level of 1500, increased risk for? - ANS Pancreatitis
Low HGB, Low HCT, High MCV indicates what? - ANS Macrocytic anemia, B12 Def
Man with BPH, prostate feels on digital exam? - ANS Enlarged, symmetrical, smooth
Man with HTN, CAD, present femoral pulses but absent pedal - ANS Arterial Insufficiency
McMurray's Sign
(+) palpable or audible click while extending with varus stress - ANS Meniscus tears
, Lachman's Test - ANS pivot shift test (ACL tear)
Newborn with foot turned in, what do you do? - ANS refer to orthopedist
Osgood-Schlatter disease - ANS Knee pain.
inflammation or irritation of the tibia at its point of attachment with the patellar tendon
Patient forgot to start Thanksgiving dinner and husband states she has trouble remembering
tasks and trouble with organization. What is this indicative of? - ANS Alzheimer's
Pt has Barretts Esophagus, insurance no longer covers GI who was treating condition. Pt at
FNP office wanting refill prescriptions. What do you do? - ANS Refer to oncologist
Pt presents with rash on shoulder, erythematous maculopapular rash with center clearing and
scaling? - ANS Tinea Corporis
Pt presents with "bag of worms:, indicates? - ANS Varicocele
Pt with atopic dermatitis, look for what other diseases? - ANS Asthma
Pt with bleeding after menopause - ANS endometrial biopsy, need to screen for cancer
Pt with hx of PID, increased rick for? - ANS Infertility
Pt with HIV took high potency anti viral treatments and CD4 is >400, what does this indicate? -
ANS This is good. Want higher than 350
Pt with hx of htn and stroke, now having memory loss. What does this indicate? - ANS Vascular
dementia
Pregnant teacher with exposure to 5ths disease (SLAP CHEEK), what risk is there to the fetus?
- ANS slap cheek, PVB19, rash hands / feet Fetal death and birth defects
Quick assessment of patients fall risk? Timed Get up and Go - ANS Timed Get up and Go
Red beefy tongue? - ANS pernicious anemia
Rotator cuff injury presentation - ANS disturbs sleep, arm weakness, dull ache
Shingles near eye - ANS immediate referral to ophthalmology
Signs and symptoms of Roseola (6ths disease) ? - ANS Viral infection
Can result in a maculopapular rash, but up to 70% of cases proceed without the rash stage
