AANP EXAM, PRACTICE EXAM AND STUDY
GUIDE NEWEST 2024 ACTUAL EXAM
Tanner Stage I: Girls - CORRECT ANSWER prepubertal
Tanner Stage II: Girls - CORRECT
... [Show More] ANSWER Breast bud
Tanner Stage III: Girls - CORRECT ANSWER Breast and nipple growth, one mound,
no 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. tx c abx
eye drops and warm packs.
Pinguecula - CORRECT ANSWER yellow triangular thickening of the bulbar
conjunctiva. on inner and outer margins of cornea. Caused by UV light damage.
Pterygium - CORRECT ANSWER yellow triangular thickening of the bulbar
conjunctiva, extends to the cornea. Caused by UV light damage.
Chalazion - CORRECT ANSWER chronic inflammation of meibomian (sweat) gland of
eyelid. small painless movable bead-like nodule. Should resolve within weeks.
Rinne test - CORRECT ANSWER tests for conductive hearing loss. normal= AC>BC
Webber test - CORRECT ANSWER tuning fork on middle of head. Abnormal=
lateralization to affected ear
meningococcemia prophylaxis - CORRECT ANSWER Rifampin for close contacts
basal cell carcinoma - CORRECT ANSWER pearly or waxy lesion with atrophic or
ucerated center that does not heal [Show Less]