AANP FNP certification Exam Questions
And Well Elaborated Solutions Graded A
(latest updates 2024/2025)
All diastolic murmurs are pathological.
... [Show More] Murmurs Grades I-barely II-audible III- clearly
audible. IV- first time thrill V-Steth edge VI-entire steth. EXAM - answers III first time
audible, IV first time thrill
Fundal height 12 weeks - answers 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? - answers Iron, TIBC
3 months of synthroid, TSH increased, T4 normal, what do you do? - answers Increase
Medication
3 ways to assess cognitive function in patient with signs/symptoms of memory loss -
answers Mini mental exam
4 month old with strabismus, mom is worried...... - answers tell her it is normal.
4 month old wont keep anything down, what is the main thing you look at? - answers
Growth chart
6 month old closed anterior fontanel. - answers XRAY
Abnormal cells on PAP, what do you do next? - answers Refer for Colposcopy
CAGE ACRONYM - answers Cut down
Annoyed by criticism
Guilty about drinking
Eye opener drink
Causes of tachycardia - answers Fever
Anemia
Hypotension
Cranial nerves responsible for extraocular eye movements - answers CN 3,4,6
Definition of metabolic syndrome - answers cluster of conditions that increase risk of
heart disease, stroke, diabetes.
diagnose trichomoniasis - answers wet prep
Elderly presents with atrophic vaginitis, small uterus, palpable 4x5 ovary, what do you
do next? - answers Pelvic US
Epistaxis is most common in the area of the nose known as kiesselbachs triangle,
where is this located? - answers Anterior septum
Definitive diagnosis of acute bacterial prostatitis - answers urinalysis and culture
GERD treatment - answers H2 is first line, give hs
Grade 3 cells on Pap, treatment? - answers LEEP
excision
Fingernail hematoma treatment? - answers drill hole and drain blood?
Increased risk of ectopic pregnancy - answers Salpingitis, or history of abortion, PID,
Koplick spots - answers Measles (rubeola). Grains of salt lesions inside mouth in
Measles
Koplick spots - answers Measles (rubeola). Grains of salt lesions inside mouth in
Measles
Legg-Calve-Perthes Disease - answers Avascular necrosis of the proximal femoral
head
Lipid level of 1500, increased risk for? - answers Pancreatitis
Low HGB, Low HCT, High MCV indicates what? - answers Macrocytic anemia, B12
Def
Man with BPH, prostate feels on digital exam? - answers Enlarged, symmetrical,
smooth
Man with HTN, CAD, present femoral pulses but absent pedal - answers Arterial
Insufficiency
McMurray's Sign
(+) palpable or audible click while extending with varus stress - answers Meniscus tears
Lachman's Test - answers pivot shift test (ACL tear)
Newborn with foot turned in, what do you do? - answers refer to orthopedist
Osgood-Schlatter disease - answers 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? - answers
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? - answers Refer to
oncologist
Pt presents with rash on shoulder, erythematous maculopapular rash with center
clearing and scaling? - answers Tinea Corporis
Pt presents with "bag of worms:, indicates? - answers Varicocele
Pt with atopic dermatitis, look for what other diseases? - answers Asthma
Pt with bleeding after menopause - answers endometrial biopsy, need to screen for
cancer
Pt with hx of PID, increased rick for? - answers Infertility
Pt with HIV took high potency anti viral treatments and CD4 is >400, what does this
indicate? - answers This is good. Want higher than 350
Pt with hx of htn and stroke, now having memory loss. What does this indicate? -
answers Vascular dementia
Pregnant teacher with exposure to 5ths disease (SLAP CHEEK), what risk is there to
the fetus? - answers slap cheek, PVB19, rash hands / feet Fetal death and birth defects
Quick assessment of patients fall risk? Timed Get up and Go - answers Timed Get up
and Go
Red beefy tongue? - answers pernicious anemia
Rotator cuff injury presentation - answers disturbs sleep, arm weakness, dull ache
Shingles near eye - answers immediate referral to ophthalmology
Signs and symptoms of Roseola (6ths disease) ? - answers Viral infection
Can result in a maculopapular rash, but up to 70% of cases proceed without the rash
stage
-Usually accompanied by a high fever (41°C or 105°F) that comes on quickly and lasts
up to 3 days followed by rash
-Seizures may occur during this period.
-On the fourth day, the fever disappears and the rash appears, first on chest and trunk,
then less prominently on the face and limbs.
-High fever, pink flat or raised rash
Treatment for chronic alcoholism: - answers 12 step program
Treatment for Gonorrhea? - answers Rocephin 250mg IMx1 plus
Azithromycin 1 gm orally x1 to cover chlamydia. , or doxy 100 mg BID x7d. Green
colored vaginal discharge, friable cervix. EXAM
Report to health department
Young female want birth control, forgets to take pills, does not want to get pregnant for
at least 5 years: - answers IUD [Show Less]