AANP FNP CERTIFICATION EXAM
QUESTIONS AND ANSWERS GRADED A+
2025/2026
Diastolic murmurs - ANS All diastolic murmurs are pathological.
Murmur Grades - ANS Grades I-barely, II-audible, III-clearly audible, IV-first time thrill, V-Steth
edge, VI-entire steth.
Fundal height at 12 weeks - ANS Fundal Height 12 weeks above symphysis pubis.
Fundus at 16 weeks - ANS Fundus 16 weeks between symphysis pubis and umbilicus.
Fundus at 20 weeks - ANS Fundus at 20 weeks is at umbilicus.
Normal fundal height variation - ANS 2 cm more or less from number of weeks gestation is
normal if more or less order US.
3 month old infant with down syndrome - ANS Pale conjunctiva but otherwise healthy. Low
HCT. Additional test: Iron, TIBC.
TSH and T4 levels after 3 months of synthroid - ANS TSH increased, T4 normal, increase
medication.
1 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
,Assessing cognitive function - ANS 3 ways to assess cognitive function in patient with
signs/symptoms of memory loss: Mini mental exam.
4 month old with strabismus - ANS Tell her it is normal.
4 month old won't keep anything down - ANS Look at the growth chart.
6 month old closed anterior fontanel - ANS X-ray.
Abnormal cells on PAP - 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 for extraocular movements - ANS CN 3, 4, 6.
Definition of metabolic syndrome - ANS Cluster of conditions that increase risk of heart
disease, stroke, diabetes.
Diagnosing trichomoniasis - ANS Wet prep.
Elderly with atrophic vaginitis - ANS Pelvic US.
Epistaxis location - ANS Kiesselbach's triangle, located in the anterior septum.
Diagnosis of acute bacterial prostatitis - ANS Urinalysis and culture.
2 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
, 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.
Legg-Calve-Perthes Disease - ANS Avascular necrosis of the proximal femoral head.
Lipid level of 1500 - ANS Increased risk for pancreatitis.
Low HGB, Low HCT, High MCV - ANS Indicates macrocytic anemia, B12 deficiency.
BPH digital exam findings - ANS Prostate feels enlarged, symmetrical, smooth.
HTN, CAD, absent pedal pulses - ANS Indicates arterial insufficiency.
McMurray's Sign - ANS (+) palpable or audible click while extending with varus stress
indicates meniscus tears.
Lachman's Test - ANS Pivot shift test (ACL tear).
Newborn with foot turned in - ANS Refer to orthopedist.
3 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
QUESTIONS AND ANSWERS GRADED A+
2025/2026
Diastolic murmurs - ANS All diastolic murmurs are pathological.
Murmur Grades - ANS Grades I-barely, II-audible, III-clearly audible, IV-first time thrill, V-Steth
edge, VI-entire steth.
Fundal height at 12 weeks - ANS Fundal Height 12 weeks above symphysis pubis.
Fundus at 16 weeks - ANS Fundus 16 weeks between symphysis pubis and umbilicus.
Fundus at 20 weeks - ANS Fundus at 20 weeks is at umbilicus.
Normal fundal height variation - ANS 2 cm more or less from number of weeks gestation is
normal if more or less order US.
3 month old infant with down syndrome - ANS Pale conjunctiva but otherwise healthy. Low
HCT. Additional test: Iron, TIBC.
TSH and T4 levels after 3 months of synthroid - ANS TSH increased, T4 normal, increase
medication.
1 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
,Assessing cognitive function - ANS 3 ways to assess cognitive function in patient with
signs/symptoms of memory loss: Mini mental exam.
4 month old with strabismus - ANS Tell her it is normal.
4 month old won't keep anything down - ANS Look at the growth chart.
6 month old closed anterior fontanel - ANS X-ray.
Abnormal cells on PAP - 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 for extraocular movements - ANS CN 3, 4, 6.
Definition of metabolic syndrome - ANS Cluster of conditions that increase risk of heart
disease, stroke, diabetes.
Diagnosing trichomoniasis - ANS Wet prep.
Elderly with atrophic vaginitis - ANS Pelvic US.
Epistaxis location - ANS Kiesselbach's triangle, located in the anterior septum.
Diagnosis of acute bacterial prostatitis - ANS Urinalysis and culture.
2 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
, 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.
Legg-Calve-Perthes Disease - ANS Avascular necrosis of the proximal femoral head.
Lipid level of 1500 - ANS Increased risk for pancreatitis.
Low HGB, Low HCT, High MCV - ANS Indicates macrocytic anemia, B12 deficiency.
BPH digital exam findings - ANS Prostate feels enlarged, symmetrical, smooth.
HTN, CAD, absent pedal pulses - ANS Indicates arterial insufficiency.
McMurray's Sign - ANS (+) palpable or audible click while extending with varus stress
indicates meniscus tears.
Lachman's Test - ANS Pivot shift test (ACL tear).
Newborn with foot turned in - ANS Refer to orthopedist.
3 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
