AANP EXAM PEARLS FINAL PAPER 2026 FULL
STUDY GUIDE
◉ Which diuretic should be used for osteoporosis. Answer: Thiazide
diuretics:
slows the kidneys excretion of calcium and increases reabsorption
◉ Lachman maneuver. Answer: knee instability
tear of ACL
◉ Infections of labia and vagina. Answer: bacterial vaginosis,
candidiasis, and trichomoniasis
◉ Chlamydia affects. Answer: cervix, endometrial lining, fallopian
tubes, pelvic cavity
◉ Acute abdomen symptoms. Answer: involuntary guarding,
rebound tenderness, board-like abdomen, +obturator and psoas sign
◉ Care of preecplampsia. Answer: bed rest, weight and blood
pressure monitoring
,◉ Preeclampsia labs. Answer: urine protein, serum protein,
creatinine, platelet count
◉ Preeclampsia symptoms. Answer: hypertension, proteinuria,
edema (weight gain)
◉ Preeclampsia complications. Answer: placental abruption,
coagulopathy (DIC), renal failure, uteroplacental insufficiency, liver
failure, hypertensive encephalopathy, retinal detachment,
pulmonary edema, seizure, death
◉ community acquired pneumonia
Most common bacteria
least common bacteria
Population
treatment. Answer: mycolpasma pneumoniae (atypical)
h. influenza, strep pneumoniae
atypical: psuedomonas aeruginosa
college student, school children, military
macrolides: azithromycin, clarithromycin
◉ Mantoux test. Answer: Positive: 5mm
Positive for recent immigrants: 10mm
,◉ Murphy's sign. Answer: biliary disorders
deep inspiration by patient and deep palpation RUQ below
costovertebral angle
◉ placenta previa. Answer: implantation of the placenta over the
cervical opening or in the lower region of the uterus
painless bright red blood in the second or third trimester
Order abdominal US
◉ Hashimoto's is most common in which population. Answer:
middle age to older women
◉ Hypertension Retinopathy. Answer: AV nicking and copper or
silver wire arterioles
flame-shaped hemorrhages
◉ threatened abortion. Answer: vaginal bleeding and cramping, soft
uterus, cervix closed
◉ bacterial vaginosis. Answer: fishy odor, milky white or dull gray
discharge
pH > 4.5
, > 20% clue cells
KOH whiff test
◉ squamous cells dotted with lots of bacteria that obscure borders.
Answer: clue cells
◉ Lichen sclerosis. Answer: skin disease, white spots appear over
time, most common genital and rectal
most common in older woman
itching, discomfort, bleeding
order biopsy
◉ AV valves. Answer: mitral and tricuspid
◉ semilunar valves. Answer: pulmonary and aortic
◉ S1. Answer: systole
closure of AV valves
mitral regurgitation
aortic stenosis
◉ S2. Answer: diastole
STUDY GUIDE
◉ Which diuretic should be used for osteoporosis. Answer: Thiazide
diuretics:
slows the kidneys excretion of calcium and increases reabsorption
◉ Lachman maneuver. Answer: knee instability
tear of ACL
◉ Infections of labia and vagina. Answer: bacterial vaginosis,
candidiasis, and trichomoniasis
◉ Chlamydia affects. Answer: cervix, endometrial lining, fallopian
tubes, pelvic cavity
◉ Acute abdomen symptoms. Answer: involuntary guarding,
rebound tenderness, board-like abdomen, +obturator and psoas sign
◉ Care of preecplampsia. Answer: bed rest, weight and blood
pressure monitoring
,◉ Preeclampsia labs. Answer: urine protein, serum protein,
creatinine, platelet count
◉ Preeclampsia symptoms. Answer: hypertension, proteinuria,
edema (weight gain)
◉ Preeclampsia complications. Answer: placental abruption,
coagulopathy (DIC), renal failure, uteroplacental insufficiency, liver
failure, hypertensive encephalopathy, retinal detachment,
pulmonary edema, seizure, death
◉ community acquired pneumonia
Most common bacteria
least common bacteria
Population
treatment. Answer: mycolpasma pneumoniae (atypical)
h. influenza, strep pneumoniae
atypical: psuedomonas aeruginosa
college student, school children, military
macrolides: azithromycin, clarithromycin
◉ Mantoux test. Answer: Positive: 5mm
Positive for recent immigrants: 10mm
,◉ Murphy's sign. Answer: biliary disorders
deep inspiration by patient and deep palpation RUQ below
costovertebral angle
◉ placenta previa. Answer: implantation of the placenta over the
cervical opening or in the lower region of the uterus
painless bright red blood in the second or third trimester
Order abdominal US
◉ Hashimoto's is most common in which population. Answer:
middle age to older women
◉ Hypertension Retinopathy. Answer: AV nicking and copper or
silver wire arterioles
flame-shaped hemorrhages
◉ threatened abortion. Answer: vaginal bleeding and cramping, soft
uterus, cervix closed
◉ bacterial vaginosis. Answer: fishy odor, milky white or dull gray
discharge
pH > 4.5
, > 20% clue cells
KOH whiff test
◉ squamous cells dotted with lots of bacteria that obscure borders.
Answer: clue cells
◉ Lichen sclerosis. Answer: skin disease, white spots appear over
time, most common genital and rectal
most common in older woman
itching, discomfort, bleeding
order biopsy
◉ AV valves. Answer: mitral and tricuspid
◉ semilunar valves. Answer: pulmonary and aortic
◉ S1. Answer: systole
closure of AV valves
mitral regurgitation
aortic stenosis
◉ S2. Answer: diastole
