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AANP PRACTICE QUESTIONS 2025 ACTUAL EXAM
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A statin drug
A 65-year-old woman presents for a follow-up examination after a new patient visit. She
has not seen a healthcare provider for several years. She is a smoker and her
hypertension is now adequately controlled with medication. Her mother died at age 40
from a heart attack. The fasting lipid profile shows cholesterol = 240 mg/dL, HDL = 30,
and LDL = 200. In addition to starting Therapeutic Lifestyle Changes, the nurse
practitioner should start the patient on:
1.bile acid sequestrant.
2. a statin drug.
3. a cholesterol absorption inhibitor.
4. low-dose aspirin.
ibuprofen (advil)
The most commonly prescribed medication for mild systemic lupus erythematosus
(SLE) is:
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1. azathioprine (AZA).
2. belimumab (Benlysta).
3. ibuprofen (Advil).
4. cyclophosphamide (Cytoxan).
postcoital bleeding
The most common sign of cervical cancer is:
1. postcoital bleeding.
2. strong odor from vaginal discharge.
3. itching in the vaginal area.
4. molluscum contagiosum.
discontinue amitriptyline and begin gabapentin (neurontin)
The nurse practitioner prescribes amitriptyline (Elavil) for a patient with neuropathic pain
secondary to diabetes mellitus. On follow-up, the patient complains of urine retention
and dry mouth. The practitioner would:
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1. discontinue amitriptyline and begin ibuprofen (Motrin).
2. refer to physical therapy.
3. start methocarbamol (Robaxin).
4. discontinue amitriptyline and begin gabapentin (Neurontin).
associated with the omeprazole
A 17-year-old male with rheumatoid arthritis is being treated with an NSAID and
omeprazole (Prilosec). The patient complains of headache, abdominal pain, and gas.
These symptoms are most likely:
1. associated with the omeprazole.
2. related to the underlying condition.
3. the result of the NSAID.
4. caused by viral gastroenteritis.
ibuprofen
The medication of choice for the initial treatment of juvenile rheumatoid arthritis is:
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1. acetaminophen.
2. prednisone.
3. aspirin.
4. ibuprofen.
hemoglobin levels
A 12-year-old with sickle cell anemia has recently experienced a sickle cell crisis and
presents for a follow-up examination after a recent hospitalization. It is most important to
continue monitoring growth, development, and:
1. white blood cell levels.
2. fecal occult blood test.
3. hemoglobin levels.
4. urine dipsticks.
report the case to proper authorities
A 90-year-old female is brought to the clinic by her neighbor. She states that everything
is fine, but the nurse practitioner notes that she has poor hygiene and bruises on her
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