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AANP FNP Certification Exam Review 2026: Key Insights Study Guide with Verified Q&A

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Crush your AANP FNP in record time! This is your high-yield power pack — zero fluff, just the must-know insights, clinical pearls, and frequently tested Q&As. Murphy's sign? Covered. PPD interpretation? Got it. Glaucoma vs. cataracts? Crystal clear. Perfect for last-minute cramming or a quick confidence boost. Walk in. Pass. Done.

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lOMoAR cPSD| 57629747




AANP FNP Certification Exam FNP certification Exam Review

, lOMoAR cPSD| 57629747




AANP FNP Certification Exam FNP certification Exam
Review | Verified study | A+ Graded | Actual Questions
and Answers | 2026 Updates
Murphy's sign (how to)

- ANSWER- on deep inspiration (pt), palpate firmly RUQ below the costovertebral angel

Murphy's sign (diagnostic of?)

- ANSWER- biliary disorders gallbladder comes in contact w/fingers and may elect

pain (+) to be positive, same maneuver must not elicit pain on left side

-breath in, diaphragm moves down, abd contents move down, -hold breath, gallbladder
comes by fingers antihypertensive to avoid in emphysema
- ANSWER- Beta-blockers
-reduction in forced expiratory volume

-increased airway hyperresponsiveness

-inhibition of bronchodilator response to beta agonists

threatened abortion (definition)

- ANSWER- vaginal bleeding and cramping present, but cervix remains closed milky white

discharge (increased) alkaline pH cells with blurred margins (microscope)

- ANSWER- BV also: fishy odor, adherent discharge pos whiff (when discharge mixed w/

KOH) = fishy odor low levels of alpha fetoprotein and estriol w/ high levels of hcg (what to

order and what does it mean?)

- ANSWER- ultrasound down syndrome or fetal demise

normally elevated lab in someone expecting twins
- ANSWER- alpha fetoprotein AFP produced by fetal (and mother's) liver, common to
be higher if having twins "Triple Screen" (prenatal screening)




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vs. Quad screen
- ANSWER- between 15 - 22 weeks:
AFP (high in NTD, low in Downs)

Estradiol (abnormal in Downs) HCG

(abnormal in Downs) w/ inhibin A (hormone

released by placenta)



why doesn't Chlamydia affect the labia or vagina?
- ANSWER- typically affects cervix, endometrial lining, fallopian tubes and pelvic
cavity positive obturator sign (definition)



if positive

- ANSWER- acute appendicitis pain evicted by internal rotation of the

right hip from 90degrees flexion psoas sign (definition)



if positive
- ANSWER- acute appendicitis
pain w/ passive extension of the thigh while pt is lying on side w/ bent knees -or- knee moves
posterior (behind the patient) causing tightness in abd cavity



treatment for mild preeclampsia

- ANSWER- best rest w/ BR privileges monitor wight and bp monitor

urinary protein serum creatine and plts



pap (cytology) comes back normal but there is "inflammation" noted - what to do?

- ANSWER- pt needs STI testing may have cervicitis TORCH what is this acronym stand for?

- ANSWER- fetal abnormalities




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T: toxoplasmosis

O: other

R: rubella

C: cytomegalovirus

H: herpes

T/F

HPV of the larynx can cause laryngeal cancer

- ANSWER- true what are Heberden's nodes

- ANSWER- bony overgrowth

classic sign of osteoarthritis hard nontender nodules at distal

interphalangeal joints enlarged middle phalangeal joints are

called Bouchard's node

What do order if fundal height is more than 3cm off the weeks of gestation age
- ANSWER- order an ultrasound more than 2cm either way is abnormal

anhedonia - definition
- ANSWER- loss of interest in activities that the patient finds pleasurable apraxia -
definition
- ANSWER- loss of ability to execute purposeful movements despite desire to
perform them



-disorder of motor planning from cerebrum not a sign of depression

apathy - definition

- ANSWER- lack of interest, enthusiasm, or concern Signs of an ectopic

pregnancy

- ANSWER- amenorrhea w/ new onset of bloody spotting




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