AANP CLINICAL SCENARIOS ACTUAL EXAM
2026 FINAL ASSESSMENT PAPER DIAGNOSTIC
DECISION MAKING TESTED QUESTIONS AND
ANSWERS
◉ Fingernail hematoma treatment? Answer: drill hole and drain
blood?
◉ Increased risk of ectopic pregnancy Answer: Salpingitis, or history
of abortion, PID,
◉ Koplick spots Answer: Measles (rubeola). Grains of salt lesions
inside mouth in Measles
◉ Koplick spots Answer: Measles (rubeola). Grains of salt lesions
inside mouth in Measles
◉ Legg-Calve-Perthes Disease Answer: Avascular necrosis of the
proximal femoral head
◉ Lipid level of 1500, increased risk for? Answer: Pancreatitis
,◉ Low HGB, Low HCT, High MCV indicates what? Answer:
Macrocytic anemia, B12 Def
◉ Man with BPH, prostate feels on digital exam? Answer: Enlarged,
symmetrical, smooth
◉ Man with HTN, CAD, present femoral pulses but absent pedal
Answer: Arterial Insufficiency
◉ McMurray's Sign
(+) palpable or audible click while extending with varus stress
Answer: Meniscus tears
◉ Lachman's Test Answer: pivot shift test (ACL tear)
◉ Newborn with foot turned in, what do you do? Answer: refer to
orthopedist
◉ Osgood-Schlatter disease Answer: 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? Answer: 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? Answer: Refer to oncologist
◉ Pt presents with rash on shoulder, erythematous maculopapular
rash with center clearing and scaling? Answer: Tinea Corporis
◉ Pt presents with "bag of worms:, indicates? Answer: Varicocele
◉ Pt with atopic dermatitis, look for what other diseases? Answer:
Asthma
◉ Pt with bleeding after menopause Answer: endometrial biopsy,
need to screen for cancer
◉ Pt with hx of PID, increased rick for? Answer: Infertility
◉ Pt with HIV took high potency anti viral treatments and CD4 is
>400, what does this indicate? Answer: This is good. Want higher
than 350
, ◉ Pt with hx of htn and stroke, now having memory loss. What does
this indicate? Answer: Vascular dementia
◉ Pregnant teacher with exposure to 5ths disease (SLAP CHEEK),
what risk is there to the fetus? Answer: slap cheek, PVB19, rash
hands / feet Fetal death and birth defects
◉ Quick assessment of patients fall risk? Timed Get up and Go
Answer: Timed Get up and Go
◉ Red beefy tongue? Answer: pernicious anemia
◉ Rotator cuff injury presentation Answer: disturbs sleep, arm
weakness, dull ache
◉ Shingles near eye Answer: immediate referral to ophthalmology
◉ Signs and symptoms of Roseola (6ths disease) ? Answer: 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
2026 FINAL ASSESSMENT PAPER DIAGNOSTIC
DECISION MAKING TESTED QUESTIONS AND
ANSWERS
◉ Fingernail hematoma treatment? Answer: drill hole and drain
blood?
◉ Increased risk of ectopic pregnancy Answer: Salpingitis, or history
of abortion, PID,
◉ Koplick spots Answer: Measles (rubeola). Grains of salt lesions
inside mouth in Measles
◉ Koplick spots Answer: Measles (rubeola). Grains of salt lesions
inside mouth in Measles
◉ Legg-Calve-Perthes Disease Answer: Avascular necrosis of the
proximal femoral head
◉ Lipid level of 1500, increased risk for? Answer: Pancreatitis
,◉ Low HGB, Low HCT, High MCV indicates what? Answer:
Macrocytic anemia, B12 Def
◉ Man with BPH, prostate feels on digital exam? Answer: Enlarged,
symmetrical, smooth
◉ Man with HTN, CAD, present femoral pulses but absent pedal
Answer: Arterial Insufficiency
◉ McMurray's Sign
(+) palpable or audible click while extending with varus stress
Answer: Meniscus tears
◉ Lachman's Test Answer: pivot shift test (ACL tear)
◉ Newborn with foot turned in, what do you do? Answer: refer to
orthopedist
◉ Osgood-Schlatter disease Answer: 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? Answer: 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? Answer: Refer to oncologist
◉ Pt presents with rash on shoulder, erythematous maculopapular
rash with center clearing and scaling? Answer: Tinea Corporis
◉ Pt presents with "bag of worms:, indicates? Answer: Varicocele
◉ Pt with atopic dermatitis, look for what other diseases? Answer:
Asthma
◉ Pt with bleeding after menopause Answer: endometrial biopsy,
need to screen for cancer
◉ Pt with hx of PID, increased rick for? Answer: Infertility
◉ Pt with HIV took high potency anti viral treatments and CD4 is
>400, what does this indicate? Answer: This is good. Want higher
than 350
, ◉ Pt with hx of htn and stroke, now having memory loss. What does
this indicate? Answer: Vascular dementia
◉ Pregnant teacher with exposure to 5ths disease (SLAP CHEEK),
what risk is there to the fetus? Answer: slap cheek, PVB19, rash
hands / feet Fetal death and birth defects
◉ Quick assessment of patients fall risk? Timed Get up and Go
Answer: Timed Get up and Go
◉ Red beefy tongue? Answer: pernicious anemia
◉ Rotator cuff injury presentation Answer: disturbs sleep, arm
weakness, dull ache
◉ Shingles near eye Answer: immediate referral to ophthalmology
◉ Signs and symptoms of Roseola (6ths disease) ? Answer: 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
