2026 AANP FNP EXAMINATION QUESTIONS AND
ANSWERS SET A+
✔✔Pheocomocytoma - ✔✔RARE hormone releasing adrenal tumor.
-headaches, diaphoresis, tachycardia. Episodes resolve spontaneously.
-Foods high in tyramine (wine, beer, cheese, chocolate, smoked meats) can trigger as
well as MAOIs.
✔✔Atypical antipsychotics - ✔✔Olanzapine, Risperidone, Seroquel
- can cause obesity, DM2
✔✔Typical antipsychotics - ✔✔Haldol
SE:
-elevates lipids, tardive dykinesia, QT prolongation
✔✔Anticonvulsants - ✔✔Lamotrigine (lamictal), Cabamazepine (Tegretol), Valproate
(Depakote)
SE: Steven Johnson syndrome (lamictal)
✔✔SSRIs - ✔✔FIRST LINE FOR DEPRESSION, OCD, GAD, PANIC DISORDER,
PTSD
Sertraline (Zoloft), Paoxetine (Paxil), Citalopram (Celexa), Escitalopram (Lexapro)
Can cause sexual dysfunction
highest risk of ED
✔✔Atypical Antidepressants - ✔✔Buproprion (Wellbutrin)
, SE: Seizures
Contraindicated with seizure disorder, anorexia, bulimia
Can help with smoking cessation
✔✔TSH - ✔✔Normal 0.5-5.0
✔✔Hypothryoidism - ✔✔TSH High, Free T4 Low, T3 Low
✔✔Hyperthyroidism - ✔✔TSH Low, Free T4 High, T3 High
✔✔Hashimoto's Thyroiditis - ✔✔Chronic autoimmune disorder of thyroid gland. No pain.
Body produces destructive antibodies against the thyroid gland that gradually destroys
them (elevated TPOs). Most patients have developed goiter
✔✔TPOs - ✔✔Gold standard to diagnose hashimotos thyroiditis
✔✔Acute Appendicitis - ✔✔12-24 hours pain starts to localize at McBurney's point. The
patient has no appetite , low-grade fever, and right lower q pain. Rebound and guarding.
✔✔Acute Choleycystitis - ✔✔Overweight;
RUQ or epigastric pain within 1 hour of eating fatty meal. Pain may radiate to right
shoulder.
N/V and anorexia.
✔✔Acute Diverticulitis - ✔✔High fever, anorexia, N/V, LLQ pain.
Rebound pain, positive ROVSINGS sign, and boardlike abdomen.
Amoxicillin-clavulanate orally BID. or Ciprofloxacin plus metrodnidazole (Flagyl)
✔✔Acute Pancreatitis - ✔✔Fever, nausea, rapid onset of abdominal pain that radiates
to mid back in epigastric region.
Guarding and tenderness over epigastric area. Positive CULLENS sign (blue
discoloration around umbilicus) and GREY TURNERS SIGN (blue on flanks)
✔✔Psoas/Iliopsoas - ✔✔Positive finding if RLQ abdominal pain occurs during
maneuver. Indicates irritation to iliopsoas group of hip flexors in abdomen.
Patient supine, have patient raise right leg against pressure of professionals hand
resistance.
✔✔Barrett's Esophagus - ✔✔precancerous to esophageal cancer; diagnosed with
upper endoscopy with biopsy.
ANSWERS SET A+
✔✔Pheocomocytoma - ✔✔RARE hormone releasing adrenal tumor.
-headaches, diaphoresis, tachycardia. Episodes resolve spontaneously.
-Foods high in tyramine (wine, beer, cheese, chocolate, smoked meats) can trigger as
well as MAOIs.
✔✔Atypical antipsychotics - ✔✔Olanzapine, Risperidone, Seroquel
- can cause obesity, DM2
✔✔Typical antipsychotics - ✔✔Haldol
SE:
-elevates lipids, tardive dykinesia, QT prolongation
✔✔Anticonvulsants - ✔✔Lamotrigine (lamictal), Cabamazepine (Tegretol), Valproate
(Depakote)
SE: Steven Johnson syndrome (lamictal)
✔✔SSRIs - ✔✔FIRST LINE FOR DEPRESSION, OCD, GAD, PANIC DISORDER,
PTSD
Sertraline (Zoloft), Paoxetine (Paxil), Citalopram (Celexa), Escitalopram (Lexapro)
Can cause sexual dysfunction
highest risk of ED
✔✔Atypical Antidepressants - ✔✔Buproprion (Wellbutrin)
, SE: Seizures
Contraindicated with seizure disorder, anorexia, bulimia
Can help with smoking cessation
✔✔TSH - ✔✔Normal 0.5-5.0
✔✔Hypothryoidism - ✔✔TSH High, Free T4 Low, T3 Low
✔✔Hyperthyroidism - ✔✔TSH Low, Free T4 High, T3 High
✔✔Hashimoto's Thyroiditis - ✔✔Chronic autoimmune disorder of thyroid gland. No pain.
Body produces destructive antibodies against the thyroid gland that gradually destroys
them (elevated TPOs). Most patients have developed goiter
✔✔TPOs - ✔✔Gold standard to diagnose hashimotos thyroiditis
✔✔Acute Appendicitis - ✔✔12-24 hours pain starts to localize at McBurney's point. The
patient has no appetite , low-grade fever, and right lower q pain. Rebound and guarding.
✔✔Acute Choleycystitis - ✔✔Overweight;
RUQ or epigastric pain within 1 hour of eating fatty meal. Pain may radiate to right
shoulder.
N/V and anorexia.
✔✔Acute Diverticulitis - ✔✔High fever, anorexia, N/V, LLQ pain.
Rebound pain, positive ROVSINGS sign, and boardlike abdomen.
Amoxicillin-clavulanate orally BID. or Ciprofloxacin plus metrodnidazole (Flagyl)
✔✔Acute Pancreatitis - ✔✔Fever, nausea, rapid onset of abdominal pain that radiates
to mid back in epigastric region.
Guarding and tenderness over epigastric area. Positive CULLENS sign (blue
discoloration around umbilicus) and GREY TURNERS SIGN (blue on flanks)
✔✔Psoas/Iliopsoas - ✔✔Positive finding if RLQ abdominal pain occurs during
maneuver. Indicates irritation to iliopsoas group of hip flexors in abdomen.
Patient supine, have patient raise right leg against pressure of professionals hand
resistance.
✔✔Barrett's Esophagus - ✔✔precancerous to esophageal cancer; diagnosed with
upper endoscopy with biopsy.
