AANP FNP CERTIFICATION EXAM | QUESTIONS AND
ANSWERS | 2026 UPDATE | VERIFIED ANSWERS |
WITH COMPLETE SOLUTIONS
• Diastolic murmurs . CORRECT ANSWER: All diastolic murmurs are pathological.
• Murmur Grades . CORRECT ANSWER: Grades I-barely, II-audible, III-clearly audible,
IV-first time thrill, V-Steth edge, VI-entire steth.
• Fundal height at 12 weeks . CORRECT ANSWER: Fundal Height 12 weeks above
symphysis pubis.
• Fundus at 16 weeks . CORRECT ANSWER: Fundus 16 weeks between symphysis
pubis and umbilicus.
• Fundus at 20 weeks . CORRECT ANSWER: Fundus at 20 weeks is at umbilicus.
• Normal fundal height variation . CORRECT ANSWER: 2 cm more or less from
number of weeks gestation is normal if more or less order US.
• 3 month old infant with down syndrome . CORRECT ANSWER: Pale conjunctiva but
otherwise healthy. Low HCT. Additional test: Iron, TIBC.
• TSH and T4 levels after 3 months of synthroid . CORRECT ANSWER: TSH
increased, T4 normal, increase medication.
• Assessing cognitive function . CORRECT ANSWER: 3 ways to assess cognitive
function in patient with signs/symptoms of memory loss: Mini mental exam.
• 4 month old with strabismus . CORRECT ANSWER: Tell her it is normal.
• 4 month old won't keep anything down . CORRECT ANSWER: Look at the growth
chart.
• 6 month old closed anterior fontanel . CORRECT ANSWER: X-ray.
• Abnormal cells on PAP . CORRECT ANSWER: Refer for Colposcopy.
• CAGE acronym . CORRECT ANSWER: Cut down, Annoyed by criticism, Guilty about
drinking, Eye opener drink.
• Causes of tachycardia . CORRECT ANSWER: Fever, Anemia, Hypotension.
• Cranial nerves for extraocular movements . CORRECT ANSWER: CN 3, 4, 6.
,• Definition of metabolic syndrome . CORRECT ANSWER: Cluster of conditions that
increase risk of heart disease, stroke, diabetes.
• Diagnosing trichomoniasis . CORRECT ANSWER: Wet prep.
• Elderly with atrophic vaginitis . CORRECT ANSWER: Pelvic US.
• Epistaxis location . CORRECT ANSWER: Kiesselbach's triangle, located in the
anterior septum.
• Diagnosis of acute bacterial prostatitis . CORRECT ANSWER: Urinalysis and culture.
• GERD treatment . CORRECT ANSWER: H2 is first line, give hs.
• Grade 3 cells on Pap treatment . CORRECT ANSWER: LEEP excision.
• Fingernail hematoma treatment . CORRECT ANSWER: Drill hole and drain blood.
• Increased risk of ectopic pregnancy . CORRECT ANSWER: Salpingitis, or history of
abortion, PID.
• Koplick spots . CORRECT ANSWER: Measles (rubeola). Grains of salt lesions inside
mouth in Measles.
• Legg-Calve-Perthes Disease . CORRECT ANSWER: Avascular necrosis of the
proximal femoral head.
• Lipid level of 1500 . CORRECT ANSWER: Increased risk for pancreatitis.
• Low HGB, Low HCT, High MCV . CORRECT ANSWER: Indicates macrocytic anemia,
B12 deficiency.
• BPH digital exam findings . CORRECT ANSWER: Prostate feels enlarged,
symmetrical, smooth.
• HTN, CAD, absent pedal pulses . CORRECT ANSWER: Indicates arterial
insufficiency.
• McMurray's Sign . CORRECT ANSWER: (+) palpable or audible click while extending
with varus stress indicates meniscus tears.
• Lachman's Test . CORRECT ANSWER: Pivot shift test (ACL tear).
• Newborn with foot turned in . CORRECT ANSWER: Refer to orthopedist.
, • Osgood-Schlatter disease . CORRECT ANSWER: Knee pain. Inflammation or
irritation of the tibia at its point of attachment with the patellar tendon.
• Memory issues in patient . CORRECT ANSWER: Indicates trouble remembering
tasks and trouble with organization.
• Alzheimer's . CORRECT ANSWER: A progressive neurodegenerative disease that
affects memory and cognitive function.
• Barrett's Esophagus . CORRECT ANSWER: A condition where the lining of the
esophagus changes due to damage from acid reflux.
• Tinea Corporis . CORRECT ANSWER: A fungal infection characterized by an
erythematous maculopapular rash with center clearing and scaling.
• Varicocele . CORRECT ANSWER: A condition indicated by a 'bag of worms'
appearance, typically affecting the scrotum.
• Atopic Dermatitis . CORRECT ANSWER: A chronic inflammatory skin condition often
associated with other diseases like asthma.
• Endometrial Biopsy . CORRECT ANSWER: A procedure needed to screen for cancer
in patients with bleeding after menopause.
• Infertility . CORRECT ANSWER: Increased risk condition for patients with a history of
Pelvic Inflammatory Disease (PID).
• CD4 Count >400 . CORRECT ANSWER: Indicates good immune function in HIV
patients, with a goal of higher than 350.
• Vascular Dementia . CORRECT ANSWER: A type of dementia that may indicate
memory loss in patients with a history of hypertension and stroke.
• 5th Disease (SLAP CHEEK) . CORRECT ANSWER: A viral infection that poses risks
of fetal death and birth defects when a pregnant woman is exposed.
• Timed Get up and Go . CORRECT ANSWER: A quick assessment tool used to
evaluate a patient's fall risk.
• Pernicious Anemia . CORRECT ANSWER: A condition indicated by a red beefy
tongue, often due to vitamin B12 deficiency.
• Rotator Cuff Injury . CORRECT ANSWER: Characterized by disturbed sleep, arm
weakness, and dull ache.
ANSWERS | 2026 UPDATE | VERIFIED ANSWERS |
WITH COMPLETE SOLUTIONS
• Diastolic murmurs . CORRECT ANSWER: All diastolic murmurs are pathological.
• Murmur Grades . CORRECT ANSWER: Grades I-barely, II-audible, III-clearly audible,
IV-first time thrill, V-Steth edge, VI-entire steth.
• Fundal height at 12 weeks . CORRECT ANSWER: Fundal Height 12 weeks above
symphysis pubis.
• Fundus at 16 weeks . CORRECT ANSWER: Fundus 16 weeks between symphysis
pubis and umbilicus.
• Fundus at 20 weeks . CORRECT ANSWER: Fundus at 20 weeks is at umbilicus.
• Normal fundal height variation . CORRECT ANSWER: 2 cm more or less from
number of weeks gestation is normal if more or less order US.
• 3 month old infant with down syndrome . CORRECT ANSWER: Pale conjunctiva but
otherwise healthy. Low HCT. Additional test: Iron, TIBC.
• TSH and T4 levels after 3 months of synthroid . CORRECT ANSWER: TSH
increased, T4 normal, increase medication.
• Assessing cognitive function . CORRECT ANSWER: 3 ways to assess cognitive
function in patient with signs/symptoms of memory loss: Mini mental exam.
• 4 month old with strabismus . CORRECT ANSWER: Tell her it is normal.
• 4 month old won't keep anything down . CORRECT ANSWER: Look at the growth
chart.
• 6 month old closed anterior fontanel . CORRECT ANSWER: X-ray.
• Abnormal cells on PAP . CORRECT ANSWER: Refer for Colposcopy.
• CAGE acronym . CORRECT ANSWER: Cut down, Annoyed by criticism, Guilty about
drinking, Eye opener drink.
• Causes of tachycardia . CORRECT ANSWER: Fever, Anemia, Hypotension.
• Cranial nerves for extraocular movements . CORRECT ANSWER: CN 3, 4, 6.
,• Definition of metabolic syndrome . CORRECT ANSWER: Cluster of conditions that
increase risk of heart disease, stroke, diabetes.
• Diagnosing trichomoniasis . CORRECT ANSWER: Wet prep.
• Elderly with atrophic vaginitis . CORRECT ANSWER: Pelvic US.
• Epistaxis location . CORRECT ANSWER: Kiesselbach's triangle, located in the
anterior septum.
• Diagnosis of acute bacterial prostatitis . CORRECT ANSWER: Urinalysis and culture.
• GERD treatment . CORRECT ANSWER: H2 is first line, give hs.
• Grade 3 cells on Pap treatment . CORRECT ANSWER: LEEP excision.
• Fingernail hematoma treatment . CORRECT ANSWER: Drill hole and drain blood.
• Increased risk of ectopic pregnancy . CORRECT ANSWER: Salpingitis, or history of
abortion, PID.
• Koplick spots . CORRECT ANSWER: Measles (rubeola). Grains of salt lesions inside
mouth in Measles.
• Legg-Calve-Perthes Disease . CORRECT ANSWER: Avascular necrosis of the
proximal femoral head.
• Lipid level of 1500 . CORRECT ANSWER: Increased risk for pancreatitis.
• Low HGB, Low HCT, High MCV . CORRECT ANSWER: Indicates macrocytic anemia,
B12 deficiency.
• BPH digital exam findings . CORRECT ANSWER: Prostate feels enlarged,
symmetrical, smooth.
• HTN, CAD, absent pedal pulses . CORRECT ANSWER: Indicates arterial
insufficiency.
• McMurray's Sign . CORRECT ANSWER: (+) palpable or audible click while extending
with varus stress indicates meniscus tears.
• Lachman's Test . CORRECT ANSWER: Pivot shift test (ACL tear).
• Newborn with foot turned in . CORRECT ANSWER: Refer to orthopedist.
, • Osgood-Schlatter disease . CORRECT ANSWER: Knee pain. Inflammation or
irritation of the tibia at its point of attachment with the patellar tendon.
• Memory issues in patient . CORRECT ANSWER: Indicates trouble remembering
tasks and trouble with organization.
• Alzheimer's . CORRECT ANSWER: A progressive neurodegenerative disease that
affects memory and cognitive function.
• Barrett's Esophagus . CORRECT ANSWER: A condition where the lining of the
esophagus changes due to damage from acid reflux.
• Tinea Corporis . CORRECT ANSWER: A fungal infection characterized by an
erythematous maculopapular rash with center clearing and scaling.
• Varicocele . CORRECT ANSWER: A condition indicated by a 'bag of worms'
appearance, typically affecting the scrotum.
• Atopic Dermatitis . CORRECT ANSWER: A chronic inflammatory skin condition often
associated with other diseases like asthma.
• Endometrial Biopsy . CORRECT ANSWER: A procedure needed to screen for cancer
in patients with bleeding after menopause.
• Infertility . CORRECT ANSWER: Increased risk condition for patients with a history of
Pelvic Inflammatory Disease (PID).
• CD4 Count >400 . CORRECT ANSWER: Indicates good immune function in HIV
patients, with a goal of higher than 350.
• Vascular Dementia . CORRECT ANSWER: A type of dementia that may indicate
memory loss in patients with a history of hypertension and stroke.
• 5th Disease (SLAP CHEEK) . CORRECT ANSWER: A viral infection that poses risks
of fetal death and birth defects when a pregnant woman is exposed.
• Timed Get up and Go . CORRECT ANSWER: A quick assessment tool used to
evaluate a patient's fall risk.
• Pernicious Anemia . CORRECT ANSWER: A condition indicated by a red beefy
tongue, often due to vitamin B12 deficiency.
• Rotator Cuff Injury . CORRECT ANSWER: Characterized by disturbed sleep, arm
weakness, and dull ache.
