AANP Certification Test Questions and Answers
(Latest 2023 – 2024) Graded A+
If your patient is in the catarrhal stage of pertussis, upon examination you would
find which of the following? - You would find mild upper respiratory symptoms with
cough. And mild conjunctival injection. It is really indistinguishable from the
common cold.
What would NOT be considered a typical finding in a geriatric patient? - Low
frequency hearing loss. A typical finding in a geriatric patient would be a high
frequency hearing loss. The speaking voice is high frequency. Degenerative changes
of the ossicles, fewer auditory neurons and atrophy of the hair cells results in
sensorineural hearing loss.
Typical findings in a geriatric patient? - Thinner epidermis, dermis and
subcutaneous layers of skin, bright purple-colored patches on the forearms and
hands, opaque white ring at the periphery of the cornea
Risk factors for age-related macular degeneration - Tobacco use, aging, sun exposure
and family history
Underweight BMI - <18.5
Normal BMI - 18.5-24.9
Overweight BMI - 25-29.9
Obese BMI - 30-39.9
Grossly obese BMI - >40
Pregnancy Category A Drugs - Vitamins and levothyroxine
Pregnancy Category B Drugs - Acetaminophen, ibuprofen, penicillins,
cephalosporins, and azithromycin and erythromycin antibiotics.
A geriatric patient who has a 40 pack-year smoking history complains of painful
cramping in the leg muscles that occurs after walking for 20 minutes. After taking a
complete history and performing a physical exam, an NP decides that the most likely
diagnosis is? - Intermittent claudication
What is a common cause of acne? - Increase in androgens
,In a 19-year-old who presents with a sore throat and anterior cervical adenopathy,
which causative agent would be suspected? - Group A beta-hemolytic Streptococcus
When completing the initial assessment for depression in geriatric adults, the NP
should evaluate? - Mental status exam
What is the most common risk factor for developing severe hyperbilirubinemia in
the newborn? - Blood incompatibility with the mother
Which trimester of pregnancy is a woman with a fundal height measurement at the
umbilicus? - Second
Which of the following conditions exacerbate urinary incontinence? - Impacted stool
and atrophic vaginitis
An adult patient presents with a 2-day history of intermittent stabbing chest pain
that worsens with deep breaths. The patient reports a nonproductive cough and no
fever for several days, and denies trauma, palpitations or GI symptoms. VS normal.
Lungs are clear, heart sounds normal. PE reveals localized chest wall tenderness at
the costal margin. EKG and CXR normal. The most likely diagnosis is? - Costchondritis
The most common skin cancer is? - Basal cell carcinoma
What is true regarding depression in the elderly? - Depression can be induced by
prescribed and OTC medications
Acute otitis media has what characteristics? - Loss of ossicular landmarks on the TM
What constellations of symptoms, lasting more than 3 months, is MOST common in
fibromyalgia? - Diffuse pain, sleep abnormality, fatigue
An adult male is seen for an initial visit. He denies tobacco, drug, or ETOH use. He has
a sedentary lifestyle and no family history of DM. VS normal, BMI = 31. What diabetes
screening tests would an NP order? - Fasting plasma glucose
An adolescent presents for a preparticipation athlete exam. In determining
clearance for participation in sports, what should be considered? - Characteristics of
the sport
Urinary and bowel dysfunction, saddle anesthesia, and leg weakness or foot drop are
signs of? - Cauda equina syndrome
The NP would suspect what person to be at the highest risk for Rocky Mountain
spotted fever? - A 40-year old male who is living in a wooded area raising dogs
, What condition is associated with the development of type 2 DM? - Delivery of a
neonate weighing 9 lb or greater
What condition is a risk factor for development of DVT and PE? - Visceral malignancy
Research studies indicate that ED in geriatric patients is a common complication in? -
Vascular disease
What neuro signs are characteristic of the patient with AD? - Gait disorder and
impaired stereognosis
A frail elderly male patient complains of difficulty with urination. The International
Prostate Symptom Score can assist with decisions regarding the diagnosis of BPH.
What symptom is consistent with the items on this scale? - Nocturia
The best medication for a patient who complains of IBS with cramping is? -
Dicyclomine (Bentyl)
Major causes of CKD include? - Amyloidosis and SLE
A risk factor postmeno osteoporosis is? - History of tobacco use
An NP considering referral of a frail elderly patient for hospice care understands
that? - Documentation of limited life expectancy is a prerequisite
The sound intensity of a grade III/VI hear murmur is typically described as? -
Medium intensity
What is associated with decreased risk of breast cancer? - Breast feeding
An adult patient present with complaints of nausea, fatigue, and myalgia. The patient
reports a history of untreated hep B 30 years ago. What hep B serology testing
results would indicate that the patient has chronic hepatitis? - HBsAG = positive, IgM
anti-HBc = negative
A geriatric patient with anemia, back pain, osteoporosis, and elevated ESR should be
evaluated for? - Multiple myeloma
An older adult female presents with severe pain. She reports malaise, and periodic
itching and burning on her chest wall. PE reveals a small area of hyperesthesia in a
linear fashion. The most likely diagnosis is? - Herpes zoster
An adult female presents complaining of an increase in a malodorous vaginal
discharge that worsens after intercourse. Exam and testing reveal a vaginal pH of 5.5,
presence of clue cells on the wet mount, and a positive whiff test. The most
appropriate diagnosis is? - BV
(Latest 2023 – 2024) Graded A+
If your patient is in the catarrhal stage of pertussis, upon examination you would
find which of the following? - You would find mild upper respiratory symptoms with
cough. And mild conjunctival injection. It is really indistinguishable from the
common cold.
What would NOT be considered a typical finding in a geriatric patient? - Low
frequency hearing loss. A typical finding in a geriatric patient would be a high
frequency hearing loss. The speaking voice is high frequency. Degenerative changes
of the ossicles, fewer auditory neurons and atrophy of the hair cells results in
sensorineural hearing loss.
Typical findings in a geriatric patient? - Thinner epidermis, dermis and
subcutaneous layers of skin, bright purple-colored patches on the forearms and
hands, opaque white ring at the periphery of the cornea
Risk factors for age-related macular degeneration - Tobacco use, aging, sun exposure
and family history
Underweight BMI - <18.5
Normal BMI - 18.5-24.9
Overweight BMI - 25-29.9
Obese BMI - 30-39.9
Grossly obese BMI - >40
Pregnancy Category A Drugs - Vitamins and levothyroxine
Pregnancy Category B Drugs - Acetaminophen, ibuprofen, penicillins,
cephalosporins, and azithromycin and erythromycin antibiotics.
A geriatric patient who has a 40 pack-year smoking history complains of painful
cramping in the leg muscles that occurs after walking for 20 minutes. After taking a
complete history and performing a physical exam, an NP decides that the most likely
diagnosis is? - Intermittent claudication
What is a common cause of acne? - Increase in androgens
,In a 19-year-old who presents with a sore throat and anterior cervical adenopathy,
which causative agent would be suspected? - Group A beta-hemolytic Streptococcus
When completing the initial assessment for depression in geriatric adults, the NP
should evaluate? - Mental status exam
What is the most common risk factor for developing severe hyperbilirubinemia in
the newborn? - Blood incompatibility with the mother
Which trimester of pregnancy is a woman with a fundal height measurement at the
umbilicus? - Second
Which of the following conditions exacerbate urinary incontinence? - Impacted stool
and atrophic vaginitis
An adult patient presents with a 2-day history of intermittent stabbing chest pain
that worsens with deep breaths. The patient reports a nonproductive cough and no
fever for several days, and denies trauma, palpitations or GI symptoms. VS normal.
Lungs are clear, heart sounds normal. PE reveals localized chest wall tenderness at
the costal margin. EKG and CXR normal. The most likely diagnosis is? - Costchondritis
The most common skin cancer is? - Basal cell carcinoma
What is true regarding depression in the elderly? - Depression can be induced by
prescribed and OTC medications
Acute otitis media has what characteristics? - Loss of ossicular landmarks on the TM
What constellations of symptoms, lasting more than 3 months, is MOST common in
fibromyalgia? - Diffuse pain, sleep abnormality, fatigue
An adult male is seen for an initial visit. He denies tobacco, drug, or ETOH use. He has
a sedentary lifestyle and no family history of DM. VS normal, BMI = 31. What diabetes
screening tests would an NP order? - Fasting plasma glucose
An adolescent presents for a preparticipation athlete exam. In determining
clearance for participation in sports, what should be considered? - Characteristics of
the sport
Urinary and bowel dysfunction, saddle anesthesia, and leg weakness or foot drop are
signs of? - Cauda equina syndrome
The NP would suspect what person to be at the highest risk for Rocky Mountain
spotted fever? - A 40-year old male who is living in a wooded area raising dogs
, What condition is associated with the development of type 2 DM? - Delivery of a
neonate weighing 9 lb or greater
What condition is a risk factor for development of DVT and PE? - Visceral malignancy
Research studies indicate that ED in geriatric patients is a common complication in? -
Vascular disease
What neuro signs are characteristic of the patient with AD? - Gait disorder and
impaired stereognosis
A frail elderly male patient complains of difficulty with urination. The International
Prostate Symptom Score can assist with decisions regarding the diagnosis of BPH.
What symptom is consistent with the items on this scale? - Nocturia
The best medication for a patient who complains of IBS with cramping is? -
Dicyclomine (Bentyl)
Major causes of CKD include? - Amyloidosis and SLE
A risk factor postmeno osteoporosis is? - History of tobacco use
An NP considering referral of a frail elderly patient for hospice care understands
that? - Documentation of limited life expectancy is a prerequisite
The sound intensity of a grade III/VI hear murmur is typically described as? -
Medium intensity
What is associated with decreased risk of breast cancer? - Breast feeding
An adult patient present with complaints of nausea, fatigue, and myalgia. The patient
reports a history of untreated hep B 30 years ago. What hep B serology testing
results would indicate that the patient has chronic hepatitis? - HBsAG = positive, IgM
anti-HBc = negative
A geriatric patient with anemia, back pain, osteoporosis, and elevated ESR should be
evaluated for? - Multiple myeloma
An older adult female presents with severe pain. She reports malaise, and periodic
itching and burning on her chest wall. PE reveals a small area of hyperesthesia in a
linear fashion. The most likely diagnosis is? - Herpes zoster
An adult female presents complaining of an increase in a malodorous vaginal
discharge that worsens after intercourse. Exam and testing reveal a vaginal pH of 5.5,
presence of clue cells on the wet mount, and a positive whiff test. The most
appropriate diagnosis is? - BV
