AANP FNP certification Exam Questions
with Complete Answers
All diastolic murmurs are pathological. Murmurs Grades I-barely II-audible III-
clearly audible. IV- first time thrill V-Steth edge VI-entire steth. EXAM - -III
first time audible, IV first time thrill
-Fundal height 12 weeks - -Fundal Height 12 weeks above symphysis pubis.
EXAM
Fundus 16 weeks between symphysis pubis and umbilicus.
Fundus at 20 weeks is at umbilicus.
2 cm more of less from # of wk gestation is normal if more or less order US
-3 month old infant with down syndrome, due to milk intolerance, mom
started on goats milk; now has pale conjunctiva but otherwise healthy. Low
HCT. What additional test would you order? - -Iron, TIBC
-3 months of synthroid, TSH increased, T4 normal, what do you do? - -
Increase Medication
-3 ways to assess cognitive function in patient with signs/symptoms of
memory loss - -Mini mental exam
-4 month old with strabismus, mom is worried...... - -tell her it is normal.
-4 month old wont keep anything down, what is the main thing you look at? -
-Growth chart
-6 month old closed anterior fontanel. - -XRAY
-Abnormal cells on PAP, what do you do next? - -Refer for Colposcopy
-CAGE ACRONYM - -Cut down
Annoyed by criticism
Guilty about drinking
Eye opener drink
-Causes of tachycardia - -Fever
Anemia
Hypotension
-Cranial nerves responsible for extraocular eye movements - -CN 3,4,6
, -Definition of metabolic syndrome - -cluster of conditions that increase risk
of heart disease, stroke, diabetes.
-diagnose trichomoniasis - -wet prep
-Elderly presents with atrophic vaginitis, small uterus, palpable 4x5 ovary,
what do you do next? - -Pelvic US
-Epistaxis is most common in the area of the nose known as kiesselbachs
triangle, where is this located? - -Anterior septum
-Definitive diagnosis of acute bacterial prostatitis - -urinalysis and culture
-GERD treatment - -H2 is first line, give hs
-Grade 3 cells on Pap, treatment? - -LEEP
excision
-Fingernail hematoma treatment? - -drill hole and drain blood?
-Increased risk of ectopic pregnancy - -Salpingitis, or history of abortion,
PID,
-Koplick spots - -Measles (rubeola). Grains of salt lesions inside mouth in
Measles
-Koplick spots - -Measles (rubeola). Grains of salt lesions inside mouth in
Measles
-Legg-Calve-Perthes Disease - -Avascular necrosis of the proximal femoral
head
-Lipid level of 1500, increased risk for? - -Pancreatitis
-Low HGB, Low HCT, High MCV indicates what? - -Macrocytic anemia, B12
Def
-Man with BPH, prostate feels on digital exam? - -Enlarged, symmetrical,
smooth
-Man with HTN, CAD, present femoral pulses but absent pedal - -Arterial
Insufficiency
-McMurray's Sign
(+) palpable or audible click while extending with varus stress - -Meniscus
tears
, -Lachman's Test - -pivot shift test (ACL tear)
-Newborn with foot turned in, what do you do? - -refer to orthopedist
-Osgood-Schlatter disease - -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? - -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? - -
Refer to oncologist
-Pt presents with rash on shoulder, erythematous maculopapular rash with
center clearing and scaling? - -Tinea Corporis
-Pt presents with "bag of worms:, indicates? - -Varicocele
-Pt with atopic dermatitis, look for what other diseases? - -Asthma
-Pt with bleeding after menopause - -endometrial biopsy, need to screen for
cancer
-Pt with hx of PID, increased rick for? - -Infertility
-Pt with HIV took high potency anti viral treatments and CD4 is >400, what
does this indicate? - -This is good. Want higher than 350
-Pt with hx of htn and stroke, now having memory loss. What does this
indicate? - -Vascular dementia
-Pregnant teacher with exposure to 5ths disease (SLAP CHEEK), what risk is
there to the fetus? - -slap cheek, PVB19, rash hands / feet Fetal death and
birth defects
-Quick assessment of patients fall risk? Timed Get up and Go - -Timed Get
up and Go
-Red beefy tongue? - -pernicious anemia
-Rotator cuff injury presentation - -disturbs sleep, arm weakness, dull ache
with Complete Answers
All diastolic murmurs are pathological. Murmurs Grades I-barely II-audible III-
clearly audible. IV- first time thrill V-Steth edge VI-entire steth. EXAM - -III
first time audible, IV first time thrill
-Fundal height 12 weeks - -Fundal Height 12 weeks above symphysis pubis.
EXAM
Fundus 16 weeks between symphysis pubis and umbilicus.
Fundus at 20 weeks is at umbilicus.
2 cm more of less from # of wk gestation is normal if more or less order US
-3 month old infant with down syndrome, due to milk intolerance, mom
started on goats milk; now has pale conjunctiva but otherwise healthy. Low
HCT. What additional test would you order? - -Iron, TIBC
-3 months of synthroid, TSH increased, T4 normal, what do you do? - -
Increase Medication
-3 ways to assess cognitive function in patient with signs/symptoms of
memory loss - -Mini mental exam
-4 month old with strabismus, mom is worried...... - -tell her it is normal.
-4 month old wont keep anything down, what is the main thing you look at? -
-Growth chart
-6 month old closed anterior fontanel. - -XRAY
-Abnormal cells on PAP, what do you do next? - -Refer for Colposcopy
-CAGE ACRONYM - -Cut down
Annoyed by criticism
Guilty about drinking
Eye opener drink
-Causes of tachycardia - -Fever
Anemia
Hypotension
-Cranial nerves responsible for extraocular eye movements - -CN 3,4,6
, -Definition of metabolic syndrome - -cluster of conditions that increase risk
of heart disease, stroke, diabetes.
-diagnose trichomoniasis - -wet prep
-Elderly presents with atrophic vaginitis, small uterus, palpable 4x5 ovary,
what do you do next? - -Pelvic US
-Epistaxis is most common in the area of the nose known as kiesselbachs
triangle, where is this located? - -Anterior septum
-Definitive diagnosis of acute bacterial prostatitis - -urinalysis and culture
-GERD treatment - -H2 is first line, give hs
-Grade 3 cells on Pap, treatment? - -LEEP
excision
-Fingernail hematoma treatment? - -drill hole and drain blood?
-Increased risk of ectopic pregnancy - -Salpingitis, or history of abortion,
PID,
-Koplick spots - -Measles (rubeola). Grains of salt lesions inside mouth in
Measles
-Koplick spots - -Measles (rubeola). Grains of salt lesions inside mouth in
Measles
-Legg-Calve-Perthes Disease - -Avascular necrosis of the proximal femoral
head
-Lipid level of 1500, increased risk for? - -Pancreatitis
-Low HGB, Low HCT, High MCV indicates what? - -Macrocytic anemia, B12
Def
-Man with BPH, prostate feels on digital exam? - -Enlarged, symmetrical,
smooth
-Man with HTN, CAD, present femoral pulses but absent pedal - -Arterial
Insufficiency
-McMurray's Sign
(+) palpable or audible click while extending with varus stress - -Meniscus
tears
, -Lachman's Test - -pivot shift test (ACL tear)
-Newborn with foot turned in, what do you do? - -refer to orthopedist
-Osgood-Schlatter disease - -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? - -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? - -
Refer to oncologist
-Pt presents with rash on shoulder, erythematous maculopapular rash with
center clearing and scaling? - -Tinea Corporis
-Pt presents with "bag of worms:, indicates? - -Varicocele
-Pt with atopic dermatitis, look for what other diseases? - -Asthma
-Pt with bleeding after menopause - -endometrial biopsy, need to screen for
cancer
-Pt with hx of PID, increased rick for? - -Infertility
-Pt with HIV took high potency anti viral treatments and CD4 is >400, what
does this indicate? - -This is good. Want higher than 350
-Pt with hx of htn and stroke, now having memory loss. What does this
indicate? - -Vascular dementia
-Pregnant teacher with exposure to 5ths disease (SLAP CHEEK), what risk is
there to the fetus? - -slap cheek, PVB19, rash hands / feet Fetal death and
birth defects
-Quick assessment of patients fall risk? Timed Get up and Go - -Timed Get
up and Go
-Red beefy tongue? - -pernicious anemia
-Rotator cuff injury presentation - -disturbs sleep, arm weakness, dull ache
