AANP Review Questions 2025 With Correct Answers.

AANP Review Questions 2025 With
Correct Answers




A 64 year old with HTN and DM presents with productive cough, fever, body aches. What diagnosis is most
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likely?

a. Acute bronchitis
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b. Chronic bronchitis
c c




c. Pneumonia
c




d. Pertussis - correct answer c. Pneumonia
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1st clue: 64 year oldc c c c




2nd clue: multiple comorbidities c c c




3rd clue: cough, fever c c c




what was the stem of the question? c c c c c c




Indications for a chest xray with acute cough - correct answer abnormal vital signs (increased RR or HR, temp
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>38c, 100.4F c




rales, consolidation c




> or equal 75 years of age with cough***
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,***Pneumonia in older patient: tachypnea, decreased O2 sat, OR change in mental status or behavior c c c c c c c c c c c c c c




A 75 year old patient wo smokes and has COPD presents with a worsening cough, weight loss, fatigue, and an
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enlarged right supraclavicular node. Which finding is most indicative of a right lung tumor?
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1. worsening cough
c c




2. weight loss
c c




3. fatigue
c




4. supraclavicular node - correct answer 4. supraclavicular node
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most important stem clue because this lymph node drains the chest and breast. It's a BIG deal!
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If the stem gives a unilateral finding, look for a unilateral diagnosis
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What symptoms most commonly accompany acute bronchitis?
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1. Fever, runny nose
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2. Cough, fever
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3. Cough and URI symptoms
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4. Cough, URI, and headache - correct answer 3. Cough and URI symptoms
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Remember that bronchitis is an inflammation of the bronchioles, bronchi, and trachea; usually follows an
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upper respiratory infection c c




Starts above the shoulders and drops down into chest.
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A 35 year old patient with acute bronchitis has no underlying lung disease. He asks, "How long before my
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cough goes aways?" The NP responds: c c c c c




1. <1 week
c c




2. about 1 week
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3. 1-3 weeks
c c




4. >3 weeks - correct answer 3. 1-3 weeks
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, The patient with bronchitis will have evidence of upper AND lower airway symptoms.
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COUGH, COUGH, COUGH, usually worse at night! c c c c c c




What is the management of bronchitis? - correct answer Treat symptoms!
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Time is the only thing for bronchitis
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ABX usually prescribed, but usually not necessary
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Differential Diagnosis for Acute Bronchitis - correct answer PND c c c c c c c c




Asthma

PNA

Pertussis

TB



Supraclavicular nodes: associated with high rates of malignancy. What organs are on the right vs left? - correct
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answer RT: Lungs, mediastinum, esophagus c c c c




LT: Abdominal malignancy: stomach GB liver pancreas ovaries prostate
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Pneumonia Vaccine c




Who?

Who else? c




When is it given again? - correct answer Who-Prevention: Pneumococcal polysaccharide vaccination (PPSV)
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given once in a lifetime to immunocompetent adults > or equal 65 years
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Who else-Adults 19-64 with
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--chronic CV, lung, liver disease c c c c




--smokers, DM, ETOH, or asplenic c c c c




--chronic care facilities c c




--immunocompromising conditions c




When again-one time 5 years after for CRF, nephrotic syndrome, asplenia, sickle cell, immunocompromising
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conditions