AANP FNP CERTIFICATION MOST RECENT 2024-2025 WITH 200 REAL EXAM
QUESTIONS AND ANSWERS (CONFIRMED ANSWERS) ALREADY GRADE A+
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 won’t 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
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
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
Causes of tachycardia
,Fever
Anemia
Hypotension
Acute Closed Angle Glaucoma
Vs
Open Angle
Acute: Sudden pain, halos, cupping, dilated, cloudy , IOP, HA, refer ED
Open (primary): CN 2, gradual loss peripheral vision first
Papilledema
Swollen, optic disc, increase cup to disc ratio, HA, ICP, HTN,
Acyclovir (cheapest)
200mg 5 x day
Pt on PPI, has osteoporosis has a cough,
refer for EGD r/o Barrett's.
allergic rhinitis
blue pale turbinate clear drainage. Tx inhaled corticosteroids
hordeolum Vs
chalazion
blepharitis
hordeolum: painful swollen red warm abscess TREAT hot compress erythromycin, dicloxacillin.
chalazion does not hurt
Blepharitis always unilateral, Tx baby shampoo warm compress
Sialolithiaisis
painful lump, calculi or salivary stones.
sub mandibular gland whartons; duct.
Roseola infantum- Sixth disease
viral, young children, high Fever 3-4 days followed by maculopapular rash
Herpetic keratitis
ocular herpes - blur vision, inflammation of eye; gritty feeling, conjunctivitis, sharp pain, and
photophobia- AVOID SUN
REFER OPTHO Tx acyclovir
Retinoblastoma
, white reflection in child's pupil
for staph aureus infection (skin) with pus
MRSA- TX Bactrim or tetracyclines?
hyperparathyroidism
high calcium
Hyperthyroidism treatment
methimazole, PTU-propylthiouracil (preferred in pregnancy)
Radioactive iodine, Beta blockers
Mammography Screening
-Age 45 - 54 yearly mammogram
-55 and older every 2 years
Fifth's Disease (Erythema Infectiosum)
B19: lytic infection, respiratory transmission
Sx: flushed rash/fever in kids
Px: fever, get better in a week
pt has AOM but has hives on Amoxicillin and N/V with erythromycin, what meds to give
TREATMENT: Amoxicillin (first line), then Augmentin, Omnicef, Ceftin, Levaquin. If your
patient is only PCN allergic do azithromycin or clarithromycin.
chlamydia in pregnancy
Azithromycin 1 gm PO x1 or Amoxicillin 500 mg PO TID x7d. Test of cure 3 weeks after
completion of treatment (PREGO). EXAM
papilledema
optic disc swollen w/ blurred edges due to increased ICP EXAM
actinic keratoses
Precursor to squamous cell carcinoma. "numerous dry round and pink to red lesions" with a
rough and scaly texture. Does not heal. Slow growing in sun exposed areas. Diagnosis: BIOPSY
Golden Standard. Treatment: Sm. (cryotherapy), Lrg. (5-FU cream)- which causes your skin to
ooze, crust, scab, redness EXAM
Allergic Conjunctivitis
"stringy; increased tearing" PO antihistamines. Type I sensitivity. Typically, bilateral. Rhinitis
and allergic shiner
Fundal height 12 weeks
QUESTIONS AND ANSWERS (CONFIRMED ANSWERS) ALREADY GRADE A+
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 won’t 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
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
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
Causes of tachycardia
,Fever
Anemia
Hypotension
Acute Closed Angle Glaucoma
Vs
Open Angle
Acute: Sudden pain, halos, cupping, dilated, cloudy , IOP, HA, refer ED
Open (primary): CN 2, gradual loss peripheral vision first
Papilledema
Swollen, optic disc, increase cup to disc ratio, HA, ICP, HTN,
Acyclovir (cheapest)
200mg 5 x day
Pt on PPI, has osteoporosis has a cough,
refer for EGD r/o Barrett's.
allergic rhinitis
blue pale turbinate clear drainage. Tx inhaled corticosteroids
hordeolum Vs
chalazion
blepharitis
hordeolum: painful swollen red warm abscess TREAT hot compress erythromycin, dicloxacillin.
chalazion does not hurt
Blepharitis always unilateral, Tx baby shampoo warm compress
Sialolithiaisis
painful lump, calculi or salivary stones.
sub mandibular gland whartons; duct.
Roseola infantum- Sixth disease
viral, young children, high Fever 3-4 days followed by maculopapular rash
Herpetic keratitis
ocular herpes - blur vision, inflammation of eye; gritty feeling, conjunctivitis, sharp pain, and
photophobia- AVOID SUN
REFER OPTHO Tx acyclovir
Retinoblastoma
, white reflection in child's pupil
for staph aureus infection (skin) with pus
MRSA- TX Bactrim or tetracyclines?
hyperparathyroidism
high calcium
Hyperthyroidism treatment
methimazole, PTU-propylthiouracil (preferred in pregnancy)
Radioactive iodine, Beta blockers
Mammography Screening
-Age 45 - 54 yearly mammogram
-55 and older every 2 years
Fifth's Disease (Erythema Infectiosum)
B19: lytic infection, respiratory transmission
Sx: flushed rash/fever in kids
Px: fever, get better in a week
pt has AOM but has hives on Amoxicillin and N/V with erythromycin, what meds to give
TREATMENT: Amoxicillin (first line), then Augmentin, Omnicef, Ceftin, Levaquin. If your
patient is only PCN allergic do azithromycin or clarithromycin.
chlamydia in pregnancy
Azithromycin 1 gm PO x1 or Amoxicillin 500 mg PO TID x7d. Test of cure 3 weeks after
completion of treatment (PREGO). EXAM
papilledema
optic disc swollen w/ blurred edges due to increased ICP EXAM
actinic keratoses
Precursor to squamous cell carcinoma. "numerous dry round and pink to red lesions" with a
rough and scaly texture. Does not heal. Slow growing in sun exposed areas. Diagnosis: BIOPSY
Golden Standard. Treatment: Sm. (cryotherapy), Lrg. (5-FU cream)- which causes your skin to
ooze, crust, scab, redness EXAM
Allergic Conjunctivitis
"stringy; increased tearing" PO antihistamines. Type I sensitivity. Typically, bilateral. Rhinitis
and allergic shiner
Fundal height 12 weeks
