AANP AGPCNP PRACTICE Exam
Questions and answers 2025
An .88-year-old .presents .with .right-side .weakness .after .being .unable .to .rise
.unassisted .following .a .fall .to .the .bathroom .floor. .History .includes .aphasia .and
.noncompliance .with .hypertension .medication .regimen. .What .is .the .most .likely
.diagnosis?
Left-sided .or .right-sided .CVA? .- .ANS✓✓-LEFT-SIDED .CVA
Which .of .the .following .signs/symptoms .are .often .associated .with .headaches
.due .to .intracranial .tumor?
1) .pain .worse .laying .down, .focal .neurological .signs
2) .Hyperreflexia, .personality .change
3) .acute .onset: .hours .to .days
4) .pupillary .constriction; .stupor .- .ANS✓✓-1) .pain .worse .laying .down, .focal
.neurological .signs
Which .of .the .following .pharmacotherapeutics .would .be .most .important .to
.administer .to .a .patient .who .has .a .corneal .abrasion? .
1) .Timolol
2) .Gentamicin .ophthalmic
3) .Cromolyn .optha
4) .Olopatadine .- .ANS✓✓-2) .Gentamicin .ophthalmic .(Genoptic)
A .25-year-old .presents .with .the .chief .complaint .of .decreased .mobility .and .pain
.of .the .right .shoulder .exacerbated .by .movement. .The .patient .reports .that .he
.participated .in .extensive .house .painting .24 .hours .prior .to .the .onset .of .pain. .He
.denies .any .trauma. .Passive .ROM .is .intact. .No .redness .or .ecchymosis .is
.present. .What .is .the .next .step .to .be .taken .in .order .to .make .a .diagnosis? .
1) .Xray .of .shoulder
2) .Palpate .structures .around .the .shoulder. .
3) .MRI .of .shoulder
4) .EMG .- .ANS✓✓-2) .palpate .structures
, A .16-year-old .female .in .the .first .month .of .taking .Ortho-Novum .7/7/7 .complains
.of .mid .cycle .spotting. .She .has .not .missed .any .doses .and .uses .no .other
.medication. .Which .of .the .following .is .appropriate? .
1) .Changing .to .Ortho-Novum .1/35 .
2) .Discontinue .use
3) .Providing .reassurance .
4) .Double .dose-for .two .days .- .ANS✓✓-3) .provide .reassurance
According .to .the .Report .of .the .U.S. .Preventive .Services .Task .Force, .which .of
.the .following .is .NOT .a .current .recommendation .guideline .for .preventive .care .in
.elderly .female .patients? .
1) .Mammogram .and .clinical .breast .exams
2) .Fecal .Occult .blood .test .and/or .sig
3) .Rubella .serology .or .vaccination .history
4) .Pneumonia .and .influenza .vaccines .- .ANS✓✓-3) .Rubella .serology .or
.vaccination .history
87 .y/o .NH .patient .is .drowsy .and .barely .responsive. .Temp .95, .BP: .110/70, .Pulse
.60, .R .10. .The .best .action .is .to:
1) .initiate .passive .warming
2) .apply .a .rebreather
3) .Perform .fluid .replacement
4) .initiate .active .warming .- .ANS✓✓-1) .initiate .passive .rewarming
A .patient .is .referred .with .DM, .HTN .and .CAD. .He .is .on .insulin .and .a .beta
.blocker. .How .would .you .educate .this .patient .on .recognizing .the .signs .and
.symptoms .of .hypoglycemia?
1) .Edema
2) .Tachycardia
3) .palpitations
4) .sweating .- .ANS✓✓-4) .sweating
A .65-year-old .overweight .patient .is .diagnosed .with .plantar .fasciitis. .Initial
.therapy .of .NSAIDs, .stretching, .ice, .and .rest .has .proven .ineffective .after .3
.weeks. .The .best .follow-up .plan .of .care .would .be .to:
1) .stop .NSAID, .apply .a .heel .cup .and .encourage .exercise .and .wt .loss.
2) .continue .NSAID, .apply .an .arch .support .and .encourage .wt .loss .and .exercise
3) .continue .NSAID, .xray .and .add .a .short-leg .night .splint
4) .COntinue .NSAID, .xray .and .add .a .metatarsal .bar .- .ANS✓✓-2) .continue
.NSAID, .apply .an .arch .support .and .encourage .wt .loss .and .exercise
Fundoscopic .exam .of .Hypertensive .patient.
1) .nicking .of .arteriols .and .viens, .and .small .retinol .hemorrages
Questions and answers 2025
An .88-year-old .presents .with .right-side .weakness .after .being .unable .to .rise
.unassisted .following .a .fall .to .the .bathroom .floor. .History .includes .aphasia .and
.noncompliance .with .hypertension .medication .regimen. .What .is .the .most .likely
.diagnosis?
Left-sided .or .right-sided .CVA? .- .ANS✓✓-LEFT-SIDED .CVA
Which .of .the .following .signs/symptoms .are .often .associated .with .headaches
.due .to .intracranial .tumor?
1) .pain .worse .laying .down, .focal .neurological .signs
2) .Hyperreflexia, .personality .change
3) .acute .onset: .hours .to .days
4) .pupillary .constriction; .stupor .- .ANS✓✓-1) .pain .worse .laying .down, .focal
.neurological .signs
Which .of .the .following .pharmacotherapeutics .would .be .most .important .to
.administer .to .a .patient .who .has .a .corneal .abrasion? .
1) .Timolol
2) .Gentamicin .ophthalmic
3) .Cromolyn .optha
4) .Olopatadine .- .ANS✓✓-2) .Gentamicin .ophthalmic .(Genoptic)
A .25-year-old .presents .with .the .chief .complaint .of .decreased .mobility .and .pain
.of .the .right .shoulder .exacerbated .by .movement. .The .patient .reports .that .he
.participated .in .extensive .house .painting .24 .hours .prior .to .the .onset .of .pain. .He
.denies .any .trauma. .Passive .ROM .is .intact. .No .redness .or .ecchymosis .is
.present. .What .is .the .next .step .to .be .taken .in .order .to .make .a .diagnosis? .
1) .Xray .of .shoulder
2) .Palpate .structures .around .the .shoulder. .
3) .MRI .of .shoulder
4) .EMG .- .ANS✓✓-2) .palpate .structures
, A .16-year-old .female .in .the .first .month .of .taking .Ortho-Novum .7/7/7 .complains
.of .mid .cycle .spotting. .She .has .not .missed .any .doses .and .uses .no .other
.medication. .Which .of .the .following .is .appropriate? .
1) .Changing .to .Ortho-Novum .1/35 .
2) .Discontinue .use
3) .Providing .reassurance .
4) .Double .dose-for .two .days .- .ANS✓✓-3) .provide .reassurance
According .to .the .Report .of .the .U.S. .Preventive .Services .Task .Force, .which .of
.the .following .is .NOT .a .current .recommendation .guideline .for .preventive .care .in
.elderly .female .patients? .
1) .Mammogram .and .clinical .breast .exams
2) .Fecal .Occult .blood .test .and/or .sig
3) .Rubella .serology .or .vaccination .history
4) .Pneumonia .and .influenza .vaccines .- .ANS✓✓-3) .Rubella .serology .or
.vaccination .history
87 .y/o .NH .patient .is .drowsy .and .barely .responsive. .Temp .95, .BP: .110/70, .Pulse
.60, .R .10. .The .best .action .is .to:
1) .initiate .passive .warming
2) .apply .a .rebreather
3) .Perform .fluid .replacement
4) .initiate .active .warming .- .ANS✓✓-1) .initiate .passive .rewarming
A .patient .is .referred .with .DM, .HTN .and .CAD. .He .is .on .insulin .and .a .beta
.blocker. .How .would .you .educate .this .patient .on .recognizing .the .signs .and
.symptoms .of .hypoglycemia?
1) .Edema
2) .Tachycardia
3) .palpitations
4) .sweating .- .ANS✓✓-4) .sweating
A .65-year-old .overweight .patient .is .diagnosed .with .plantar .fasciitis. .Initial
.therapy .of .NSAIDs, .stretching, .ice, .and .rest .has .proven .ineffective .after .3
.weeks. .The .best .follow-up .plan .of .care .would .be .to:
1) .stop .NSAID, .apply .a .heel .cup .and .encourage .exercise .and .wt .loss.
2) .continue .NSAID, .apply .an .arch .support .and .encourage .wt .loss .and .exercise
3) .continue .NSAID, .xray .and .add .a .short-leg .night .splint
4) .COntinue .NSAID, .xray .and .add .a .metatarsal .bar .- .ANS✓✓-2) .continue
.NSAID, .apply .an .arch .support .and .encourage .wt .loss .and .exercise
Fundoscopic .exam .of .Hypertensive .patient.
1) .nicking .of .arteriols .and .viens, .and .small .retinol .hemorrages
