AANP Certification QUESTIONS AND
ANSWERS
If your patient is in the catarrhal stage of pertussis, upon examination you would find which of
the following? - ANSWER>>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? - ANSWER>>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? - ANSWER>>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 - ANSWER>>Tobacco use, aging, sun
exposure and family history
Underweight BMI - ANSWER>><18.5
Normal BMI - ANSWER>>18.5-24.9
Overweight BMI - ANSWER>>25-29.9
Obese BMI - ANSWER>>30-39.9
Grossly obese BMI - ANSWER>>>40
Pregnancy Category A Drugs - ANSWER>>Vitamins and levothyroxine
Pregnancy Category B Drugs - ANSWER>>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? -
ANSWER>>Intermittent claudication
What is a common cause of acne? - ANSWER>>Increase in androgens
In a 19-year-old who presents with a sore throat and anterior cervical adenopathy, which
causative agent would be suspected? - ANSWER>>Group A beta-hemolytic Streptococcus
When completing the initial assessment for depression in geriatric adults, the NP should
evaluate? - ANSWER>>Mental status exam
What is the most common risk factor for developing severe hyperbilirubinemia in the newborn?
- ANSWER>>Blood incompatibility with the mother
Which trimester of pregnancy is a woman with a fundal height measurement at the umbilicus? -
ANSWER>>Second
Which of the following conditions exacerbate urinary incontinence? - ANSWER>>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? - ANSWER>>Costchondritis
The most common skin cancer is? - ANSWER>>Basal cell carcinoma
What is true regarding depression in the elderly? - ANSWER>>Depression can be induced by
prescribed and OTC medications
Acute otitis media has what characteristics? - ANSWER>>Loss of ossicular landmarks on the TM
What constellations of symptoms, lasting more than 3 months, is MOST common in
fibromyalgia? - ANSWER>>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? - ANSWER>>Fasting plasma glucose
An adolescent presents for a preparticipation athlete exam. In determining clearance for
participation in sports, what should be considered? - ANSWER>>Characteristics of the sport
Urinary and bowel dysfunction, saddle anesthesia, and leg weakness or foot drop are signs of? -
ANSWER>>Cauda equina syndrome
The NP would suspect what person to be at the highest risk for Rocky Mountain spotted fever?
- ANSWER>>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? - ANSWER>>Delivery of a
neonate weighing 9 lb or greater
What condition is a risk factor for development of DVT and PE? - ANSWER>>Visceral malignancy
Research studies indicate that ED in geriatric patients is a common complication in? -
ANSWER>>Vascular disease
What neuro signs are characteristic of the patient with AD? - ANSWER>>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? - ANSWER>>Nocturia
The best medication for a patient who complains of IBS with cramping is? -
ANSWER>>Dicyclomine (Bentyl)
Major causes of CKD include? - ANSWER>>Amyloidosis and SLE
A risk factor postmeno osteoporosis is? - ANSWER>>History of tobacco use
An NP considering referral of a frail elderly patient for hospice care understands that? -
ANSWER>>Documentation of limited life expectancy is a prerequisite
ANSWERS
If your patient is in the catarrhal stage of pertussis, upon examination you would find which of
the following? - ANSWER>>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? - ANSWER>>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? - ANSWER>>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 - ANSWER>>Tobacco use, aging, sun
exposure and family history
Underweight BMI - ANSWER>><18.5
Normal BMI - ANSWER>>18.5-24.9
Overweight BMI - ANSWER>>25-29.9
Obese BMI - ANSWER>>30-39.9
Grossly obese BMI - ANSWER>>>40
Pregnancy Category A Drugs - ANSWER>>Vitamins and levothyroxine
Pregnancy Category B Drugs - ANSWER>>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? -
ANSWER>>Intermittent claudication
What is a common cause of acne? - ANSWER>>Increase in androgens
In a 19-year-old who presents with a sore throat and anterior cervical adenopathy, which
causative agent would be suspected? - ANSWER>>Group A beta-hemolytic Streptococcus
When completing the initial assessment for depression in geriatric adults, the NP should
evaluate? - ANSWER>>Mental status exam
What is the most common risk factor for developing severe hyperbilirubinemia in the newborn?
- ANSWER>>Blood incompatibility with the mother
Which trimester of pregnancy is a woman with a fundal height measurement at the umbilicus? -
ANSWER>>Second
Which of the following conditions exacerbate urinary incontinence? - ANSWER>>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? - ANSWER>>Costchondritis
The most common skin cancer is? - ANSWER>>Basal cell carcinoma
What is true regarding depression in the elderly? - ANSWER>>Depression can be induced by
prescribed and OTC medications
Acute otitis media has what characteristics? - ANSWER>>Loss of ossicular landmarks on the TM
What constellations of symptoms, lasting more than 3 months, is MOST common in
fibromyalgia? - ANSWER>>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? - ANSWER>>Fasting plasma glucose
An adolescent presents for a preparticipation athlete exam. In determining clearance for
participation in sports, what should be considered? - ANSWER>>Characteristics of the sport
Urinary and bowel dysfunction, saddle anesthesia, and leg weakness or foot drop are signs of? -
ANSWER>>Cauda equina syndrome
The NP would suspect what person to be at the highest risk for Rocky Mountain spotted fever?
- ANSWER>>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? - ANSWER>>Delivery of a
neonate weighing 9 lb or greater
What condition is a risk factor for development of DVT and PE? - ANSWER>>Visceral malignancy
Research studies indicate that ED in geriatric patients is a common complication in? -
ANSWER>>Vascular disease
What neuro signs are characteristic of the patient with AD? - ANSWER>>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? - ANSWER>>Nocturia
The best medication for a patient who complains of IBS with cramping is? -
ANSWER>>Dicyclomine (Bentyl)
Major causes of CKD include? - ANSWER>>Amyloidosis and SLE
A risk factor postmeno osteoporosis is? - ANSWER>>History of tobacco use
An NP considering referral of a frail elderly patient for hospice care understands that? -
ANSWER>>Documentation of limited life expectancy is a prerequisite
