AANPCBl FNPl Examl Prepl 4l (NEWl
2025/l 2026l Update)l Questionsl &l
Answers|l Gradel A|l 100%l Correctl
(Verifiedl Solutions)
QUESTION
Anl earlyl adolescentl patientl whol playsl footballl presentsl tol clinicl afterl al footballl
practicel complainingl ofl limpingl duel tol anteriorl leftl kneel pain.l Thel painl hasl graduallyl
increasedl overl thel pastl 2l weeksl butl isl relievedl withl rest.l Thel patientl deniesl anyl
trauma,l priorl surgeries,l orl medicall history.l Physicall examinationl revealsl tendernessl andl
swellingl ofl thel tibiall tuberclel andl reproductionl ofl painl withl resistedl kneel extension.l
Thel historyl andl physicall examinationl findingsl arel mostl consistentl withl al diagnosisl of:
Answer:
Osgood-Schlatterl disease.
QUESTION
Al geriatricl patientl withl anemia,l backl pain,l osteoporosis,l andl elevatedl erythrocytel
sedimentationl ratel shouldl bel evaluatedl for:
Answer:
multiplel myeloma.
QUESTION
Anl adultl femalel presentsl complainingl ofl anl increasel inl al malodorousl vaginall dischargel
thatl worsensl afterl intercourse.l Examinationl andl testingl reveall al vaginall pHl ofl 5.5,l
presencel ofl cluel cellsl onl thel wetl mount,l andl al positivel whiffl test.l Thel mostl
appropriatel diagnosisl is:
Answer:
bacteriall vaginosis
,QUESTION
Al latel adolescentl malel presentsl withl thel complaintl thatl hisl leftl breastl appearsl largerl
thanl thel rightl one.l Hel hadl al recentl 10-lbl weightl gainl andl admitsl tol marijuanal use.l Onl
examination,l thel areal isl diffusel andl nonl tenderl .l Thel primaryl diagnosisl is
Answer:
fattyl gynecomastia
QUESTION
Forl al latel adolescentl withl acquiredl hypothyroidisml whol hasl beenl stable,l al follow-upl
evaluationl shouldl bel performedl every:
Answer:
6-12l months.
QUESTION
Anl elderlyl patientl withl typel 2l diabetesl mellitusl hasl beenl well-controlledl onl glipizidel
andl recentlyl developedl stagel 1l hypertension.l Afterl 3l monthsl ofl lifestylel therapy,l thel
patientl isl stilll notl atl goall bloodl pressure.l Whichl drugl classl wouldl bel thel BESTl choice?
Answer:
Angiotensin-convertingl enzymel (ACE)l inhibitor
QUESTION
Anl adultl malel presentsl withl generall malaisel andl concernsl aboutl delayedl ejaculation.l
Hisl medicationl regimenl consistsl ofl quinapril,l 20l mgl daily;l paroxetine,l 20l mgl daily;l
loratadine,l 10l mgl daily;l hydrochlorothiazide,l 25l mgl daily.l Thel delayedl ejaculationl isl
mostl likelyl causedl byl the:
, Answer:
PAroxetinel (paxil)
QUESTION
Anl adultl malel withl al bodyl massl indexl (BMI)l ofl 19l andl continuedl gastroesophageall
refluxl diseasel (GERD)l presentsl forl follow-upl visitl afterl usingl over-the-counterl
famotidinel (Pepcid)l forl sixl weeks.l Whichl ofl thel followingl isl thel bestl NEXTl treatmentl
optionl forl thisl patient?
Answer:
Prescribel al protonl pumpl inhibitor
QUESTION
Anl elderlyl patientl isl diagnosedl withl acutel gastritis.l Thel patientl stopsl takingl naproxenl
(Aleve)l andl isl startedl onl famotidinel (Pepcid),l 40l mgl h.s.l Threel weeksl later,l thel patientl
complainsl thatl thel anorexia,l nausea,l andl epigastricl painl andl tendernessl havel NOTl beenl
relieved.l Whichl diagnosticl studyl shouldl bel ordered?
Answer:
Testingl forl Helicobacterl pylori
QUESTION
Al geriatricl femalel wasl diagnosedl withl hypothyroidisml andl startedl onl levothyroxinel
(Synthroid),l 25l μgl 1l weekl ago.l Shel feelsl tiredl andl wishesl tol havel herl medicinel
increased.l Whichl ofl thel followingl isl thel BESTl response?
Answer:
"Yourl bloodl levelsl shouldl bel checkedl everyl 6l weeks,l asl itl takesl thel bodyl severall
weeksl tol adjustl tol thel medication."
2025/l 2026l Update)l Questionsl &l
Answers|l Gradel A|l 100%l Correctl
(Verifiedl Solutions)
QUESTION
Anl earlyl adolescentl patientl whol playsl footballl presentsl tol clinicl afterl al footballl
practicel complainingl ofl limpingl duel tol anteriorl leftl kneel pain.l Thel painl hasl graduallyl
increasedl overl thel pastl 2l weeksl butl isl relievedl withl rest.l Thel patientl deniesl anyl
trauma,l priorl surgeries,l orl medicall history.l Physicall examinationl revealsl tendernessl andl
swellingl ofl thel tibiall tuberclel andl reproductionl ofl painl withl resistedl kneel extension.l
Thel historyl andl physicall examinationl findingsl arel mostl consistentl withl al diagnosisl of:
Answer:
Osgood-Schlatterl disease.
QUESTION
Al geriatricl patientl withl anemia,l backl pain,l osteoporosis,l andl elevatedl erythrocytel
sedimentationl ratel shouldl bel evaluatedl for:
Answer:
multiplel myeloma.
QUESTION
Anl adultl femalel presentsl complainingl ofl anl increasel inl al malodorousl vaginall dischargel
thatl worsensl afterl intercourse.l Examinationl andl testingl reveall al vaginall pHl ofl 5.5,l
presencel ofl cluel cellsl onl thel wetl mount,l andl al positivel whiffl test.l Thel mostl
appropriatel diagnosisl is:
Answer:
bacteriall vaginosis
,QUESTION
Al latel adolescentl malel presentsl withl thel complaintl thatl hisl leftl breastl appearsl largerl
thanl thel rightl one.l Hel hadl al recentl 10-lbl weightl gainl andl admitsl tol marijuanal use.l Onl
examination,l thel areal isl diffusel andl nonl tenderl .l Thel primaryl diagnosisl is
Answer:
fattyl gynecomastia
QUESTION
Forl al latel adolescentl withl acquiredl hypothyroidisml whol hasl beenl stable,l al follow-upl
evaluationl shouldl bel performedl every:
Answer:
6-12l months.
QUESTION
Anl elderlyl patientl withl typel 2l diabetesl mellitusl hasl beenl well-controlledl onl glipizidel
andl recentlyl developedl stagel 1l hypertension.l Afterl 3l monthsl ofl lifestylel therapy,l thel
patientl isl stilll notl atl goall bloodl pressure.l Whichl drugl classl wouldl bel thel BESTl choice?
Answer:
Angiotensin-convertingl enzymel (ACE)l inhibitor
QUESTION
Anl adultl malel presentsl withl generall malaisel andl concernsl aboutl delayedl ejaculation.l
Hisl medicationl regimenl consistsl ofl quinapril,l 20l mgl daily;l paroxetine,l 20l mgl daily;l
loratadine,l 10l mgl daily;l hydrochlorothiazide,l 25l mgl daily.l Thel delayedl ejaculationl isl
mostl likelyl causedl byl the:
, Answer:
PAroxetinel (paxil)
QUESTION
Anl adultl malel withl al bodyl massl indexl (BMI)l ofl 19l andl continuedl gastroesophageall
refluxl diseasel (GERD)l presentsl forl follow-upl visitl afterl usingl over-the-counterl
famotidinel (Pepcid)l forl sixl weeks.l Whichl ofl thel followingl isl thel bestl NEXTl treatmentl
optionl forl thisl patient?
Answer:
Prescribel al protonl pumpl inhibitor
QUESTION
Anl elderlyl patientl isl diagnosedl withl acutel gastritis.l Thel patientl stopsl takingl naproxenl
(Aleve)l andl isl startedl onl famotidinel (Pepcid),l 40l mgl h.s.l Threel weeksl later,l thel patientl
complainsl thatl thel anorexia,l nausea,l andl epigastricl painl andl tendernessl havel NOTl beenl
relieved.l Whichl diagnosticl studyl shouldl bel ordered?
Answer:
Testingl forl Helicobacterl pylori
QUESTION
Al geriatricl femalel wasl diagnosedl withl hypothyroidisml andl startedl onl levothyroxinel
(Synthroid),l 25l μgl 1l weekl ago.l Shel feelsl tiredl andl wishesl tol havel herl medicinel
increased.l Whichl ofl thel followingl isl thel BESTl response?
Answer:
"Yourl bloodl levelsl shouldl bel checkedl everyl 6l weeks,l asl itl takesl thel bodyl severall
weeksl tol adjustl tol thel medication."
