AANP CERTIFICATION EXAM WITH
VERIFIED QUESTIONS AND ANSWERS||
GUARANTEED PASS || ALREADY GRADED A+ ||
LATEST VERSION
What is the leading cause of cancer-related deaths in the majority of women? -
ANSWER-Lung cancer
To assess spinal function at the S1 level, which deep tendon reflex should be
tested? - ANSWER-Achilles
A 70-year-old male presents with paresthesia of the lower extremities. On
exam, the patient appears pale and shows a decreased vibratory sense. Lab tests
reveal elevated indirect bilirubin; Hct = 30%; MCV = 120 (normal = 87-103).
The most likely diagnosis is? - ANSWER-Pernicious anemia
A 65-year-old female presents with shoulder and pelvic girdle pain for the past
6 months. She reports recent unintentional weight loss. On PE, there is pain on
ROM, with no weakness noted. Labs show a low hemoglobin and an elevated
ESR. What is the most likely diagnosis? - ANSWER-Polymyalgia rheumatica
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 ours 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 that should be taken in order to make a diagnosis? -
ANSWER-Palpate structures around the shoulder
,A geriatric patient present with a bump on the vulva, associated with pruritis
and malodorous drainage. Exam reveals a raised, ulcerated lesion. The most
likely diagnosis is? - ANSWER-Vulvar cancer
A pediatric patient presents with a painful, enlarged parotic gland. The most
likely diagnosis is? - ANSWER-Mumps
A geriatric female presents with tremors and a 20 lb weight loss over 2 months.
An NP's lab eval should include a? - ANSWER-TSH and free T-4
A pregnant adult patient is diagnosed with a chlamydial infection at 20 weeks of
gestation. What is the most accurate method for confirming this diagnosis? -
ANSWER-Nucleic acid amplification test (NAAT) of urine
An adult male presents with intermittent retrosternal burning. He has gained 30
lb in the past year. PE results are unremarkable and the EKG is normal. The
most likely diagnosis is? - ANSWER-GERD
A geriatric male patient is being followed for type 2 DM and HTN. He also has
a diagnosis of polycythemia vera and has regular phlebotomies to control this.
What statement about this patient is true? - ANSWER-He should avoid dietary
iron supplements.
An adult patient reports increasingly frequent migraines, especially upon rising
in the morning. The headaches have been successfully managed in the past with
APAP and Midrin prn, a neurological etiology has been ruled out. Of the
following drugs, which would be recommended for prophylactic migraine
management in this case? - ANSWER-Propranolol HCL (Inderal) 40 mg BID
Long-term management of a patient with stable COPD includes: - ANSWER-
Annual influenza vaccine
,For a late adolescent with acquired hypothyroidism who has been stable, a
follow-up eval should be performed every? - ANSWER-6-12 months
An adult male with a BMI of 19 and continued GERD presents for follow-up
visit after using OTH Pepcid for 6 weeks. What is the best next treatment option
for this patient? - ANSWER-PPI
A confused elderly female presents for the first time accompanied by her
daughter. The patient is taking glipizide-metformin, lisinopril, glargine, ASA,
and a multivitamin. What is the most likely cause of the patient's symptoms? -
ANSWER-Hypoglycemia
An adult male presents with general malaise and concerns about delayed
ejaculation. His medication regimen consists of quinapril, paroxetine,
loratadine, HCTZ. The delayed ejaculation is most likely caused by? -
ANSWER-Paroxetine (Paxi)
An 88-year-old patient has had a gradual onset of hearing loss in the left ear.
Exam shows a large accumulation of cerumen in the external auditory canal.
Assuming there is no neural loss, the NP would expect the Weber test to? -
ANSWER-Lateralize to the left
A patient with macular degeneration has difficulty seeing objects: - ANSWER-
In the center of the visual field
A 16-year-old female adolescent is brought to the NP's office by her mother,
who is concerned about her daughter's recent weight loss. History reveals that
the daughter was consistently in the 50th percentile for weight, but is now in the
10th percentile. The mother states that she is concerned that the daughter is
purging. In addition to a CBC with diff, what lab tests will be most helpful for
further assessment? - ANSWER-Electrolytes, BUN/creatinine, UA
, A pediatric male is present with his mother, who states that he is extremely
restless at night and constantly scratches his anal area. What diagnostic
procedure would confirm a diagnosis of pinworm infestation? - ANSWER-
Exam of transparent tape sample from perianal skin
An 86-year-old is experiencing radiculopathy-associated lower back pain that
has not improved over the past 4 weeks. The medial history includes a lumbar
discectomy. The best type of imaging study for evaluating this patient would be
a? - ANSWER-MRI
There are three reasons for latex allergies. What is not a reason? - ANSWER-
Cytotoxic hypersensitivity
Risk factors for genital herpes include? - ANSWER-Multiple sexual partners
and years of sexual activity
A geriatric female presents for her annual exam. She has been on
antihypertensive meds for over 20 years, with good control. Lab values are
within normal ranges. The NP is concerned about the patient's cardiac health
risks, due to her weight and her waist circumference. According to AHA
guidelines, what goal is expected for this patient? - ANSWER-Physical activity
for 30 minutes daily, for a minimum of 5 days a week
An 87-year-old patient presents with round, pruritic plaques and small vesicles
on the lower legs. The most likely diagnosis is? - ANSWER-Nummular eczema
A 30-month-old with a history of frequent ear infections was seen in September
after a symptom-free summer. Exam revealed bilateral bulging eardrums. After
two separate courses of abx, fluid is noted in both ears. The parent reports
speech difficulties. The most likely diagnosis is? - ANSWER-Otitis media with
effusion
VERIFIED QUESTIONS AND ANSWERS||
GUARANTEED PASS || ALREADY GRADED A+ ||
LATEST VERSION
What is the leading cause of cancer-related deaths in the majority of women? -
ANSWER-Lung cancer
To assess spinal function at the S1 level, which deep tendon reflex should be
tested? - ANSWER-Achilles
A 70-year-old male presents with paresthesia of the lower extremities. On
exam, the patient appears pale and shows a decreased vibratory sense. Lab tests
reveal elevated indirect bilirubin; Hct = 30%; MCV = 120 (normal = 87-103).
The most likely diagnosis is? - ANSWER-Pernicious anemia
A 65-year-old female presents with shoulder and pelvic girdle pain for the past
6 months. She reports recent unintentional weight loss. On PE, there is pain on
ROM, with no weakness noted. Labs show a low hemoglobin and an elevated
ESR. What is the most likely diagnosis? - ANSWER-Polymyalgia rheumatica
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 ours 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 that should be taken in order to make a diagnosis? -
ANSWER-Palpate structures around the shoulder
,A geriatric patient present with a bump on the vulva, associated with pruritis
and malodorous drainage. Exam reveals a raised, ulcerated lesion. The most
likely diagnosis is? - ANSWER-Vulvar cancer
A pediatric patient presents with a painful, enlarged parotic gland. The most
likely diagnosis is? - ANSWER-Mumps
A geriatric female presents with tremors and a 20 lb weight loss over 2 months.
An NP's lab eval should include a? - ANSWER-TSH and free T-4
A pregnant adult patient is diagnosed with a chlamydial infection at 20 weeks of
gestation. What is the most accurate method for confirming this diagnosis? -
ANSWER-Nucleic acid amplification test (NAAT) of urine
An adult male presents with intermittent retrosternal burning. He has gained 30
lb in the past year. PE results are unremarkable and the EKG is normal. The
most likely diagnosis is? - ANSWER-GERD
A geriatric male patient is being followed for type 2 DM and HTN. He also has
a diagnosis of polycythemia vera and has regular phlebotomies to control this.
What statement about this patient is true? - ANSWER-He should avoid dietary
iron supplements.
An adult patient reports increasingly frequent migraines, especially upon rising
in the morning. The headaches have been successfully managed in the past with
APAP and Midrin prn, a neurological etiology has been ruled out. Of the
following drugs, which would be recommended for prophylactic migraine
management in this case? - ANSWER-Propranolol HCL (Inderal) 40 mg BID
Long-term management of a patient with stable COPD includes: - ANSWER-
Annual influenza vaccine
,For a late adolescent with acquired hypothyroidism who has been stable, a
follow-up eval should be performed every? - ANSWER-6-12 months
An adult male with a BMI of 19 and continued GERD presents for follow-up
visit after using OTH Pepcid for 6 weeks. What is the best next treatment option
for this patient? - ANSWER-PPI
A confused elderly female presents for the first time accompanied by her
daughter. The patient is taking glipizide-metformin, lisinopril, glargine, ASA,
and a multivitamin. What is the most likely cause of the patient's symptoms? -
ANSWER-Hypoglycemia
An adult male presents with general malaise and concerns about delayed
ejaculation. His medication regimen consists of quinapril, paroxetine,
loratadine, HCTZ. The delayed ejaculation is most likely caused by? -
ANSWER-Paroxetine (Paxi)
An 88-year-old patient has had a gradual onset of hearing loss in the left ear.
Exam shows a large accumulation of cerumen in the external auditory canal.
Assuming there is no neural loss, the NP would expect the Weber test to? -
ANSWER-Lateralize to the left
A patient with macular degeneration has difficulty seeing objects: - ANSWER-
In the center of the visual field
A 16-year-old female adolescent is brought to the NP's office by her mother,
who is concerned about her daughter's recent weight loss. History reveals that
the daughter was consistently in the 50th percentile for weight, but is now in the
10th percentile. The mother states that she is concerned that the daughter is
purging. In addition to a CBC with diff, what lab tests will be most helpful for
further assessment? - ANSWER-Electrolytes, BUN/creatinine, UA
, A pediatric male is present with his mother, who states that he is extremely
restless at night and constantly scratches his anal area. What diagnostic
procedure would confirm a diagnosis of pinworm infestation? - ANSWER-
Exam of transparent tape sample from perianal skin
An 86-year-old is experiencing radiculopathy-associated lower back pain that
has not improved over the past 4 weeks. The medial history includes a lumbar
discectomy. The best type of imaging study for evaluating this patient would be
a? - ANSWER-MRI
There are three reasons for latex allergies. What is not a reason? - ANSWER-
Cytotoxic hypersensitivity
Risk factors for genital herpes include? - ANSWER-Multiple sexual partners
and years of sexual activity
A geriatric female presents for her annual exam. She has been on
antihypertensive meds for over 20 years, with good control. Lab values are
within normal ranges. The NP is concerned about the patient's cardiac health
risks, due to her weight and her waist circumference. According to AHA
guidelines, what goal is expected for this patient? - ANSWER-Physical activity
for 30 minutes daily, for a minimum of 5 days a week
An 87-year-old patient presents with round, pruritic plaques and small vesicles
on the lower legs. The most likely diagnosis is? - ANSWER-Nummular eczema
A 30-month-old with a history of frequent ear infections was seen in September
after a symptom-free summer. Exam revealed bilateral bulging eardrums. After
two separate courses of abx, fluid is noted in both ears. The parent reports
speech difficulties. The most likely diagnosis is? - ANSWER-Otitis media with
effusion
