LEIK AANP FNP PRCATICE EXAM 2025|REAL QUESTIONS AND ANSWERS WITH
RATIONALES|ALREADY GRADED A+
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 - (ANSWER)III first time audible, IV first time thrill
Fundal height 12 weeks - (ANSWER)Fundal Height 12 weeks above symphysis pubis. EXAM
Fundus 16 weeks between symphysis pubis and umbilicus.
Fundus at 20 weeks is at umbilicus.
2 cm more of less from # of wk gestation is normal if more or less order US
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? -
(ANSWER)Iron, TIBC
3 months of synthroid, TSH increased, T4 normal, what do you do? - (ANSWER)Increase Medication
3 ways to assess cognitive function in patient with signs/symptoms of memory loss - (ANSWER)Mini
mental exam
4 month old with strabismus, mom is worried...... - (ANSWER)tell her it is normal.
4 month old wont keep anything down, what is the main thing you look at? - (ANSWER)Growth chart
6 month old closed anterior fontanel. - (ANSWER)XRAY
Abnormal cells on PAP, what do you do next? - (ANSWER)Refer for Colposcopy
CAGE ACRONYM - (ANSWER)Cut down
Annoyed by criticism
,LEIK AANP FNP PRCATICE EXAM 2025|REAL QUESTIONS AND ANSWERS WITH
RATIONALES|ALREADY GRADED A+
Guilty about drinking
Eye opener drink
Causes of tachycardia - (ANSWER)Fever
Anemia
Hypotension
Cranial nerves responsible for extraocular eye movements - (ANSWER)CN 3,4,6
Definition of metabolic syndrome - (ANSWER)cluster of conditions that increase risk of heart disease,
stroke, diabetes.
diagnose trichomoniasis - (ANSWER)wet prep
Elderly presents with atrophic vaginitis, small uterus, palpable 4x5 ovary, what do you do next? -
(ANSWER)Pelvic US
Epistaxis is most common in the area of the nose known as kiesselbachs triangle, where is this located? -
(ANSWER)Anterior septum
Definitive diagnosis of acute bacterial prostatitis - (ANSWER)urinalysis and culture
GERD treatment - (ANSWER)H2 is first line, give hs
Grade 3 cells on Pap, treatment? - (ANSWER)LEEP
excision
Fingernail hematoma treatment? - (ANSWER)drill hole and drain blood?
, LEIK AANP FNP PRCATICE EXAM 2025|REAL QUESTIONS AND ANSWERS WITH
RATIONALES|ALREADY GRADED A+
Increased risk of ectopic pregnancy - (ANSWER)Salpingitis, or history of abortion, PID,
Koplick spots - (ANSWER)Measles (rubeola). Grains of salt lesions inside mouth in Measles
Koplick spots - (ANSWER)Measles (rubeola). Grains of salt lesions inside mouth in Measles
Legg-Calve-Perthes Disease - (ANSWER)Avascular necrosis of the proximal femoral head
Lipid level of 1500, increased risk for? - (ANSWER)Pancreatitis
Low HGB, Low HCT, High MCV indicates what? - (ANSWER)Macrocytic anemia, B12 Def
Man with BPH, prostate feels on digital exam? - (ANSWER)Enlarged, symmetrical, smooth
Man with HTN, CAD, present femoral pulses but absent pedal - (ANSWER)Arterial Insufficiency
McMurray's Sign
(+) palpable or audible click while extending with varus stress - (ANSWER)Meniscus tears
Lachman's Test - (ANSWER)pivot shift test (ACL tear)
Newborn with foot turned in, what do you do? - (ANSWER)refer to orthopedist
Osgood-Schlatter disease - (ANSWER)Knee pain.
inflammation or irritation of the tibia at its point of attachment with the patellar tendon
RATIONALES|ALREADY GRADED A+
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 - (ANSWER)III first time audible, IV first time thrill
Fundal height 12 weeks - (ANSWER)Fundal Height 12 weeks above symphysis pubis. EXAM
Fundus 16 weeks between symphysis pubis and umbilicus.
Fundus at 20 weeks is at umbilicus.
2 cm more of less from # of wk gestation is normal if more or less order US
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? -
(ANSWER)Iron, TIBC
3 months of synthroid, TSH increased, T4 normal, what do you do? - (ANSWER)Increase Medication
3 ways to assess cognitive function in patient with signs/symptoms of memory loss - (ANSWER)Mini
mental exam
4 month old with strabismus, mom is worried...... - (ANSWER)tell her it is normal.
4 month old wont keep anything down, what is the main thing you look at? - (ANSWER)Growth chart
6 month old closed anterior fontanel. - (ANSWER)XRAY
Abnormal cells on PAP, what do you do next? - (ANSWER)Refer for Colposcopy
CAGE ACRONYM - (ANSWER)Cut down
Annoyed by criticism
,LEIK AANP FNP PRCATICE EXAM 2025|REAL QUESTIONS AND ANSWERS WITH
RATIONALES|ALREADY GRADED A+
Guilty about drinking
Eye opener drink
Causes of tachycardia - (ANSWER)Fever
Anemia
Hypotension
Cranial nerves responsible for extraocular eye movements - (ANSWER)CN 3,4,6
Definition of metabolic syndrome - (ANSWER)cluster of conditions that increase risk of heart disease,
stroke, diabetes.
diagnose trichomoniasis - (ANSWER)wet prep
Elderly presents with atrophic vaginitis, small uterus, palpable 4x5 ovary, what do you do next? -
(ANSWER)Pelvic US
Epistaxis is most common in the area of the nose known as kiesselbachs triangle, where is this located? -
(ANSWER)Anterior septum
Definitive diagnosis of acute bacterial prostatitis - (ANSWER)urinalysis and culture
GERD treatment - (ANSWER)H2 is first line, give hs
Grade 3 cells on Pap, treatment? - (ANSWER)LEEP
excision
Fingernail hematoma treatment? - (ANSWER)drill hole and drain blood?
, LEIK AANP FNP PRCATICE EXAM 2025|REAL QUESTIONS AND ANSWERS WITH
RATIONALES|ALREADY GRADED A+
Increased risk of ectopic pregnancy - (ANSWER)Salpingitis, or history of abortion, PID,
Koplick spots - (ANSWER)Measles (rubeola). Grains of salt lesions inside mouth in Measles
Koplick spots - (ANSWER)Measles (rubeola). Grains of salt lesions inside mouth in Measles
Legg-Calve-Perthes Disease - (ANSWER)Avascular necrosis of the proximal femoral head
Lipid level of 1500, increased risk for? - (ANSWER)Pancreatitis
Low HGB, Low HCT, High MCV indicates what? - (ANSWER)Macrocytic anemia, B12 Def
Man with BPH, prostate feels on digital exam? - (ANSWER)Enlarged, symmetrical, smooth
Man with HTN, CAD, present femoral pulses but absent pedal - (ANSWER)Arterial Insufficiency
McMurray's Sign
(+) palpable or audible click while extending with varus stress - (ANSWER)Meniscus tears
Lachman's Test - (ANSWER)pivot shift test (ACL tear)
Newborn with foot turned in, what do you do? - (ANSWER)refer to orthopedist
Osgood-Schlatter disease - (ANSWER)Knee pain.
inflammation or irritation of the tibia at its point of attachment with the patellar tendon
