AANP COMPREHENSIVE EXAM 2026
QUESTIONS WITH SOLUTIONS GRADED A+
◉ AV nicking (Arterioles pressing on vein of the eye). Answer: HTN
retinopathy
◉ intraocular pressure (IOP). Answer: Fluid pressure inside the eye;
measured with tonometry
◉ Rovsing sign. Answer: pain in the RLQ when the LLQ is palpated
(indicative of appendicitis)
◉ Pencil-like stools occur in an obstruction of what. Answer:
Sigmoid descending colon
It's a thin narrow stool and possible causes include colon cancer,
diarrhea, IBS. Refer for GI colonoscopy
◉ headache after trauma. Answer: SDH
◉ migraine headache. Answer: -paroxysmal (sudden, periodic)
attacks of mostly unilateral headache, often accompanied by
disordered vision, nausea, or vomiting, lasting hours or days and
caused by dilation of arteries.
,4-12 hours,
abortive triptans
prophylaxis propranolol, TCA amitriptyline, anticonvulsants
topiramate
◉ Vitamin B12. Answer: Folate shares a close relationship with this
other B Vitamin.
◉ Vitamin B12. Answer: Cognitive deficits, glossitis, pernicious
anemia,
Folate shares a close relationship with this other B Vitamin.
◉ 88/yr. old patient in for follow up secondary. She's been treated
with Tylenol for Joint arthritis. Her SED rate was checked after 6
weeks of treatment and it was 28. Normal range is from something
to 25. How would you treat the pt.. Answer: be changed to NSAID,
SED rate is a sign of inflammation
◉ Which medication causes low sperm count for a patient. Answer:
SSRI
,◉ grandiosity. Answer: Exaggerated belief in or claims about one's
importance or identity.
Bipolor
◉ ADHD. Answer: A behavioral problem characterized by short
attention span, restless movement, and impaired learning capacity.
◉ pt. pap's smear noted with Low Grade Squamous Intraepithelial
Lesions and High Grade Squamous Epithelia Lesion noted on the
report, what should NP do?. Answer: HPV test if not done. Refer for
colposcopy
◉ Chlamydia trachomatis. Answer: Doxycycline (+ ceftriaxone for
gonorrhea coinfection)
◉ Genital warts treatment. Answer: Cryotherapy
OR
Podophyllotoxin cream -
OR
Imiquimod (Aldara cream)
◉ HIV pt. with antiviral and CD4 count still less than 200. What
should NP tell the pt.. Answer: tell the pt. that he is qualified to be
diagnosed with AIDS according to CDC
, ◉ Most common cause of death in children. Answer: motor vehicle
◉ Tanner 2. Answer: Tanner 2- female breast bud areola develops
Male testes scrotum start to enlarge, scrotum gets darker
◉ Tanner 4. Answer: Tanner 4- female nipples and areola become
elevated from breast, secondary mound Male penis grows wider
grows in length, darker scrotum
◉ pt. expericieng memory loss, and increase in confusion and she
has a history of stroke, HTN, What type of Alzheimer.. Answer:
vascular dementia
◉ presbycusis. Answer: a gradual loss of sensorineural hearing that
occurs as the body ages
◉ a pregnant female at slightly above symphysis pubic and Fundal
height is 32cm (above the umbilical). What should be done. Answer:
Ultrasound
◉ Romberg test. Answer: cerebellar
-ask client to stand with feet at comfortable distance apart, arms at
sides, and eyes closed
QUESTIONS WITH SOLUTIONS GRADED A+
◉ AV nicking (Arterioles pressing on vein of the eye). Answer: HTN
retinopathy
◉ intraocular pressure (IOP). Answer: Fluid pressure inside the eye;
measured with tonometry
◉ Rovsing sign. Answer: pain in the RLQ when the LLQ is palpated
(indicative of appendicitis)
◉ Pencil-like stools occur in an obstruction of what. Answer:
Sigmoid descending colon
It's a thin narrow stool and possible causes include colon cancer,
diarrhea, IBS. Refer for GI colonoscopy
◉ headache after trauma. Answer: SDH
◉ migraine headache. Answer: -paroxysmal (sudden, periodic)
attacks of mostly unilateral headache, often accompanied by
disordered vision, nausea, or vomiting, lasting hours or days and
caused by dilation of arteries.
,4-12 hours,
abortive triptans
prophylaxis propranolol, TCA amitriptyline, anticonvulsants
topiramate
◉ Vitamin B12. Answer: Folate shares a close relationship with this
other B Vitamin.
◉ Vitamin B12. Answer: Cognitive deficits, glossitis, pernicious
anemia,
Folate shares a close relationship with this other B Vitamin.
◉ 88/yr. old patient in for follow up secondary. She's been treated
with Tylenol for Joint arthritis. Her SED rate was checked after 6
weeks of treatment and it was 28. Normal range is from something
to 25. How would you treat the pt.. Answer: be changed to NSAID,
SED rate is a sign of inflammation
◉ Which medication causes low sperm count for a patient. Answer:
SSRI
,◉ grandiosity. Answer: Exaggerated belief in or claims about one's
importance or identity.
Bipolor
◉ ADHD. Answer: A behavioral problem characterized by short
attention span, restless movement, and impaired learning capacity.
◉ pt. pap's smear noted with Low Grade Squamous Intraepithelial
Lesions and High Grade Squamous Epithelia Lesion noted on the
report, what should NP do?. Answer: HPV test if not done. Refer for
colposcopy
◉ Chlamydia trachomatis. Answer: Doxycycline (+ ceftriaxone for
gonorrhea coinfection)
◉ Genital warts treatment. Answer: Cryotherapy
OR
Podophyllotoxin cream -
OR
Imiquimod (Aldara cream)
◉ HIV pt. with antiviral and CD4 count still less than 200. What
should NP tell the pt.. Answer: tell the pt. that he is qualified to be
diagnosed with AIDS according to CDC
, ◉ Most common cause of death in children. Answer: motor vehicle
◉ Tanner 2. Answer: Tanner 2- female breast bud areola develops
Male testes scrotum start to enlarge, scrotum gets darker
◉ Tanner 4. Answer: Tanner 4- female nipples and areola become
elevated from breast, secondary mound Male penis grows wider
grows in length, darker scrotum
◉ pt. expericieng memory loss, and increase in confusion and she
has a history of stroke, HTN, What type of Alzheimer.. Answer:
vascular dementia
◉ presbycusis. Answer: a gradual loss of sensorineural hearing that
occurs as the body ages
◉ a pregnant female at slightly above symphysis pubic and Fundal
height is 32cm (above the umbilical). What should be done. Answer:
Ultrasound
◉ Romberg test. Answer: cerebellar
-ask client to stand with feet at comfortable distance apart, arms at
sides, and eyes closed
