AANP Certification Exam | Questions
And Answers | Newest Update 2026-
2027 | 100% Guaranteed Pass!!
Graded A+
diverticulum can be an infection of -ANSWER both gram - and + bacteria
Which diuretic should be used for osteoporosis? -ANSWER Thiazide diuretics:
slows the kidneys excretion of calcium and increases reabsorption
Lachman maneuver -ANSWER knee instability
tear of ACL
Infections of labia and vagina -ANSWER bacterial vaginosis, candidiasis, and
trichomoniasis
Chlamydia affects -ANSWER cervix, endometrial lining, fallopian tubes, pelvic cavity
Acute abdomen symptoms -ANSWER involuntary guarding, rebound tenderness, board-
like abdomen, +obturator and psoas sign
Care of preecplampsia -ANSWER bed rest, weight and blood pressure monitoring
Preeclampsia labs -ANSWER urine protein, serum protein, creatinine, platelet count
Preeclampsia symptoms -ANSWER hypertension, proteinuria, edema (weight gain)
Preeclampsia complications -ANSWER placental abruption, coagulopathy (DIC), renal
failure, uteroplacental insufficiency, liver failure, hypertensive encephalopathy, retinal
detachment, pulmonary edema, seizure, death
community acquired pneumonia
Most common bacteria
least common bacteria
Population
treatment -ANSWER mycolpasma pneumoniae (atypical)
h. influenza, strep pneumoniae
atypical: psuedomonas aeruginosa
college student, school children, military
macrolides: azithromycin, clarithromycin
Mantoux test -ANSWER Positive: 5mm
,Positive for recent immigrants: 10mm
Murphy's sign -ANSWER biliary disorders
deep inspiration by patient and deep palpation RUQ below costovertebral angle
placenta previa -ANSWER implantation of the placenta over the cervical opening or in the
lower region of the uterus
painless bright red blood in the second or third trimester
Order abdominal US
Hashimoto's is most common in which population -ANSWER middle age to older women
Hypertension Retinopathy -ANSWER AV nicking and copper or silver wire arterioles
flame-shaped hemorrhages
threatened abortion -ANSWER vaginal bleeding and cramping, soft uterus, cervix closed
bacterial vaginosis -ANSWER fishy odor, milky white or dull gray discharge
pH > 4.5
> 20% clue cells
KOH whiff test
squamous cells dotted with lots of bacteria that obscure borders -ANSWER clue cells
Lichen sclerosis -ANSWER skin disease, white spots appear over time, most common
genital and rectal
most common in older woman
itching, discomfort, bleeding
order biopsy
AV valves -ANSWER mitral and tricuspid
semilunar valves -ANSWER pulmonary and aortic
S1 -ANSWER systole
closure of AV valves
mitral regurgitation
aortic stenosis
S2 -ANSWER diastole
closure of semilunar valves
mitral stenosis
aortic regurgitation
S3 -ANSWER normal variant in children, healthy young adults, and athletes
heart failure
,early diastole
S4 -ANSWER left ventricle hypertrophy
late diastole
Tanner Stages Males: II -ANSWER no changes to penis, testes enlarge
Pubic hair is sparse and straight
Tanner Stages Males: III -ANSWER penis lengthens
hair darker and starts to curl
Tanner Stages Males: IV -ANSWER penis increases in length and width
hair coarse, not yet on medial thigh
Tanner Stages Females: II -ANSWER breast buds
pubic hair sparse and straight
Tanner Stages Females: III -ANSWER breast tissue and areola in one mound
hair darker, starts to curl
Tanner Stages Females: IV -ANSWER areola separates and forms a secondary mound
hair coarse, not on medial thigh yet
TORCH infections -ANSWER Toxoplasmosis
Other
Rubella
Cytomegalovirus
Herpes
osteoarthritis vs rheomatoid arthritis -ANSWER OA: stiffness, heberden's nodes, increase
age, overuse, family history
RA: relies more on labs, increased ESR, Bouchard's nodes, fatigue, fever, body aches
drawer test -ANSWER instability of the knee
mediolateral and anteroposterior plane
torn or ruptured ligament
fundal height 12 weeks -ANSWER just above pubic bone
fundal height 20 weeks -ANSWER level of umbilicus
fundal height 20-35 weeks -ANSWER number of weeks gestation +/- 2 cm
apraxia -ANSWER loss of ability to perform purposeful movements in the absence of
sensory or motor damage
, ectopic pregnancy -ANSWER amenorrhea, new onset of vaginal spotting, left adnexal
tenderness, and cervical motion tenderness
G6PD anemia -ANSWER hereditary, RBC break down, hemolysis
Meds that can trigger: antimalarial drugs, aspirin, nitrofurantoin, NSAIDs, quinidine,
quinine, sulfa
Pheochromocytoma -ANSWER a benign tumor of the adrenal medulla that causes the
gland to produce excess epinephrine and norepinephrine
these hormones control heart rate, metabolism, and blood pressure
Fitz-Hugh-Curtis -ANSWER Perihepatic inflammation & fibrosis;
Complication of Chlamydia and pelvic inflammatory disease
Sharp pain in RUQ
subconjunctival hemorrhage
risk factors -ANSWER Bright red patches in conjunctiva of eyes due to ruptured blood
vessels
Risk factors: DM, HTN, coughing, sneezing, blood thinners, aspirin, ginkgo
Benign, will spontaneously resolve
atopic dermatitis -ANSWER Excess inflammation; dry skin, redness, and itching from
allergies and irritants.
linear
Koplik spots -ANSWER Rubeola (measles)
small white papules inside the cheeks by rear molars
treponema pallidum
symptoms -ANSWER syphilis
painless chancre, maculopapular rash on palms and soles, lymphadenopathy,
condyloma acata
hCG is produced by -ANSWER placenta after implantation
majority of AFP is produced by -ANSWER fetal liver
Inevitable abortion -ANSWER bleeding and cramping/pain with cervical dilation but no
passage of tissue
incomplete abortion -ANSWER moderate to diffuse vaginal bleeding, passage of tissue,
painful uterine cramping or contractions
MMR and pregnancy -ANSWER contraindicated
wait 4 weeks before becoming pregnant
And Answers | Newest Update 2026-
2027 | 100% Guaranteed Pass!!
Graded A+
diverticulum can be an infection of -ANSWER both gram - and + bacteria
Which diuretic should be used for osteoporosis? -ANSWER Thiazide diuretics:
slows the kidneys excretion of calcium and increases reabsorption
Lachman maneuver -ANSWER knee instability
tear of ACL
Infections of labia and vagina -ANSWER bacterial vaginosis, candidiasis, and
trichomoniasis
Chlamydia affects -ANSWER cervix, endometrial lining, fallopian tubes, pelvic cavity
Acute abdomen symptoms -ANSWER involuntary guarding, rebound tenderness, board-
like abdomen, +obturator and psoas sign
Care of preecplampsia -ANSWER bed rest, weight and blood pressure monitoring
Preeclampsia labs -ANSWER urine protein, serum protein, creatinine, platelet count
Preeclampsia symptoms -ANSWER hypertension, proteinuria, edema (weight gain)
Preeclampsia complications -ANSWER placental abruption, coagulopathy (DIC), renal
failure, uteroplacental insufficiency, liver failure, hypertensive encephalopathy, retinal
detachment, pulmonary edema, seizure, death
community acquired pneumonia
Most common bacteria
least common bacteria
Population
treatment -ANSWER mycolpasma pneumoniae (atypical)
h. influenza, strep pneumoniae
atypical: psuedomonas aeruginosa
college student, school children, military
macrolides: azithromycin, clarithromycin
Mantoux test -ANSWER Positive: 5mm
,Positive for recent immigrants: 10mm
Murphy's sign -ANSWER biliary disorders
deep inspiration by patient and deep palpation RUQ below costovertebral angle
placenta previa -ANSWER implantation of the placenta over the cervical opening or in the
lower region of the uterus
painless bright red blood in the second or third trimester
Order abdominal US
Hashimoto's is most common in which population -ANSWER middle age to older women
Hypertension Retinopathy -ANSWER AV nicking and copper or silver wire arterioles
flame-shaped hemorrhages
threatened abortion -ANSWER vaginal bleeding and cramping, soft uterus, cervix closed
bacterial vaginosis -ANSWER fishy odor, milky white or dull gray discharge
pH > 4.5
> 20% clue cells
KOH whiff test
squamous cells dotted with lots of bacteria that obscure borders -ANSWER clue cells
Lichen sclerosis -ANSWER skin disease, white spots appear over time, most common
genital and rectal
most common in older woman
itching, discomfort, bleeding
order biopsy
AV valves -ANSWER mitral and tricuspid
semilunar valves -ANSWER pulmonary and aortic
S1 -ANSWER systole
closure of AV valves
mitral regurgitation
aortic stenosis
S2 -ANSWER diastole
closure of semilunar valves
mitral stenosis
aortic regurgitation
S3 -ANSWER normal variant in children, healthy young adults, and athletes
heart failure
,early diastole
S4 -ANSWER left ventricle hypertrophy
late diastole
Tanner Stages Males: II -ANSWER no changes to penis, testes enlarge
Pubic hair is sparse and straight
Tanner Stages Males: III -ANSWER penis lengthens
hair darker and starts to curl
Tanner Stages Males: IV -ANSWER penis increases in length and width
hair coarse, not yet on medial thigh
Tanner Stages Females: II -ANSWER breast buds
pubic hair sparse and straight
Tanner Stages Females: III -ANSWER breast tissue and areola in one mound
hair darker, starts to curl
Tanner Stages Females: IV -ANSWER areola separates and forms a secondary mound
hair coarse, not on medial thigh yet
TORCH infections -ANSWER Toxoplasmosis
Other
Rubella
Cytomegalovirus
Herpes
osteoarthritis vs rheomatoid arthritis -ANSWER OA: stiffness, heberden's nodes, increase
age, overuse, family history
RA: relies more on labs, increased ESR, Bouchard's nodes, fatigue, fever, body aches
drawer test -ANSWER instability of the knee
mediolateral and anteroposterior plane
torn or ruptured ligament
fundal height 12 weeks -ANSWER just above pubic bone
fundal height 20 weeks -ANSWER level of umbilicus
fundal height 20-35 weeks -ANSWER number of weeks gestation +/- 2 cm
apraxia -ANSWER loss of ability to perform purposeful movements in the absence of
sensory or motor damage
, ectopic pregnancy -ANSWER amenorrhea, new onset of vaginal spotting, left adnexal
tenderness, and cervical motion tenderness
G6PD anemia -ANSWER hereditary, RBC break down, hemolysis
Meds that can trigger: antimalarial drugs, aspirin, nitrofurantoin, NSAIDs, quinidine,
quinine, sulfa
Pheochromocytoma -ANSWER a benign tumor of the adrenal medulla that causes the
gland to produce excess epinephrine and norepinephrine
these hormones control heart rate, metabolism, and blood pressure
Fitz-Hugh-Curtis -ANSWER Perihepatic inflammation & fibrosis;
Complication of Chlamydia and pelvic inflammatory disease
Sharp pain in RUQ
subconjunctival hemorrhage
risk factors -ANSWER Bright red patches in conjunctiva of eyes due to ruptured blood
vessels
Risk factors: DM, HTN, coughing, sneezing, blood thinners, aspirin, ginkgo
Benign, will spontaneously resolve
atopic dermatitis -ANSWER Excess inflammation; dry skin, redness, and itching from
allergies and irritants.
linear
Koplik spots -ANSWER Rubeola (measles)
small white papules inside the cheeks by rear molars
treponema pallidum
symptoms -ANSWER syphilis
painless chancre, maculopapular rash on palms and soles, lymphadenopathy,
condyloma acata
hCG is produced by -ANSWER placenta after implantation
majority of AFP is produced by -ANSWER fetal liver
Inevitable abortion -ANSWER bleeding and cramping/pain with cervical dilation but no
passage of tissue
incomplete abortion -ANSWER moderate to diffuse vaginal bleeding, passage of tissue,
painful uterine cramping or contractions
MMR and pregnancy -ANSWER contraindicated
wait 4 weeks before becoming pregnant
