2026 AANP FNP QUESTIONS AND ANSWERS SET A+
✔✔Pt has Barretts Esophagus, insurance no longer covers GI who was treating
condition. Pt at FNP office wanting refill prescriptions. What do you do? - ✔✔Refer to
oncologist
✔✔Pt presents with rash on shoulder, erythematous maculopapular rash with center
clearing and scaling? - ✔✔Tinea Corporis
✔✔Pt presents with "bag of worms:, indicates? - ✔✔Varicocele
✔✔Pt with atopic dermatitis, look for what other diseases? - ✔✔Asthma
✔✔Pt with bleeding after menopause - ✔✔endometrial biopsy, need to screen for
cancer
✔✔Pt with hx of PID, increased rick for? - ✔✔Infertility
✔✔Pt with HIV took high potency anti viral treatments and CD4 is >400, what does this
indicate? - ✔✔This is good. Want higher than 350
✔✔Pt with hx of htn and stroke, now having memory loss. What does this indicate? -
✔✔Vascular dementia
✔✔Pregnant teacher with exposure to 5ths disease (SLAP CHEEK), what risk is there
to the fetus? - ✔✔slap cheek, PVB19, rash hands / feet Fetal death and birth defects
✔✔Quick assessment of patients fall risk? Timed Get up and Go - ✔✔Timed Get up and
Go
✔✔Red beefy tongue? - ✔✔pernicious anemia
,✔✔Rotator cuff injury presentation - ✔✔disturbs sleep, arm weakness, dull ache
✔✔Shingles near eye - ✔✔immediate referral to ophthalmology
✔✔Signs and symptoms of Roseola (6ths disease) ? - ✔✔Viral infection
Can result in a maculopapular rash, but up to 70% of cases proceed without the rash
stage
-Usually accompanied by a high fever (41°C or 105°F) that comes on quickly and lasts
up to 3 days followed by rash
-Seizures may occur during this period.
-On the fourth day, the fever disappears and the rash appears, first on chest and trunk,
then less prominently on the face and limbs.
-High fever, pink flat or raised rash
✔✔Treatment for chronic alcoholism: - ✔✔12 step program
✔✔Treatment for Gonorrhea? - ✔✔Rocephin 250mg IMx1 plus
Azithromycin 1 gm orally x1 to cover chlamydia. , or doxy 100 mg BID x7d. Green
colored vaginal discharge, friable cervix. EXAM
Report to health department
✔✔Young female want birth control, forgets to take pills, does not want to get pregnant
for at least 5 years: - ✔✔IUD
✔✔Basal cell cancer - ✔✔Waxy, pearly, telangiectasia, ulcer center lesion
-most common type of skin cancer caused by UV exposure. Metastatic is rare
✔✔Actinic Keratosis - ✔✔Scaly red to yellow located in sun exposed area
-a precancerous skin growth that occurs on sun-damaged skin
✔✔Actinic Keratosis - ✔✔Numerous round dry pink to red areas. Scaly red to yellow
located in sun exposed area
-a pre squamous cell carcinoma occurs on sun-damaged skin
biopsy
cryo or 5fu cream
✔✔subungual hematoma tx - ✔✔Make a hole and drain the blood
✔✔Moderate acne treatment - ✔✔Without inflammation: Topical retinoid
Moderate inflammation: Topical Retinoid or benzoyl peroxide or Azaleic acic ( very
expensive and hard to get covered)
PLUS ADD
, Oral antibiotics: doxycycline or tetracycline or minocycline- (tetracyclines has been
proven most affective for inflammatory acne)
Minocycline- long term use has been linked with pseudotumor cerebri
Oral contraceptives for hormone related
Spironolactone
✔✔heart murmur with holosystolic or pan systolic
Heart mumur with mid systolic - ✔✔MR - radiate axilla, 5th ICS MCL, apex,
AS - radiate neck, 2ICS right sternal border
MR ASSH
✔✔Coarctation of Aorta - ✔✔COA: bounding radial and weak femoral pulse
increase blood pressure in arms, and lower pressure in lower legs.
-congenital cardiac condition characterized by a narrowing of the aorta
-
✔✔Murmur Grade III - VI - ✔✔Loud murmur easily heard
✔✔JVD caused by - ✔✔-tension pneumothorax,
-Rt. sided heart failure,
-cardiac tamponade,
-traumatic axphysia from
Increase in portal pressure(LIVER) in venous side or cor pulmonale
✔✔pt. with gradual onset of fever, hemorrhages on nail beds, painful raised red
nodules, rash on palms - ✔✔endocarditis , painful red spots on fingers olser's nodes,
janeway legions rash on palms and soles.
✔✔Know the difference between Peripheral Arterial Disease and Chronic Venous
Insufficiency or PVD. There was question about PAD. - ✔✔PAD: Absence of pulse,
decrease blow flowing down, PAIN, Dx doppler or ABI<0.9, TX exercise by walking or
antiplatelet,
PVD: Volume, edema, discoloration, decrease blood going up,
✔✔Chronic Bronchitis Treatment - ✔✔Smoking cessation
Pulmonary rehabilitation
Pharmacologic therapy
✔✔Pt has Barretts Esophagus, insurance no longer covers GI who was treating
condition. Pt at FNP office wanting refill prescriptions. What do you do? - ✔✔Refer to
oncologist
✔✔Pt presents with rash on shoulder, erythematous maculopapular rash with center
clearing and scaling? - ✔✔Tinea Corporis
✔✔Pt presents with "bag of worms:, indicates? - ✔✔Varicocele
✔✔Pt with atopic dermatitis, look for what other diseases? - ✔✔Asthma
✔✔Pt with bleeding after menopause - ✔✔endometrial biopsy, need to screen for
cancer
✔✔Pt with hx of PID, increased rick for? - ✔✔Infertility
✔✔Pt with HIV took high potency anti viral treatments and CD4 is >400, what does this
indicate? - ✔✔This is good. Want higher than 350
✔✔Pt with hx of htn and stroke, now having memory loss. What does this indicate? -
✔✔Vascular dementia
✔✔Pregnant teacher with exposure to 5ths disease (SLAP CHEEK), what risk is there
to the fetus? - ✔✔slap cheek, PVB19, rash hands / feet Fetal death and birth defects
✔✔Quick assessment of patients fall risk? Timed Get up and Go - ✔✔Timed Get up and
Go
✔✔Red beefy tongue? - ✔✔pernicious anemia
,✔✔Rotator cuff injury presentation - ✔✔disturbs sleep, arm weakness, dull ache
✔✔Shingles near eye - ✔✔immediate referral to ophthalmology
✔✔Signs and symptoms of Roseola (6ths disease) ? - ✔✔Viral infection
Can result in a maculopapular rash, but up to 70% of cases proceed without the rash
stage
-Usually accompanied by a high fever (41°C or 105°F) that comes on quickly and lasts
up to 3 days followed by rash
-Seizures may occur during this period.
-On the fourth day, the fever disappears and the rash appears, first on chest and trunk,
then less prominently on the face and limbs.
-High fever, pink flat or raised rash
✔✔Treatment for chronic alcoholism: - ✔✔12 step program
✔✔Treatment for Gonorrhea? - ✔✔Rocephin 250mg IMx1 plus
Azithromycin 1 gm orally x1 to cover chlamydia. , or doxy 100 mg BID x7d. Green
colored vaginal discharge, friable cervix. EXAM
Report to health department
✔✔Young female want birth control, forgets to take pills, does not want to get pregnant
for at least 5 years: - ✔✔IUD
✔✔Basal cell cancer - ✔✔Waxy, pearly, telangiectasia, ulcer center lesion
-most common type of skin cancer caused by UV exposure. Metastatic is rare
✔✔Actinic Keratosis - ✔✔Scaly red to yellow located in sun exposed area
-a precancerous skin growth that occurs on sun-damaged skin
✔✔Actinic Keratosis - ✔✔Numerous round dry pink to red areas. Scaly red to yellow
located in sun exposed area
-a pre squamous cell carcinoma occurs on sun-damaged skin
biopsy
cryo or 5fu cream
✔✔subungual hematoma tx - ✔✔Make a hole and drain the blood
✔✔Moderate acne treatment - ✔✔Without inflammation: Topical retinoid
Moderate inflammation: Topical Retinoid or benzoyl peroxide or Azaleic acic ( very
expensive and hard to get covered)
PLUS ADD
, Oral antibiotics: doxycycline or tetracycline or minocycline- (tetracyclines has been
proven most affective for inflammatory acne)
Minocycline- long term use has been linked with pseudotumor cerebri
Oral contraceptives for hormone related
Spironolactone
✔✔heart murmur with holosystolic or pan systolic
Heart mumur with mid systolic - ✔✔MR - radiate axilla, 5th ICS MCL, apex,
AS - radiate neck, 2ICS right sternal border
MR ASSH
✔✔Coarctation of Aorta - ✔✔COA: bounding radial and weak femoral pulse
increase blood pressure in arms, and lower pressure in lower legs.
-congenital cardiac condition characterized by a narrowing of the aorta
-
✔✔Murmur Grade III - VI - ✔✔Loud murmur easily heard
✔✔JVD caused by - ✔✔-tension pneumothorax,
-Rt. sided heart failure,
-cardiac tamponade,
-traumatic axphysia from
Increase in portal pressure(LIVER) in venous side or cor pulmonale
✔✔pt. with gradual onset of fever, hemorrhages on nail beds, painful raised red
nodules, rash on palms - ✔✔endocarditis , painful red spots on fingers olser's nodes,
janeway legions rash on palms and soles.
✔✔Know the difference between Peripheral Arterial Disease and Chronic Venous
Insufficiency or PVD. There was question about PAD. - ✔✔PAD: Absence of pulse,
decrease blow flowing down, PAIN, Dx doppler or ABI<0.9, TX exercise by walking or
antiplatelet,
PVD: Volume, edema, discoloration, decrease blood going up,
✔✔Chronic Bronchitis Treatment - ✔✔Smoking cessation
Pulmonary rehabilitation
Pharmacologic therapy
