2026 AANP FNP TEST QUESTIONS AND ANSWERS
SET A+
✔✔Koplik spots - ✔✔Koplik Spots- "clusters sm. Size red papules w/ white centers in
the buccal mucosa by lower molars". Rubeolla. Fever, conjunctivitis, coryza, cough (3c).
Morbiliform rash. EXAM
✔✔Sensorineural - ✔✔Sensorineural: Lateralization to good ear. Rinne- AC > BC.
✔✔OME - ✔✔Ear pressure, popping, muffled hearing, chronic allergic rhinitis, sterile
serious fluid is trapped in the middle ear. TM should NOT BED RED. TM may bulge or
retract. TREATMENT: Oral decongestants, steroid nasal spray, treat like allergies.
Usually Painless. Weber- Lateralization to affected ear. Rhinne- BC > AC. PRECEDES
OR USUALLY FOLLOWS AOM. SUPPORTIVE CARE AND WAIT 3 MOS SOMEX.
EXAM
✔✔Presbycusis - ✔✔sensorineural loss without lateralization. Involves the inner ear.
Symmetrical progressive. Human speech lost first. AGING ADULT EXAM
✔✔OE - ✔✔Otitis Externa (swimmers ear)- Pseudomonas aeruginosa. (other- S.
aureus). External ear pain- d/c itching, hearing loss, tragus, green d/c. TREATMENT:
Corticosporin, Cipro EXAM
✔✔Sinusitis - ✔✔TX AMOXICILLIN OR AUGMENTIN ALLERGY MACROLIDE
✔✔Meiniers disease - ✔✔VERTIGO TINNITUS, HEARING LOSS. nystagmas
✔✔Mono - ✔✔test heterophile antibody test. ON EXAM
✔✔MR. ASS - ✔✔(Systolic Murmur) Only systolic murmurs will radiate to a location on
the exam.
, ✔✔Mitral Regurg - ✔✔(Holo/pansystolic)- radiates to axilla. Think Mitral area 5th ics
MCL.
Aortic Stenosis (mid systolic ejection) radiates to neck. Think 2ics rsb.
✔✔All diastolic murmurs are pathological. Grades Murmurs - ✔✔I-barely II-audible III-
clearly audible. IV- first time thrill V-Steth edge VI-entire steth. EXAM
✔✔MVP - ✔✔MVP- S2 click, followed by systolic murmur. Asymptomatic. MVP with
palpitations is treated with BB. LATE SYSTOLIC.
✔✔S3- HF,
S4-LVH stiffening, - ✔✔S3- HF, Kentucky, early diastole. Abn >35. Bell EXAM
S4-LVH stiffening, Tennesse, late diastole. "Atrial kick/gallop" EXAM
✔✔Isolated Systolic HTN - ✔✔CCB
✔✔PAD/ PVD - ✔✔PAD/ PVD (same)- Nocturnal pain relieved by lowering legs, poor
pulses, dependent rubor, intermittent claudication, atrophy, shiny, hairless, cold feet.
Initial do a pulse check, ABI 0.9 or less is PAD. Ateriography is the most DEFINITIVE
test. Try to develop collateral circulation. Otherwise- Trental, Pletal. EXAM
✔✔CVI - ✔✔CVI- Impaired venous return. Achy legs relieved by elevation, edema after
prolonged standing, night cramps, brownish discoloration, cold, ulcers. Etc. do support
stockings. EXAM
✔✔blood pressure - ✔✔BP - ST 1 (140-159/ 90-99), if you know this you will get the
rest!! Normal is <120/80. ELERGLY OVER 60 150/90 IS OK. ISH WILL INCREASE
SYSTOLIC NOT DIASTOLIC. ON EXAM.
✔✔Thiazide diuretics - ✔✔no sulfa allergies, hyperuricemia, hypokalemia,
hypomagnesia, hyponatremia, hyperglycemia, hypertriglycerides. ON EXAM
✔✔Statin - ✔✔Must check LFT before starting Statin. Know when to start statins and
what to check for to decide mod-high dose statins. ON EXAM
✔✔Pulses paradoxus - ✔✔Pulsus paradox Apical pulse can still be heard even though
the radial pulse is no longer palpable. Certain issues cause impairment with diastolic
filling, 10 or greater drop in the SYSTOLIC pressure. I think her patient had asthma and
their pressure dropped by 10 etc. ON EXAM
✔✔Emphysema - ✔✔Emphysema Lungs- Percussion-HYPERENNOSANCE tactile
frem + egophony- dec. CXR- flattened diaphragms with hyperinflation. Inc. AP diameter,
accessory muscles, pursed-lip breathing, weight loss. ON EXAM
SET A+
✔✔Koplik spots - ✔✔Koplik Spots- "clusters sm. Size red papules w/ white centers in
the buccal mucosa by lower molars". Rubeolla. Fever, conjunctivitis, coryza, cough (3c).
Morbiliform rash. EXAM
✔✔Sensorineural - ✔✔Sensorineural: Lateralization to good ear. Rinne- AC > BC.
✔✔OME - ✔✔Ear pressure, popping, muffled hearing, chronic allergic rhinitis, sterile
serious fluid is trapped in the middle ear. TM should NOT BED RED. TM may bulge or
retract. TREATMENT: Oral decongestants, steroid nasal spray, treat like allergies.
Usually Painless. Weber- Lateralization to affected ear. Rhinne- BC > AC. PRECEDES
OR USUALLY FOLLOWS AOM. SUPPORTIVE CARE AND WAIT 3 MOS SOMEX.
EXAM
✔✔Presbycusis - ✔✔sensorineural loss without lateralization. Involves the inner ear.
Symmetrical progressive. Human speech lost first. AGING ADULT EXAM
✔✔OE - ✔✔Otitis Externa (swimmers ear)- Pseudomonas aeruginosa. (other- S.
aureus). External ear pain- d/c itching, hearing loss, tragus, green d/c. TREATMENT:
Corticosporin, Cipro EXAM
✔✔Sinusitis - ✔✔TX AMOXICILLIN OR AUGMENTIN ALLERGY MACROLIDE
✔✔Meiniers disease - ✔✔VERTIGO TINNITUS, HEARING LOSS. nystagmas
✔✔Mono - ✔✔test heterophile antibody test. ON EXAM
✔✔MR. ASS - ✔✔(Systolic Murmur) Only systolic murmurs will radiate to a location on
the exam.
, ✔✔Mitral Regurg - ✔✔(Holo/pansystolic)- radiates to axilla. Think Mitral area 5th ics
MCL.
Aortic Stenosis (mid systolic ejection) radiates to neck. Think 2ics rsb.
✔✔All diastolic murmurs are pathological. Grades Murmurs - ✔✔I-barely II-audible III-
clearly audible. IV- first time thrill V-Steth edge VI-entire steth. EXAM
✔✔MVP - ✔✔MVP- S2 click, followed by systolic murmur. Asymptomatic. MVP with
palpitations is treated with BB. LATE SYSTOLIC.
✔✔S3- HF,
S4-LVH stiffening, - ✔✔S3- HF, Kentucky, early diastole. Abn >35. Bell EXAM
S4-LVH stiffening, Tennesse, late diastole. "Atrial kick/gallop" EXAM
✔✔Isolated Systolic HTN - ✔✔CCB
✔✔PAD/ PVD - ✔✔PAD/ PVD (same)- Nocturnal pain relieved by lowering legs, poor
pulses, dependent rubor, intermittent claudication, atrophy, shiny, hairless, cold feet.
Initial do a pulse check, ABI 0.9 or less is PAD. Ateriography is the most DEFINITIVE
test. Try to develop collateral circulation. Otherwise- Trental, Pletal. EXAM
✔✔CVI - ✔✔CVI- Impaired venous return. Achy legs relieved by elevation, edema after
prolonged standing, night cramps, brownish discoloration, cold, ulcers. Etc. do support
stockings. EXAM
✔✔blood pressure - ✔✔BP - ST 1 (140-159/ 90-99), if you know this you will get the
rest!! Normal is <120/80. ELERGLY OVER 60 150/90 IS OK. ISH WILL INCREASE
SYSTOLIC NOT DIASTOLIC. ON EXAM.
✔✔Thiazide diuretics - ✔✔no sulfa allergies, hyperuricemia, hypokalemia,
hypomagnesia, hyponatremia, hyperglycemia, hypertriglycerides. ON EXAM
✔✔Statin - ✔✔Must check LFT before starting Statin. Know when to start statins and
what to check for to decide mod-high dose statins. ON EXAM
✔✔Pulses paradoxus - ✔✔Pulsus paradox Apical pulse can still be heard even though
the radial pulse is no longer palpable. Certain issues cause impairment with diastolic
filling, 10 or greater drop in the SYSTOLIC pressure. I think her patient had asthma and
their pressure dropped by 10 etc. ON EXAM
✔✔Emphysema - ✔✔Emphysema Lungs- Percussion-HYPERENNOSANCE tactile
frem + egophony- dec. CXR- flattened diaphragms with hyperinflation. Inc. AP diameter,
accessory muscles, pursed-lip breathing, weight loss. ON EXAM
