AANP FNP CERTIFICATION EXAM QUESTIONS AND ANSWERS
2023/2024 LATEST UPDATE WITH CORRECT ANSWERS
GRADED A+ FOR SUCCESS.
Spider bite - CORRECT ANSWERS fever chills, n/v, located arms, upper legs, or the trunk. Biten area
becomes swollen, red, and tender, and blisters appear within 24-48 hours. Necrotic in center, which
kills the tissue. Ice packs to wound and cold inactivates the toxin, tx like cellulitis of the skin, abx
ointment at first, watch etc. Exam
Pityoris rosea - CORRECT ANSWERS Pityoris rosea itchy, herald patch, xmas tree pattern, rash hands
soles/feet think to test for secondary syphilis RPR then VDRL are screening, then dx FTA-ABS. EXAM
Corneal abrasion - CORRECT ANSWERS Corneal Abrasions- Round/Irregular. Was on EXAM.
Acute Angle Closure Glaucoma - CORRECT ANSWERS acute/severe halos, cupping optic nerve,
cloudy cornea, mid-dilated oval pupil. ER STAT. EXAM
Conductive - CORRECT ANSWERS Conductive: Lateralization to bad ear. Rinne- BC > AC.
Rinne (1st mastoid, 2 front of ear, time each area).
Weber: Tunning fork midline. CN 8 (acoustic). EXAM
Koplik spots - CORRECT ANSWERS 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 - CORRECT ANSWERS Sensorineural: Lateralization to good ear. Rinne- AC > BC.
OME - CORRECT ANSWERS 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 - CORRECT ANSWERS sensorineural loss without lateralization. Involves the inner ear.
Symmetrical progressive. Human speech lost first. AGING ADULT EXAM
,AANP FNP CERTIFICATION EXAM QUESTIONS AND ANSWERS
2023/2024 LATEST UPDATE WITH CORRECT ANSWERS
GRADED A+ FOR SUCCESS.
OE - CORRECT ANSWERS 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 - CORRECT ANSWERS TX AMOXICILLIN OR AUGMENTIN ALLERGY MACROLIDE
Meiniers disease - CORRECT ANSWERS VERTIGO TINNITUS, HEARING LOSS. nystagmas
Mono - CORRECT ANSWERS test heterophile antibody test. ON EXAM
MR. ASS - CORRECT ANSWERS (Systolic Murmur) Only systolic murmurs will radiate to a location on
the exam.
Mitral Regurg - CORRECT ANSWERS (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. Murmurs Grades I-barely II-audible III- clearly audible. IV- first
time thrill V-Steth edge VI-entire steth. EXAM - CORRECT ANSWERS III first time audible, IV first time
thrill
Fundal height 12 weeks - CORRECT ANSWERS 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? -
CORRECT ANSWERS Iron, TIBC
, AANP FNP CERTIFICATION EXAM QUESTIONS AND ANSWERS
2023/2024 LATEST UPDATE WITH CORRECT ANSWERS
GRADED A+ FOR SUCCESS.
3 months of synthroid, TSH increased, T4 normal, what do you do? - CORRECT ANSWERS Increase
Medication
3 ways to assess cognitive function in patient with signs/symptoms of memory loss - CORRECT
ANSWERS Mini mental exam
4 month old with strabismus, mom is worried...... - CORRECT ANSWERS tell her it is normal.
4 month old wont keep anything down, what is the main thing you look at? - CORRECT ANSWERS
Growth chart
6 month old closed anterior fontanel. - CORRECT ANSWERS XRAY
Abnormal cells on PAP, what do you do next? - CORRECT ANSWERS Refer for Colposcopy
CAGE ACRONYM - CORRECT ANSWERS Cut down
Annoyed by criticism
Guilty about drinking
Eye opener drink
Causes of tachycardia - CORRECT ANSWERS Fever
Anemia
Hypotension
Cranial nerves responsible for extraocular eye movements - CORRECT ANSWERS CN 3,4,6
Definition of metabolic syndrome - CORRECT ANSWERS cluster of conditions that increase risk of
heart disease, stroke, diabetes.
diagnose trichomoniasis - CORRECT ANSWERS wet prep
2023/2024 LATEST UPDATE WITH CORRECT ANSWERS
GRADED A+ FOR SUCCESS.
Spider bite - CORRECT ANSWERS fever chills, n/v, located arms, upper legs, or the trunk. Biten area
becomes swollen, red, and tender, and blisters appear within 24-48 hours. Necrotic in center, which
kills the tissue. Ice packs to wound and cold inactivates the toxin, tx like cellulitis of the skin, abx
ointment at first, watch etc. Exam
Pityoris rosea - CORRECT ANSWERS Pityoris rosea itchy, herald patch, xmas tree pattern, rash hands
soles/feet think to test for secondary syphilis RPR then VDRL are screening, then dx FTA-ABS. EXAM
Corneal abrasion - CORRECT ANSWERS Corneal Abrasions- Round/Irregular. Was on EXAM.
Acute Angle Closure Glaucoma - CORRECT ANSWERS acute/severe halos, cupping optic nerve,
cloudy cornea, mid-dilated oval pupil. ER STAT. EXAM
Conductive - CORRECT ANSWERS Conductive: Lateralization to bad ear. Rinne- BC > AC.
Rinne (1st mastoid, 2 front of ear, time each area).
Weber: Tunning fork midline. CN 8 (acoustic). EXAM
Koplik spots - CORRECT ANSWERS 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 - CORRECT ANSWERS Sensorineural: Lateralization to good ear. Rinne- AC > BC.
OME - CORRECT ANSWERS 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 - CORRECT ANSWERS sensorineural loss without lateralization. Involves the inner ear.
Symmetrical progressive. Human speech lost first. AGING ADULT EXAM
,AANP FNP CERTIFICATION EXAM QUESTIONS AND ANSWERS
2023/2024 LATEST UPDATE WITH CORRECT ANSWERS
GRADED A+ FOR SUCCESS.
OE - CORRECT ANSWERS 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 - CORRECT ANSWERS TX AMOXICILLIN OR AUGMENTIN ALLERGY MACROLIDE
Meiniers disease - CORRECT ANSWERS VERTIGO TINNITUS, HEARING LOSS. nystagmas
Mono - CORRECT ANSWERS test heterophile antibody test. ON EXAM
MR. ASS - CORRECT ANSWERS (Systolic Murmur) Only systolic murmurs will radiate to a location on
the exam.
Mitral Regurg - CORRECT ANSWERS (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. Murmurs Grades I-barely II-audible III- clearly audible. IV- first
time thrill V-Steth edge VI-entire steth. EXAM - CORRECT ANSWERS III first time audible, IV first time
thrill
Fundal height 12 weeks - CORRECT ANSWERS 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? -
CORRECT ANSWERS Iron, TIBC
, AANP FNP CERTIFICATION EXAM QUESTIONS AND ANSWERS
2023/2024 LATEST UPDATE WITH CORRECT ANSWERS
GRADED A+ FOR SUCCESS.
3 months of synthroid, TSH increased, T4 normal, what do you do? - CORRECT ANSWERS Increase
Medication
3 ways to assess cognitive function in patient with signs/symptoms of memory loss - CORRECT
ANSWERS Mini mental exam
4 month old with strabismus, mom is worried...... - CORRECT ANSWERS tell her it is normal.
4 month old wont keep anything down, what is the main thing you look at? - CORRECT ANSWERS
Growth chart
6 month old closed anterior fontanel. - CORRECT ANSWERS XRAY
Abnormal cells on PAP, what do you do next? - CORRECT ANSWERS Refer for Colposcopy
CAGE ACRONYM - CORRECT ANSWERS Cut down
Annoyed by criticism
Guilty about drinking
Eye opener drink
Causes of tachycardia - CORRECT ANSWERS Fever
Anemia
Hypotension
Cranial nerves responsible for extraocular eye movements - CORRECT ANSWERS CN 3,4,6
Definition of metabolic syndrome - CORRECT ANSWERS cluster of conditions that increase risk of
heart disease, stroke, diabetes.
diagnose trichomoniasis - CORRECT ANSWERS wet prep
