AANP CERTIFICATION EXAM QUESTIONS AND
CORRECT DETAILED ANSWERS WITH
RATIONALES (VERIFIED ANSWERS) 2025/2026
| ALREADY GRADED A+
diverticulum can be an infection of --PRECISE ANSS--- both gram - and +
bacteria Which diuretic should be used for osteoporosis? --PRECISE ANSS---
Thiazide diuretics: slows the kidneys excretion of calcium and increases
reabsorption
Lachman maneuver --PRECISE ANSS--- knee
instability tear of ACL
Infections of labia and vagina --PRECISE ANSS--- bacterial vaginosis, candidiasis, and
trichomoniasis Chlamydia affects --PRECISE ANSS--- cervix, endometrial lining, fallopian tubes,
pelvic cavity
Acute abdomen symptoms --PRECISE ANSS--- involuntary guarding, rebound tenderness, board-like
abdomen,
+obturator and psoas sign
Care of preecplampsia --PRECISE ANSS--- bed rest, weight and blood pressure monitoring
Preeclampsia labs --PRECISE ANSS--- urine protein, serum protein, creatinine, platelet count
Preeclampsia symptoms --PRECISE ANSS--- hypertension, proteinuria, edema (weight gain)
Preeclampsia complications --PRECISE ANSS--- 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 --PRECISE ANSS--- mycolpasma pneumoniae (atypical)
h. influenza, strep pneumoniae
atypical: psuedomonas aeruginosa
,college student, school children, military
macrolides: azithromycin, clarithromycin
Mantoux test --PRECISE ANSS--- Positive: 5mm
Positive for recent immigrants: 10mm
,Murphy's sign --PRECISE ANSS--- biliary disorders
deep inspiration by patient and deep palpation RUQ below costovertebral angle
placenta previa --PRECISE ANSS--- 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 --PRECISE ANSS--- middle age to older
women Hypertension Retinopathy --PRECISE ANSS--- AV nicking and copper or silver wire
arterioles flame-shaped hemorrhages
threatened abortion --PRECISE ANSS--- vaginal bleeding and cramping, soft uterus, cervix
closed bacterial vaginosis --PRECISE ANSS--- 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 --PRECISE ANSS--- clue cells
Lichen sclerosis --PRECISE ANSS--- skin disease, white spots appear over time, most common genital and
rectal most common in older woman
itching, discomfort, bleeding
order biopsy
AV valves --PRECISE ANSS--- mitral and tricuspid
semilunar valves --PRECISE ANSS--- pulmonary and
aortic S1 --PRECISE ANSS--- systole
closure of AV valves
mitral regurgitation
aortic stenosis
S2 --PRECISE ANSS---
diastole closure of semilunar
valves mitral stenosis
, aortic regurgitation
S3 --PRECISE ANSS--- normal variant in children, healthy young adults, and
athletes heart failure
early diastole
S4 --PRECISE ANSS--- left ventricle
hypertrophy late diastole
Tanner Stages Males: II --PRECISE ANSS--- no changes to penis, testes
enlarge Pubic hair is sparse and straight
Tanner Stages Males: III --PRECISE ANSS--- penis
lengthens hair darker and starts to curl
Tanner Stages Males: IV --PRECISE ANSS--- penis increases in length and
width hair coarse, not yet on medial thigh
Tanner Stages Females: II --PRECISE ANSS--- breast
buds pubic hair sparse and straight
Tanner Stages Females: III --PRECISE ANSS--- breast tissue and areola in one
mound hair darker, starts to curl
Tanner Stages Females: IV --PRECISE ANSS--- areola separates and forms a secondary
mound hair coarse, not on medial thigh yet
TORCH infections --PRECISE ANSS---
Toxoplasmosis Other
Rubella
Cytomegalovirus
Herpes
osteoarthritis vs rheomatoid arthritis --PRECISE ANSS--- 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 --PRECISE ANSS--- instability of the knee
mediolateral and anteroposterior plane
CORRECT DETAILED ANSWERS WITH
RATIONALES (VERIFIED ANSWERS) 2025/2026
| ALREADY GRADED A+
diverticulum can be an infection of --PRECISE ANSS--- both gram - and +
bacteria Which diuretic should be used for osteoporosis? --PRECISE ANSS---
Thiazide diuretics: slows the kidneys excretion of calcium and increases
reabsorption
Lachman maneuver --PRECISE ANSS--- knee
instability tear of ACL
Infections of labia and vagina --PRECISE ANSS--- bacterial vaginosis, candidiasis, and
trichomoniasis Chlamydia affects --PRECISE ANSS--- cervix, endometrial lining, fallopian tubes,
pelvic cavity
Acute abdomen symptoms --PRECISE ANSS--- involuntary guarding, rebound tenderness, board-like
abdomen,
+obturator and psoas sign
Care of preecplampsia --PRECISE ANSS--- bed rest, weight and blood pressure monitoring
Preeclampsia labs --PRECISE ANSS--- urine protein, serum protein, creatinine, platelet count
Preeclampsia symptoms --PRECISE ANSS--- hypertension, proteinuria, edema (weight gain)
Preeclampsia complications --PRECISE ANSS--- 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 --PRECISE ANSS--- mycolpasma pneumoniae (atypical)
h. influenza, strep pneumoniae
atypical: psuedomonas aeruginosa
,college student, school children, military
macrolides: azithromycin, clarithromycin
Mantoux test --PRECISE ANSS--- Positive: 5mm
Positive for recent immigrants: 10mm
,Murphy's sign --PRECISE ANSS--- biliary disorders
deep inspiration by patient and deep palpation RUQ below costovertebral angle
placenta previa --PRECISE ANSS--- 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 --PRECISE ANSS--- middle age to older
women Hypertension Retinopathy --PRECISE ANSS--- AV nicking and copper or silver wire
arterioles flame-shaped hemorrhages
threatened abortion --PRECISE ANSS--- vaginal bleeding and cramping, soft uterus, cervix
closed bacterial vaginosis --PRECISE ANSS--- 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 --PRECISE ANSS--- clue cells
Lichen sclerosis --PRECISE ANSS--- skin disease, white spots appear over time, most common genital and
rectal most common in older woman
itching, discomfort, bleeding
order biopsy
AV valves --PRECISE ANSS--- mitral and tricuspid
semilunar valves --PRECISE ANSS--- pulmonary and
aortic S1 --PRECISE ANSS--- systole
closure of AV valves
mitral regurgitation
aortic stenosis
S2 --PRECISE ANSS---
diastole closure of semilunar
valves mitral stenosis
, aortic regurgitation
S3 --PRECISE ANSS--- normal variant in children, healthy young adults, and
athletes heart failure
early diastole
S4 --PRECISE ANSS--- left ventricle
hypertrophy late diastole
Tanner Stages Males: II --PRECISE ANSS--- no changes to penis, testes
enlarge Pubic hair is sparse and straight
Tanner Stages Males: III --PRECISE ANSS--- penis
lengthens hair darker and starts to curl
Tanner Stages Males: IV --PRECISE ANSS--- penis increases in length and
width hair coarse, not yet on medial thigh
Tanner Stages Females: II --PRECISE ANSS--- breast
buds pubic hair sparse and straight
Tanner Stages Females: III --PRECISE ANSS--- breast tissue and areola in one
mound hair darker, starts to curl
Tanner Stages Females: IV --PRECISE ANSS--- areola separates and forms a secondary
mound hair coarse, not on medial thigh yet
TORCH infections --PRECISE ANSS---
Toxoplasmosis Other
Rubella
Cytomegalovirus
Herpes
osteoarthritis vs rheomatoid arthritis --PRECISE ANSS--- 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 --PRECISE ANSS--- instability of the knee
mediolateral and anteroposterior plane
