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