AANP EXAM PEARLS EXAM SCRIPT 2026
PRACTICE SOLUTION BUNDLED
◉ Finklestein's test. Answer: Test for de Quervain's syndrome
◉ McMurray Test. Answer: medial meniscus
hear a click
◉ acute angle closure glaucoma. Answer: sudden unilateral eye pain,
redness, dilated oval shaped pupil with poor light response
headache, n/v, halos around lights
cloudy cornea
fundoscope: cupping of optic nerve
◉ optic neuritis. Answer: new-intermittent loss of vision in 1 eye
nystagmus
multiple sclerosis
◉ orbital cellulitis. Answer: Redness, swelling, impaired motility,
painful, proptosis
,◉ retinal detachment. Answer: floaters and flashes of light, curtain
vision
◉ diabetic retinopathy. Answer: Microaneurysms caused by new
fragile arteries in the retina.
cotton wool spots
◉ cataracts. Answer: opacity of lens, halos around lights, develop
slowly over time, causing symptoms such as blurry vision
◉ Fibromyalgia. Answer: symptoms last more than 3 months
diffuse pain, sleep abnormalities, fatigue
◉ Alzheimer's symptoms. Answer: aphasia, apraxia, agnosia
◉ Mini-Mental State Examination (MMSE) mid-moderate score.
Answer: 10-26
◉ Mini-Mental State Examination (MMSE) moderate-advanced
score. Answer: <17
◉ Mini-Mental State Examination (MMSE) severe score. Answer:
<10
,◉ Diabetes screening tests. Answer: fasting plasma glucose >/= 126
A1C > 6.5
random blood sugar > 200 with symptoms
◉ Most common risk factor for developing hyperbilirubinemia in
newborn. Answer: blood incompatibility with the mother
◉ Sports physical: limitations for participation. Answer:
hypertyrophic cardiomyopathy
down syndrome
juvenile RA
marfan syndrome
ehers-danlos
infections
rheumatic fever
mitral valve prolapse
◉ Mono vs group a strep pharyngitis. Answer: Mono: gradual,
fatigue, LUQ pain
Strep: sudden, white patches, red throat
, ◉ Grade I heart murmur. Answer: only heard in optimal conditions
◉ Grade II heart murmur. Answer: clearly audible but faint
◉ Grade III heart murmur. Answer: loud, easily heard with
stethoscope
◉ Grade IV heart murmur. Answer: loud, associated with thrill
◉ Grade V heart murmur. Answer: very loud, thrill easily palpable
heard with edge of stethoscope off chest
◉ Grade VI heart murmur. Answer: very loud, audible even with
stethoscope not on chest, thrill palpable and visible
◉ BPH symptoms
clinical findings. Answer: weak urinary stream, post-void dribbling,
feeling of incomplete emptying, urinary retention, nocturia
prostate feels boggy and uniformly enlarged
◉ Initial assessment of depression in geriatric patients. Answer:
mental status exam
PRACTICE SOLUTION BUNDLED
◉ Finklestein's test. Answer: Test for de Quervain's syndrome
◉ McMurray Test. Answer: medial meniscus
hear a click
◉ acute angle closure glaucoma. Answer: sudden unilateral eye pain,
redness, dilated oval shaped pupil with poor light response
headache, n/v, halos around lights
cloudy cornea
fundoscope: cupping of optic nerve
◉ optic neuritis. Answer: new-intermittent loss of vision in 1 eye
nystagmus
multiple sclerosis
◉ orbital cellulitis. Answer: Redness, swelling, impaired motility,
painful, proptosis
,◉ retinal detachment. Answer: floaters and flashes of light, curtain
vision
◉ diabetic retinopathy. Answer: Microaneurysms caused by new
fragile arteries in the retina.
cotton wool spots
◉ cataracts. Answer: opacity of lens, halos around lights, develop
slowly over time, causing symptoms such as blurry vision
◉ Fibromyalgia. Answer: symptoms last more than 3 months
diffuse pain, sleep abnormalities, fatigue
◉ Alzheimer's symptoms. Answer: aphasia, apraxia, agnosia
◉ Mini-Mental State Examination (MMSE) mid-moderate score.
Answer: 10-26
◉ Mini-Mental State Examination (MMSE) moderate-advanced
score. Answer: <17
◉ Mini-Mental State Examination (MMSE) severe score. Answer:
<10
,◉ Diabetes screening tests. Answer: fasting plasma glucose >/= 126
A1C > 6.5
random blood sugar > 200 with symptoms
◉ Most common risk factor for developing hyperbilirubinemia in
newborn. Answer: blood incompatibility with the mother
◉ Sports physical: limitations for participation. Answer:
hypertyrophic cardiomyopathy
down syndrome
juvenile RA
marfan syndrome
ehers-danlos
infections
rheumatic fever
mitral valve prolapse
◉ Mono vs group a strep pharyngitis. Answer: Mono: gradual,
fatigue, LUQ pain
Strep: sudden, white patches, red throat
, ◉ Grade I heart murmur. Answer: only heard in optimal conditions
◉ Grade II heart murmur. Answer: clearly audible but faint
◉ Grade III heart murmur. Answer: loud, easily heard with
stethoscope
◉ Grade IV heart murmur. Answer: loud, associated with thrill
◉ Grade V heart murmur. Answer: very loud, thrill easily palpable
heard with edge of stethoscope off chest
◉ Grade VI heart murmur. Answer: very loud, audible even with
stethoscope not on chest, thrill palpable and visible
◉ BPH symptoms
clinical findings. Answer: weak urinary stream, post-void dribbling,
feeling of incomplete emptying, urinary retention, nocturia
prostate feels boggy and uniformly enlarged
◉ Initial assessment of depression in geriatric patients. Answer:
mental status exam
