AANP EXAM PEARLS COMPREHENSIVE TEST
PAPER 2026 COMPLETE SOLUTIONS
◉ Basal cell cancer. Answer: Waxy, pearly, telangiectasia, ulcer
center lesion
-most common type of skin cancer caused by UV exposure.
Metastatic is rare
◉ Actinic Keratosis. Answer: Scaly red to yellow located in sun
exposed area
-a precancerous skin growth that occurs on sun-damaged skin
◉ Actinic Keratosis. Answer: Numerous round dry pink to red areas.
Scaly red to yellow located in sun exposed area
-a pre squamous cell carcinoma occurs on sun-damaged skin
biopsy
cryo or 5fu cream
◉ subungual hematoma tx. Answer: Make a hole and drain the blood
◉ Moderate acne treatment. Answer: Without inflammation: Topical
retinoid
,Moderate inflammation: Topical Retinoid or benzoyl peroxide or
Azaleic acic ( very expensive and hard to get covered)
PLUS ADD
Oral antibiotics: doxycycline or tetracycline or minocycline-
(tetracyclines has been proven most affective for inflammatory
acne)
Minocycline- long term use has been linked with pseudotumor
cerebri
Oral contraceptives for hormone related
Spironolactone
◉ heart murmur with holosystolic or pan systolic
Heart mumur with mid systolic. Answer: MR - radiate axilla, 5th ICS
MCL, apex,
AS - radiate neck, 2ICS right sternal border
,MR ASSH
◉ Coarctation of Aorta. Answer: COA: bounding radial and weak
femoral pulse
increase blood pressure in arms, and lower pressure in lower legs.
-congenital cardiac condition characterized by a narrowing of the
aorta
-
◉ Murmur Grade III - VI. Answer: Loud murmur easily heard
◉ JVD caused by. Answer: -tension pneumothorax,
-Rt. sided heart failure,
-cardiac tamponade,
-traumatic axphysia from
Increase in portal pressure(LIVER) in venous side or cor pulmonale
◉ pt. with gradual onset of fever, hemorrhages on nail beds, painful
raised red nodules, rash on palms. Answer: endocarditis , painful red
spots on fingers olser's nodes, janeway legions rash on palms and
soles.
, ◉ Know the difference between Peripheral Arterial Disease and
Chronic Venous Insufficiency or PVD. There was question about
PAD.. Answer: PAD: Absence of pulse, decrease blow flowing down,
PAIN, Dx doppler or ABI<0.9, TX exercise by walking or antiplatelet,
PVD: Volume, edema, discoloration, decrease blood going up,
◉ Chronic Bronchitis Treatment. Answer: Smoking cessation
Pulmonary rehabilitation
Pharmacologic therapy
Supplemental oxygen
◉ TB... PPD is positive if area of induration is:. Answer: >5 mm in an
immunocompromised patient or close contact
>10 mm in immigrant, health care workers, drug user
>15 mm in a patient who lives in an area where TB is very rare.
◉ what condition would make you order Lateral X-ray of the neck.
Options include: Drooling, Unable to do ROM of the neck / stiff neck..
Answer: Croup/Epiglottitis
◉ AV nicking (Arterioles pressing on vein of the eye). Answer: HTN
retinopathy
PAPER 2026 COMPLETE SOLUTIONS
◉ Basal cell cancer. Answer: Waxy, pearly, telangiectasia, ulcer
center lesion
-most common type of skin cancer caused by UV exposure.
Metastatic is rare
◉ Actinic Keratosis. Answer: Scaly red to yellow located in sun
exposed area
-a precancerous skin growth that occurs on sun-damaged skin
◉ Actinic Keratosis. Answer: Numerous round dry pink to red areas.
Scaly red to yellow located in sun exposed area
-a pre squamous cell carcinoma occurs on sun-damaged skin
biopsy
cryo or 5fu cream
◉ subungual hematoma tx. Answer: Make a hole and drain the blood
◉ Moderate acne treatment. Answer: Without inflammation: Topical
retinoid
,Moderate inflammation: Topical Retinoid or benzoyl peroxide or
Azaleic acic ( very expensive and hard to get covered)
PLUS ADD
Oral antibiotics: doxycycline or tetracycline or minocycline-
(tetracyclines has been proven most affective for inflammatory
acne)
Minocycline- long term use has been linked with pseudotumor
cerebri
Oral contraceptives for hormone related
Spironolactone
◉ heart murmur with holosystolic or pan systolic
Heart mumur with mid systolic. Answer: MR - radiate axilla, 5th ICS
MCL, apex,
AS - radiate neck, 2ICS right sternal border
,MR ASSH
◉ Coarctation of Aorta. Answer: COA: bounding radial and weak
femoral pulse
increase blood pressure in arms, and lower pressure in lower legs.
-congenital cardiac condition characterized by a narrowing of the
aorta
-
◉ Murmur Grade III - VI. Answer: Loud murmur easily heard
◉ JVD caused by. Answer: -tension pneumothorax,
-Rt. sided heart failure,
-cardiac tamponade,
-traumatic axphysia from
Increase in portal pressure(LIVER) in venous side or cor pulmonale
◉ pt. with gradual onset of fever, hemorrhages on nail beds, painful
raised red nodules, rash on palms. Answer: endocarditis , painful red
spots on fingers olser's nodes, janeway legions rash on palms and
soles.
, ◉ Know the difference between Peripheral Arterial Disease and
Chronic Venous Insufficiency or PVD. There was question about
PAD.. Answer: PAD: Absence of pulse, decrease blow flowing down,
PAIN, Dx doppler or ABI<0.9, TX exercise by walking or antiplatelet,
PVD: Volume, edema, discoloration, decrease blood going up,
◉ Chronic Bronchitis Treatment. Answer: Smoking cessation
Pulmonary rehabilitation
Pharmacologic therapy
Supplemental oxygen
◉ TB... PPD is positive if area of induration is:. Answer: >5 mm in an
immunocompromised patient or close contact
>10 mm in immigrant, health care workers, drug user
>15 mm in a patient who lives in an area where TB is very rare.
◉ what condition would make you order Lateral X-ray of the neck.
Options include: Drooling, Unable to do ROM of the neck / stiff neck..
Answer: Croup/Epiglottitis
◉ AV nicking (Arterioles pressing on vein of the eye). Answer: HTN
retinopathy
