AANP Practice 75 questions and answers
2025\2026 update
A h,65-year-old h,woman h,presents h,for h,a h,follow-up h,examination h,after h,a h,new h,patient h,visit. h,She h,has h,not
h,seen h,a h,healthcare h,provider h,for h,several h,years. h,She h,is h,a h,smoker h,and h,her h,hypertension h,is h,now
h,adequately h,controlled h,with h,medication. h,Her h,mother h,died h,at h,age h,40 h,from h,a h,heart h,attack. h,The h,fasting
h,lipid h,profile h,shows h,cholesterol h,= h,240 h,mg/dL, h,HDL h,= h,30, h,and h,LDL h,= h,200. h,In h,addition h,to h,starting
h,Therapeutic h,Lifestyle h,Changes, h,the h,nurse h,practitioner h,should h,start h,the h,patient h,on:
1. bile h,acid h,sequestrant.
2. a h,statin h,drug.
3. a h,cholesterol h,absorption h,inhibitor.
4. low-dose h,aspirin. h,- h,ANS>>A h,statin h,drug
The h,most h,commonly h,prescribed h,medication h,for h,mild h,systemic h,lupus h,erythematosus h,(SLE) h,is:
1. azathioprine h,(AZA).
2. belimumab h,(Benlysta).
3. ibuprofen h,(Advil).
4. cyclophosphamide h,(Cytoxan). h,- h,ANS>>ibuprofen h,(advil)
The h,most h,common h,sign h,of h,cervical h,cancer h,is:
1. postcoital h,bleeding.
2. strong h,odor h,from h,vaginal h,discharge.
3. itching h,in h,the h,vaginal h,area.
4. molluscum h,contagiosum. h,- h,ANS>>postcoital h,bleeding
The h,nurse h,practitioner h,prescribes h,amitriptyline h,(Elavil) h,for h,a h,patient h,with h,neuropathic h,pain
h,secondary h,to h,diabetes h,mellitus. h,On h,follow-up, h,the h,patient h,complains h,of h,urine h,retention h,and h,dry
h,mouth. h,The h,practitioner h,would:
1. discontinue h,amitriptyline h,and h,begin h,ibuprofen h,(Motrin).
2. refer h,to h,physical h,therapy.
3. start h,methocarbamol h,(Robaxin).
4. discontinue h,amitriptyline h,and h,begin h,gabapentin h,(Neurontin). h,- h,ANS>>discontinue h,amitriptyline
h,and h,begin h,gabapentin h,(neurontin)
, A h,17-year-old h,male h,with h,rheumatoid h,arthritis h,is h,being h,treated h,with h,an h,NSAID h,and h,omeprazole
h,(Prilosec). h,The h,patient h,complains h,of h,headache, h,abdominal h,pain, h,and h,gas. h,These h,symptoms h,are
h,most h,likely:
1. associated h,with h,the h,omeprazole.
2. related h,to h,the h,underlying h,condition.
3. the h,result h,of h,the h,NSAID.
4. caused h,by h,viral h,gastroenteritis. h,- h,ANS>>associated h,with h,the h,omeprazole
The h,medication h,of h,choice h,for h,the h,initial h,treatment h,of h,juvenile h,rheumatoid h,arthritis h,is:
1. acetaminophen.
2. prednisone.
3. aspirin.
4. ibuprofen. h,- h,ANS>>ibuprofen
A h,12-year-old h,with h,sickle h,cell h,anemia h,has h,recently h,experienced h,a h,sickle h,cell h,crisis h,and h,presents
h,for h,a h,follow-up h,examination h,after h,a h,recent h,hospitalization. h,It h,is h,most h,important h,to h,continue
h,monitoring h,growth, h,development, h,and:
1. white h,blood h,cell h,levels.
2. fecal h,occult h,blood h,test.
3. hemoglobin h,levels.
4. urine h,dipsticks. h,- h,ANS>>hemoglobin h,levels
A h,90-year-old h,female h,is h,brought h,to h,the h,clinic h,by h,her h,neighbor. h,She h,states h,that h,everything h,is h,fine,
h,but h,the h,nurse h,practitioner h,notes h,that h,she h,has h,poor h,hygiene h,and h,bruises h,on h,her h,trunk. h,The
h,neighbor h,is h,concerned h,that h,the h,patient h,often h,has h,no h,money h,to h,buy h,food, h,despite h,income h,from
h,social h,security h,and h,a h,coal h,miner's h,pension. h,The h,nurse h,practitioner h,suspects h,abuse. h,Which h,of h,the
h,following h,is h,the h,nurse h,practitioner h,obligated h,to h,do h,next?
1. Report h,the h,case h,to h,the h,proper h,authorities.
2. Tell h,the h,neighbor h,to h,check h,on h,the h,woman h,daily h,and h,report h,back.
3. Document h,the h,data h,and h,report h,the h,information h,to h,risk h,management.
4. Call h,the h,patient's h,family h,and h,inquire h,about h,the h,concerns. h,- h,ANS>>report h,the h,case h,to h,proper
h,authorities
In h,most h,cases, h,the h,first h,manifestation h,of h,Alzheimer's h,disease h,is:
1. impaired h,judgment.
2. decrease h,in h,short-term h,memory.
3. disorientation h,in h,time h,and h,place.
4. decrease h,in h,long-term h,memory. h,- h,ANS>>decrease h,in h,short-term h,memory
The h,optimal h,treatment h,for h,latent h,tuberculosis h,is:
1. rifampin h,(Rifadin) h,for h,5 h,months.
2. isoniazid h,(Nydrazid) h,for h,9 h,months.
3. pyrazinamide h,for h,6 h,months.
4. ethambutol h,for h,6 h,months. h,- h,ANS>>osioniazid h,(nydrazid) h,for h,9 h,months
2025\2026 update
A h,65-year-old h,woman h,presents h,for h,a h,follow-up h,examination h,after h,a h,new h,patient h,visit. h,She h,has h,not
h,seen h,a h,healthcare h,provider h,for h,several h,years. h,She h,is h,a h,smoker h,and h,her h,hypertension h,is h,now
h,adequately h,controlled h,with h,medication. h,Her h,mother h,died h,at h,age h,40 h,from h,a h,heart h,attack. h,The h,fasting
h,lipid h,profile h,shows h,cholesterol h,= h,240 h,mg/dL, h,HDL h,= h,30, h,and h,LDL h,= h,200. h,In h,addition h,to h,starting
h,Therapeutic h,Lifestyle h,Changes, h,the h,nurse h,practitioner h,should h,start h,the h,patient h,on:
1. bile h,acid h,sequestrant.
2. a h,statin h,drug.
3. a h,cholesterol h,absorption h,inhibitor.
4. low-dose h,aspirin. h,- h,ANS>>A h,statin h,drug
The h,most h,commonly h,prescribed h,medication h,for h,mild h,systemic h,lupus h,erythematosus h,(SLE) h,is:
1. azathioprine h,(AZA).
2. belimumab h,(Benlysta).
3. ibuprofen h,(Advil).
4. cyclophosphamide h,(Cytoxan). h,- h,ANS>>ibuprofen h,(advil)
The h,most h,common h,sign h,of h,cervical h,cancer h,is:
1. postcoital h,bleeding.
2. strong h,odor h,from h,vaginal h,discharge.
3. itching h,in h,the h,vaginal h,area.
4. molluscum h,contagiosum. h,- h,ANS>>postcoital h,bleeding
The h,nurse h,practitioner h,prescribes h,amitriptyline h,(Elavil) h,for h,a h,patient h,with h,neuropathic h,pain
h,secondary h,to h,diabetes h,mellitus. h,On h,follow-up, h,the h,patient h,complains h,of h,urine h,retention h,and h,dry
h,mouth. h,The h,practitioner h,would:
1. discontinue h,amitriptyline h,and h,begin h,ibuprofen h,(Motrin).
2. refer h,to h,physical h,therapy.
3. start h,methocarbamol h,(Robaxin).
4. discontinue h,amitriptyline h,and h,begin h,gabapentin h,(Neurontin). h,- h,ANS>>discontinue h,amitriptyline
h,and h,begin h,gabapentin h,(neurontin)
, A h,17-year-old h,male h,with h,rheumatoid h,arthritis h,is h,being h,treated h,with h,an h,NSAID h,and h,omeprazole
h,(Prilosec). h,The h,patient h,complains h,of h,headache, h,abdominal h,pain, h,and h,gas. h,These h,symptoms h,are
h,most h,likely:
1. associated h,with h,the h,omeprazole.
2. related h,to h,the h,underlying h,condition.
3. the h,result h,of h,the h,NSAID.
4. caused h,by h,viral h,gastroenteritis. h,- h,ANS>>associated h,with h,the h,omeprazole
The h,medication h,of h,choice h,for h,the h,initial h,treatment h,of h,juvenile h,rheumatoid h,arthritis h,is:
1. acetaminophen.
2. prednisone.
3. aspirin.
4. ibuprofen. h,- h,ANS>>ibuprofen
A h,12-year-old h,with h,sickle h,cell h,anemia h,has h,recently h,experienced h,a h,sickle h,cell h,crisis h,and h,presents
h,for h,a h,follow-up h,examination h,after h,a h,recent h,hospitalization. h,It h,is h,most h,important h,to h,continue
h,monitoring h,growth, h,development, h,and:
1. white h,blood h,cell h,levels.
2. fecal h,occult h,blood h,test.
3. hemoglobin h,levels.
4. urine h,dipsticks. h,- h,ANS>>hemoglobin h,levels
A h,90-year-old h,female h,is h,brought h,to h,the h,clinic h,by h,her h,neighbor. h,She h,states h,that h,everything h,is h,fine,
h,but h,the h,nurse h,practitioner h,notes h,that h,she h,has h,poor h,hygiene h,and h,bruises h,on h,her h,trunk. h,The
h,neighbor h,is h,concerned h,that h,the h,patient h,often h,has h,no h,money h,to h,buy h,food, h,despite h,income h,from
h,social h,security h,and h,a h,coal h,miner's h,pension. h,The h,nurse h,practitioner h,suspects h,abuse. h,Which h,of h,the
h,following h,is h,the h,nurse h,practitioner h,obligated h,to h,do h,next?
1. Report h,the h,case h,to h,the h,proper h,authorities.
2. Tell h,the h,neighbor h,to h,check h,on h,the h,woman h,daily h,and h,report h,back.
3. Document h,the h,data h,and h,report h,the h,information h,to h,risk h,management.
4. Call h,the h,patient's h,family h,and h,inquire h,about h,the h,concerns. h,- h,ANS>>report h,the h,case h,to h,proper
h,authorities
In h,most h,cases, h,the h,first h,manifestation h,of h,Alzheimer's h,disease h,is:
1. impaired h,judgment.
2. decrease h,in h,short-term h,memory.
3. disorientation h,in h,time h,and h,place.
4. decrease h,in h,long-term h,memory. h,- h,ANS>>decrease h,in h,short-term h,memory
The h,optimal h,treatment h,for h,latent h,tuberculosis h,is:
1. rifampin h,(Rifadin) h,for h,5 h,months.
2. isoniazid h,(Nydrazid) h,for h,9 h,months.
3. pyrazinamide h,for h,6 h,months.
4. ethambutol h,for h,6 h,months. h,- h,ANS>>osioniazid h,(nydrazid) h,for h,9 h,months