FNP 593 ACTUAL EXAM PAPER 2026
QUESTIONS WITH SOLUTIONS GRADED A+
●● General clinical findings of ASD
Answer: -problems with social interactions, communication, and
language skills shown by their unusual ways of relating to people,
objects & events
-abnormal responses to sensory stimuli, usually sound
-restrictive, repetitive, or stereotyped behavior and echolalic speech
●● Clinical findings of ASD in infants
Answer: -passive, non-engaging, quiet, floppy infant or a difficult,
colicky, stiff baby with poor eye contact
-attachment problems, failure to respond to name or gestures
●● Clinical findings of ASD in toddlers
Answer: -language delays, lack of social relatedness, & severe
behavioral problems
-expressive language is delayed
-echolalia (repetition of words of phrases), have trouble modulating tone
of voice
-social detachment, decreased eye contact, lack of reciprocity or
initiating conversation, lack of fear, poor creative skills
,-persistent/excessive temper tantrums, preference to line, stack or spin
toys, insistence on routines
●● Clinical findings of ASD in school age
Answer: -lack of reciprocal friendships
-continued language, social & behavioral problems
-difficult transitions from place to place and activity to activity
-ritualistic behaviors
●● Red flags with ASD
Answer: -does not respond to their name by 12 months
-does not point at objects to show interest by 14 months
-does not pay "pretend" games by 18 months
-avoids eye contact and wants to be alone
-has trouble understanding other people's feelings or talking about their
feelings
-has delayed speech and language skills (no babbling or gesturing by 12
months)
-repeating words or phrases over and over
-gets upset by minor changes
-has obsessive interests
-flaps their hands, rocks their body or spins in circles
-has unusual reactions to the way things sound, smell, taste or look
, -fails to meet childhood milestones
-has sibling with autism
●● Management of ASD
Answer: 1. Appropriate evidenced-based and structured educational &
behavioral interventions
2. Pharmacotherapy only for a specific target symptom or comorbid
condition
3. Active role in long-term therapy
4. Inquiring about the use of complementary or alternative therapies
●● Comorbidities of ADHD
Answer: learning disability, anxiety, depression, oppositional defiant
disorder, specific learning disorder, autism, OCD, conduct disorder,
intermittent explosive disorder, tics, anti-social personality disorders,
sleep apnea
●● Types of ADHD
Answer: 1. Predominantly inattentive presentation- hard to pay attention,
easily distracted, forgets details or daily routines (1/3 of cases)
2. Predominantly hyperactive- impulsive behavior, talks a lot, hard to
stay still, restless
3. Combined presentation- symptoms of both the above are equally
present (most prevalent)
QUESTIONS WITH SOLUTIONS GRADED A+
●● General clinical findings of ASD
Answer: -problems with social interactions, communication, and
language skills shown by their unusual ways of relating to people,
objects & events
-abnormal responses to sensory stimuli, usually sound
-restrictive, repetitive, or stereotyped behavior and echolalic speech
●● Clinical findings of ASD in infants
Answer: -passive, non-engaging, quiet, floppy infant or a difficult,
colicky, stiff baby with poor eye contact
-attachment problems, failure to respond to name or gestures
●● Clinical findings of ASD in toddlers
Answer: -language delays, lack of social relatedness, & severe
behavioral problems
-expressive language is delayed
-echolalia (repetition of words of phrases), have trouble modulating tone
of voice
-social detachment, decreased eye contact, lack of reciprocity or
initiating conversation, lack of fear, poor creative skills
,-persistent/excessive temper tantrums, preference to line, stack or spin
toys, insistence on routines
●● Clinical findings of ASD in school age
Answer: -lack of reciprocal friendships
-continued language, social & behavioral problems
-difficult transitions from place to place and activity to activity
-ritualistic behaviors
●● Red flags with ASD
Answer: -does not respond to their name by 12 months
-does not point at objects to show interest by 14 months
-does not pay "pretend" games by 18 months
-avoids eye contact and wants to be alone
-has trouble understanding other people's feelings or talking about their
feelings
-has delayed speech and language skills (no babbling or gesturing by 12
months)
-repeating words or phrases over and over
-gets upset by minor changes
-has obsessive interests
-flaps their hands, rocks their body or spins in circles
-has unusual reactions to the way things sound, smell, taste or look
, -fails to meet childhood milestones
-has sibling with autism
●● Management of ASD
Answer: 1. Appropriate evidenced-based and structured educational &
behavioral interventions
2. Pharmacotherapy only for a specific target symptom or comorbid
condition
3. Active role in long-term therapy
4. Inquiring about the use of complementary or alternative therapies
●● Comorbidities of ADHD
Answer: learning disability, anxiety, depression, oppositional defiant
disorder, specific learning disorder, autism, OCD, conduct disorder,
intermittent explosive disorder, tics, anti-social personality disorders,
sleep apnea
●● Types of ADHD
Answer: 1. Predominantly inattentive presentation- hard to pay attention,
easily distracted, forgets details or daily routines (1/3 of cases)
2. Predominantly hyperactive- impulsive behavior, talks a lot, hard to
stay still, restless
3. Combined presentation- symptoms of both the above are equally
present (most prevalent)
