AANP Family Nurse Practitioner
Certification Exam Review
Questions and Verified Answers,100% Guarantee Pass
1. 3 month old infant with down syndrome, due to milk intolerance, mom
started on goats milk; now has pale conjunctiva but otherwise healthy. Low
HCT. What additional test would you order
Answer> Iron, TIBC
2. 3 months of synthroid, TSH increased, T4 normal, what do you do
Answer> increase medication
3. 3 ways to assess cognitive function in patient with signs/symptoms of
memory loss:
Answer> MMSE
4. 4 month old with strabismus, mom is worried
Answer>: tell her it is normal
5. 4 month old wont keep anything down,
what is the main thing you look
at
Answer> growth chart
6. 6 month old closed anterior fontanel:
Answer> XRAY
,7. 88/yr. old patient in for follow up secondary. She's been treated with Tylenol
for Joint arthritis. Her SED rate was checked after 6 weeks of treatment and
it was 28. Normal range is from something to 25. How would you treat the
pt: Answer> change to NSAID, SED rate is a sign of inflammation
8. a pregnant female at slightly above symphysis pubic and Fundal height is
32cm (above the umbilical). What should be done:
Answer> order Ultrasound
9. If A1C > 9 on two oral meds what do you order
: Answer> If you are already on TWO oral drugs for diabetes and A1c is 9 or
higher, start BASAL insulin.
If you cannot tolerate metformin and your A1c is 9 or higher start BASAL insulin. ON
EXAM
Intermediate-acting- NPH (Humulin N, Novolin N)
Long-acting-Levimir/Basalgar/Lantus
Ultra-long-acting-Degludec (Tresiba) and glargine u-300 (Toujeo)
10. Abnormal cells on PAP, what do you do next
Answer> refer for Colposcopy
11. ACE/ARB contraindications: pregnancy
Renal failure
Renal Stenosis
12. Condition when ACE is contraindicated: pregnancy
13. Acne Rosacea: chronic small acne like papules/pustules around nose mouth
,chin
TREATMENT- Metrogel, Azelex. Low dose tetracycline. Clindamycin. EXAM
14. Acne Vulgaris: common acne
TREATMENT-Retin-A, acne worsens 4-6 weeks if no improvement in 8-12 weeks
increase dose or add erythromycin, benzoyl peroxide.
15. actinic keratoses: Precursor to squamous cell carcinoma. "numerous dry round
and pink to red lesions" with a rough and scaly texture. Does not heal. Slow growing
in sun exposed areas.
Diagnosis: BIOPSY Golden Standard.
Treatment: Small area- liquid nitrogen or (cryotherapy), Large area (5-FU cream)-
which causes skin to ooze, crust, scab, redness EXAM
16. Acute Angle Closure Glaucoma: acute/severe halos, cupping optic nerve,
cloudy cornea, mid-dilated oval pupil.
ER STAT. EXAM
17. Acute Bacterial Pneumonia CXR: middle lobe. ON EXAM
18. Acute Closed Angle Glaucoma Vs Open Angle: Acute-Sudden pain, halos,
cupping, dilated, cloudy , intraocular pressure, HA, refer ED
19. Open Angle Glaucoma (primary): CN 2, gradual loss peripheral vision first
TX-laser trabeculoplasty
Eye drops (prostaglandin analogues)-latanoprost , bimatoprost ,travoprost
20. Treatment of Initial Genital Herpes: Acyclovir 200mg 5 x day
, 21. Addison's disease: Addison's- deficient in cortisol (pt have low sodium, blood
sugar, but Increased K.)
You must give cortisol.
(Diagnosis Plasma Cortisol <5 mcg/dl @ 0800.) EXAM
22. ADHD: A behavioral problem characterized by short attention span, restless
movement, and impaired learning capacity.
23. Which murmurs are pathological: all diastolic murmurs
24. Murmur grading: I-barely
II-audible
III- clearly audible.
IV- first time thrill
V-Steth edge
VI-entire steth. EXAM
25. Allergic Conjunctivitis: "stringy; increased tearing" Type I sensitivity. Typically
bilateral. Rhinitis and allergic shiner.
TX=PO antihistamines
Certification Exam Review
Questions and Verified Answers,100% Guarantee Pass
1. 3 month old infant with down syndrome, due to milk intolerance, mom
started on goats milk; now has pale conjunctiva but otherwise healthy. Low
HCT. What additional test would you order
Answer> Iron, TIBC
2. 3 months of synthroid, TSH increased, T4 normal, what do you do
Answer> increase medication
3. 3 ways to assess cognitive function in patient with signs/symptoms of
memory loss:
Answer> MMSE
4. 4 month old with strabismus, mom is worried
Answer>: tell her it is normal
5. 4 month old wont keep anything down,
what is the main thing you look
at
Answer> growth chart
6. 6 month old closed anterior fontanel:
Answer> XRAY
,7. 88/yr. old patient in for follow up secondary. She's been treated with Tylenol
for Joint arthritis. Her SED rate was checked after 6 weeks of treatment and
it was 28. Normal range is from something to 25. How would you treat the
pt: Answer> change to NSAID, SED rate is a sign of inflammation
8. a pregnant female at slightly above symphysis pubic and Fundal height is
32cm (above the umbilical). What should be done:
Answer> order Ultrasound
9. If A1C > 9 on two oral meds what do you order
: Answer> If you are already on TWO oral drugs for diabetes and A1c is 9 or
higher, start BASAL insulin.
If you cannot tolerate metformin and your A1c is 9 or higher start BASAL insulin. ON
EXAM
Intermediate-acting- NPH (Humulin N, Novolin N)
Long-acting-Levimir/Basalgar/Lantus
Ultra-long-acting-Degludec (Tresiba) and glargine u-300 (Toujeo)
10. Abnormal cells on PAP, what do you do next
Answer> refer for Colposcopy
11. ACE/ARB contraindications: pregnancy
Renal failure
Renal Stenosis
12. Condition when ACE is contraindicated: pregnancy
13. Acne Rosacea: chronic small acne like papules/pustules around nose mouth
,chin
TREATMENT- Metrogel, Azelex. Low dose tetracycline. Clindamycin. EXAM
14. Acne Vulgaris: common acne
TREATMENT-Retin-A, acne worsens 4-6 weeks if no improvement in 8-12 weeks
increase dose or add erythromycin, benzoyl peroxide.
15. actinic keratoses: Precursor to squamous cell carcinoma. "numerous dry round
and pink to red lesions" with a rough and scaly texture. Does not heal. Slow growing
in sun exposed areas.
Diagnosis: BIOPSY Golden Standard.
Treatment: Small area- liquid nitrogen or (cryotherapy), Large area (5-FU cream)-
which causes skin to ooze, crust, scab, redness EXAM
16. Acute Angle Closure Glaucoma: acute/severe halos, cupping optic nerve,
cloudy cornea, mid-dilated oval pupil.
ER STAT. EXAM
17. Acute Bacterial Pneumonia CXR: middle lobe. ON EXAM
18. Acute Closed Angle Glaucoma Vs Open Angle: Acute-Sudden pain, halos,
cupping, dilated, cloudy , intraocular pressure, HA, refer ED
19. Open Angle Glaucoma (primary): CN 2, gradual loss peripheral vision first
TX-laser trabeculoplasty
Eye drops (prostaglandin analogues)-latanoprost , bimatoprost ,travoprost
20. Treatment of Initial Genital Herpes: Acyclovir 200mg 5 x day
, 21. Addison's disease: Addison's- deficient in cortisol (pt have low sodium, blood
sugar, but Increased K.)
You must give cortisol.
(Diagnosis Plasma Cortisol <5 mcg/dl @ 0800.) EXAM
22. ADHD: A behavioral problem characterized by short attention span, restless
movement, and impaired learning capacity.
23. Which murmurs are pathological: all diastolic murmurs
24. Murmur grading: I-barely
II-audible
III- clearly audible.
IV- first time thrill
V-Steth edge
VI-entire steth. EXAM
25. Allergic Conjunctivitis: "stringy; increased tearing" Type I sensitivity. Typically
bilateral. Rhinitis and allergic shiner.
TX=PO antihistamines
