AANP FNP CERTIFICATION EXAM 2026
STUDY GUIDE PREP QUESTIONS AND
CORRECT ANSWERS
3 month old infant with down syndrome - correct
answer- Pale conjunctiva but otherwise healthy.
Low HCT. Additional test: Iron, TIBC.
4 month old with strabismus - correct answer-
Tell her it is normal.
4 month old won't keep anything down - correct
answer- Look at the growth chart.
5th Disease (SLAP CHEEK) - correct answer- A
viral infection that poses risks of fetal death and birth
defects when a pregnant woman is exposed.
6 month old closed anterior fontanel - correct
answer- X-ray.
,A1C > 9 - correct answer- If you are already on
TWO oral drugs for diabetes and A1C is 9 or higher, start
BASAL insulin.
Abnormal cells on PAP - correct answer- Refer
for Colposcopy.
Abortive treatment for migraines - correct
answer- triptans
ACE/ARB contraindications - correct answer-
Include pregnancy, renal failure, and renal stenosis.
ACEI contraindicated - correct answer- In
pregnancy.
Acne Rosacea - correct answer- Chronic
condition characterized by small acne-like
papules/pustules around the nose, mouth, and chin.
Treatment: Metrogel, Azelex, low dose tetracycline.
,Acne Rosacea - correct answer- Chronic small
acne-like papules/pustules around nose, mouth, chin;
treated with Metrogel, Azelex, low dose tetracycline, or
Clindamycin.
Acne Vulgaris - correct answer- Common acne
treated with Retin-A; worsens in 4-6 weeks, increase dose
or add erythromycin or benzoyl peroxide if no
improvement in 8-12 weeks.
Actinic keratoses - correct answer- Precursor to
squamous cell carcinoma; characterized by numerous dry
round and pink to red lesions with a rough texture.
Actinic Keratosis - correct answer- A
precancerous skin growth that appears as scaly red to
yellow lesions on sun-damaged skin.
Acute Angle Closure Glaucoma - correct answer-
acute/severe halos, cupping optic nerve, cloudy cornea,
mid-dilated oval pupil. ER STAT.
, Acute Bacterial Pneumonia - correct answer-
CXR - middle lobe.
Acute Closed Angle Glaucoma - correct answer-
Sudden pain, halos, cupping, dilated, cloudy, IOP, HA,
refer ED
Acute Otitis Media (AOM) treatment - correct
answer- First line is Amoxicillin, then Augmentin,
Omnicef, Ceftin, Levaquin; if PCN allergic, use
azithromycin or clarithromycin.
Acyclovir (cheapest) - correct answer- 200mg 5
x day
Addison's disease - correct answer- Deficient in
cortisol (think low sodium, blood sugar, but increased
potassium). You must give cortisol. Diagnosis: Plasma
Cortisol <5 mcg/dl @ 0800.
STUDY GUIDE PREP QUESTIONS AND
CORRECT ANSWERS
3 month old infant with down syndrome - correct
answer- Pale conjunctiva but otherwise healthy.
Low HCT. Additional test: Iron, TIBC.
4 month old with strabismus - correct answer-
Tell her it is normal.
4 month old won't keep anything down - correct
answer- Look at the growth chart.
5th Disease (SLAP CHEEK) - correct answer- A
viral infection that poses risks of fetal death and birth
defects when a pregnant woman is exposed.
6 month old closed anterior fontanel - correct
answer- X-ray.
,A1C > 9 - correct answer- If you are already on
TWO oral drugs for diabetes and A1C is 9 or higher, start
BASAL insulin.
Abnormal cells on PAP - correct answer- Refer
for Colposcopy.
Abortive treatment for migraines - correct
answer- triptans
ACE/ARB contraindications - correct answer-
Include pregnancy, renal failure, and renal stenosis.
ACEI contraindicated - correct answer- In
pregnancy.
Acne Rosacea - correct answer- Chronic
condition characterized by small acne-like
papules/pustules around the nose, mouth, and chin.
Treatment: Metrogel, Azelex, low dose tetracycline.
,Acne Rosacea - correct answer- Chronic small
acne-like papules/pustules around nose, mouth, chin;
treated with Metrogel, Azelex, low dose tetracycline, or
Clindamycin.
Acne Vulgaris - correct answer- Common acne
treated with Retin-A; worsens in 4-6 weeks, increase dose
or add erythromycin or benzoyl peroxide if no
improvement in 8-12 weeks.
Actinic keratoses - correct answer- Precursor to
squamous cell carcinoma; characterized by numerous dry
round and pink to red lesions with a rough texture.
Actinic Keratosis - correct answer- A
precancerous skin growth that appears as scaly red to
yellow lesions on sun-damaged skin.
Acute Angle Closure Glaucoma - correct answer-
acute/severe halos, cupping optic nerve, cloudy cornea,
mid-dilated oval pupil. ER STAT.
, Acute Bacterial Pneumonia - correct answer-
CXR - middle lobe.
Acute Closed Angle Glaucoma - correct answer-
Sudden pain, halos, cupping, dilated, cloudy, IOP, HA,
refer ED
Acute Otitis Media (AOM) treatment - correct
answer- First line is Amoxicillin, then Augmentin,
Omnicef, Ceftin, Levaquin; if PCN allergic, use
azithromycin or clarithromycin.
Acyclovir (cheapest) - correct answer- 200mg 5
x day
Addison's disease - correct answer- Deficient in
cortisol (think low sodium, blood sugar, but increased
potassium). You must give cortisol. Diagnosis: Plasma
Cortisol <5 mcg/dl @ 0800.
