AANP Exam QUESTION BANK
COMPLETE ACTUAL
QUESTIONS AND ANSWERS
Which of the following headaches typically presents with bilateral pain rather
than unilateral pain?
A.
Cluster headache
B.
Migraine headache
C.
Temporal arteritis
D.
Tension headache - D.
Tension headache
Headaches are one of the most commonly reported symptoms in the adult
population. It is important to know the characteristics associated with each type
of headache to help correctly diagnose the condition. Tension headaches (D) are
the most commonly reported headaches in adults. The usual symptoms include
mildly to moderately intense head pain that is bilateral in nature. The pain is
,typically described as dull, pressure-like, band-like, or fullness-like. Tension
headaches are not usually pulsating or throbbing in quality and do not cause
associated nausea, vomiting, photophobia, or increased pain with movement.
Some patients present with increased pericranial muscle tenderness, including
tenderness in the myofascial muscles, neck muscles, and shoulders.
A 50-year-old patient presents to their nurse practitioner after their yearly eye
exam with the ophthalmologist. They tell the nurse practitioner that they were
told their vision is 20/200 in both eyes when they are not wearing their
prescribed glasses. They ask what this means. Which of the following is the
most appropriate response?
A.
They are okay to drive short distances without their glasses on
B.
They can see at 200 feet what someone with 20/20 vision can see at 20 feet
C.
They will need surgery in the future to correct their vision
D.
Without their glasses, the patient is considered legally blind - D.
Without their glasses, the patient is considered legally blind
Legal blindness is considered vision that is 20/200 or less (D) without corrective
eyewear. This means that they can see at 20 feet what a person with 20/20
vision sees at 200 feet. Depending on the patient's state of residence, a corrected
vision to a certain degree may be required to be able to operate a motor vehicle.
,A 24-year-old woman presents with concerns of increased anxiety, night terrors,
and feeling as if she is hyperaware of her surroundings. Based on her presenting
symptoms, which of the following diagnoses is the most likely?
A.
Generalized anxiety disorder
B.
Major depressive disorder
C.
Post-traumatic stress disorder
D.
Schizophrenia - C.
Post-traumatic stress disorder
According to the the fifth edition of the Diagnostic and Statistical Manual of
Mental Disorders, post-traumatic stress disorder (PTSD) (C) is characterized by
a specific set of symptoms that persist for more than 1 month following
exposure to actual or threatened death, serious injury, or sexual violence.
Symptoms may include flashbacks, nightmares, dissociation, avoidance of
people or places that trigger memories of the event, trouble concentrating,
hypervigilance, feeling on-edge, and sleep disturbances. Given the patient's
presentation, this is the only diagnosis listed that would appropriately capture
her symptoms. Individual therapy is highly recommended for those
experiencing PTSD. Cognitive behavioral therapy, cognitive processing therapy
, and prolonged exposure are the American Psychiatric Association's most
, strongly recommended interventions. Medications may also be considered in the
treatment plan. Selective serotonin reuptake inhibitors are typically the first
class of medications used in the treatment of PTSD, though exceptions may
occur based on individual needs and circumstances.
A 6-year-old patient presents to the clinic with his parent, who reports several
blister-like lesions on his child's abdomen. The child reports the lesions are
pruritic and intermittently painful. Physical exam reveals large blisters filled
with clear-yellow fluid. Which of the following is the most likely diagnosis?
A.
Bullous impetigo
B.
Herpes zoster
C.
Nonbullous impetigo
D.
Varicella - A.
Bullous impetigo
A 62-year-old woman with a history of osteoporosis and diabetes presents for a
follow-up appointment for worsening heartburn. The patient states she has
attempted diet changes and over-the-counter cimetidine (Tagamet) for the past 3
COMPLETE ACTUAL
QUESTIONS AND ANSWERS
Which of the following headaches typically presents with bilateral pain rather
than unilateral pain?
A.
Cluster headache
B.
Migraine headache
C.
Temporal arteritis
D.
Tension headache - D.
Tension headache
Headaches are one of the most commonly reported symptoms in the adult
population. It is important to know the characteristics associated with each type
of headache to help correctly diagnose the condition. Tension headaches (D) are
the most commonly reported headaches in adults. The usual symptoms include
mildly to moderately intense head pain that is bilateral in nature. The pain is
,typically described as dull, pressure-like, band-like, or fullness-like. Tension
headaches are not usually pulsating or throbbing in quality and do not cause
associated nausea, vomiting, photophobia, or increased pain with movement.
Some patients present with increased pericranial muscle tenderness, including
tenderness in the myofascial muscles, neck muscles, and shoulders.
A 50-year-old patient presents to their nurse practitioner after their yearly eye
exam with the ophthalmologist. They tell the nurse practitioner that they were
told their vision is 20/200 in both eyes when they are not wearing their
prescribed glasses. They ask what this means. Which of the following is the
most appropriate response?
A.
They are okay to drive short distances without their glasses on
B.
They can see at 200 feet what someone with 20/20 vision can see at 20 feet
C.
They will need surgery in the future to correct their vision
D.
Without their glasses, the patient is considered legally blind - D.
Without their glasses, the patient is considered legally blind
Legal blindness is considered vision that is 20/200 or less (D) without corrective
eyewear. This means that they can see at 20 feet what a person with 20/20
vision sees at 200 feet. Depending on the patient's state of residence, a corrected
vision to a certain degree may be required to be able to operate a motor vehicle.
,A 24-year-old woman presents with concerns of increased anxiety, night terrors,
and feeling as if she is hyperaware of her surroundings. Based on her presenting
symptoms, which of the following diagnoses is the most likely?
A.
Generalized anxiety disorder
B.
Major depressive disorder
C.
Post-traumatic stress disorder
D.
Schizophrenia - C.
Post-traumatic stress disorder
According to the the fifth edition of the Diagnostic and Statistical Manual of
Mental Disorders, post-traumatic stress disorder (PTSD) (C) is characterized by
a specific set of symptoms that persist for more than 1 month following
exposure to actual or threatened death, serious injury, or sexual violence.
Symptoms may include flashbacks, nightmares, dissociation, avoidance of
people or places that trigger memories of the event, trouble concentrating,
hypervigilance, feeling on-edge, and sleep disturbances. Given the patient's
presentation, this is the only diagnosis listed that would appropriately capture
her symptoms. Individual therapy is highly recommended for those
experiencing PTSD. Cognitive behavioral therapy, cognitive processing therapy
, and prolonged exposure are the American Psychiatric Association's most
, strongly recommended interventions. Medications may also be considered in the
treatment plan. Selective serotonin reuptake inhibitors are typically the first
class of medications used in the treatment of PTSD, though exceptions may
occur based on individual needs and circumstances.
A 6-year-old patient presents to the clinic with his parent, who reports several
blister-like lesions on his child's abdomen. The child reports the lesions are
pruritic and intermittently painful. Physical exam reveals large blisters filled
with clear-yellow fluid. Which of the following is the most likely diagnosis?
A.
Bullous impetigo
B.
Herpes zoster
C.
Nonbullous impetigo
D.
Varicella - A.
Bullous impetigo
A 62-year-old woman with a history of osteoporosis and diabetes presents for a
follow-up appointment for worsening heartburn. The patient states she has
attempted diet changes and over-the-counter cimetidine (Tagamet) for the past 3
