SARAH MICHELLE’S AANP BOARD
REVIEW V2 NEWEST 2026 ACTUAL EXAM
TEST BANK| NP CERTIFICATION EXAM
PREP WITH COMPLETE 300 REAL EXAM
QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS)
Rocky Mountain Spotted Fever
Tick bite, infection by Rickettsia rickettsi
North Carolina, rash first appears with small spots on wrists and ankles, spreads to
trunk and slowly reaches palms/soles
Initial symptoms: fever, muscle pain, h/a, n/v
Rash appears 3-5 days later
Rocky Mountain Spotted Fever treatment
Doxycycline ALWAYS
Lyme Disease
Called Erythema Migrans (rash at site of tick bit, legs, arms, groin, trunk)
Tick bite & infection by Borrelia burgdorferi
Bull Eye's: erythematous spot with central clearing, expanding
Can have fever, h/a, fatigue, joint pain
Lyme Disease treatment
Doxycycline
Amoxicillin in pregnancy
,Measles
MeasLes = RubeoLa = KopLik spots
3 C's: cough, congestion (coryza), conjunctivitis
Fever 1st, then 3 C's, rash 3-5 days later
Appearance of Koplik spots: tiny grains of white sand surrounded by erythematous
hallow/base on buccal mucosa
Can lead to pneumonia or encephalitis
Contagious 1 wk before symptoms, resolves in aprox. 1 month
Measles treatment
Symptomatic treatment
Prevent w/ MMR vaccine (can only give after 12 months old- live vaccine)
Mumps
Parotid gland swelling (salivary gland in front of ears- may mention cheek swelling and
pain down to jaw bone, difficulty chewing/swallowing)
Can be be unilateral or bilateral
Resolves on its own, contagious via droplet
MMR vaccine (2 doses)
Rubella
German Measles (3-day measles)
Rash that started on face and spread across body
Mild fever, cervical lymphadenopathy
Distinguishing factors: milder symptoms, pink rash, swollen lymph nodes
Symptomatic treatment
, Highly contagious
DO NOT want pregnant women to get this
Roseola
High fever, rash developed after fever broke
Rose pink rash that started on trunk, blanches w/ palpation, spreading to neck, arms,
and face
Cervical lymphadenopathy
No longer contagious after rash appears
Fifth Disease
Erythema Infectiosum (parvovirus b19)
Starts w/ fever and leads to slapped cheek rash and lacy net-like rash across body,
mildly itchy
Viral infection, rash appears after virus is gone so no longer contagious
Self-limiting
Avoid pregnant women can cause miscarriage if they are not immune
Hand Foot & Mouth Disease
Coxsackie virus
Fever, sore throat, painful sores in mouth, now rash of hands and feet
Rash has little vesicles, skin around toes are starting to peel
Enterobiasis
Pinworms
Anal/genital itching
REVIEW V2 NEWEST 2026 ACTUAL EXAM
TEST BANK| NP CERTIFICATION EXAM
PREP WITH COMPLETE 300 REAL EXAM
QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS)
Rocky Mountain Spotted Fever
Tick bite, infection by Rickettsia rickettsi
North Carolina, rash first appears with small spots on wrists and ankles, spreads to
trunk and slowly reaches palms/soles
Initial symptoms: fever, muscle pain, h/a, n/v
Rash appears 3-5 days later
Rocky Mountain Spotted Fever treatment
Doxycycline ALWAYS
Lyme Disease
Called Erythema Migrans (rash at site of tick bit, legs, arms, groin, trunk)
Tick bite & infection by Borrelia burgdorferi
Bull Eye's: erythematous spot with central clearing, expanding
Can have fever, h/a, fatigue, joint pain
Lyme Disease treatment
Doxycycline
Amoxicillin in pregnancy
,Measles
MeasLes = RubeoLa = KopLik spots
3 C's: cough, congestion (coryza), conjunctivitis
Fever 1st, then 3 C's, rash 3-5 days later
Appearance of Koplik spots: tiny grains of white sand surrounded by erythematous
hallow/base on buccal mucosa
Can lead to pneumonia or encephalitis
Contagious 1 wk before symptoms, resolves in aprox. 1 month
Measles treatment
Symptomatic treatment
Prevent w/ MMR vaccine (can only give after 12 months old- live vaccine)
Mumps
Parotid gland swelling (salivary gland in front of ears- may mention cheek swelling and
pain down to jaw bone, difficulty chewing/swallowing)
Can be be unilateral or bilateral
Resolves on its own, contagious via droplet
MMR vaccine (2 doses)
Rubella
German Measles (3-day measles)
Rash that started on face and spread across body
Mild fever, cervical lymphadenopathy
Distinguishing factors: milder symptoms, pink rash, swollen lymph nodes
Symptomatic treatment
, Highly contagious
DO NOT want pregnant women to get this
Roseola
High fever, rash developed after fever broke
Rose pink rash that started on trunk, blanches w/ palpation, spreading to neck, arms,
and face
Cervical lymphadenopathy
No longer contagious after rash appears
Fifth Disease
Erythema Infectiosum (parvovirus b19)
Starts w/ fever and leads to slapped cheek rash and lacy net-like rash across body,
mildly itchy
Viral infection, rash appears after virus is gone so no longer contagious
Self-limiting
Avoid pregnant women can cause miscarriage if they are not immune
Hand Foot & Mouth Disease
Coxsackie virus
Fever, sore throat, painful sores in mouth, now rash of hands and feet
Rash has little vesicles, skin around toes are starting to peel
Enterobiasis
Pinworms
Anal/genital itching
