SARAH MICHELLE’S AANP BOARD EXAM
REVIEW NEWEST 2025/ 2026 ACTUAL EXAM|
COMPLETE REAL EXAM QUESTIONS AND
CORRECT DETAILED ANSWERS (VERIFIED
ANSWERS) ALREADY GRADED A+ (MOST
RECENT!!)
SECTION 1: ASSESSMENT (Questions 1–25)
1. A 72-year-old male presents with a new onset of confusion, fever, and urinary
frequency. What is the most likely diagnosis?
• A) Delirium secondary to UTI
• B) Alzheimer's disease
• C) Vascular dementia
• D) Depression
2. Which of the following is the most sensitive indicator of iron deficiency anemia?
• A) Hemoglobin
• B) Hematocrit
• C) Serum ferritin
• D) Mean corpuscular volume (MCV)
3. A 45-year-old female presents with fatigue, weight gain, cold intolerance, and
constipation. Which laboratory finding is most consistent with hypothyroidism?
• A) Elevated TSH, low free T4
• B) Low TSH, elevated free T4
• C) Elevated TSH, elevated free T4
• D) Normal TSH, low free T4
,4. What is the hallmark physical examination finding in a patient with aortic
stenosis?
• A) Wide pulse pressure
• B) Systolic ejection murmur heard best at the right upper sternal border
• C) Diastolic murmur at the apex
• D) Continuous murmur
5. A 55-year-old male with a 30-pack-year smoking history presents with a new
cough and weight loss. What is the most appropriate initial imaging study?
• A) Chest X-ray
• B) CT chest with contrast
• C) MRI chest
• D) PET scan
6. Which of the following is a classic finding in Parkinson's disease?
• A) Resting tremor
• B) Intention tremor
• C) Action tremor
• D) Postural tremor
7. A 68-year-old female presents with acute onset of severe headache, jaw
claudication, and vision changes. What is the most likely diagnosis?
• A) Migraine headache
• B) Tension headache
• C) Giant cell arteritis
• D) Cluster headache
8. What is the most common cause of community-acquired pneumonia in adults?
• A) Streptococcus pneumoniae
, • B) Mycoplasma pneumoniae
• C) Haemophilus influenzae
• D) Legionella pneumophila
9. A 60-year-old male with a history of hypertension presents with a blood
pressure of 160/95 mmHg. Which of the following is the most appropriate initial
laboratory workup?
• A) Basic metabolic panel, lipid panel, urinalysis
• B) Complete blood count, liver function tests
• C) Thyroid function tests, cortisol level
• D) Cardiac enzymes, BNP
10. Which of the following is the most common cause of acute pancreatitis?
• A) Gallstones
• B) Alcohol use
• C) Hypertriglyceridemia
• D) Medications
11. A 50-year-old female presents with a breast lump. Which of the following
characteristics is most concerning for malignancy?
• A) Smooth, mobile, and tender
• B) Firm, fixed, and non-tender
• C) Soft, cystic, and mobile
• D) Painful with menstrual cycle
12. What is the most common type of skin cancer?
• A) Basal cell carcinoma
• B) Squamous cell carcinoma
• C) Melanoma
• D) Actinic keratosis
REVIEW NEWEST 2025/ 2026 ACTUAL EXAM|
COMPLETE REAL EXAM QUESTIONS AND
CORRECT DETAILED ANSWERS (VERIFIED
ANSWERS) ALREADY GRADED A+ (MOST
RECENT!!)
SECTION 1: ASSESSMENT (Questions 1–25)
1. A 72-year-old male presents with a new onset of confusion, fever, and urinary
frequency. What is the most likely diagnosis?
• A) Delirium secondary to UTI
• B) Alzheimer's disease
• C) Vascular dementia
• D) Depression
2. Which of the following is the most sensitive indicator of iron deficiency anemia?
• A) Hemoglobin
• B) Hematocrit
• C) Serum ferritin
• D) Mean corpuscular volume (MCV)
3. A 45-year-old female presents with fatigue, weight gain, cold intolerance, and
constipation. Which laboratory finding is most consistent with hypothyroidism?
• A) Elevated TSH, low free T4
• B) Low TSH, elevated free T4
• C) Elevated TSH, elevated free T4
• D) Normal TSH, low free T4
,4. What is the hallmark physical examination finding in a patient with aortic
stenosis?
• A) Wide pulse pressure
• B) Systolic ejection murmur heard best at the right upper sternal border
• C) Diastolic murmur at the apex
• D) Continuous murmur
5. A 55-year-old male with a 30-pack-year smoking history presents with a new
cough and weight loss. What is the most appropriate initial imaging study?
• A) Chest X-ray
• B) CT chest with contrast
• C) MRI chest
• D) PET scan
6. Which of the following is a classic finding in Parkinson's disease?
• A) Resting tremor
• B) Intention tremor
• C) Action tremor
• D) Postural tremor
7. A 68-year-old female presents with acute onset of severe headache, jaw
claudication, and vision changes. What is the most likely diagnosis?
• A) Migraine headache
• B) Tension headache
• C) Giant cell arteritis
• D) Cluster headache
8. What is the most common cause of community-acquired pneumonia in adults?
• A) Streptococcus pneumoniae
, • B) Mycoplasma pneumoniae
• C) Haemophilus influenzae
• D) Legionella pneumophila
9. A 60-year-old male with a history of hypertension presents with a blood
pressure of 160/95 mmHg. Which of the following is the most appropriate initial
laboratory workup?
• A) Basic metabolic panel, lipid panel, urinalysis
• B) Complete blood count, liver function tests
• C) Thyroid function tests, cortisol level
• D) Cardiac enzymes, BNP
10. Which of the following is the most common cause of acute pancreatitis?
• A) Gallstones
• B) Alcohol use
• C) Hypertriglyceridemia
• D) Medications
11. A 50-year-old female presents with a breast lump. Which of the following
characteristics is most concerning for malignancy?
• A) Smooth, mobile, and tender
• B) Firm, fixed, and non-tender
• C) Soft, cystic, and mobile
• D) Painful with menstrual cycle
12. What is the most common type of skin cancer?
• A) Basal cell carcinoma
• B) Squamous cell carcinoma
• C) Melanoma
• D) Actinic keratosis
