Sarah Michelle AANP Board Exam - In Depth Diagnosis Study Guide Questions and Answers Updated 2026/2027 Version | Verified Answers

Sarah Michelle AANP Board Exam - In Depth Diagnosis Study Guide Questions and Answers Updated 2026/2027 Version | Verified Answers 1. pain from a duodenal ulcer is ________________ by eating and then occurs 1-3 hours later - ANSWER relieved 2. the best test for diagnosing H. pylori is the _____________ _____________________ test, can also use the urea breath test but patients must stop taking H2s or PPIs for 2 weeks before test or the serum antibody test but if they have ever had H. pylori in the past this test will be positive - ANSWER fecal antigen 3. most cases of gastroenteritis are ________________ in nature - ANSWER viral 4. treatment of bacterial gastroenteritis caused by salmonella, shigella, E. coli and campylobacter should be with _______________________ or _____________________ while treatment of bacterial gastroenteritis caused by giardia should be with __________________ - ANSWER fluoroquinolones, macrolides, flagyl 5. stage 1 CKD: GFR _______ stage 2 CKD: GFR ______-______ stage 3 CKD: GFR ______-______ stage 4 CKD: GFR ______-______ stage 5 CKD: GFR ______ - ANSWER 90, 60-89, 30-59, 15-29, 15 6. patients with CKD are usually asymptomatic until stage _____, symptoms beginning at this stage would include fatigue, dry and itchy skin, hematuria, edema - ANSWER 3 7. we should always treat asymptomatic UTIs during _______________________ - ANSWER pregnancy 8. a typical menstrual cycle is around ______ days, with a normal range anywhere between ______-______ days if the periods are occurring regularly - ANSWER 28, 21-40 9. painful menstruation not related to underlying disease, the pt has a normal physical exam and no pelvic issues - ANSWER primary dysmenorrhea 10. painful menstruation that is related to an underlying cause, most commonly endometriosis - ANSWER secondary dysmenorrhea 11. condition in which endometrial tissue grows outside the uterus, symptoms include heavy, painful menstrual cycles, pain with intercourse, issues with fertility, these patients should be referred to GYN - ANSWER endometriosis 12. defined as amenorrhea present for 12 months later in life due to the fact that the ovaries are no longer producing estrogen and progesterone - ANSWER menopause 13. a postmenopausal woman presenting with vaginal bleeding may indicate an underlying _________________________ and they should be referred immediately for biopsy - ANSWER malignancy 14. criteria for diagnosis PCOS in which 2 of the following 3 signs/symptoms must be present for diagnosis: 1) anovulation (oligo- or amenorrhea) 2) increased androgen levels 3) multiple cysts present on US - ANSWER Rotterdam criteria 15. hormonal disorder where it is common to see menstrual irregularities, acne, weight gain, fertility concerns, hirsutism and insulin resistance - ANSWER PCOS 16. this medication can be used to help the androgen excess associated with PCOS - ANSWER spironolactone 17. what result from a pap smear do you immediately refer? - ANSWER LSIL/HSIL 18. we typically begin screening with mammograms at age ________ and perform them every ______ years until age _________ when we can discontinue them - ANSWER 50, 2, 75 19. we start screening with pap tests at age _______ and perform them every _______ years until age 30 with no routine HPV co-testing. At age 30 we move to every ________ years with HPV co-testing - ANSWER 21, 3, 5 20. the most common cause of breast lumps, often related to the menstrual cycle, pt's often describe the lumps as enlarging right before their menstrual period and shrinking right after, they are often tender, sore and moveable while breast cancer lumps are painless and immovable - ANSWER fibrocystic breasts 21. ________________________ rule is used to calculate estimated due date, it is calculated by taking the LMP + _____ months + _____ days - ANSWER Nagele's, 9, 7 22. expected weight gain during pregnancy for a person with a normal BMI is ______-______ lbs - ANSWER 25-35 23. if a mother is Rh-___________________ and the baby is Rh ___________________ then an incompatibility is present and RhoGAM should be given at the _______ week gestation mark and again 72 hours after delivery - ANSWER negative, positive, 28 24. pregnancy complication where there is hypertension in combination with signs of damage to other organ systems, symptoms include high BP, edema, headache, visual changes and proteinuria, usually occurs after the 20 week mark - ANSWER pre-eclampsia 25. illness that is spread by mosquitos that can be passed to the fetus and cause brain defects - ANSWER zika virus 26. foodborne illness that can be passed to the fetus and lead to illness, miscarriage and preterm labor - ANSWER listeria