AANP CERTIFICATION|VERIFIED QUESTIONS AND CORRECT DETAILED
ANSWERS|RATED AND GRADED A+ NEW UPDATE| 2026/2027
If your patient is in the catarrhal stage of pertussis, upon examination you would find which of the
following? - ANSWER✔ You would find mild upper respiratory symptoms with cough. And mild
conjunctival injection. It is really indistinguishable from the common cold.
What would NOT be considered a typical finding in a geriatric patient? - ANSWER✔ Low frequency
hearing loss. A typical finding in a geriatric patient would be a high frequency hearing loss. The speaking
voice is high frequency. Degenerative changes of the ossicles, fewer auditory neurons and atrophy of
the hair cells results in sensorineural hearing loss.
Typical findings in a geriatric patient? - ANSWER✔ Thinner epidermis, dermis and subcutaneous
layers of skin, bright purple-colored patches on the forearms and hands, opaque white ring at the
periphery of the cornea
Risk factors for age-related macular degeneration - ANSWER✔ Tobacco use, aging, sun exposure and
family history
Underweight BMI - ANSWER✔ <18.5
Normal BMI - ANSWER✔ 18.5-24.9
Overweight BMI - ANSWER✔ 25-29.9
Obese BMI - ANSWER✔ 30-39.9
Grossly obese BMI - ANSWER✔ >40
Pregnancy Category A Drugs - ANSWER✔ Vitamins and levothyroxine
,Pregnancy Category B Drugs - ANSWER✔ Acetaminophen, ibuprofen, penicillins, cephalosporins, and
azithromycin and erythromycin antibiotics.
A geriatric patient who has a 40 pack-year smoking history complains of painful cramping in the leg
muscles that occurs after walking for 20 minutes. After taking a complete history and performing a
physical exam, an NP decides that the most likely diagnosis is? - ANSWER✔ Intermittent claudication
What is a common cause of acne? - ANSWER✔ Increase in androgens
In a 19-year-old who presents with a sore throat and anterior cervical adenopathy, which causative
agent would be suspected? - ANSWER✔ Group A beta-hemolytic Streptococcus
When completing the initial assessment for depression in geriatric adults, the NP should evaluate? -
ANSWER✔ Mental status exam
What is the most common risk factor for developing severe hyperbilirubinemia in the newborn? -
ANSWER✔ Blood incompatibility with the mother
Which trimester of pregnancy is a woman with a fundal height measurement at the umbilicus? -
ANSWER✔ Second
Which of the following conditions exacerbate urinary incontinence? - ANSWER✔ Impacted stool and
atrophic vaginitis
An adult patient presents with a 2-day history of intermittent stabbing chest pain that worsens with
deep breaths. The patient reports a nonproductive cough and no fever for several days, and denies
trauma, palpitations or GI symptoms. VS normal. Lungs are clear, heart sounds normal. PE reveals
localized chest wall tenderness at the costal margin. EKG and CXR normal. The most likely diagnosis is? -
ANSWER✔ Costchondritis
The most common skin cancer is? - ANSWER✔ Basal cell carcinoma
, What is true regarding depression in the elderly? - ANSWER✔ Depression can be induced by
prescribed and OTC medications
Acute otitis media has what characteristics? - ANSWER✔ Loss of ossicular landmarks on the TM
What constellations of symptoms, lasting more than 3 months, is MOST common in fibromyalgia? -
ANSWER✔ Diffuse pain, sleep abnormality, fatigue
An adult male is seen for an initial visit. He denies tobacco, drug, or ETOH use. He has a sedentary
lifestyle and no family history of DM. VS normal, BMI = 31. What diabetes screening tests would an NP
order? - ANSWER✔ Fasting plasma glucose
An adolescent presents for a preparticipation athlete exam. In determining clearance for participation in
sports, what should be considered? - ANSWER✔ Characteristics of the sport
Urinary and bowel dysfunction, saddle anesthesia, and leg weakness or foot drop are signs of? -
ANSWER✔ Cauda equina syndrome
The NP would suspect what person to be at the highest risk for Rocky Mountain spotted fever? -
ANSWER✔ A 40-year old male who is living in a wooded area raising dogs
What condition is associated with the development of type 2 DM? - ANSWER✔ Delivery of a neonate
weighing 9 lb or greater
What condition is a risk factor for development of DVT and PE? - ANSWER✔ Visceral malignancy
Research studies indicate that ED in geriatric patients is a common complication in? - ANSWER✔
Vascular disease
What neuro signs are characteristic of the patient with AD? - ANSWER✔ Gait disorder and impaired
stereognosis
ANSWERS|RATED AND GRADED A+ NEW UPDATE| 2026/2027
If your patient is in the catarrhal stage of pertussis, upon examination you would find which of the
following? - ANSWER✔ You would find mild upper respiratory symptoms with cough. And mild
conjunctival injection. It is really indistinguishable from the common cold.
What would NOT be considered a typical finding in a geriatric patient? - ANSWER✔ Low frequency
hearing loss. A typical finding in a geriatric patient would be a high frequency hearing loss. The speaking
voice is high frequency. Degenerative changes of the ossicles, fewer auditory neurons and atrophy of
the hair cells results in sensorineural hearing loss.
Typical findings in a geriatric patient? - ANSWER✔ Thinner epidermis, dermis and subcutaneous
layers of skin, bright purple-colored patches on the forearms and hands, opaque white ring at the
periphery of the cornea
Risk factors for age-related macular degeneration - ANSWER✔ Tobacco use, aging, sun exposure and
family history
Underweight BMI - ANSWER✔ <18.5
Normal BMI - ANSWER✔ 18.5-24.9
Overweight BMI - ANSWER✔ 25-29.9
Obese BMI - ANSWER✔ 30-39.9
Grossly obese BMI - ANSWER✔ >40
Pregnancy Category A Drugs - ANSWER✔ Vitamins and levothyroxine
,Pregnancy Category B Drugs - ANSWER✔ Acetaminophen, ibuprofen, penicillins, cephalosporins, and
azithromycin and erythromycin antibiotics.
A geriatric patient who has a 40 pack-year smoking history complains of painful cramping in the leg
muscles that occurs after walking for 20 minutes. After taking a complete history and performing a
physical exam, an NP decides that the most likely diagnosis is? - ANSWER✔ Intermittent claudication
What is a common cause of acne? - ANSWER✔ Increase in androgens
In a 19-year-old who presents with a sore throat and anterior cervical adenopathy, which causative
agent would be suspected? - ANSWER✔ Group A beta-hemolytic Streptococcus
When completing the initial assessment for depression in geriatric adults, the NP should evaluate? -
ANSWER✔ Mental status exam
What is the most common risk factor for developing severe hyperbilirubinemia in the newborn? -
ANSWER✔ Blood incompatibility with the mother
Which trimester of pregnancy is a woman with a fundal height measurement at the umbilicus? -
ANSWER✔ Second
Which of the following conditions exacerbate urinary incontinence? - ANSWER✔ Impacted stool and
atrophic vaginitis
An adult patient presents with a 2-day history of intermittent stabbing chest pain that worsens with
deep breaths. The patient reports a nonproductive cough and no fever for several days, and denies
trauma, palpitations or GI symptoms. VS normal. Lungs are clear, heart sounds normal. PE reveals
localized chest wall tenderness at the costal margin. EKG and CXR normal. The most likely diagnosis is? -
ANSWER✔ Costchondritis
The most common skin cancer is? - ANSWER✔ Basal cell carcinoma
, What is true regarding depression in the elderly? - ANSWER✔ Depression can be induced by
prescribed and OTC medications
Acute otitis media has what characteristics? - ANSWER✔ Loss of ossicular landmarks on the TM
What constellations of symptoms, lasting more than 3 months, is MOST common in fibromyalgia? -
ANSWER✔ Diffuse pain, sleep abnormality, fatigue
An adult male is seen for an initial visit. He denies tobacco, drug, or ETOH use. He has a sedentary
lifestyle and no family history of DM. VS normal, BMI = 31. What diabetes screening tests would an NP
order? - ANSWER✔ Fasting plasma glucose
An adolescent presents for a preparticipation athlete exam. In determining clearance for participation in
sports, what should be considered? - ANSWER✔ Characteristics of the sport
Urinary and bowel dysfunction, saddle anesthesia, and leg weakness or foot drop are signs of? -
ANSWER✔ Cauda equina syndrome
The NP would suspect what person to be at the highest risk for Rocky Mountain spotted fever? -
ANSWER✔ A 40-year old male who is living in a wooded area raising dogs
What condition is associated with the development of type 2 DM? - ANSWER✔ Delivery of a neonate
weighing 9 lb or greater
What condition is a risk factor for development of DVT and PE? - ANSWER✔ Visceral malignancy
Research studies indicate that ED in geriatric patients is a common complication in? - ANSWER✔
Vascular disease
What neuro signs are characteristic of the patient with AD? - ANSWER✔ Gait disorder and impaired
stereognosis
