All diastolic murmurs are pathological. Murmurs Grades I- III first time audible, IV first time thrill
barely II-audible III- clearly audible. IV- first time thrill V-
Steth edge VI-entire steth. EXAM
Fundal height 12 weeks Fundal Height 12 weeks above symphysis pubis. EXAM
Fundus 16 weeks between symphysis pubis and umbilicus.
Fundus at 20 weeks is at umbilicus.
2 cm more of less from # of wk gestation is normal if more or less order US
3 month old infant with down syndrome, due to milk Iron, TIBC
intolerance, mom started on goats milk; now has pale
conjunctiva but otherwise healthy. Low HCT. What
additional test would you order?
3 months of synthroid, TSH increased, T4 normal, what do Increase Medication
you do?
3 ways to assess cognitive function in patient with Mini mental exam
signs/symptoms of memory loss
4 month old with strabismus, mom is worried...... tell her it is normal.
4 month old wont keep anything down, what is the main Growth chart
thing you look at?
6 month old closed anterior fontanel. XRAY
Abnormal cells on PAP, what do you do next? Refer for Colposcopy
CAGE ACRONYM Cut down
Annoyed by criticism
Guilty about drinking
Eye opener drink
Causes of tachycardia Fever
Anemia
Hypotension
Cranial nerves responsible for extraocular eye movements CN 3,4,6
Definition of metabolic syndrome cluster of conditions that increase risk of heart disease, stroke, diabetes.
diagnose trichomoniasis wet prep
Stuvia 2026-2027
, AANP FNP Certification Exam | Practice Questions & Answers | 2026-2027
Elderly presents with atrophic vaginitis, small uterus, Pelvic US
palpable 4x5 ovary, what do you do next?
Epistaxis is most common in the area of the nose known Anterior septum
as kiesselbachs triangle, where is this located?
Definitive diagnosis of acute bacterial prostatitis urinalysis and culture
GERD treatment H2 is first line, give hs
Grade 3 cells on Pap, treatment? LEEP
excision
Fingernail hematoma treatment? drill hole and drain blood?
Increased risk of ectopic pregnancy Salpingitis, or history of abortion, PID,
Koplick spots Measles (rubeola). Grains of salt lesions inside mouth in Measles
Koplick spots Measles (rubeola). Grains of salt lesions inside mouth in Measles
Legg-Calve-Perthes Disease Avascular necrosis of the proximal femoral head
Lipid level of 1500, increased risk for? Pancreatitis
Low HGB, Low HCT, High MCV indicates what? Macrocytic anemia, B12 Def
Man with BPH, prostate feels on digital exam? Enlarged, symmetrical, smooth
Man with HTN, CAD, present femoral pulses but absent Arterial Insufficiency
pedal
McMurray's Sign Meniscus tears
(+) palpable or audible click while extending with varus
stress
Stuvia 2026-2027
, AANP FNP Certification Exam | Practice Questions & Answers | 2026-2027
Lachman's Test pivot shift test (ACL tear)
Newborn with foot turned in, what do you do? refer to orthopedist
Osgood-Schlatter disease Knee pain.
inflammation or irritation of the tibia at its point of attachment with the patellar
tendon
Patient forgot to start Thanksgiving dinner and husband Alzheimer's
states she has trouble remembering tasks and trouble with
organization. What is this indicative of?
Pt has Barretts Esophagus, insurance no longer covers GI Refer to oncologist
who was treating condition. Pt at FNP office wanting refill
prescriptions. What do you do?
Pt presents with rash on shoulder, erythematous Tinea Corporis
maculopapular rash with center clearing and scaling?
Pt presents with "bag of worms:, indicates? Varicocele
Pt with atopic dermatitis, look for what other diseases? Asthma
Pt with bleeding after menopause endometrial biopsy, need to screen for cancer
Pt with hx of PID, increased rick for? Infertility
Pt with HIV took high potency anti viral treatments and This is good. Want higher than 350
CD4 is >400, what does this indicate?
Pt with hx of htn and stroke, now having memory loss. Vascular dementia
What does this indicate?
Pregnant teacher with exposure to 5ths disease (SLAP slap cheek, PVB19, rash hands / feet Fetal death and birth defects
CHEEK), what risk is there to the fetus?
Quick assessment of patients fall risk? Timed Get up and Timed Get up and Go
Go
Red beefy tongue? pernicious anemia
Stuvia 2026-2027