AANP FNP certification Real Exam 2023
1. All diastolic murmurs are pathological. Murmurs Grades I-barely II-audible III- clearly
audible. IV- first time thrill V-Steth edge VI-entire steth. EXAM: III first time audible, IV first
time thrill
2. 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. 3 month old infant with down syndrome, due to milk intolerance, mom started on goats
milk; now has pale conjunctiva but otherwise healthy. Low HCT. What additional test
would you order?: Iron, TIBC
4. 3 months of synthroid,TSH increased,T4 normal, what do you do?: Increase
Medication
5. 3 ways to assess cognitive function in patient with signs/symptoms of memory loss: Mini
mental exam
6. 4 month old with strabismus, mom is worried......: tell her it is normal.
7. 4 month old wont keep anything down, what is the main thing you look at?: Growth chart
8. 6 month old closed anterior fontanel.: XRAY
9. Abnormal cells on PAP, what do you do next?: Refer for Colposcopy
10. CAGE ACRONYM: Cut down
Annoyed by criticism Guilty about drinking Eye opener drink
11. Causes of tachycardia: Fever
,Anemia
Hypotension
12. Cranial nerves responsible for extraocular eye movements: CN 3,4,6
13. Definition of metabolic syndrome: cluster of conditions that increase risk of heart disease,
stroke, diabetes.
14. diagnose trichomoniasis: wet prep
15. Elderly presents with atrophic vaginitis, small uterus, palpable 4x5 ovary, what do you
do next?: Pelvic US
16. Epistaxis is most common in the area of the nose known as kiesselbachs triangle, where
is this located?: Anterior septum
17. Definitive diagnosis of acute bacterial prostatitis: urinalysis and culture
18. GERD treatment: H2 is first line, give hs
19. Grade 3 cells on Pap, treatment?: LEEP
excision
20. Fingernail hematoma treatment?: drill hole and drain blood?
21. Increased risk of ectopic pregnancy: Salpingitis, or history of abortion, PID,
22. Koplick spots: Measles (rubeola). Grains of salt lesions inside mouth in
Measles
23. Legg-Calve-Perthes Disease: Avascular necrosis of the proximal femoral head
24. Lipid level of 1500, increased risk for?: Pancreatitis
25. Low HGB, Low HCT, High MCV indicates what?: Macrocytic anemia, B12 Def
26. Man with BPH, prostate feels on digital exam?: Enlarged, symmetrical, smooth
27. Man with HTN, CAD, present femoral pulses but absent pedal: Arterial
,Insufficiency
28. McMurray's Sign
(+) palpable or audible click while extending with varus stress: Meniscus tears
29. Lachman's Test: pivot shift test (ACL tear)
30. Newborn with foot turned in, what do you do?: refer to orthopedist
31. Osgood-Schlatter disease: Knee pain.
inflammation or irritation of the tibia at its point of attachment with the patellar tendon
32. Patient forgot to start Thanksgiving dinner and husband states she has trouble
remembering tasks and trouble with organization. What is this indica- tive of?: Alzheimer's
33. Pt has Barretts Esophagus, insurance no longer covers GI who was treating condition.
Pt at FNP office wanting refill prescriptions. What do you do?: Refer to oncologist
34. Pt presents with rash on shoulder, erythematous maculopapular rash with center
clearing and scaling?: Tinea Corporis
35. Pt presents with "bag of worms:, indicates?: Varicocele
36. Pt with atopic dermatitis, look for what other diseases?: Asthma
37. Pt with bleeding after menopause: endometrial biopsy, need to screen for cancer
38. Pt with hx of PID, increased rick for?: Infertility
39. Pt with HIV took high potency anti viral treatments and CD4 is >400, what does this
indicate?: This is good. Want higher than 350
40. Pt with hx of htn and stroke, now having memory loss. What does this indicate?:
Vascular dementia
41. Pregnant teacher with exposure to 5ths disease (SLAP CHEEK), what risk is there to the
fetus?: slap cheek, PVB19, rash hands / feet Fetal death and birth defects
, 42. Quick assessment of patients fall risk? Timed Get up and Go: Timed Get up and Go
43. Red beefy tongue?: pernicious anemia
44. Rotator cuff injury presentation: disturbs sleep, arm weakness, dull ache
45. Shingles near eye: immediate referral to ophthalmology
46. Signs and symptoms of Roseola (6ths disease) ?: Viral infection
Can result in a maculopapular rash, but up to 70% of cases proceed without the rash stage
-Usually accompanied by a high fever (41°C or 105°F) that comes on quickly and lasts up to 3
days followed by rash
-Seizures may occur during this period.
-On the fourth day, the fever disappears and the rash appears, first on chest and trunk, then less
prominently on the face and limbs.
-High fever, pink flat or raised rash
47. Treatment for chronic alcoholism:: 12 step program
48. Treatment for Gonorrhea?: Rocephin 250mg IMx1 plus
Azithromycin 1 gm orally x1 to cover chlamydia. , or doxy 100 mg BID x7d. Green colored
vaginal discharge, friable cervix. EXAM
Report to health department
49. Young female want birth control, forgets to take pills, does not want to get pregnant for
at least 5 years:: IUD
50. Basal cell cancer: Waxy, pearly, telangiectasia, ulcer center lesion
-most common type of skin cancer caused by UV exposure. Metastatic is rare
51. Actinic Keratosis: Scaly red to yellow located in sun exposed area
-a precancerous skin growth that occurs on sun-damaged skin
1. All diastolic murmurs are pathological. Murmurs Grades I-barely II-audible III- clearly
audible. IV- first time thrill V-Steth edge VI-entire steth. EXAM: III first time audible, IV first
time thrill
2. 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. 3 month old infant with down syndrome, due to milk intolerance, mom started on goats
milk; now has pale conjunctiva but otherwise healthy. Low HCT. What additional test
would you order?: Iron, TIBC
4. 3 months of synthroid,TSH increased,T4 normal, what do you do?: Increase
Medication
5. 3 ways to assess cognitive function in patient with signs/symptoms of memory loss: Mini
mental exam
6. 4 month old with strabismus, mom is worried......: tell her it is normal.
7. 4 month old wont keep anything down, what is the main thing you look at?: Growth chart
8. 6 month old closed anterior fontanel.: XRAY
9. Abnormal cells on PAP, what do you do next?: Refer for Colposcopy
10. CAGE ACRONYM: Cut down
Annoyed by criticism Guilty about drinking Eye opener drink
11. Causes of tachycardia: Fever
,Anemia
Hypotension
12. Cranial nerves responsible for extraocular eye movements: CN 3,4,6
13. Definition of metabolic syndrome: cluster of conditions that increase risk of heart disease,
stroke, diabetes.
14. diagnose trichomoniasis: wet prep
15. Elderly presents with atrophic vaginitis, small uterus, palpable 4x5 ovary, what do you
do next?: Pelvic US
16. Epistaxis is most common in the area of the nose known as kiesselbachs triangle, where
is this located?: Anterior septum
17. Definitive diagnosis of acute bacterial prostatitis: urinalysis and culture
18. GERD treatment: H2 is first line, give hs
19. Grade 3 cells on Pap, treatment?: LEEP
excision
20. Fingernail hematoma treatment?: drill hole and drain blood?
21. Increased risk of ectopic pregnancy: Salpingitis, or history of abortion, PID,
22. Koplick spots: Measles (rubeola). Grains of salt lesions inside mouth in
Measles
23. Legg-Calve-Perthes Disease: Avascular necrosis of the proximal femoral head
24. Lipid level of 1500, increased risk for?: Pancreatitis
25. Low HGB, Low HCT, High MCV indicates what?: Macrocytic anemia, B12 Def
26. Man with BPH, prostate feels on digital exam?: Enlarged, symmetrical, smooth
27. Man with HTN, CAD, present femoral pulses but absent pedal: Arterial
,Insufficiency
28. McMurray's Sign
(+) palpable or audible click while extending with varus stress: Meniscus tears
29. Lachman's Test: pivot shift test (ACL tear)
30. Newborn with foot turned in, what do you do?: refer to orthopedist
31. Osgood-Schlatter disease: Knee pain.
inflammation or irritation of the tibia at its point of attachment with the patellar tendon
32. Patient forgot to start Thanksgiving dinner and husband states she has trouble
remembering tasks and trouble with organization. What is this indica- tive of?: Alzheimer's
33. Pt has Barretts Esophagus, insurance no longer covers GI who was treating condition.
Pt at FNP office wanting refill prescriptions. What do you do?: Refer to oncologist
34. Pt presents with rash on shoulder, erythematous maculopapular rash with center
clearing and scaling?: Tinea Corporis
35. Pt presents with "bag of worms:, indicates?: Varicocele
36. Pt with atopic dermatitis, look for what other diseases?: Asthma
37. Pt with bleeding after menopause: endometrial biopsy, need to screen for cancer
38. Pt with hx of PID, increased rick for?: Infertility
39. Pt with HIV took high potency anti viral treatments and CD4 is >400, what does this
indicate?: This is good. Want higher than 350
40. Pt with hx of htn and stroke, now having memory loss. What does this indicate?:
Vascular dementia
41. Pregnant teacher with exposure to 5ths disease (SLAP CHEEK), what risk is there to the
fetus?: slap cheek, PVB19, rash hands / feet Fetal death and birth defects
, 42. Quick assessment of patients fall risk? Timed Get up and Go: Timed Get up and Go
43. Red beefy tongue?: pernicious anemia
44. Rotator cuff injury presentation: disturbs sleep, arm weakness, dull ache
45. Shingles near eye: immediate referral to ophthalmology
46. Signs and symptoms of Roseola (6ths disease) ?: Viral infection
Can result in a maculopapular rash, but up to 70% of cases proceed without the rash stage
-Usually accompanied by a high fever (41°C or 105°F) that comes on quickly and lasts up to 3
days followed by rash
-Seizures may occur during this period.
-On the fourth day, the fever disappears and the rash appears, first on chest and trunk, then less
prominently on the face and limbs.
-High fever, pink flat or raised rash
47. Treatment for chronic alcoholism:: 12 step program
48. Treatment for Gonorrhea?: Rocephin 250mg IMx1 plus
Azithromycin 1 gm orally x1 to cover chlamydia. , or doxy 100 mg BID x7d. Green colored
vaginal discharge, friable cervix. EXAM
Report to health department
49. Young female want birth control, forgets to take pills, does not want to get pregnant for
at least 5 years:: IUD
50. Basal cell cancer: Waxy, pearly, telangiectasia, ulcer center lesion
-most common type of skin cancer caused by UV exposure. Metastatic is rare
51. Actinic Keratosis: Scaly red to yellow located in sun exposed area
-a precancerous skin growth that occurs on sun-damaged skin
