AANP FNP CERTIFICATION /2023 AANP FNP
Certification Exam with complete solution
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
Correct answer- III first time audible, IV first time thrill
Fundal height 12 weeks
Correct answer- 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 intolerance, mom started on goats
milk; now has pale conjunctiva but otherwise healthy. Low HCT. What additional test
would you order?
Correct answer- Iron, TIBC
3 months of synthroid, TSH increased, T4 normal, what do you do?
Correct answer- Increase Medication
3 ways to assess cognitive function in patient with signs/symptoms of memory loss
Correct answer- Mini mental exam
4 month old with strabismus, mom is worried......
Correct answer- tell her it is normal.
4 month old wont keep anything down, what is the main thing you look at?
Correct answer- Growth chart
6 month old closed anterior fontanel.
Correct answer- XRAY
Abnormal cells on PAP, what do you do next?
Correct answer- Refer for Colposcopy
CAGE ACRONYM
Correct answer- Cut down
Annoyed by criticism
Guilty about drinking
Eye opener drink
,Causes of tachycardia
Correct answer- Fever
Anemia
Hypotension
Cranial nerves responsible for extraocular eye movements
Correct answer- CN 3,4,6
Definition of metabolic syndrome
Correct answer- cluster of conditions that increase risk of heart disease, stroke,
diabetes.
diagnose trichomoniasis
Correct answer- wet prep
Elderly presents with atrophic vaginitis, small uterus, palpable 4x5 ovary, what do you
do next?
Correct answer- Pelvic US
Epistaxis is most common in the area of the nose known as kiesselbachs triangle,
where is this located?
Correct answer- Anterior septum
Definitive diagnosis of acute bacterial prostatitis
Correct answer- urinalysis and culture
GERD treatment
Correct answer- H2 is first line, give hs
Grade 3 cells on Pap, treatment?
Correct answer- LEEP
excision
Fingernail hematoma treatment?
Correct answer- drill hole and drain blood?
Increased risk of ectopic pregnancy
Correct answer- Salpingitis, or history of abortion, PID,
Koplick spots
Correct answer- Measles (rubeola). Grains of salt lesions inside mouth in Measles
Koplick spots
Correct answer- Measles (rubeola). Grains of salt lesions inside mouth in Measles
Legg-Calve-Perthes Disease
, Correct answer- Avascular necrosis of the proximal femoral head
Lipid level of 1500, increased risk for?
Correct answer- Pancreatitis
Low HGB, Low HCT, High MCV indicates what?
Correct answer- Macrocytic anemia, B12 Def
Man with BPH, prostate feels on digital exam?
Correct answer- Enlarged, symmetrical, smooth
Man with HTN, CAD, present femoral pulses but absent pedal
Correct answer- Arterial Insufficiency
McMurray's Sign
(+) palpable or audible click while extending with varus stress
Correct answer- Meniscus tears
Lachman's Test
Correct answer- pivot shift test (ACL tear)
Newborn with foot turned in, what do you do?
Correct answer- refer to orthopedist
Osgood-Schlatter disease
Correct answer- 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 states she has trouble
remembering tasks and trouble with organization. What is this indicative of?
Correct answer- Alzheimer's
Pt has Barretts Esophagus, insurance no longer covers GI who was treating condition.
Pt at FNP office wanting refill prescriptions. What do you do?
Correct answer- Refer to oncologist
Pt presents with rash on shoulder, erythematous maculopapular rash with center
clearing and scaling?
Correct answer- Tinea Corporis
Pt presents with "bag of worms:, indicates?
Correct answer- Varicocele
Pt with atopic dermatitis, look for what other diseases?
Correct answer- Asthma
Certification Exam with complete solution
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
Correct answer- III first time audible, IV first time thrill
Fundal height 12 weeks
Correct answer- 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 intolerance, mom started on goats
milk; now has pale conjunctiva but otherwise healthy. Low HCT. What additional test
would you order?
Correct answer- Iron, TIBC
3 months of synthroid, TSH increased, T4 normal, what do you do?
Correct answer- Increase Medication
3 ways to assess cognitive function in patient with signs/symptoms of memory loss
Correct answer- Mini mental exam
4 month old with strabismus, mom is worried......
Correct answer- tell her it is normal.
4 month old wont keep anything down, what is the main thing you look at?
Correct answer- Growth chart
6 month old closed anterior fontanel.
Correct answer- XRAY
Abnormal cells on PAP, what do you do next?
Correct answer- Refer for Colposcopy
CAGE ACRONYM
Correct answer- Cut down
Annoyed by criticism
Guilty about drinking
Eye opener drink
,Causes of tachycardia
Correct answer- Fever
Anemia
Hypotension
Cranial nerves responsible for extraocular eye movements
Correct answer- CN 3,4,6
Definition of metabolic syndrome
Correct answer- cluster of conditions that increase risk of heart disease, stroke,
diabetes.
diagnose trichomoniasis
Correct answer- wet prep
Elderly presents with atrophic vaginitis, small uterus, palpable 4x5 ovary, what do you
do next?
Correct answer- Pelvic US
Epistaxis is most common in the area of the nose known as kiesselbachs triangle,
where is this located?
Correct answer- Anterior septum
Definitive diagnosis of acute bacterial prostatitis
Correct answer- urinalysis and culture
GERD treatment
Correct answer- H2 is first line, give hs
Grade 3 cells on Pap, treatment?
Correct answer- LEEP
excision
Fingernail hematoma treatment?
Correct answer- drill hole and drain blood?
Increased risk of ectopic pregnancy
Correct answer- Salpingitis, or history of abortion, PID,
Koplick spots
Correct answer- Measles (rubeola). Grains of salt lesions inside mouth in Measles
Koplick spots
Correct answer- Measles (rubeola). Grains of salt lesions inside mouth in Measles
Legg-Calve-Perthes Disease
, Correct answer- Avascular necrosis of the proximal femoral head
Lipid level of 1500, increased risk for?
Correct answer- Pancreatitis
Low HGB, Low HCT, High MCV indicates what?
Correct answer- Macrocytic anemia, B12 Def
Man with BPH, prostate feels on digital exam?
Correct answer- Enlarged, symmetrical, smooth
Man with HTN, CAD, present femoral pulses but absent pedal
Correct answer- Arterial Insufficiency
McMurray's Sign
(+) palpable or audible click while extending with varus stress
Correct answer- Meniscus tears
Lachman's Test
Correct answer- pivot shift test (ACL tear)
Newborn with foot turned in, what do you do?
Correct answer- refer to orthopedist
Osgood-Schlatter disease
Correct answer- 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 states she has trouble
remembering tasks and trouble with organization. What is this indicative of?
Correct answer- Alzheimer's
Pt has Barretts Esophagus, insurance no longer covers GI who was treating condition.
Pt at FNP office wanting refill prescriptions. What do you do?
Correct answer- Refer to oncologist
Pt presents with rash on shoulder, erythematous maculopapular rash with center
clearing and scaling?
Correct answer- Tinea Corporis
Pt presents with "bag of worms:, indicates?
Correct answer- Varicocele
Pt with atopic dermatitis, look for what other diseases?
Correct answer- Asthma
