AANP FNP CERTIFICATION
200 REAL EXAM QUESTIONS AND CORRECT ANSWERS
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
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 week 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?
Iron, TIBC
3 months of Synthroid, TSH increased, T4 normal, what do you do?
Increase Medication
3 ways to assess cognitive function in patient with signs/symptoms
of memory loss
Mini mental exam
4-month-old with strabismus, mom is worried......
tell her it is normal.
,4-month-old won’t keep anything down, what is the main thing you
look at?
Growth chart
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
Elderly presents with atrophic vaginitis, small uterus, palpable 4x5
ovary, what do you do next?
Pelvic US
Epistaxis is most common in the area of the nose known as
Kiesselbachs triangle, where is this located?
Anterior septum
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
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 hypertension, CAD, present femoral pulses but absent
pedal
Arterial Insufficiency
McMurray's Sign
(+) palpable or audible click while extending with varus stress
Meniscus tears
Lachman's Test
pivot shift test (ACL tear)
Newborn with foot turned in, what do you do?
200 REAL EXAM QUESTIONS AND CORRECT ANSWERS
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
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 week 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?
Iron, TIBC
3 months of Synthroid, TSH increased, T4 normal, what do you do?
Increase Medication
3 ways to assess cognitive function in patient with signs/symptoms
of memory loss
Mini mental exam
4-month-old with strabismus, mom is worried......
tell her it is normal.
,4-month-old won’t keep anything down, what is the main thing you
look at?
Growth chart
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
Elderly presents with atrophic vaginitis, small uterus, palpable 4x5
ovary, what do you do next?
Pelvic US
Epistaxis is most common in the area of the nose known as
Kiesselbachs triangle, where is this located?
Anterior septum
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
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 hypertension, CAD, present femoral pulses but absent
pedal
Arterial Insufficiency
McMurray's Sign
(+) palpable or audible click while extending with varus stress
Meniscus tears
Lachman's Test
pivot shift test (ACL tear)
Newborn with foot turned in, what do you do?
