AANP FNP CERTIFICATION APPROVED EXAM COMPLETE 200
REAL EXAM QUESTIONS AND CORRECT DETAILED ANSWERS
(CORRECT VERIFIED ANSWERS) LATEST UPDATED VERSION (A
CREDITION !!) BRAND NEW
Hegar's sign - ANSWER: Softening of lower uterine segment
Chadwick's sign - ANSWER: Bluish color of cervix and vagina at 6-8 weeks
Goodell's sign - ANSWER: Softening of cervix at 4+ weeks
Lipids in chronic inactivity - ANSWER: Low HDL
Lipids in under- or untreated hypothyroidism - ANSWER: Elevated total cholesterol,
TG, and LDL
Lipids in chronic renal insufficiency - ANSWER: Elevated total cholesterol and TG
Lipids in alcohol abuse - ANSWER: Elevated TG, HDL, and LDL
Vaccines with live attenuated viruses - ANSWER: MMR, varicella, flu-mist(intranasal),
Zostavax
Drugs of choice for abdominal infection - ANSWER: Beta lactams + metronidazole
(most common); fluoroquinolones
Drugs of choice for urinary tract infection - ANSWER: Fluoroquinolones (except
moxi), TMP-SMX, fluconazole, b-lactams, nitrofurantoin, fosfomycin if pt has many
allergies
Drugs of choice for pulmonary infections - ANSWER: Macrolides, resp
fluoroquinolones, b-lactams, doxycycline (MRSA, atypical coverage)
Drugs of choice for skin and soft tissue infections - ANSWER: MRSA: TMP-SMZ,
doxycycline, clindamycin; b-lactams
Drugs of choice for MRSA - ANSWER: Vancomycin, daptomycin , linezolid, TMP-SMZ,
doxycycline, ceftaroline
Macrolide drugs - ANSWER: Erythromycin, clarithromycin, azithromycin
Macrolide AEs - ANSWER: GI, QT prolongation
Tetracycline uses - ANSWER: MRSA, rocky mtn spotted fever, atypicals (mycoplasma
pneumonia, chlamydia), spirochetes (Lyme), h.pylori
, Tetracycline AEs - ANSWER: GI, teeth, hepatic dysfunction, photosensitivity
Fluoroquinolone drugs - ANSWER: Ciprofloxacin, levofloxacin, moxifloxacin
Fluoroquinolone uses - ANSWER: UTI (cipro or levo), atypicals (mycoplasma,
legionella)
Fluoroquinolones and dairy or vitamins - ANSWER: Take 2 hrs before or 4 hours after
(decrease concentrations)
Metronidazole (Flagyl) uses - ANSWER: C. Diff, vaginitis
Metronidazole AEs - ANSWER: GI, peripheral neuropathy, disulfiram reaction
Nitrofurantoin uses - ANSWER: UTI -not pyelonephritis due to no systemic
absorption
Nitrofurantoin AEs, contraindications - ANSWER: Pulmonary fibrosis, contraindicated
in CrCl <60 (excludes many elderly)
Aminoglycoside drugs - ANSWER: Gentamycin, tobramycin
Aminoglycoside uses - ANSWER: Atypical coverage, resistant infections, tobramycin
for CF only
Aminoglycoside AEs - ANSWER: Ototoxicity (irreversible), nephrotoxicity (reversible)
Aminoglycoside monitoring - ANSWER: Renal dose adjust, hearing test, drug level
monitoring
Antifungals (azoles) - ANSWER: Fluconazole, itraconazole
Itraconazole interactions - ANSWER: Acid suppressive therapies
Fluconazole dose adjust - ANSWER: Renal
Antifungal AEs - ANSWER: GI, QTc prolongation (fluconazole)
Antifungal drug interactions - ANSWER: QT prolongation meds, warfarin
Anti-infectives not for pregnant - ANSWER: Tetracyclines, TMP-SMZ
TMP-SMZ coverage - ANSWER: G+, G-, MRSA, Protozoa (toxoplasma gondii), fungus
(pneumocystis jirovecii), poor anaerobic activity
REAL EXAM QUESTIONS AND CORRECT DETAILED ANSWERS
(CORRECT VERIFIED ANSWERS) LATEST UPDATED VERSION (A
CREDITION !!) BRAND NEW
Hegar's sign - ANSWER: Softening of lower uterine segment
Chadwick's sign - ANSWER: Bluish color of cervix and vagina at 6-8 weeks
Goodell's sign - ANSWER: Softening of cervix at 4+ weeks
Lipids in chronic inactivity - ANSWER: Low HDL
Lipids in under- or untreated hypothyroidism - ANSWER: Elevated total cholesterol,
TG, and LDL
Lipids in chronic renal insufficiency - ANSWER: Elevated total cholesterol and TG
Lipids in alcohol abuse - ANSWER: Elevated TG, HDL, and LDL
Vaccines with live attenuated viruses - ANSWER: MMR, varicella, flu-mist(intranasal),
Zostavax
Drugs of choice for abdominal infection - ANSWER: Beta lactams + metronidazole
(most common); fluoroquinolones
Drugs of choice for urinary tract infection - ANSWER: Fluoroquinolones (except
moxi), TMP-SMX, fluconazole, b-lactams, nitrofurantoin, fosfomycin if pt has many
allergies
Drugs of choice for pulmonary infections - ANSWER: Macrolides, resp
fluoroquinolones, b-lactams, doxycycline (MRSA, atypical coverage)
Drugs of choice for skin and soft tissue infections - ANSWER: MRSA: TMP-SMZ,
doxycycline, clindamycin; b-lactams
Drugs of choice for MRSA - ANSWER: Vancomycin, daptomycin , linezolid, TMP-SMZ,
doxycycline, ceftaroline
Macrolide drugs - ANSWER: Erythromycin, clarithromycin, azithromycin
Macrolide AEs - ANSWER: GI, QT prolongation
Tetracycline uses - ANSWER: MRSA, rocky mtn spotted fever, atypicals (mycoplasma
pneumonia, chlamydia), spirochetes (Lyme), h.pylori
, Tetracycline AEs - ANSWER: GI, teeth, hepatic dysfunction, photosensitivity
Fluoroquinolone drugs - ANSWER: Ciprofloxacin, levofloxacin, moxifloxacin
Fluoroquinolone uses - ANSWER: UTI (cipro or levo), atypicals (mycoplasma,
legionella)
Fluoroquinolones and dairy or vitamins - ANSWER: Take 2 hrs before or 4 hours after
(decrease concentrations)
Metronidazole (Flagyl) uses - ANSWER: C. Diff, vaginitis
Metronidazole AEs - ANSWER: GI, peripheral neuropathy, disulfiram reaction
Nitrofurantoin uses - ANSWER: UTI -not pyelonephritis due to no systemic
absorption
Nitrofurantoin AEs, contraindications - ANSWER: Pulmonary fibrosis, contraindicated
in CrCl <60 (excludes many elderly)
Aminoglycoside drugs - ANSWER: Gentamycin, tobramycin
Aminoglycoside uses - ANSWER: Atypical coverage, resistant infections, tobramycin
for CF only
Aminoglycoside AEs - ANSWER: Ototoxicity (irreversible), nephrotoxicity (reversible)
Aminoglycoside monitoring - ANSWER: Renal dose adjust, hearing test, drug level
monitoring
Antifungals (azoles) - ANSWER: Fluconazole, itraconazole
Itraconazole interactions - ANSWER: Acid suppressive therapies
Fluconazole dose adjust - ANSWER: Renal
Antifungal AEs - ANSWER: GI, QTc prolongation (fluconazole)
Antifungal drug interactions - ANSWER: QT prolongation meds, warfarin
Anti-infectives not for pregnant - ANSWER: Tetracyclines, TMP-SMZ
TMP-SMZ coverage - ANSWER: G+, G-, MRSA, Protozoa (toxoplasma gondii), fungus
(pneumocystis jirovecii), poor anaerobic activity
