AANP CERTIFICATION EXAM WITH LATEST
COMPLETE QUESTIONS AND CORRECT VERIFIED
ANSWERS| WELL GRADED A+
A 17-year-old female has never had her menses. She is at Tanner stage III of sexual
development. Her PE is completely normal, and her weight is appropriate for her age
and height. What is the most likely diagnosis? - CORRECT ANSWERS-Primary
amenorrhea
An 85-year-old patient relates that on the way to an annual PE, the patient suffered a
sudden loss of vision in the right eye characterized by "a bunch of lights" and a feeling
that "a curtain came down." The most likely diagnosis is? - CORRECT ANSWERS-
Retinal detachment
A 66-year-old patient presents with bilateral otitis media with effusion and white patches
in the mouth that do not rub off when wiped with a 4 x 4. The patient should be
evaluated for? - CORRECT ANSWERS-HIV infection
A 20-year-old male presents with a 1-month history of a "bump on my testicle." He
reports being sexually active, with frequent episodes of unprotected intercourse with
multiple partners. Which condition should be suspected? - CORRECT ANSWERS-
Cancer of the testicles
A 14-year-old patient who fell on an outstretched hand complains of proximal forearm
pain. X-ray reveals a positive fat pad sign, and the patient is unable to fully extend the
elbow. No definitive bony changes are seen on X-ray. The most likely working diagnosis
is? - CORRECT ANSWERS-Radial head fracture
An NP is evaluating a 40-year-old patient suspected of having a pulmonary embolus.
The patient complains of anxiety and cough. A stat CXR is normal. What tests should
the NP perform next? - CORRECT ANSWERS-Helical CT pulmonary angiography
A 38-year-old experiences a sudden onset of acute abdominal pain radiating to his
groin. He is having difficulty walking and is nauseated. He denies any trauma or
previous groin injuries. Exam reveals diffuse swelling of the left testicle and negative
cremasteric reflex. The most likely diagnosis is? - CORRECT ANSWERS-Testicular
torsion
A 32-year-old patient reports a 6-month history of intermittent symmetrical swelling of
the wrists and daily morning stiffness lasting 1 hour or more in and around other joints.
What is the most likely diagnosis? - CORRECT ANSWERS-RA
A 65-year-old male presents to a clinic complaining of increasing fatigue, dyspnea on
exertion, and ankle edema during the day. He has a history of mild HTN. On PE, the
,patient is tachycardic, positive for JVD, and positive for S3, with a systolic murmur. CXR
reveals cardiomegaly with vascular redistribution. The NP's diagnosis should be? -
CORRECT ANSWERS-HF
If your patient is in the catarrhal stage of pertussis, upon examination you would find
which of the following? - CORRECT ANSWERS-You would find mild upper respiratory
symptoms with cough. And mild conjunctival injection. It is really indistinguishable from
the common cold.
What would NOT be considered a typical finding in a geriatric patient? - CORRECT
ANSWERS-Low frequency hearing loss. A typical finding in a geriatric patient would be
a high frequency hearing loss. The speaking voice is high frequency. Degenerative
changes of the ossicles, fewer auditory neurons and atrophy of the hair cells results in
sensorineural hearing loss.
Typical findings in a geriatric patient? - CORRECT ANSWERS-Thinner epidermis,
dermis and subcutaneous layers of skin, bright purple-colored patches on the forearms
and hands, opaque white ring at the periphery of the cornea
Risk factors for age-related macular degeneration - CORRECT ANSWERS-Tobacco
use, aging, sun exposure and family history
Underweight BMI - CORRECT ANSWERS-<18.5
Normal BMI - CORRECT ANSWERS-18.5-24.9
Overweight BMI - CORRECT ANSWERS-25-29.9
Obese BMI - CORRECT ANSWERS-30-39.9
Grossly obese BMI - CORRECT ANSWERS->40
Pregnancy Category A Drugs - CORRECT ANSWERS-Vitamins and levothyroxine
Pregnancy Category B Drugs - CORRECT ANSWERS-Acetaminophen, ibuprofen,
penicillins, cephalosporins, and azithromycin and erythromycin antibiotics.
A geriatric patient who has a 40 pack-year smoking history complains of painful
cramping in the leg muscles that occurs after walking for 20 minutes. After taking a
complete history and performing a physical exam, an NP decides that the most likely
diagnosis is? - CORRECT ANSWERS-Intermittent claudication
What is a common cause of acne? - CORRECT ANSWERS-Increase in androgens
, In a 19-year-old who presents with a sore throat and anterior cervical adenopathy,
which causative agent would be suspected? - CORRECT ANSWERS-Group A beta-
hemolytic Streptococcus
When completing the initial assessment for depression in geriatric adults, the NP should
evaluate? - CORRECT ANSWERS-Mental status exam
What is the most common risk factor for developing severe hyperbilirubinemia in the
newborn? - CORRECT ANSWERS-Blood incompatibility with the mother
Which trimester of pregnancy is a woman with a fundal height measurement at the
umbilicus? - CORRECT ANSWERS-Second
Which of the following conditions exacerbate urinary incontinence? - CORRECT
ANSWERS-Impacted stool and atrophic vaginitis
An adult patient presents with a 2-day history of intermittent stabbing chest pain that
worsens with deep breaths. The patient reports a nonproductive cough and no fever for
several days, and denies trauma, palpitations or GI symptoms. VS normal. Lungs are
clear, heart sounds normal. PE reveals localized chest wall tenderness at the costal
margin. EKG and CXR normal. The most likely diagnosis is? - CORRECT ANSWERS-
Costchondritis
The most common skin cancer is? - CORRECT ANSWERS-Basal cell carcinoma
What is true regarding depression in the elderly? - CORRECT ANSWERS-Depression
can be induced by prescribed and OTC medications
Acute otitis media has what characteristics? - CORRECT ANSWERS-Loss of ossicular
landmarks on the TM
What constellations of symptoms, lasting more than 3 months, is MOST common in
fibromyalgia? - CORRECT ANSWERS-Diffuse pain, sleep abnormality, fatigue
An adult male is seen for an initial visit. He denies tobacco, drug, or ETOH use. He has
a sedentary lifestyle and no family history of DM. VS normal, BMI = 31. What diabetes
screening tests would an NP order? - CORRECT ANSWERS-Fasting plasma glucose
An adolescent presents for a preparticipation athlete exam. In determining clearance for
participation in sports, what should be considered? - CORRECT ANSWERS-
Characteristics of the sport
Urinary and bowel dysfunction, saddle anesthesia, and leg weakness or foot drop are
signs of? - CORRECT ANSWERS-Cauda equina syndrome
COMPLETE QUESTIONS AND CORRECT VERIFIED
ANSWERS| WELL GRADED A+
A 17-year-old female has never had her menses. She is at Tanner stage III of sexual
development. Her PE is completely normal, and her weight is appropriate for her age
and height. What is the most likely diagnosis? - CORRECT ANSWERS-Primary
amenorrhea
An 85-year-old patient relates that on the way to an annual PE, the patient suffered a
sudden loss of vision in the right eye characterized by "a bunch of lights" and a feeling
that "a curtain came down." The most likely diagnosis is? - CORRECT ANSWERS-
Retinal detachment
A 66-year-old patient presents with bilateral otitis media with effusion and white patches
in the mouth that do not rub off when wiped with a 4 x 4. The patient should be
evaluated for? - CORRECT ANSWERS-HIV infection
A 20-year-old male presents with a 1-month history of a "bump on my testicle." He
reports being sexually active, with frequent episodes of unprotected intercourse with
multiple partners. Which condition should be suspected? - CORRECT ANSWERS-
Cancer of the testicles
A 14-year-old patient who fell on an outstretched hand complains of proximal forearm
pain. X-ray reveals a positive fat pad sign, and the patient is unable to fully extend the
elbow. No definitive bony changes are seen on X-ray. The most likely working diagnosis
is? - CORRECT ANSWERS-Radial head fracture
An NP is evaluating a 40-year-old patient suspected of having a pulmonary embolus.
The patient complains of anxiety and cough. A stat CXR is normal. What tests should
the NP perform next? - CORRECT ANSWERS-Helical CT pulmonary angiography
A 38-year-old experiences a sudden onset of acute abdominal pain radiating to his
groin. He is having difficulty walking and is nauseated. He denies any trauma or
previous groin injuries. Exam reveals diffuse swelling of the left testicle and negative
cremasteric reflex. The most likely diagnosis is? - CORRECT ANSWERS-Testicular
torsion
A 32-year-old patient reports a 6-month history of intermittent symmetrical swelling of
the wrists and daily morning stiffness lasting 1 hour or more in and around other joints.
What is the most likely diagnosis? - CORRECT ANSWERS-RA
A 65-year-old male presents to a clinic complaining of increasing fatigue, dyspnea on
exertion, and ankle edema during the day. He has a history of mild HTN. On PE, the
,patient is tachycardic, positive for JVD, and positive for S3, with a systolic murmur. CXR
reveals cardiomegaly with vascular redistribution. The NP's diagnosis should be? -
CORRECT ANSWERS-HF
If your patient is in the catarrhal stage of pertussis, upon examination you would find
which of the following? - CORRECT ANSWERS-You would find mild upper respiratory
symptoms with cough. And mild conjunctival injection. It is really indistinguishable from
the common cold.
What would NOT be considered a typical finding in a geriatric patient? - CORRECT
ANSWERS-Low frequency hearing loss. A typical finding in a geriatric patient would be
a high frequency hearing loss. The speaking voice is high frequency. Degenerative
changes of the ossicles, fewer auditory neurons and atrophy of the hair cells results in
sensorineural hearing loss.
Typical findings in a geriatric patient? - CORRECT ANSWERS-Thinner epidermis,
dermis and subcutaneous layers of skin, bright purple-colored patches on the forearms
and hands, opaque white ring at the periphery of the cornea
Risk factors for age-related macular degeneration - CORRECT ANSWERS-Tobacco
use, aging, sun exposure and family history
Underweight BMI - CORRECT ANSWERS-<18.5
Normal BMI - CORRECT ANSWERS-18.5-24.9
Overweight BMI - CORRECT ANSWERS-25-29.9
Obese BMI - CORRECT ANSWERS-30-39.9
Grossly obese BMI - CORRECT ANSWERS->40
Pregnancy Category A Drugs - CORRECT ANSWERS-Vitamins and levothyroxine
Pregnancy Category B Drugs - CORRECT ANSWERS-Acetaminophen, ibuprofen,
penicillins, cephalosporins, and azithromycin and erythromycin antibiotics.
A geriatric patient who has a 40 pack-year smoking history complains of painful
cramping in the leg muscles that occurs after walking for 20 minutes. After taking a
complete history and performing a physical exam, an NP decides that the most likely
diagnosis is? - CORRECT ANSWERS-Intermittent claudication
What is a common cause of acne? - CORRECT ANSWERS-Increase in androgens
, In a 19-year-old who presents with a sore throat and anterior cervical adenopathy,
which causative agent would be suspected? - CORRECT ANSWERS-Group A beta-
hemolytic Streptococcus
When completing the initial assessment for depression in geriatric adults, the NP should
evaluate? - CORRECT ANSWERS-Mental status exam
What is the most common risk factor for developing severe hyperbilirubinemia in the
newborn? - CORRECT ANSWERS-Blood incompatibility with the mother
Which trimester of pregnancy is a woman with a fundal height measurement at the
umbilicus? - CORRECT ANSWERS-Second
Which of the following conditions exacerbate urinary incontinence? - CORRECT
ANSWERS-Impacted stool and atrophic vaginitis
An adult patient presents with a 2-day history of intermittent stabbing chest pain that
worsens with deep breaths. The patient reports a nonproductive cough and no fever for
several days, and denies trauma, palpitations or GI symptoms. VS normal. Lungs are
clear, heart sounds normal. PE reveals localized chest wall tenderness at the costal
margin. EKG and CXR normal. The most likely diagnosis is? - CORRECT ANSWERS-
Costchondritis
The most common skin cancer is? - CORRECT ANSWERS-Basal cell carcinoma
What is true regarding depression in the elderly? - CORRECT ANSWERS-Depression
can be induced by prescribed and OTC medications
Acute otitis media has what characteristics? - CORRECT ANSWERS-Loss of ossicular
landmarks on the TM
What constellations of symptoms, lasting more than 3 months, is MOST common in
fibromyalgia? - CORRECT ANSWERS-Diffuse pain, sleep abnormality, fatigue
An adult male is seen for an initial visit. He denies tobacco, drug, or ETOH use. He has
a sedentary lifestyle and no family history of DM. VS normal, BMI = 31. What diabetes
screening tests would an NP order? - CORRECT ANSWERS-Fasting plasma glucose
An adolescent presents for a preparticipation athlete exam. In determining clearance for
participation in sports, what should be considered? - CORRECT ANSWERS-
Characteristics of the sport
Urinary and bowel dysfunction, saddle anesthesia, and leg weakness or foot drop are
signs of? - CORRECT ANSWERS-Cauda equina syndrome
