AANP TEST EXAM 2025 WITH CORRECT
ANSWERS
first line for cholesterol - correct answer is lifestyle changes but if you see triglycerides is elevated then address
c c c c c c c c c c c c c c c c c c
it even if the triglycerides are 300ish
c c c c c c c
if you see cullens sign - correct answer bad sign pacrease is bouta rupture
c c c c c c c c c c c c c
hypertryglceride treatment? - correct answer niacin and fenofibrates c c c c c c c
riglycerides elevated above 500? - correct answer not good cuz that means pancreas is stressed out and can
c c c c c c c c c c c c c c c c c c
rupture
TSH - correct answer 0.4-5
c c c c
pt has INR 5 what do you do? - correct answer hold the next dose and repeat INR in the next day or two and
c c c c c c c c c c c c c c c c c c c c c c c c c
before restarting meds c c
pt has INR 1.2 what do you do? - correct answer increase med
c c c c c c c c c c c c
INR - correct answer normal range is 2-3
c c c c c c c
,renal artery stenosis/ renal vascular hypertension - correct answer bruit is heard in abdomen
c c c c c c c c c c c c c
AAA - correct answer middle aged man smoker comes to ER feels like ripping sensation in back do ultrasound...
c c c c c c c c c c c c c c c c c c
AAA or renal artery stenosis /renal vascular hypertension - correct answer bruit in abdomen either
c c c c c c c c c c c c c c
thrill - correct answer first time felt is murmur grade 4
c c c c c c c c c c
shortness of breath, crackles? - correct answer LEFT heart failure
c c c c c c c c c
edema, JVD? - correct answer RIGHT heart failure c c c c c c c
avoid grapefruit juice - correct answer statins and CCBs
c c c c c c c c
which hypertension med should you AVOID in pts with COPD asthma breathing issues? - correct answer beta
c c c c c c c c c c c c c c c c c
blockers(slows everything down) c c
metabolic syndrome - correct answer the triad of bad stuff bp diabetes elevated sugar triglcyerdies
c c c c c c c c c c c c c c c
chloesterol....dont give thiazides to patients who have metabolic syndrome cuz it causes c c c c c c c c c c c c
hyperglycemia/triglycerides and hyperurecemia c c
if pt has GERD - correct answer do not give CCB cuz thats gonna dilate everything and cause more heartburn
c c c c c c c c c c c c c c c c c c c
raynauds - correct answer american flag color drained out treat with CCB cuz it'll dilate everything
c c c c c c c c c c c c c c c
BPH and Hypertension? - correct answer alpha blockers specifcally hytrin!
c c c c c c c c c
patients with diabetes and hypertension? - correct answer ACE and ARBS!!! make sure you monitor Glucose
c c c c c c c c c c c c c c c c
and POTASSIUM!!! make sure it doesn't go to low or high
c c c c c c c c c c
, ISH - correct answer -give CCB
c c c c c
plusus paradoxus...BP drops 10 - correct answer asthma patient comes in and on inspriation there BP drops
c c c c c c c c c c c c c c c c c
whats going on ? c c c
if starting patient on statin - correct answer do liver function labs first cuz statins are metabolized by the
c c c c c c c c c c c c c c c c c c c
liver...statins can build up in the body causing liver damage ...those on statins are make the patient at risk for
c c c c c c c c c c c c c c c c c c c c
Rhabdo...symptoms include muscle pain aches and tired...ask them about urine if its dark orangey golden c c c c c c c c c c c c c c c
thats a clue of rhabdo! first stop the statin! get them hydrated if its bad send to ER
c c c c c c c c c c c c c c c c c
PAD - correct answer better if i put feet down or let them hang off bed, legs ache, shiny and hairless legs, feet
c c c c c c c c c c c c c c c c c c c c c c c
are cold legs hurt at nighttime
c c c c c
c ABI lower then 0.9 means they have it
c c c c c c c
must be 1 or higher to not have disease
c c c c c c c c
a-fib on EKG - correct answer no defined P wave irregular QRS everything looks like flutter
c c c c c c c c c c c c c c c
first degree block - correct answer on EKG looks like prolonged PR interval
c c c c c c c c c c c c
s3 - correct answer is heard in CHF patients and those who are pregnant cuz fluid overload
c c c c c c c c c c c c c c c c
s4 - correct answer is heard in elderly population and hypertension-stiffened arteries..might result in LVH
c c c c c c c c c c c c c c c
thats when you might get isolated systolic hypertension- give CCB because you need vasodilation
c c c c c c c c c c c c c
s1 - correct answer closure of AV valves
c c c c c c c
s2 - correct answer closure of SL is
c c c c c c c
bengin split s2 - correct answer best heard at second intercostal space at the left sternal border...pulmonic
c c c c c c c c c c c c c c c c c
region
ANSWERS
first line for cholesterol - correct answer is lifestyle changes but if you see triglycerides is elevated then address
c c c c c c c c c c c c c c c c c c
it even if the triglycerides are 300ish
c c c c c c c
if you see cullens sign - correct answer bad sign pacrease is bouta rupture
c c c c c c c c c c c c c
hypertryglceride treatment? - correct answer niacin and fenofibrates c c c c c c c
riglycerides elevated above 500? - correct answer not good cuz that means pancreas is stressed out and can
c c c c c c c c c c c c c c c c c c
rupture
TSH - correct answer 0.4-5
c c c c
pt has INR 5 what do you do? - correct answer hold the next dose and repeat INR in the next day or two and
c c c c c c c c c c c c c c c c c c c c c c c c c
before restarting meds c c
pt has INR 1.2 what do you do? - correct answer increase med
c c c c c c c c c c c c
INR - correct answer normal range is 2-3
c c c c c c c
,renal artery stenosis/ renal vascular hypertension - correct answer bruit is heard in abdomen
c c c c c c c c c c c c c
AAA - correct answer middle aged man smoker comes to ER feels like ripping sensation in back do ultrasound...
c c c c c c c c c c c c c c c c c c
AAA or renal artery stenosis /renal vascular hypertension - correct answer bruit in abdomen either
c c c c c c c c c c c c c c
thrill - correct answer first time felt is murmur grade 4
c c c c c c c c c c
shortness of breath, crackles? - correct answer LEFT heart failure
c c c c c c c c c
edema, JVD? - correct answer RIGHT heart failure c c c c c c c
avoid grapefruit juice - correct answer statins and CCBs
c c c c c c c c
which hypertension med should you AVOID in pts with COPD asthma breathing issues? - correct answer beta
c c c c c c c c c c c c c c c c c
blockers(slows everything down) c c
metabolic syndrome - correct answer the triad of bad stuff bp diabetes elevated sugar triglcyerdies
c c c c c c c c c c c c c c c
chloesterol....dont give thiazides to patients who have metabolic syndrome cuz it causes c c c c c c c c c c c c
hyperglycemia/triglycerides and hyperurecemia c c
if pt has GERD - correct answer do not give CCB cuz thats gonna dilate everything and cause more heartburn
c c c c c c c c c c c c c c c c c c c
raynauds - correct answer american flag color drained out treat with CCB cuz it'll dilate everything
c c c c c c c c c c c c c c c
BPH and Hypertension? - correct answer alpha blockers specifcally hytrin!
c c c c c c c c c
patients with diabetes and hypertension? - correct answer ACE and ARBS!!! make sure you monitor Glucose
c c c c c c c c c c c c c c c c
and POTASSIUM!!! make sure it doesn't go to low or high
c c c c c c c c c c
, ISH - correct answer -give CCB
c c c c c
plusus paradoxus...BP drops 10 - correct answer asthma patient comes in and on inspriation there BP drops
c c c c c c c c c c c c c c c c c
whats going on ? c c c
if starting patient on statin - correct answer do liver function labs first cuz statins are metabolized by the
c c c c c c c c c c c c c c c c c c c
liver...statins can build up in the body causing liver damage ...those on statins are make the patient at risk for
c c c c c c c c c c c c c c c c c c c c
Rhabdo...symptoms include muscle pain aches and tired...ask them about urine if its dark orangey golden c c c c c c c c c c c c c c c
thats a clue of rhabdo! first stop the statin! get them hydrated if its bad send to ER
c c c c c c c c c c c c c c c c c
PAD - correct answer better if i put feet down or let them hang off bed, legs ache, shiny and hairless legs, feet
c c c c c c c c c c c c c c c c c c c c c c c
are cold legs hurt at nighttime
c c c c c
c ABI lower then 0.9 means they have it
c c c c c c c
must be 1 or higher to not have disease
c c c c c c c c
a-fib on EKG - correct answer no defined P wave irregular QRS everything looks like flutter
c c c c c c c c c c c c c c c
first degree block - correct answer on EKG looks like prolonged PR interval
c c c c c c c c c c c c
s3 - correct answer is heard in CHF patients and those who are pregnant cuz fluid overload
c c c c c c c c c c c c c c c c
s4 - correct answer is heard in elderly population and hypertension-stiffened arteries..might result in LVH
c c c c c c c c c c c c c c c
thats when you might get isolated systolic hypertension- give CCB because you need vasodilation
c c c c c c c c c c c c c
s1 - correct answer closure of AV valves
c c c c c c c
s2 - correct answer closure of SL is
c c c c c c c
bengin split s2 - correct answer best heard at second intercostal space at the left sternal border...pulmonic
c c c c c c c c c c c c c c c c c
region
