3/11/25, 7:40 PM AANP EXAM, PRACTICE EXAM AND STUDY GUIDE NEWEST 2024 ACTUAL EXAM 200 …
AANP PRACTICE EXAM AND STUDY GUIDE
NEWEST VERSION 2024 ACTUAL EXAM 200
QUESTIONS AND CORRECT DETAILED ANSWERS
WITH RATIONALES
Terms in this set (201)
-autoimmune- decreased Ach receptor and
antibodies against sites
-weakness and rapid fatigue of muscles under
Myasthenia Gravis voluntary control
Symptoms/Patho -dropping eyelid, impaired voice, difficulty
swallowing, arm/leg weakness
-worsening throughout day as Ach drops- more
symptomatic at dinner
-Tensilon Test (anticholinesterase allowing for Ach)
looking for improved muscle responses in 5 minutes*
Myasthenia Gravis Tests - also check RA and ANA for coexisting autoimmune
disease
-EMGs
Myasthenia Gravis -slowly progressive- can lead to fatal aspiration
Complications
1/28
,3/11/25, 7:40 PM AANP EXAM, PRACTICE EXAM AND STUDY GUIDE NEWEST 2024 ACTUAL EXAM 200 …
-diagnostic of MS
Lhermitte's sign* -lay supine and flex neck- this causes electric shock
down both arms
Acute (both cause weight gain):
-Glucocorticoids
-Baclofen for spasticity
MS Treatments
Reduce relapses:
-SQ Betaseron (Interferon beta 1b) QOD
-IM Avonex (Interferon beta 1a) Qweek
Acute prob involving PROXIMAL limb SYMMETRICAL
weakness that often begins in the legs and ASCENDs
quickly; unknown cause; Areflexia and facial paralysis
and respiratory paralysis may results; Maximum deficit
Guillian Barre BY 7 days; Tx: plasmapharesis or IgG
Polyneuropathy MONO IS A RISK FOR GB so watch for it in pt's you
are treating for mono- MUST document achilles reflex
when you make the diagnosis of mono to get
baseline; GB will have ascending loss of reflexes
-can start as tingling in the feet
Achilles DTR* S1, L5
Patellar DTR* L3, L4
2/28
, 3/11/25, 7:40 PM AANP EXAM, PRACTICE EXAM AND STUDY GUIDE NEWEST 2024 ACTUAL EXAM 200 …
Brachioradialis* C5, C6
Biceps* C5, C6
Triceps* C7, C8
Prolonged recovery of the Hypothyroid
achilles reflex supports
the diagnosis of*
-Nose, hands, bones getting larger d/t pituitary
Acromeagly adenoma- excessive growth hormone
-provider could be mistreating for hypothyroid
positive- upward extension of big tow with fanning of
toes
Babinski reflex
-should go away by time they are walking
-can be positive in MS on affected side
aka Lou Gehrigs disease
-progressive neuromuscular disease
Amyotropic Lateral
-remain cognitively intact
Scelorsis
-50-70 years old, men>female
-prognosis 3-5 years after respiratory failure
-trips over feet **
S/Sx Amyotropic lateral -fasculations of toungue
sceloris -pooling of secretions (wake with wet pillow, wiping
mouth)
-when redness touches the limbal boarder of the eye
-always worry about this!
-could be: uveitis, acute glaucoma
Cilary Flush/blush*
-pt will be very symptomatic
-always check pupils next- true ciliary blush pupil will
be irregular in size and shape
Eye Anatomy from (CAIL)
outermost to intermost cornea, anterior chamber, iris, lens
3/28
AANP PRACTICE EXAM AND STUDY GUIDE
NEWEST VERSION 2024 ACTUAL EXAM 200
QUESTIONS AND CORRECT DETAILED ANSWERS
WITH RATIONALES
Terms in this set (201)
-autoimmune- decreased Ach receptor and
antibodies against sites
-weakness and rapid fatigue of muscles under
Myasthenia Gravis voluntary control
Symptoms/Patho -dropping eyelid, impaired voice, difficulty
swallowing, arm/leg weakness
-worsening throughout day as Ach drops- more
symptomatic at dinner
-Tensilon Test (anticholinesterase allowing for Ach)
looking for improved muscle responses in 5 minutes*
Myasthenia Gravis Tests - also check RA and ANA for coexisting autoimmune
disease
-EMGs
Myasthenia Gravis -slowly progressive- can lead to fatal aspiration
Complications
1/28
,3/11/25, 7:40 PM AANP EXAM, PRACTICE EXAM AND STUDY GUIDE NEWEST 2024 ACTUAL EXAM 200 …
-diagnostic of MS
Lhermitte's sign* -lay supine and flex neck- this causes electric shock
down both arms
Acute (both cause weight gain):
-Glucocorticoids
-Baclofen for spasticity
MS Treatments
Reduce relapses:
-SQ Betaseron (Interferon beta 1b) QOD
-IM Avonex (Interferon beta 1a) Qweek
Acute prob involving PROXIMAL limb SYMMETRICAL
weakness that often begins in the legs and ASCENDs
quickly; unknown cause; Areflexia and facial paralysis
and respiratory paralysis may results; Maximum deficit
Guillian Barre BY 7 days; Tx: plasmapharesis or IgG
Polyneuropathy MONO IS A RISK FOR GB so watch for it in pt's you
are treating for mono- MUST document achilles reflex
when you make the diagnosis of mono to get
baseline; GB will have ascending loss of reflexes
-can start as tingling in the feet
Achilles DTR* S1, L5
Patellar DTR* L3, L4
2/28
, 3/11/25, 7:40 PM AANP EXAM, PRACTICE EXAM AND STUDY GUIDE NEWEST 2024 ACTUAL EXAM 200 …
Brachioradialis* C5, C6
Biceps* C5, C6
Triceps* C7, C8
Prolonged recovery of the Hypothyroid
achilles reflex supports
the diagnosis of*
-Nose, hands, bones getting larger d/t pituitary
Acromeagly adenoma- excessive growth hormone
-provider could be mistreating for hypothyroid
positive- upward extension of big tow with fanning of
toes
Babinski reflex
-should go away by time they are walking
-can be positive in MS on affected side
aka Lou Gehrigs disease
-progressive neuromuscular disease
Amyotropic Lateral
-remain cognitively intact
Scelorsis
-50-70 years old, men>female
-prognosis 3-5 years after respiratory failure
-trips over feet **
S/Sx Amyotropic lateral -fasculations of toungue
sceloris -pooling of secretions (wake with wet pillow, wiping
mouth)
-when redness touches the limbal boarder of the eye
-always worry about this!
-could be: uveitis, acute glaucoma
Cilary Flush/blush*
-pt will be very symptomatic
-always check pupils next- true ciliary blush pupil will
be irregular in size and shape
Eye Anatomy from (CAIL)
outermost to intermost cornea, anterior chamber, iris, lens
3/28
