AANP Exam Questions
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1. A patient tells the nurse D. Sumatriptan (imitrex)
practitioner that she
recently started tak- Sumatriptan (Imitrex) (D) is a medication used to treat migraines and
ing the supplement St. belongs to a drug class known as serotonin agonists. When used in
John's wort after read- conjunction with St. John's wort, it may increase the risk of serotonin
ing about its benefits syndrome, a potentially life-threatening condition.
online. Which of the
following medications,
if being actively con-
sumed, must be imme-
diately stopped?
A. Benadryl
B. Famotidine (Pepcid)
C. Metformnin (Glu-
cophage)
D. Sumatriptan (Imitrex)
2. Which of the following B. Hypervigilance
is not a symptom of
both major depressive In addition to difficulty concentrating, insomnia, and irritability, major
disorder and post-trau- depressive disorder (MDD) may also include symptoms of depressed
matic stress disorder? mood, anhedonia, weight loss or gain, and low energy. However, hy-
pervigilance (B) is not a symptom associated with this diagnosis.
A. Difficulty concentrat-
ing
B. Hypervigilance
C. Insomnia
D. Irritabilty
3. A patient with type 1 Insulin Isophane
diabetes presents for a
, AANP Exam Questions
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follow-up visit. He has The least expensive insulin type listed in this question is insulin isophane
been stable on his med- (C) (neutral protamine Hagedorn insulin). There are also often phar-
ication regimen but is macy-specific coupons that can be used on insulin, so helping patients
worried because he is apply for and navigate these programs can be instrumental in manag-
between jobs and will ing their diabetes. Another inexpensive option is regular insulin.Insulin
be without health in- analogs (glargine, detemir, degludec, lispro, and aspart) are signifi-
surance coverage for a cantly more expensive than human insulin (isophane, regular). Insulins
few months. He asks if modified by manufacturers, especially when sold as brand-name med-
there are less expensive ications, tend to be more expensive due to this modification. While
insulin options to get analogs offer alternate lengths of action and convenience, there is no
him through this time. well-documented clinical evidence that patient outcomes are improved
Which of the following with differing brands. Therefore, maintaining a patient's blood glu-
would be good options cose level through outcome-focused treatment is more valuable than
for this patient, given a process-focused plan based on medication.
his circumstance?
Incorrect
A.
Insulin aspart 70/30
B.
Insulin detemir
C.
Insulin isophane
D.
Insulin degludec
4. A 40-year-old woman A. Add a dose of mealtime insulin aspart (Novolog) at lunch
with type 2 diabetes
presents to the clinic Insulin aspart (Novolog) (A) is a rapid acting insulin that is commonly
with concerns of spik- dosed with meals and as a sliding scale regimen based on a patient's
glucose prior to eating (preprandial). It is the appropriate insulin to
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ing blood sugar be- add as a mealtime dose when patients experience blood glucose spikes
tween lunch and din- between meals because of its short-acting properties. Peak time action
ner. She states she of insulin aspart is 2 hours with initial effect within the first 30 minutes,
is on a rapid-acting making it an ideal choice to control expected postprandial glycemic
insulin sliding scale spikes
and long-acting insulin.
Which change should
be implemented to help
prevent or curb this
glycemic spike?
A.
Add a dose of mealtime
insulin aspart (Novolog)
at lunch
B.
Add insulin detemir
(Levemir) at night
C.
Increase her insulin
glargine (Lantus)
D.
Prescribe a dose of neu-
tral protamine Hage-
dorn insulin with dinner
5. Which of the following C. Otitis media
conditions is associated
with an increased risk Causes of conductive hearing loss are otitis media (C), otitis externa,
for conductive hearing foreign objects in the ear canal, impacted ear wax, tumors, congenital
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loss? anomalies, discontinuity of middle ear bones, cholesteatoma, and tym-
panic membrane rupture. Sound normally travels down the ear canal to
A. vibrate the eardrum (tympanic membrane). The eardrum is connected
Acoustic neuroma to three middle ear bones (malleus, incus, and stapes), which transmit
the sound into the inner ear (cochlea). The cochlea is the organ that
B.
changes sound vibrations into a nerve signal that travels to the brain.
Ménière disease
The four types of hearing loss are conductive, sensorineural, mixed,
and retrocochlear. Conductive hearing loss occurs when sound cannot
C.
effectively reach the inner ear due to issue in the outer ear and middle
Otitis media
ear.
D.
Presbycusis
6. A 23-year-old patient D. 31 cm
who is pregnant at 28
weeks gestation pre- After 20 weeks gestation, the fundal height should be measured with a
sents to the clinic measuring tape in centimeters and should match the gestational age.
for a routine prena- It can be > or < 2 centimeters and still be within normal limits. A fundal
tal checkup. Which fun- height of 26-30 cm is a normal finding in a patient who is 28 weeks
dal height measure- gestation. A result of 31 cm (D) is larger than expected and should be
ment would warrant a further evaluated with an ultrasound.
more conclusive assess-
ment with an ultra-
sound?
A.
26 cm
B.
29 cm
C.
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1. A patient tells the nurse D. Sumatriptan (imitrex)
practitioner that she
recently started tak- Sumatriptan (Imitrex) (D) is a medication used to treat migraines and
ing the supplement St. belongs to a drug class known as serotonin agonists. When used in
John's wort after read- conjunction with St. John's wort, it may increase the risk of serotonin
ing about its benefits syndrome, a potentially life-threatening condition.
online. Which of the
following medications,
if being actively con-
sumed, must be imme-
diately stopped?
A. Benadryl
B. Famotidine (Pepcid)
C. Metformnin (Glu-
cophage)
D. Sumatriptan (Imitrex)
2. Which of the following B. Hypervigilance
is not a symptom of
both major depressive In addition to difficulty concentrating, insomnia, and irritability, major
disorder and post-trau- depressive disorder (MDD) may also include symptoms of depressed
matic stress disorder? mood, anhedonia, weight loss or gain, and low energy. However, hy-
pervigilance (B) is not a symptom associated with this diagnosis.
A. Difficulty concentrat-
ing
B. Hypervigilance
C. Insomnia
D. Irritabilty
3. A patient with type 1 Insulin Isophane
diabetes presents for a
, AANP Exam Questions
Study online at https://quizlet.com/_guj3rw
follow-up visit. He has The least expensive insulin type listed in this question is insulin isophane
been stable on his med- (C) (neutral protamine Hagedorn insulin). There are also often phar-
ication regimen but is macy-specific coupons that can be used on insulin, so helping patients
worried because he is apply for and navigate these programs can be instrumental in manag-
between jobs and will ing their diabetes. Another inexpensive option is regular insulin.Insulin
be without health in- analogs (glargine, detemir, degludec, lispro, and aspart) are signifi-
surance coverage for a cantly more expensive than human insulin (isophane, regular). Insulins
few months. He asks if modified by manufacturers, especially when sold as brand-name med-
there are less expensive ications, tend to be more expensive due to this modification. While
insulin options to get analogs offer alternate lengths of action and convenience, there is no
him through this time. well-documented clinical evidence that patient outcomes are improved
Which of the following with differing brands. Therefore, maintaining a patient's blood glu-
would be good options cose level through outcome-focused treatment is more valuable than
for this patient, given a process-focused plan based on medication.
his circumstance?
Incorrect
A.
Insulin aspart 70/30
B.
Insulin detemir
C.
Insulin isophane
D.
Insulin degludec
4. A 40-year-old woman A. Add a dose of mealtime insulin aspart (Novolog) at lunch
with type 2 diabetes
presents to the clinic Insulin aspart (Novolog) (A) is a rapid acting insulin that is commonly
with concerns of spik- dosed with meals and as a sliding scale regimen based on a patient's
glucose prior to eating (preprandial). It is the appropriate insulin to
, AANP Exam Questions
Study online at https://quizlet.com/_guj3rw
ing blood sugar be- add as a mealtime dose when patients experience blood glucose spikes
tween lunch and din- between meals because of its short-acting properties. Peak time action
ner. She states she of insulin aspart is 2 hours with initial effect within the first 30 minutes,
is on a rapid-acting making it an ideal choice to control expected postprandial glycemic
insulin sliding scale spikes
and long-acting insulin.
Which change should
be implemented to help
prevent or curb this
glycemic spike?
A.
Add a dose of mealtime
insulin aspart (Novolog)
at lunch
B.
Add insulin detemir
(Levemir) at night
C.
Increase her insulin
glargine (Lantus)
D.
Prescribe a dose of neu-
tral protamine Hage-
dorn insulin with dinner
5. Which of the following C. Otitis media
conditions is associated
with an increased risk Causes of conductive hearing loss are otitis media (C), otitis externa,
for conductive hearing foreign objects in the ear canal, impacted ear wax, tumors, congenital
, AANP Exam Questions
Study online at https://quizlet.com/_guj3rw
loss? anomalies, discontinuity of middle ear bones, cholesteatoma, and tym-
panic membrane rupture. Sound normally travels down the ear canal to
A. vibrate the eardrum (tympanic membrane). The eardrum is connected
Acoustic neuroma to three middle ear bones (malleus, incus, and stapes), which transmit
the sound into the inner ear (cochlea). The cochlea is the organ that
B.
changes sound vibrations into a nerve signal that travels to the brain.
Ménière disease
The four types of hearing loss are conductive, sensorineural, mixed,
and retrocochlear. Conductive hearing loss occurs when sound cannot
C.
effectively reach the inner ear due to issue in the outer ear and middle
Otitis media
ear.
D.
Presbycusis
6. A 23-year-old patient D. 31 cm
who is pregnant at 28
weeks gestation pre- After 20 weeks gestation, the fundal height should be measured with a
sents to the clinic measuring tape in centimeters and should match the gestational age.
for a routine prena- It can be > or < 2 centimeters and still be within normal limits. A fundal
tal checkup. Which fun- height of 26-30 cm is a normal finding in a patient who is 28 weeks
dal height measure- gestation. A result of 31 cm (D) is larger than expected and should be
ment would warrant a further evaluated with an ultrasound.
more conclusive assess-
ment with an ultra-
sound?
A.
26 cm
B.
29 cm
C.
