AANP,FNP CERTIFICATION TEST QUESTIONS WITH 100%
CORRECT AMSWERS 2025 LATEST UPDATE.
⫸Parathyroid hormone. Answer: PTH is responsible for calcium loss or gain from bones,
kidneys, and GI tract. EXAM
⫸Diabetic Retinopathy. Answer: Diabetic Retinopathy-Cotton wool spots (moderate
retinopathy), micro-aneurysms. ALSO RETINAL HEMORRHAGES ON CENTER OF EYE APPEAR
ORANGE RED
⫸HTN Retinopathy. Answer: Hypertensive Retinopathy- Copper/silver wire arterioles. AV
nicking(mild retinopathy). Retinal Hemorrhages. EXAM
⫸Wilms Tumor. Answer: Wilms tumor (Nephroblastoma)- Not painful. Asymptomatic abd mass
does NOT cross the midline. 2-3 y. o.d. do not palpate. Do ABD US. PUNT. Think Nephro doesn't
cross. Stays where kidney is. EXAM
⫸Primary Amenorrhea. Answer: Primary amenorrhea: NO menarche by 15 y. with or w/o
secondary sex characteristics.
⫸Aphthous stomatitis. Answer: Cancer sores. Aphthous stomatitis: painful shallow ulcers heal
7-10 days. Magic mouthwash.
⫸Temporal arteritis. Answer: Temporal arteritis- one temple indurated cord like gold stand.
Biopsy. Abrupt visual changes blindness, inc. ESR. CPR. Most have POLYMYALGIA
RHEUMATICA. Treat high dose steroids.
⫸Atopic Dermatitis (eczema). Answer: Inherited. Extremely itchy. On flexural folds, neck,
hands. Inc. IgE. "small vesicles that rupture leaving painful, bright-red, weepy lesions" they
become lichenified from itching. First line: Topical steroids. Avoid hot water/soaps. PO
antihistamines. EXAM
⫸Tinea Corporis. Answer: ring like itchy rash, slowly enlarge central clearing"-Treatment: most
respond to topical antifungals, if severe do oral Lamisil. EXAM AZOLE ending
,⫸Cellulitis. Answer: Deep dermis poor demarcated low legs. EXAM/ MULTIPLE QUESTIONS.
DVT RISK, DM WITH CELLULITIS WATCH FOR OSTEOMYLITIS.
⫸Erysipelas. Answer: Group A strep, painful, Upper dermis, clear demarcated, cheeks, shins.
TREATMENT- Dicloxacillin QID x10d. Cephalexin, Clinda. PCN ALLERGY? Do Azithro x5d.
MRSA TREATMENT: Bactrim, doxy, mino, clinda. If sulfa allergy do not use Bactrim.
⫸Varicella Zoster. Answer: "contagious 48 h. before, until all lesions crusted over" low grade
fever, generalized lymphadenopathy, intense itching, erythematous macules, papules develop
over macules, then vesicles erupt. "initially on trunk, then scalp and face" TREATMENT
supportive, antihistamines, acyclovir 20mg/kg 5xd. If given first 24 hours works best. EXAM
⫸Impetigo. Answer: Impetigo-Gram positive. Itchy pink-red lesions, evolve into
vesiculopustules that rupture. If bullous-large blisters. Severe- Keflex, dicloxacillin. PCN
Allergic-Azithro, clinda. If NO BULLAE- Bactroban. EXAM
⫸Scarlet fever- scarlantina. Answer: "sandpaper textured-pink rash with sore throat"
strawberry tongue, rash starts on head and neck, spreads to trunk. The skin THEN desquamates.
EXAM
⫸Lichen planus. Answer: LICHEN PLANUS: SMALL FLAT TOPPED, RED TO PURPLE BUMPS
THAT MAY HAVE WHITE SCALES/FLAKES.. WHISPY GREY WHITE STREAKS CALLED
WICHHAMS STRIAE. INNER WRISTS FOREARMS, AND ANKLES. IF ON SCALP CAUSE HAIR LOSS.
Causes hep C, medications, contact with chemicals. EXAM
⫸Spider bite. Answer: fever chills, n/v, located arms, upper legs, or the trunk. Biten area
becomes swollen, red, and tender, and blisters appear within 24-48 hours. Necrotic in center,
which kills the tissue. Ice packs to wound and cold inactivates the toxin, tx like cellulitis of the
skin, abx ointment at first, watch etc. Exam
⫸Pityoris rosea. Answer: Pityoris rosea itchy, herald patch, xmas tree pattern, rash hands
soles/feet think to test for secondary syphilis RPR then VDRL are screening, then dx FTA-ABS.
EXAM
⫸Corneal abrasion. Answer: Corneal Abrasions- Round/Irregular. Was on EXAM.
, ⫸Acute Angle Closure Glaucoma. Answer: acute/severe halos, cupping optic nerve, cloudy
cornea, mid-dilated oval pupil. ER STAT. EXAM
⫸Conductive. Answer: Conductive: Lateralization to bad ear. Rinne- BC > AC.
Rinne (1st mastoid, 2 front of ear, time each area).
Weber: Tunning fork midline. CN 8 (acoustic). EXAM
⫸Koplik spots. Answer: Koplik Spots- "clusters sm. Size red papules w/ white centers in the
buccal mucosa by lower molars". Rubeolla. Fever, conjunctivitis, coryza, cough (3c). Morbiliform
rash. EXAM
⫸Sensorineural. Answer: Sensorineural: Lateralization to good ear. Rinne- AC > BC.
⫸OME. Answer: Ear pressure, popping, muffled hearing, chronic allergic rhinitis, sterile serious
fluid is trapped in the middle ear. TM should NOT BED RED. TM may bulge or retract.
TREATMENT: Oral decongestants, steroid nasal spray, treat like allergies. Usually Painless.
Weber- Lateralization to affected ear. Rhinne- BC > AC. PRECEDES OR USUALLY FOLLOWS
AOM. SUPPORTIVE CARE AND WAIT 3 MOS SOMEX. EXAM
⫸Presbycusis. Answer: sensorineural loss without lateralization. Involves the inner ear.
Symmetrical progressive. Human speech lost first. AGING ADULT EXAM
⫸OE. Answer: Otitis Externa (swimmers ear)- Pseudomonas aeruginosa. (other- S. aureus).
External ear pain- d/c itching, hearing loss, tragus, green d/c. TREATMENT: Corticosporin, Cipro
EXAM
⫸Sinusitis. Answer: TX AMOXICILLIN OR AUGMENTIN ALLERGY MACROLIDE
⫸Meiniers disease. Answer: VERTIGO TINNITUS, HEARING LOSS. nystagmas
⫸Mono. Answer: test heterophile antibody test. ON EXAM
⫸MR. ASS. Answer: (Systolic Murmur) Only systolic murmurs will radiate to a location on the
exam.
⫸Mitral Regurg. Answer: (Holo/pansystolic)- radiates to axilla. Think Mitral area 5th ics MCL.
CORRECT AMSWERS 2025 LATEST UPDATE.
⫸Parathyroid hormone. Answer: PTH is responsible for calcium loss or gain from bones,
kidneys, and GI tract. EXAM
⫸Diabetic Retinopathy. Answer: Diabetic Retinopathy-Cotton wool spots (moderate
retinopathy), micro-aneurysms. ALSO RETINAL HEMORRHAGES ON CENTER OF EYE APPEAR
ORANGE RED
⫸HTN Retinopathy. Answer: Hypertensive Retinopathy- Copper/silver wire arterioles. AV
nicking(mild retinopathy). Retinal Hemorrhages. EXAM
⫸Wilms Tumor. Answer: Wilms tumor (Nephroblastoma)- Not painful. Asymptomatic abd mass
does NOT cross the midline. 2-3 y. o.d. do not palpate. Do ABD US. PUNT. Think Nephro doesn't
cross. Stays where kidney is. EXAM
⫸Primary Amenorrhea. Answer: Primary amenorrhea: NO menarche by 15 y. with or w/o
secondary sex characteristics.
⫸Aphthous stomatitis. Answer: Cancer sores. Aphthous stomatitis: painful shallow ulcers heal
7-10 days. Magic mouthwash.
⫸Temporal arteritis. Answer: Temporal arteritis- one temple indurated cord like gold stand.
Biopsy. Abrupt visual changes blindness, inc. ESR. CPR. Most have POLYMYALGIA
RHEUMATICA. Treat high dose steroids.
⫸Atopic Dermatitis (eczema). Answer: Inherited. Extremely itchy. On flexural folds, neck,
hands. Inc. IgE. "small vesicles that rupture leaving painful, bright-red, weepy lesions" they
become lichenified from itching. First line: Topical steroids. Avoid hot water/soaps. PO
antihistamines. EXAM
⫸Tinea Corporis. Answer: ring like itchy rash, slowly enlarge central clearing"-Treatment: most
respond to topical antifungals, if severe do oral Lamisil. EXAM AZOLE ending
,⫸Cellulitis. Answer: Deep dermis poor demarcated low legs. EXAM/ MULTIPLE QUESTIONS.
DVT RISK, DM WITH CELLULITIS WATCH FOR OSTEOMYLITIS.
⫸Erysipelas. Answer: Group A strep, painful, Upper dermis, clear demarcated, cheeks, shins.
TREATMENT- Dicloxacillin QID x10d. Cephalexin, Clinda. PCN ALLERGY? Do Azithro x5d.
MRSA TREATMENT: Bactrim, doxy, mino, clinda. If sulfa allergy do not use Bactrim.
⫸Varicella Zoster. Answer: "contagious 48 h. before, until all lesions crusted over" low grade
fever, generalized lymphadenopathy, intense itching, erythematous macules, papules develop
over macules, then vesicles erupt. "initially on trunk, then scalp and face" TREATMENT
supportive, antihistamines, acyclovir 20mg/kg 5xd. If given first 24 hours works best. EXAM
⫸Impetigo. Answer: Impetigo-Gram positive. Itchy pink-red lesions, evolve into
vesiculopustules that rupture. If bullous-large blisters. Severe- Keflex, dicloxacillin. PCN
Allergic-Azithro, clinda. If NO BULLAE- Bactroban. EXAM
⫸Scarlet fever- scarlantina. Answer: "sandpaper textured-pink rash with sore throat"
strawberry tongue, rash starts on head and neck, spreads to trunk. The skin THEN desquamates.
EXAM
⫸Lichen planus. Answer: LICHEN PLANUS: SMALL FLAT TOPPED, RED TO PURPLE BUMPS
THAT MAY HAVE WHITE SCALES/FLAKES.. WHISPY GREY WHITE STREAKS CALLED
WICHHAMS STRIAE. INNER WRISTS FOREARMS, AND ANKLES. IF ON SCALP CAUSE HAIR LOSS.
Causes hep C, medications, contact with chemicals. EXAM
⫸Spider bite. Answer: fever chills, n/v, located arms, upper legs, or the trunk. Biten area
becomes swollen, red, and tender, and blisters appear within 24-48 hours. Necrotic in center,
which kills the tissue. Ice packs to wound and cold inactivates the toxin, tx like cellulitis of the
skin, abx ointment at first, watch etc. Exam
⫸Pityoris rosea. Answer: Pityoris rosea itchy, herald patch, xmas tree pattern, rash hands
soles/feet think to test for secondary syphilis RPR then VDRL are screening, then dx FTA-ABS.
EXAM
⫸Corneal abrasion. Answer: Corneal Abrasions- Round/Irregular. Was on EXAM.
, ⫸Acute Angle Closure Glaucoma. Answer: acute/severe halos, cupping optic nerve, cloudy
cornea, mid-dilated oval pupil. ER STAT. EXAM
⫸Conductive. Answer: Conductive: Lateralization to bad ear. Rinne- BC > AC.
Rinne (1st mastoid, 2 front of ear, time each area).
Weber: Tunning fork midline. CN 8 (acoustic). EXAM
⫸Koplik spots. Answer: Koplik Spots- "clusters sm. Size red papules w/ white centers in the
buccal mucosa by lower molars". Rubeolla. Fever, conjunctivitis, coryza, cough (3c). Morbiliform
rash. EXAM
⫸Sensorineural. Answer: Sensorineural: Lateralization to good ear. Rinne- AC > BC.
⫸OME. Answer: Ear pressure, popping, muffled hearing, chronic allergic rhinitis, sterile serious
fluid is trapped in the middle ear. TM should NOT BED RED. TM may bulge or retract.
TREATMENT: Oral decongestants, steroid nasal spray, treat like allergies. Usually Painless.
Weber- Lateralization to affected ear. Rhinne- BC > AC. PRECEDES OR USUALLY FOLLOWS
AOM. SUPPORTIVE CARE AND WAIT 3 MOS SOMEX. EXAM
⫸Presbycusis. Answer: sensorineural loss without lateralization. Involves the inner ear.
Symmetrical progressive. Human speech lost first. AGING ADULT EXAM
⫸OE. Answer: Otitis Externa (swimmers ear)- Pseudomonas aeruginosa. (other- S. aureus).
External ear pain- d/c itching, hearing loss, tragus, green d/c. TREATMENT: Corticosporin, Cipro
EXAM
⫸Sinusitis. Answer: TX AMOXICILLIN OR AUGMENTIN ALLERGY MACROLIDE
⫸Meiniers disease. Answer: VERTIGO TINNITUS, HEARING LOSS. nystagmas
⫸Mono. Answer: test heterophile antibody test. ON EXAM
⫸MR. ASS. Answer: (Systolic Murmur) Only systolic murmurs will radiate to a location on the
exam.
⫸Mitral Regurg. Answer: (Holo/pansystolic)- radiates to axilla. Think Mitral area 5th ics MCL.
