AANP FNP EXAM QUESTIONS AND 100%
GUARANTEE PASS ANSWERS LATEST UPDATE
2025-2026 AANP EXAM QUESTIONS AND
ANSWERS LATEST UPDATE 2025-2026
Osteogenesis imperfecta or Mongolian spot Correct Answer What
can be confused as child abuse in younger children?
Thrill sometimes felt at LL sternal border. Most common heart
defect in babies. Opening between septum. Holosystolic murmur.
Correct Answer VSD
RVH. L. lower sternal border. Egg on a string on x-ray. Correct
Answer Transposition of great arteries
VSD. Pulmonary stenosis. Overriding aorta. R. sided hypertrophy.
Systolic ejection murmur and thrill. Squat to slow return of blood
to heart. Correct Answer Tetralogy of fallot
Systolic thrill. R. upper sternal border. Ejection click heard at
apex. LVH. X-ray, severe HF. More common in boys than girls,
common to see mild exercise intolerance Correct Answer Aortic
stenosis
,Ejection murmur heard best at LUSB and L interscapular area.
RVH to LVH. Rib notching. Pressures different in upper and lower
extremities.
OFten seen with mitral regurgitation and Aortic stenosis Correct
Answer Coarctation of aorta
1-3/6, early systolic ejection murmur. Musical / vibratory (buzz).
Left lower sternal border. Turbulence in left ventricle. Innocents.
Softens with standing, Valsalva, sitting. Age 2-6 years Correct
Answer Still's Murmur
Mild systolic ejection murmur, high-pitched, pulmonic & aortic
areas.
Only heard in increased cardiac output. Correct Answer Hemic
murmur
Heard best while sitting, disappears while supine. R and L upper
sternal border, continuous humming murmur. innocent.
Disappears in supine position or when jugular vein compressed. >
3yo Correct Answer Venous hum
2-4/6 continuous heard best over LUSB. Full pulses. Most
common congenital heart defect. More common in girls Correct
Answer PDA (patent ductus arteriosus)
,1-3/6 mid-systolic click w/ late systolic murmur. Heard best at
apex. Louder with standing/squatting. Often seen with pectus
excavatum Correct Answer MVP
2-5/6 best at LUSB, ejection click @ 2nd L ICS. Radiates to back.
May involve wide S2. Usually d/t fusion of valves Correct Answer
Pulmonic valve stenosis
Organ problem or aldosterone. Cushings. Refer to cards Correct
Answer HTN in peds
Joints, CNS, post infectious group a strep. affects mitral valve.
Jones criteria (carditis, chorea, erythema marginatum, esr
elevated, arthralgia, fever, prolonged PR interval) Correct Answer
Rheumatic heart disease
Toxic vasculitis. Fever several days, rash, swelling, peeling,
strawberry tongue, prolonged PR or QT. ASA, refer. Correct
Answer Kawasaki's
Surgical emergency. Lethargy, vomiting, jelly stool, mass in RUQ.
Can be from rotavirus ? Correct Answer Intusucception
, Adrenal gland tumor, before age 5. Mass in abdomen.
Catecholamines elevated. Painful, fixed, crosses midline. Correct
Answer Neuroblastoma
Small head, shortened palpebral fissures (narrow eyes), flat nasal
bridge. Thin upper lip. Correct Answer Fetal alcohol syndrome
Trigeminal nerve, refer to opthlamology to rule out congeital
glaucoma. Can be a sign of Sturge-Weber syndrome. Correct
Answer Port wine stain
Corneal light reflex, tests for strabismus. Correct Answer
Hirschberg Test
Absence is indicitave of spina bifida Correct Answer Anal wink
Fencing Correct Answer Tonic neck
12 months and 4-6 years ol.d Correct Answer When do you get
MMR?
Follows objects past midline, coos, lifts head, smiles Correct
Answer 2 month development
GUARANTEE PASS ANSWERS LATEST UPDATE
2025-2026 AANP EXAM QUESTIONS AND
ANSWERS LATEST UPDATE 2025-2026
Osteogenesis imperfecta or Mongolian spot Correct Answer What
can be confused as child abuse in younger children?
Thrill sometimes felt at LL sternal border. Most common heart
defect in babies. Opening between septum. Holosystolic murmur.
Correct Answer VSD
RVH. L. lower sternal border. Egg on a string on x-ray. Correct
Answer Transposition of great arteries
VSD. Pulmonary stenosis. Overriding aorta. R. sided hypertrophy.
Systolic ejection murmur and thrill. Squat to slow return of blood
to heart. Correct Answer Tetralogy of fallot
Systolic thrill. R. upper sternal border. Ejection click heard at
apex. LVH. X-ray, severe HF. More common in boys than girls,
common to see mild exercise intolerance Correct Answer Aortic
stenosis
,Ejection murmur heard best at LUSB and L interscapular area.
RVH to LVH. Rib notching. Pressures different in upper and lower
extremities.
OFten seen with mitral regurgitation and Aortic stenosis Correct
Answer Coarctation of aorta
1-3/6, early systolic ejection murmur. Musical / vibratory (buzz).
Left lower sternal border. Turbulence in left ventricle. Innocents.
Softens with standing, Valsalva, sitting. Age 2-6 years Correct
Answer Still's Murmur
Mild systolic ejection murmur, high-pitched, pulmonic & aortic
areas.
Only heard in increased cardiac output. Correct Answer Hemic
murmur
Heard best while sitting, disappears while supine. R and L upper
sternal border, continuous humming murmur. innocent.
Disappears in supine position or when jugular vein compressed. >
3yo Correct Answer Venous hum
2-4/6 continuous heard best over LUSB. Full pulses. Most
common congenital heart defect. More common in girls Correct
Answer PDA (patent ductus arteriosus)
,1-3/6 mid-systolic click w/ late systolic murmur. Heard best at
apex. Louder with standing/squatting. Often seen with pectus
excavatum Correct Answer MVP
2-5/6 best at LUSB, ejection click @ 2nd L ICS. Radiates to back.
May involve wide S2. Usually d/t fusion of valves Correct Answer
Pulmonic valve stenosis
Organ problem or aldosterone. Cushings. Refer to cards Correct
Answer HTN in peds
Joints, CNS, post infectious group a strep. affects mitral valve.
Jones criteria (carditis, chorea, erythema marginatum, esr
elevated, arthralgia, fever, prolonged PR interval) Correct Answer
Rheumatic heart disease
Toxic vasculitis. Fever several days, rash, swelling, peeling,
strawberry tongue, prolonged PR or QT. ASA, refer. Correct
Answer Kawasaki's
Surgical emergency. Lethargy, vomiting, jelly stool, mass in RUQ.
Can be from rotavirus ? Correct Answer Intusucception
, Adrenal gland tumor, before age 5. Mass in abdomen.
Catecholamines elevated. Painful, fixed, crosses midline. Correct
Answer Neuroblastoma
Small head, shortened palpebral fissures (narrow eyes), flat nasal
bridge. Thin upper lip. Correct Answer Fetal alcohol syndrome
Trigeminal nerve, refer to opthlamology to rule out congeital
glaucoma. Can be a sign of Sturge-Weber syndrome. Correct
Answer Port wine stain
Corneal light reflex, tests for strabismus. Correct Answer
Hirschberg Test
Absence is indicitave of spina bifida Correct Answer Anal wink
Fencing Correct Answer Tonic neck
12 months and 4-6 years ol.d Correct Answer When do you get
MMR?
Follows objects past midline, coos, lifts head, smiles Correct
Answer 2 month development
