2025/2026 AANP CERTIFICATION EXAM
Review Questions and Answers
(Questions bank Verified by Experts)
Rated A+.
What causes Rocky Mountain spotted fever? CORRECT ANS>>Tick bites
What lab can we draw to confirm a diagnosis of this disease? CORRECT ANS>>
PCR; Treat before test comes back or patient could die
A ring like itchy rash with central clearing, could be seen in wrestlers. What is this condition?
CORRECT ANS>>Tinea corporis (Ring worm)
What is the treatment for tinea corporis? CORRECT ANS>>Antifungals (-azole)
Red rash that presents on the chin, cheeks, and face, edematous, painful, involves dermis and
layer of tissue underneath. What is this condition called? CORRECT ANS>>Erysipelas
What is the treatment for erysipelas? CORRECT ANS>>Treat with PCN
Skin cancer with highest mortality rate? CORRECT ANS>>Melanoma
Target bulls eye rash caused from deer tick with central clearing, flu-like symptoms. What is
this called? CORRECT ANS>>Lyme disease or erythema migrants
What is the treatment for Lyme disease? CORRECT ANS>>Doxycycline
What is the treatment for erythema migrants in a 6-year-old child? CORRECT
ANS>>Amoxicillin; Child younger than 7 cannot take doxycycline due to staining of teeth
What can we do to diagnose erythema migrans? CORRECT ANS>>Western blot test or Elisa
test
,This is a skin condition that can develop as a result of inflammation in the sweat glands,
typically in the axilla, nodules or pustules pea to marble size, very painful, can leave scars and
tracks. What is this condition? CORRECT ANS>>Hidradenitis suppurativa
What are we going to treat this with? CORRECT ANS>>Augmentin or decloxizine
If you have fever and fatigue with weakness maybe paralysis or vision loss in late stages. An
RNA stranded virus caused by a mosquito. What are we concerned with? CORRECT
ANS>>West Nile virus
Pre and post bronchial dilator medication, what are you assessing for? CORRECT
ANS>>Wheezing
Increased fremitus over posterior right middle lobe, what are we concerned about? CORRECT
ANS>>Bacterial pneumonia
On an x-ray where do you commonly see bacterial pneumonia? CORRECT ANS>> Right middle
lobe
What are we worried about if we have a child who has asthma and has been chronically using
a high dose inhaled corticosteroid? CORRECT ANS>>Stunted growth or mild growth
retardation or immune system suppression
What is the first line treatment for community acquired pneumonia? CORRECT
ANS>>Macrolide (erythromycin or azithromycin) for uncomplicated first line treatment or
mild cases
If you have an elderly patient with comorbidities, they will get sicker faster and macrolides
will not be first line. What would the treatment be for this patient? CORRECT ANS>>Levaquin
(respiratory fluoroquinolones) complicated, severe cases
What is the drug education needed for patients taking Levaquin? CORRECT ANS>>If they
develop any tendon pain or Achilles pain to stop medication and call provider
CURB 65 determines if the patient can be managed outpatient or inpatient for their
pneumonia. What criteria are included in CURB? CORRECT ANS>> Confusion, urea greater
than 19, respiration, and blood pressure and age 65 or older HR not included in CURB 65!!
,What are asthma triggers? CORRECT ANS>>Smoking, dirty/dusty house, odors/sprays, furred
or feathered pets, cover nose w/scarf on cold windy days, and avoid pollen/mold.
Will you have a decreased PFT in welder's lung or pneumoconiosis? CORRECT ANS>>No
What is the treatment for acute bronchitis? CORRECT ANS>>Supportive treatment (OTC pain
meds, antitussives, mucolytics, hydration, expectorants, humidifier)
Do you need to taper the dose of prednisone if only given 3-5 days? CORRECT ANS>>No
What is the first line treatment for chronic bronchitis? CORRECT ANS>>SABA and inhaled
anticholinergic
What is the gold standard for diagnosing tuberculosis? CORRECT ANS>>Sputum cultures
What is the first line treatment for COPD? CORRECT ANS>>SABA (albuterol) or inhaled
anticholinergic (ipratropium) uncontrolled COPD- LABA with anticholinergic
If you have a patient complaining of allergic rhinitis and uses Afrin nasal spray more than 3
days in a week, what can they develop? CORRECT ANS>> Metacamentosa (rebound
stuffiness)
How will the patient's nasal passages present if they have a diagnosis of allergic rhinitis?
CORRECT ANS>>Blue and boggy
You have a mail carrier that presents with flu-like symptoms and has delivered mail today.
Symptoms presented suddenly. What are we concerned about? CORRECT ANS>>Anthrax
What is the treatment for anthrax? CORRECT ANS>>Cipro 500mg for 60 days
What are the bacteria that causes atypical pneumonias (young healthy population)?
CORRECT ANS>>Mycoplasma (walking pneumonia)
Signs and symptoms of atypical pneumonia CORRECT ANS>>Fever, headache, productive or
nonproductive cough
, What is the appropriate induration on a Mantoux test that is considered positive and in what
population? CORRECT ANS>><5mm immunocompromised, <10mm in healthcare workers and
immigrants, <15mm in everyone else
If you have a nursing home patient who shares a room with someone who has confirmed TB,
what duration should he be? CORRECT ANS>><5mm (elderly and recent exposure)
What do we consider a positive reading for the Mantoux test? CORRECT ANS>> With no
induration the test is negative
If a toddler comes in with a severe persistent cough, vomiting with cough, afebrile for 2-3
months, what should be ruled out? CORRECT ANS>>Pertussis
If a patient is having recurrent asthma exacerbations, what could we add to their regimen?
Currently taking inhaled corticosteroid and LABA? CORRECT ANS>>PO steroid would be
appropriate
What is the severity of the asthma if using an inhaler every day and FEV1 60- 80%? CORRECT
ANS>>Moderate persistent; PRN SABA and low or medium dose ICS
FEV1 <60% and symptoms last all day, what is the severity? CORRECT ANS>> Severe
persistent; high dose ICS, LABA, oral steroid daily, SABA PRN
Every asthma patient regardless of severity receives what medication? CORRECT ANS>>SABA
What is used for long term asthma control? CORRECT ANS>>LABA
FEV1 >80% and symptoms are 1-2 days per week, what is the severity? CORRECT ANS>>Mild
intermittent; controlled on SABA
What is the treatment and education for a patient with exercise induced asthma?
CORRECT ANS>>2 puffs of SABA 10-15 minutes prior to exercise; Treatment will last 4 hours
If a patient is waking every night with asthma symptoms, currently taking SABA, LABA, med.
Dose ICS, what should be done at this point? CORRECT ANS>>Refer to pulmonology
Review Questions and Answers
(Questions bank Verified by Experts)
Rated A+.
What causes Rocky Mountain spotted fever? CORRECT ANS>>Tick bites
What lab can we draw to confirm a diagnosis of this disease? CORRECT ANS>>
PCR; Treat before test comes back or patient could die
A ring like itchy rash with central clearing, could be seen in wrestlers. What is this condition?
CORRECT ANS>>Tinea corporis (Ring worm)
What is the treatment for tinea corporis? CORRECT ANS>>Antifungals (-azole)
Red rash that presents on the chin, cheeks, and face, edematous, painful, involves dermis and
layer of tissue underneath. What is this condition called? CORRECT ANS>>Erysipelas
What is the treatment for erysipelas? CORRECT ANS>>Treat with PCN
Skin cancer with highest mortality rate? CORRECT ANS>>Melanoma
Target bulls eye rash caused from deer tick with central clearing, flu-like symptoms. What is
this called? CORRECT ANS>>Lyme disease or erythema migrants
What is the treatment for Lyme disease? CORRECT ANS>>Doxycycline
What is the treatment for erythema migrants in a 6-year-old child? CORRECT
ANS>>Amoxicillin; Child younger than 7 cannot take doxycycline due to staining of teeth
What can we do to diagnose erythema migrans? CORRECT ANS>>Western blot test or Elisa
test
,This is a skin condition that can develop as a result of inflammation in the sweat glands,
typically in the axilla, nodules or pustules pea to marble size, very painful, can leave scars and
tracks. What is this condition? CORRECT ANS>>Hidradenitis suppurativa
What are we going to treat this with? CORRECT ANS>>Augmentin or decloxizine
If you have fever and fatigue with weakness maybe paralysis or vision loss in late stages. An
RNA stranded virus caused by a mosquito. What are we concerned with? CORRECT
ANS>>West Nile virus
Pre and post bronchial dilator medication, what are you assessing for? CORRECT
ANS>>Wheezing
Increased fremitus over posterior right middle lobe, what are we concerned about? CORRECT
ANS>>Bacterial pneumonia
On an x-ray where do you commonly see bacterial pneumonia? CORRECT ANS>> Right middle
lobe
What are we worried about if we have a child who has asthma and has been chronically using
a high dose inhaled corticosteroid? CORRECT ANS>>Stunted growth or mild growth
retardation or immune system suppression
What is the first line treatment for community acquired pneumonia? CORRECT
ANS>>Macrolide (erythromycin or azithromycin) for uncomplicated first line treatment or
mild cases
If you have an elderly patient with comorbidities, they will get sicker faster and macrolides
will not be first line. What would the treatment be for this patient? CORRECT ANS>>Levaquin
(respiratory fluoroquinolones) complicated, severe cases
What is the drug education needed for patients taking Levaquin? CORRECT ANS>>If they
develop any tendon pain or Achilles pain to stop medication and call provider
CURB 65 determines if the patient can be managed outpatient or inpatient for their
pneumonia. What criteria are included in CURB? CORRECT ANS>> Confusion, urea greater
than 19, respiration, and blood pressure and age 65 or older HR not included in CURB 65!!
,What are asthma triggers? CORRECT ANS>>Smoking, dirty/dusty house, odors/sprays, furred
or feathered pets, cover nose w/scarf on cold windy days, and avoid pollen/mold.
Will you have a decreased PFT in welder's lung or pneumoconiosis? CORRECT ANS>>No
What is the treatment for acute bronchitis? CORRECT ANS>>Supportive treatment (OTC pain
meds, antitussives, mucolytics, hydration, expectorants, humidifier)
Do you need to taper the dose of prednisone if only given 3-5 days? CORRECT ANS>>No
What is the first line treatment for chronic bronchitis? CORRECT ANS>>SABA and inhaled
anticholinergic
What is the gold standard for diagnosing tuberculosis? CORRECT ANS>>Sputum cultures
What is the first line treatment for COPD? CORRECT ANS>>SABA (albuterol) or inhaled
anticholinergic (ipratropium) uncontrolled COPD- LABA with anticholinergic
If you have a patient complaining of allergic rhinitis and uses Afrin nasal spray more than 3
days in a week, what can they develop? CORRECT ANS>> Metacamentosa (rebound
stuffiness)
How will the patient's nasal passages present if they have a diagnosis of allergic rhinitis?
CORRECT ANS>>Blue and boggy
You have a mail carrier that presents with flu-like symptoms and has delivered mail today.
Symptoms presented suddenly. What are we concerned about? CORRECT ANS>>Anthrax
What is the treatment for anthrax? CORRECT ANS>>Cipro 500mg for 60 days
What are the bacteria that causes atypical pneumonias (young healthy population)?
CORRECT ANS>>Mycoplasma (walking pneumonia)
Signs and symptoms of atypical pneumonia CORRECT ANS>>Fever, headache, productive or
nonproductive cough
, What is the appropriate induration on a Mantoux test that is considered positive and in what
population? CORRECT ANS>><5mm immunocompromised, <10mm in healthcare workers and
immigrants, <15mm in everyone else
If you have a nursing home patient who shares a room with someone who has confirmed TB,
what duration should he be? CORRECT ANS>><5mm (elderly and recent exposure)
What do we consider a positive reading for the Mantoux test? CORRECT ANS>> With no
induration the test is negative
If a toddler comes in with a severe persistent cough, vomiting with cough, afebrile for 2-3
months, what should be ruled out? CORRECT ANS>>Pertussis
If a patient is having recurrent asthma exacerbations, what could we add to their regimen?
Currently taking inhaled corticosteroid and LABA? CORRECT ANS>>PO steroid would be
appropriate
What is the severity of the asthma if using an inhaler every day and FEV1 60- 80%? CORRECT
ANS>>Moderate persistent; PRN SABA and low or medium dose ICS
FEV1 <60% and symptoms last all day, what is the severity? CORRECT ANS>> Severe
persistent; high dose ICS, LABA, oral steroid daily, SABA PRN
Every asthma patient regardless of severity receives what medication? CORRECT ANS>>SABA
What is used for long term asthma control? CORRECT ANS>>LABA
FEV1 >80% and symptoms are 1-2 days per week, what is the severity? CORRECT ANS>>Mild
intermittent; controlled on SABA
What is the treatment and education for a patient with exercise induced asthma?
CORRECT ANS>>2 puffs of SABA 10-15 minutes prior to exercise; Treatment will last 4 hours
If a patient is waking every night with asthma symptoms, currently taking SABA, LABA, med.
Dose ICS, what should be done at this point? CORRECT ANS>>Refer to pulmonology
