AANP BOARD QUESTIONS 2024 REAL EXAM QUESTIONS AND ACCURATE ANSWERS.
1. How long will a cough last for acute bronchitis?(ANSWER) up to three weeks is com- pletely normal @#$%^&
*()_+
2. How do you treat acute bronchitis?(ANSWER) 95% cases are viral-- tessalon pearls to help with cough. **
prednisone is never the answer ***
3. Explain the following views of chest xrays(ANSWER) AP, PA, PA and lateral
Which one do you want for pneumonia patient?(ANSWER) AP- shows the heart predomi- nantly because its from front to
back
PA- shows the lungs predominantly because its back to front lateral shows fluid line
4. What is the gold standard for diagnosing community acquired pneumonia-
(ANSWER) chest xray- PA/lateral, repeat post treatment in 6 weeks (repeat not really done anymore)
5. Treatment guidelines for CAP- healthy adult no comorbidities(ANSWER) MAD LUNG amoxicillin 1 gram TID
(best choice)
Doxycycline 100 mg twice daily
Macrolide (mycin) in areas with low macrolide resistance so not the best choice
6. Treatment guidelines for CAP- adult with comorbidities(ANSWER) monotherapy(ANSWER) respi- ratory quinolone
(levofloxacin 750 mg daily)
Combination therapy(ANSWER) augmentin or cephalosporin PLUS macrolide or doxy
7. What are common respiratory fluroquinolones?(ANSWER) Think FLOXACIN-- moxi- floxacin, gemifloxacin,
levofloxacin
8. What are common macrolides for CAP(ANSWER) think "MYCIN" -- azithromycin, clar- ithromycin
9. What are common tetracyclines for CAP(ANSWER) doxycycline
10. What are common beta lactams for CAP(ANSWER) amoxicillin, augmentin (amox with clav), cefpodoxime,
cefuroxime
11. How would you treat a pregnant 29 year old with pneumonia?(ANSWER) Amoxicillin 1 g TID-- cant give levaquine
(flouroquinolones no in pregnancy due to fetal ligament destruction, doxycycline no in pregnancy stains tooth bones in
fetus)
12. How long do you give antibiotics to patient with pneumonia?(ANSWER) 5-10 days, you always want to continue
antibiotics for 3 more days after clinically stable (no fever)
13. When do you get a chest xray for pneumonia?(ANSWER) it is the gold standard for diagnosis, you do not need to do
resolution chest xray unless things are lingering or you suspect something else.
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, AANP BOARD QUESTIONS 2024 REAL EXAM QUESTIONS AND ACCURATE ANSWERS.
14. When do you give pneumococcal vaccine?(ANSWER) adults > 65 years old you give PPSV23 or you can give
both PCV 13 and PPSV23 but must be 1 year apart adults > 65 with immunocompromising condition give both pcv 13
and ppsv23 adults 19-64 at increased risk of pneumococcal disease (asthma, copd, smokers,
@#$%^&
*()_+
2/7
1. How long will a cough last for acute bronchitis?(ANSWER) up to three weeks is com- pletely normal @#$%^&
*()_+
2. How do you treat acute bronchitis?(ANSWER) 95% cases are viral-- tessalon pearls to help with cough. **
prednisone is never the answer ***
3. Explain the following views of chest xrays(ANSWER) AP, PA, PA and lateral
Which one do you want for pneumonia patient?(ANSWER) AP- shows the heart predomi- nantly because its from front to
back
PA- shows the lungs predominantly because its back to front lateral shows fluid line
4. What is the gold standard for diagnosing community acquired pneumonia-
(ANSWER) chest xray- PA/lateral, repeat post treatment in 6 weeks (repeat not really done anymore)
5. Treatment guidelines for CAP- healthy adult no comorbidities(ANSWER) MAD LUNG amoxicillin 1 gram TID
(best choice)
Doxycycline 100 mg twice daily
Macrolide (mycin) in areas with low macrolide resistance so not the best choice
6. Treatment guidelines for CAP- adult with comorbidities(ANSWER) monotherapy(ANSWER) respi- ratory quinolone
(levofloxacin 750 mg daily)
Combination therapy(ANSWER) augmentin or cephalosporin PLUS macrolide or doxy
7. What are common respiratory fluroquinolones?(ANSWER) Think FLOXACIN-- moxi- floxacin, gemifloxacin,
levofloxacin
8. What are common macrolides for CAP(ANSWER) think "MYCIN" -- azithromycin, clar- ithromycin
9. What are common tetracyclines for CAP(ANSWER) doxycycline
10. What are common beta lactams for CAP(ANSWER) amoxicillin, augmentin (amox with clav), cefpodoxime,
cefuroxime
11. How would you treat a pregnant 29 year old with pneumonia?(ANSWER) Amoxicillin 1 g TID-- cant give levaquine
(flouroquinolones no in pregnancy due to fetal ligament destruction, doxycycline no in pregnancy stains tooth bones in
fetus)
12. How long do you give antibiotics to patient with pneumonia?(ANSWER) 5-10 days, you always want to continue
antibiotics for 3 more days after clinically stable (no fever)
13. When do you get a chest xray for pneumonia?(ANSWER) it is the gold standard for diagnosis, you do not need to do
resolution chest xray unless things are lingering or you suspect something else.
1/7
, AANP BOARD QUESTIONS 2024 REAL EXAM QUESTIONS AND ACCURATE ANSWERS.
14. When do you give pneumococcal vaccine?(ANSWER) adults > 65 years old you give PPSV23 or you can give
both PCV 13 and PPSV23 but must be 1 year apart adults > 65 with immunocompromising condition give both pcv 13
and ppsv23 adults 19-64 at increased risk of pneumococcal disease (asthma, copd, smokers,
@#$%^&
*()_+
2/7
