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AANP EXAM VERSION 1 ACTUAL EXAM NEWEST 2025/2026
QUESTIONS AND CORRECT ANSWERS (VERIFIED
ANSWERS) |AWARDED A+||NEW VERSION!
Nummular eczema - ANSWER- An 87-year-old patient presents with round,
pruritic plaques and small vesicles on the lower legs. The most likely
diagnosis is?
Otitis media with effusion - ANSWER- A 30-month-old with a history of
frequent ear infections was seen in September after a symptom-free
summer. Exam revealed bilateral bulging eardrums. After two separate
courses of abx, fluid is noted in both ears. The parent reports speech
difficulties. The most likely diagnosis is?
Acute pancreatitis - ANSWER- During the past 24 hours, a 62-year-old has
experienced abdominal pain that radiates to the back. The patient also
reports several episodes of nausea and vomiting, a low-grade temperature,
and a history of excessive drinking. PE reveals a distended abdomen. Lab
serum values indicate elevated alkaline phosphatase, amylase, and serum
lipase. The most likely diagnosis is?
Orbital rim fracture - ANSWER- A patient reports to your office, having been
struck on the right cheek with a baseball bat. On exam, you notice
tenderness and swelling over the cheek. The patient is unable to gaze
laterally with his left eye, and he complains of double vision when he
attempts to do so. This is most likely associated with?
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Intraductal papilloma - ANSWER- Unilateral spontaneous serous or
serosanguineous discharge from a single duct of a breast is most often
caused by?
Rotator cuff tear - ANSWER- A young athletic adult presents with shoulder
pain and inability to raise the arm above the shoulder. The most likely
diagnosis is?
Leg, buttock or back pain precipitated by walking. - ANSWER- What is a
hallmark of lumbar spinal stenosis?
High-level athletes - ANSWER- Anorexia nervosa occurs most commonly in
who?
Increased peristalsis - ANSWER- What is typically observed in the GI
system upon stimulation of the PNS?
IBS - ANSWER- A 26-year-old female presents with abdominal distention,
bloating, and intermittent crampy abdominal pain relieved with defecation.
She has four to six loose stools a day when stressed. Between bouts of
diarrhea, she often has constipation. PE results are normal. The CBC was
normal. The most likely diagnosis is?
Polypharmacy - ANSWER- A frail elderly widow presents with a 3 to 4 day
history of confusion that became worse the evening before but currently
seems a little better, although her speech is rambling and difficult to follow.
During the exam, the patient is anxious and agitated. She is on cardiac
medications, an antidepressant, and insulin. The most likely diagnosis is?
,3|Page
GERD - ANSWER- A 54-year-old male who is 30 lbs overweight states that
he awakens at night with heartburn and the taste of hot acid in his mouth.
Stress makes his condition worse, yet baking soda seems to provide some
relief. Findings on exam are normal and the stool for occult blood is
negative. The preliminary diagnosis should be?
3-oz weight gain over the past 2 weeks - ANSWER- An NP is evaluating an
infant for possible colic. What could indicate the need for a more extensive
eval?
Decreased reabsorption of sodium-glucose transporters - ANSWER- Type
2 DM is characterized by what?
CT scan - ANSWER- The 16-year-old mother of a 2-month-old presents the
infant, reporting that the child is very irritable and does not feed well. During
PE, the child's head drops ack and the child exhibits sudden flexing of the
extremities. As the flexing stops, the child cries uncontrollably. Funduscopic
exam reveals retinal hemorrhages. What diagnostic test should be
ordered?
Contact dermatitis - ANSWER- A 27-year-old male patient, who works as a
janitor, presents with a 6-month history of an intermittent rash on his hands.
History reveals irregularly-distributed scaly maculopapular erythematous
patches extending from the dorsum of the hand several inches up the
forearms, and dry palms with no nail involvement. The most likely diagnosis
is?
After 14 weeks of gestation - ANSWER- A pregnant woman with known HIV
infection can reduce the risk of perinatal transmission through zidovudine
, 4|Page
(Retrovir) therapy. Based on current research, optimal therapy is to start
daily dosing?
Ergotamine tartrate (Ergomar) - ANSWER- In treating a pregnant female
with migraine headaches, what drug is in Category X?
Urine pregnancy test - ANSWER- A 46-year-old female presents with a
complaint of amenorrhea for 3 months. The first-line diagnostic workup is?
Send to ER - ANSWER- A 70-year-old patient presents to the clinic
complaining of dyspnea, palpitations, and fatigue. The patient reports a 2-
week history of blackened stools. Assessment reveals BP = 110/60, P =
100, R = 24, Hgb = 4.5, Hct = 16%. What is the most appropriate
intervention?
Referring the child to a dentist, assessing for bottle feeding and fluoride in
local water. - ANSWER- During a well-child exam of an 18-month-old,
premature tooth decay and inflamed gums, particularly of the maxillary
incisors, are noted. The approach to this problem includes?
Preschool contacts in the past 7 days - ANSWER- A 3-year-old female has
been diagnosed with bacterial meningitis. She attends preschool daily at a
local church day care program. The day before her diagnosis, she ate
lunch with her mother at a local restaurant. For which contact would
chemoprophylaxis with rifampin be recommended?
Folic acid - ANSWER- A 19-year-old patient who has used OCPs for 3
years plans to discontinue the pill at the end of her current cycle to become
pregnant. What daily supplement would receive the highest priority?
AANP EXAM VERSION 1 ACTUAL EXAM NEWEST 2025/2026
QUESTIONS AND CORRECT ANSWERS (VERIFIED
ANSWERS) |AWARDED A+||NEW VERSION!
Nummular eczema - ANSWER- An 87-year-old patient presents with round,
pruritic plaques and small vesicles on the lower legs. The most likely
diagnosis is?
Otitis media with effusion - ANSWER- A 30-month-old with a history of
frequent ear infections was seen in September after a symptom-free
summer. Exam revealed bilateral bulging eardrums. After two separate
courses of abx, fluid is noted in both ears. The parent reports speech
difficulties. The most likely diagnosis is?
Acute pancreatitis - ANSWER- During the past 24 hours, a 62-year-old has
experienced abdominal pain that radiates to the back. The patient also
reports several episodes of nausea and vomiting, a low-grade temperature,
and a history of excessive drinking. PE reveals a distended abdomen. Lab
serum values indicate elevated alkaline phosphatase, amylase, and serum
lipase. The most likely diagnosis is?
Orbital rim fracture - ANSWER- A patient reports to your office, having been
struck on the right cheek with a baseball bat. On exam, you notice
tenderness and swelling over the cheek. The patient is unable to gaze
laterally with his left eye, and he complains of double vision when he
attempts to do so. This is most likely associated with?
,2|Page
Intraductal papilloma - ANSWER- Unilateral spontaneous serous or
serosanguineous discharge from a single duct of a breast is most often
caused by?
Rotator cuff tear - ANSWER- A young athletic adult presents with shoulder
pain and inability to raise the arm above the shoulder. The most likely
diagnosis is?
Leg, buttock or back pain precipitated by walking. - ANSWER- What is a
hallmark of lumbar spinal stenosis?
High-level athletes - ANSWER- Anorexia nervosa occurs most commonly in
who?
Increased peristalsis - ANSWER- What is typically observed in the GI
system upon stimulation of the PNS?
IBS - ANSWER- A 26-year-old female presents with abdominal distention,
bloating, and intermittent crampy abdominal pain relieved with defecation.
She has four to six loose stools a day when stressed. Between bouts of
diarrhea, she often has constipation. PE results are normal. The CBC was
normal. The most likely diagnosis is?
Polypharmacy - ANSWER- A frail elderly widow presents with a 3 to 4 day
history of confusion that became worse the evening before but currently
seems a little better, although her speech is rambling and difficult to follow.
During the exam, the patient is anxious and agitated. She is on cardiac
medications, an antidepressant, and insulin. The most likely diagnosis is?
,3|Page
GERD - ANSWER- A 54-year-old male who is 30 lbs overweight states that
he awakens at night with heartburn and the taste of hot acid in his mouth.
Stress makes his condition worse, yet baking soda seems to provide some
relief. Findings on exam are normal and the stool for occult blood is
negative. The preliminary diagnosis should be?
3-oz weight gain over the past 2 weeks - ANSWER- An NP is evaluating an
infant for possible colic. What could indicate the need for a more extensive
eval?
Decreased reabsorption of sodium-glucose transporters - ANSWER- Type
2 DM is characterized by what?
CT scan - ANSWER- The 16-year-old mother of a 2-month-old presents the
infant, reporting that the child is very irritable and does not feed well. During
PE, the child's head drops ack and the child exhibits sudden flexing of the
extremities. As the flexing stops, the child cries uncontrollably. Funduscopic
exam reveals retinal hemorrhages. What diagnostic test should be
ordered?
Contact dermatitis - ANSWER- A 27-year-old male patient, who works as a
janitor, presents with a 6-month history of an intermittent rash on his hands.
History reveals irregularly-distributed scaly maculopapular erythematous
patches extending from the dorsum of the hand several inches up the
forearms, and dry palms with no nail involvement. The most likely diagnosis
is?
After 14 weeks of gestation - ANSWER- A pregnant woman with known HIV
infection can reduce the risk of perinatal transmission through zidovudine
, 4|Page
(Retrovir) therapy. Based on current research, optimal therapy is to start
daily dosing?
Ergotamine tartrate (Ergomar) - ANSWER- In treating a pregnant female
with migraine headaches, what drug is in Category X?
Urine pregnancy test - ANSWER- A 46-year-old female presents with a
complaint of amenorrhea for 3 months. The first-line diagnostic workup is?
Send to ER - ANSWER- A 70-year-old patient presents to the clinic
complaining of dyspnea, palpitations, and fatigue. The patient reports a 2-
week history of blackened stools. Assessment reveals BP = 110/60, P =
100, R = 24, Hgb = 4.5, Hct = 16%. What is the most appropriate
intervention?
Referring the child to a dentist, assessing for bottle feeding and fluoride in
local water. - ANSWER- During a well-child exam of an 18-month-old,
premature tooth decay and inflamed gums, particularly of the maxillary
incisors, are noted. The approach to this problem includes?
Preschool contacts in the past 7 days - ANSWER- A 3-year-old female has
been diagnosed with bacterial meningitis. She attends preschool daily at a
local church day care program. The day before her diagnosis, she ate
lunch with her mother at a local restaurant. For which contact would
chemoprophylaxis with rifampin be recommended?
Folic acid - ANSWER- A 19-year-old patient who has used OCPs for 3
years plans to discontinue the pill at the end of her current cycle to become
pregnant. What daily supplement would receive the highest priority?
