Page 1 of 114
AANP FNP PRACTICE EXAM/AANP EXAM RECENT VERSION
2024 ALL 800 QUESTIONS AND CORRECT ANSWERS/ BEST
GRADED A+
Increased rugae of scrotum, testes enlarge. Breast bud. Straight sparse hair. -
ANSWER: Tanner Stage 2
Penis elongates. Pencil penis. Scrotal color darkens. Breast tissue and areola are one
mound. Darkened hair, starts to curl. - ANSWER: Tanner Stage 3
Penis thickens and increases in size. Areola/nipple separate for secondary mound.
Curly hair, not on medial thigh. - ANSWER: Tanner 4
After Tanner stage 2, within 1-2 years. Delayed puberty if no secondary sexual
characteristics by 12-13 in girls and 14 in boys. - ANSWER: When does menarche begin
Down Syndrome. Risk with advanced maternal age. Microcephaly, flat nose,
hypotonia, simian crease. - ANSWER: Trisomy 21
Pectus excavatum. Tall, wide arm span. Risk of MVP, aneurysm, aortic regurgitation.
Do not clear for sports. - ANSWER: Marfan's Syndrome
FEMALE. Lymphedema in utero, webbed neck, LD, widely spaced nipples, HTN
coarctation of aorta. - ANSWER: Turner's Syndrome
Extra X in males. More feminine. Will see in puberty. Infertile, hypogonadism, low
testosterone. Tall, lanky, underdeveloped sexually. - ANSWER: Klienfelter's Syndrome
,Page 2 of 114
Sutures cross midline, spreads. - ANSWER: Caput succadeum
Sutures do not cross midline, more significant. - ANSWER: Caphalohematoma
18 months - ANSWER: When does anterior fontanelle close?
2-3 months - ANSWER: When does posterior fontanelle close?
Black or white. Retinoblastoma, cataracts, osteogenesis perfecta. White specks in
down syndrome. - ANSWER: Abrnomal red reflex
Trisomy 18. Small mouth. High pitched cry. - ANSWER: Edward's Syndrome
PKU (phenylalanine), can lead to hyperactivity and mental retardation. Hypothyroid.
If not treated, mental retardation. Sickle cell. Galactessemia, maple smell to urine,
septic. - ANSWER: Newborn screening tests
Stye. Pain, edema. Bacitracin ophthalmic ointment. - ANSWER: Hordeolum
Emergency. Rocephin for gonorrhea. - ANSWER: STD conjunctivitis.
2-4 days after birth. Red eye, purulent discharge, swollen eyelids. GC culture, Thayer
Martin, ROCEPHIN. - ANSWER: Gonococcola Ophthamlia Neonatorum
,Page 3 of 114
4-10 days after birth. Edematous, red, profuse WATERY discharge that becomes
purulent. Azithromycin, erythmocycin. - ANSWER: Chalmydial Ophthalmia Trachoma
Fungal. Odor, black specks. Clotramizole. Pain with tragus/pinna. Corticosporin -
ANSWER: Otitis externa
Syphilis, acoustic neuroma, aminoglycoside (gentamycin) - ANSWER:
Sensorineuro hearing loss in PEDS
Bacterial. Thumb sign on x-ray. - ANSWER: Epiglottitis
Viral. Steeple sign on x-ray. - ANSWER: Croup
RSV, adenovirus. Under 3. Lower respi. URI, fever, nasal flaring, stridor.If a preemie,
synegis. - ANSWER: Bronchioloitis
SABA, 2 puffs q 4-6 hours. Peak 30 min-2 hours, lasts 4-6. - ANSWER:
Intermittent Asthma peds
Lobar consolidation. Tx with penicillin. - ANSWER: S. pneumonia (CAP) peds
Lobar consolidation. Amoxicillin or cephalosporin. - ANSWER: H. influenza pneumonia
peds
Linear. Azithromycin. - ANSWER: M. cataralis or mycoplasma
, Page 4 of 114
Cafe au lait spots. Neurofibromas. Eye nodules. Freckling. - ANSWER:
Neurofibromatosis
Slow GI loss, too much whole milk. PICA. Flat shaped nails. Ferritin low. 6-9 month
treatments. 3-6 mg/kg day of iron - ANSWER: Peds IDA
Asymptomatic. Enlarged spleen, tachypnea, tachycardia, prominence in facial bones.
TIBC not increased . Electrophoresis. - ANSWER: Thalassemia peds
Vasocclusive crisis. Symptoms in stress, heat, overexerting. Howel Jolly Bodies.
Reticulocytosis. Hydrate, oxygenate, pain managemnet. - ANSWER: Sickle Cell Peds
Factor VIII. Mother/daughter carry gene but presents in males. Bleed into joints. -
ANSWER: Hemophilia
Over 10 refer. IDA. Butonion line, gingival border. Kelation therapy. - ANSWER:
Lead Poisoning
Chronically tired, pale, resp. infections. Blast cells, peripheral smear, WBC - ANSWER:
Leukemia peds
ELISA in older child. PCR in infant. Western blot confirms. More than 800 CD4 count
normal, viral load less than 5000 or 0/undetectable. - ANSWER: HIV testing
Group B strep, e coli - ANSWER: Cause of fever in less than 2 month old
AANP FNP PRACTICE EXAM/AANP EXAM RECENT VERSION
2024 ALL 800 QUESTIONS AND CORRECT ANSWERS/ BEST
GRADED A+
Increased rugae of scrotum, testes enlarge. Breast bud. Straight sparse hair. -
ANSWER: Tanner Stage 2
Penis elongates. Pencil penis. Scrotal color darkens. Breast tissue and areola are one
mound. Darkened hair, starts to curl. - ANSWER: Tanner Stage 3
Penis thickens and increases in size. Areola/nipple separate for secondary mound.
Curly hair, not on medial thigh. - ANSWER: Tanner 4
After Tanner stage 2, within 1-2 years. Delayed puberty if no secondary sexual
characteristics by 12-13 in girls and 14 in boys. - ANSWER: When does menarche begin
Down Syndrome. Risk with advanced maternal age. Microcephaly, flat nose,
hypotonia, simian crease. - ANSWER: Trisomy 21
Pectus excavatum. Tall, wide arm span. Risk of MVP, aneurysm, aortic regurgitation.
Do not clear for sports. - ANSWER: Marfan's Syndrome
FEMALE. Lymphedema in utero, webbed neck, LD, widely spaced nipples, HTN
coarctation of aorta. - ANSWER: Turner's Syndrome
Extra X in males. More feminine. Will see in puberty. Infertile, hypogonadism, low
testosterone. Tall, lanky, underdeveloped sexually. - ANSWER: Klienfelter's Syndrome
,Page 2 of 114
Sutures cross midline, spreads. - ANSWER: Caput succadeum
Sutures do not cross midline, more significant. - ANSWER: Caphalohematoma
18 months - ANSWER: When does anterior fontanelle close?
2-3 months - ANSWER: When does posterior fontanelle close?
Black or white. Retinoblastoma, cataracts, osteogenesis perfecta. White specks in
down syndrome. - ANSWER: Abrnomal red reflex
Trisomy 18. Small mouth. High pitched cry. - ANSWER: Edward's Syndrome
PKU (phenylalanine), can lead to hyperactivity and mental retardation. Hypothyroid.
If not treated, mental retardation. Sickle cell. Galactessemia, maple smell to urine,
septic. - ANSWER: Newborn screening tests
Stye. Pain, edema. Bacitracin ophthalmic ointment. - ANSWER: Hordeolum
Emergency. Rocephin for gonorrhea. - ANSWER: STD conjunctivitis.
2-4 days after birth. Red eye, purulent discharge, swollen eyelids. GC culture, Thayer
Martin, ROCEPHIN. - ANSWER: Gonococcola Ophthamlia Neonatorum
,Page 3 of 114
4-10 days after birth. Edematous, red, profuse WATERY discharge that becomes
purulent. Azithromycin, erythmocycin. - ANSWER: Chalmydial Ophthalmia Trachoma
Fungal. Odor, black specks. Clotramizole. Pain with tragus/pinna. Corticosporin -
ANSWER: Otitis externa
Syphilis, acoustic neuroma, aminoglycoside (gentamycin) - ANSWER:
Sensorineuro hearing loss in PEDS
Bacterial. Thumb sign on x-ray. - ANSWER: Epiglottitis
Viral. Steeple sign on x-ray. - ANSWER: Croup
RSV, adenovirus. Under 3. Lower respi. URI, fever, nasal flaring, stridor.If a preemie,
synegis. - ANSWER: Bronchioloitis
SABA, 2 puffs q 4-6 hours. Peak 30 min-2 hours, lasts 4-6. - ANSWER:
Intermittent Asthma peds
Lobar consolidation. Tx with penicillin. - ANSWER: S. pneumonia (CAP) peds
Lobar consolidation. Amoxicillin or cephalosporin. - ANSWER: H. influenza pneumonia
peds
Linear. Azithromycin. - ANSWER: M. cataralis or mycoplasma
, Page 4 of 114
Cafe au lait spots. Neurofibromas. Eye nodules. Freckling. - ANSWER:
Neurofibromatosis
Slow GI loss, too much whole milk. PICA. Flat shaped nails. Ferritin low. 6-9 month
treatments. 3-6 mg/kg day of iron - ANSWER: Peds IDA
Asymptomatic. Enlarged spleen, tachypnea, tachycardia, prominence in facial bones.
TIBC not increased . Electrophoresis. - ANSWER: Thalassemia peds
Vasocclusive crisis. Symptoms in stress, heat, overexerting. Howel Jolly Bodies.
Reticulocytosis. Hydrate, oxygenate, pain managemnet. - ANSWER: Sickle Cell Peds
Factor VIII. Mother/daughter carry gene but presents in males. Bleed into joints. -
ANSWER: Hemophilia
Over 10 refer. IDA. Butonion line, gingival border. Kelation therapy. - ANSWER:
Lead Poisoning
Chronically tired, pale, resp. infections. Blast cells, peripheral smear, WBC - ANSWER:
Leukemia peds
ELISA in older child. PCR in infant. Western blot confirms. More than 800 CD4 count
normal, viral load less than 5000 or 0/undetectable. - ANSWER: HIV testing
Group B strep, e coli - ANSWER: Cause of fever in less than 2 month old
