AANP Certification Questions with
Correct Answers
If your patient is in the catarrhal stage of pertussis, upon examination you would find
which of the following? - ANSWERSYou would find mild upper respiratory symptoms
with cough. And mild conjunctival injection. It is really indistinguishable from the
common cold.
What would NOT be considered a typical finding in a geriatric patient? - ANSWERSLow
frequency hearing loss. A typical finding in a geriatric patient would be a high frequency
hearing loss. The speaking voice is high frequency. Degenerative changes of the
ossicles, fewer auditory neurons and atrophy of the hair cells results in sensorineural
hearing loss.
Typical findings in a geriatric patient? - ANSWERSThinner epidermis, dermis and
subcutaneous layers of skin, bright purple-colored patches on the forearms and hands,
opaque white ring at the periphery of the cornea
Risk factors for age-related macular degeneration - ANSWERSTobacco use, aging, sun
exposure and family history
Underweight BMI - ANSWERS<18.5
Normal BMI - ANSWERS18.5-24.9
Overweight BMI - ANSWERS25-29.9
Obese BMI - ANSWERS30-39.9
Grossly obese BMI - ANSWERS>40
Pregnancy Category A Drugs - ANSWERSVitamins and levothyroxine
Pregnancy Category B Drugs - ANSWERSAcetaminophen, ibuprofen, penicillins,
cephalosporins, and azithromycin and erythromycin antibiotics.
A geriatric patient who has a 40 pack-year smoking history complains of painful
cramping in the leg muscles that occurs after walking for 20 minutes. After taking a
complete history and performing a physical exam, an NP decides that the most likely
diagnosis is? - ANSWERSIntermittent claudication
What is a common cause of acne? - ANSWERSIncrease in androgens
,In a 19-year-old who presents with a sore throat and anterior cervical adenopathy,
which causative agent would be suspected? - ANSWERSGroup A beta-hemolytic
Streptococcus
When completing the initial assessment for depression in geriatric adults, the NP should
evaluate? - ANSWERSMental status exam
What is the most common risk factor for developing severe hyperbilirubinemia in the
newborn? - ANSWERSBlood incompatibility with the mother
Which trimester of pregnancy is a woman with a fundal height measurement at the
umbilicus? - ANSWERSSecond
Which of the following conditions exacerbate urinary incontinence? -
ANSWERSImpacted stool and atrophic vaginitis
An adult patient presents with a 2-day history of intermittent stabbing chest pain that
worsens with deep breaths. The patient reports a nonproductive cough and no fever for
several days, and denies trauma, palpitations or GI symptoms. VS normal. Lungs are
clear, heart sounds normal. PE reveals localized chest wall tenderness at the costal
margin. EKG and CXR normal. The most likely diagnosis is? - ANSWERSCostchondritis
The most common skin cancer is? - ANSWERSBasal cell carcinoma
What is true regarding depression in the elderly? - ANSWERSDepression can be
induced by prescribed and OTC medications
Acute otitis media has what characteristics? - ANSWERSLoss of ossicular landmarks
on the TM
What constellations of symptoms, lasting more than 3 months, is MOST common in
fibromyalgia? - ANSWERSDiffuse pain, sleep abnormality, fatigue
An adult male is seen for an initial visit. He denies tobacco, drug, or ETOH use. He has
a sedentary lifestyle and no family history of DM. VS normal, BMI = 31. What diabetes
screening tests would an NP order? - ANSWERSFasting plasma glucose
An adolescent presents for a preparticipation athlete exam. In determining clearance for
participation in sports, what should be considered? - ANSWERSCharacteristics of the
sport
Urinary and bowel dysfunction, saddle anesthesia, and leg weakness or foot drop are
signs of? - ANSWERSCauda equina syndrome
The NP would suspect what person to be at the highest risk for Rocky Mountain spotted
fever? - ANSWERSA 40-year old male who is living in a wooded area raising dogs
, What condition is associated with the development of type 2 DM? - ANSWERSDelivery
of a neonate weighing 9 lb or greater
What condition is a risk factor for development of DVT and PE? - ANSWERSVisceral
malignancy
Research studies indicate that ED in geriatric patients is a common complication in? -
ANSWERSVascular disease
What neuro signs are characteristic of the patient with AD? - ANSWERSGait disorder
and impaired stereognosis
A frail elderly male patient complains of difficulty with urination. The International
Prostate Symptom Score can assist with decisions regarding the diagnosis of BPH.
What symptom is consistent with the items on this scale? - ANSWERSNocturia
The best medication for a patient who complains of IBS with cramping is? -
ANSWERSDicyclomine (Bentyl)
Major causes of CKD include? - ANSWERSAmyloidosis and SLE
A risk factor postmeno osteoporosis is? - ANSWERSHistory of tobacco use
An NP considering referral of a frail elderly patient for hospice care understands that? -
ANSWERSDocumentation of limited life expectancy is a prerequisite
The sound intensity of a grade III/VI hear murmur is typically described as? -
ANSWERSMedium intensity
What is associated with decreased risk of breast cancer? - ANSWERSBreast feeding
An adult patient present with complaints of nausea, fatigue, and myalgia. The patient
reports a history of untreated hep B 30 years ago. What hep B serology testing results
would indicate that the patient has chronic hepatitis? - ANSWERSHBsAG = positive,
IgM anti-HBc = negative
A geriatric patient with anemia, back pain, osteoporosis, and elevated ESR should be
evaluated for? - ANSWERSMultiple myeloma
An older adult female presents with severe pain. She reports malaise, and periodic
itching and burning on her chest wall. PE reveals a small area of hyperesthesia in a
linear fashion. The most likely diagnosis is? - ANSWERSHerpes zoster
An adult female presents complaining of an increase in a malodorous vaginal discharge
that worsens after intercourse. Exam and testing reveal a vaginal pH of 5.5, presence of
Correct Answers
If your patient is in the catarrhal stage of pertussis, upon examination you would find
which of the following? - ANSWERSYou would find mild upper respiratory symptoms
with cough. And mild conjunctival injection. It is really indistinguishable from the
common cold.
What would NOT be considered a typical finding in a geriatric patient? - ANSWERSLow
frequency hearing loss. A typical finding in a geriatric patient would be a high frequency
hearing loss. The speaking voice is high frequency. Degenerative changes of the
ossicles, fewer auditory neurons and atrophy of the hair cells results in sensorineural
hearing loss.
Typical findings in a geriatric patient? - ANSWERSThinner epidermis, dermis and
subcutaneous layers of skin, bright purple-colored patches on the forearms and hands,
opaque white ring at the periphery of the cornea
Risk factors for age-related macular degeneration - ANSWERSTobacco use, aging, sun
exposure and family history
Underweight BMI - ANSWERS<18.5
Normal BMI - ANSWERS18.5-24.9
Overweight BMI - ANSWERS25-29.9
Obese BMI - ANSWERS30-39.9
Grossly obese BMI - ANSWERS>40
Pregnancy Category A Drugs - ANSWERSVitamins and levothyroxine
Pregnancy Category B Drugs - ANSWERSAcetaminophen, ibuprofen, penicillins,
cephalosporins, and azithromycin and erythromycin antibiotics.
A geriatric patient who has a 40 pack-year smoking history complains of painful
cramping in the leg muscles that occurs after walking for 20 minutes. After taking a
complete history and performing a physical exam, an NP decides that the most likely
diagnosis is? - ANSWERSIntermittent claudication
What is a common cause of acne? - ANSWERSIncrease in androgens
,In a 19-year-old who presents with a sore throat and anterior cervical adenopathy,
which causative agent would be suspected? - ANSWERSGroup A beta-hemolytic
Streptococcus
When completing the initial assessment for depression in geriatric adults, the NP should
evaluate? - ANSWERSMental status exam
What is the most common risk factor for developing severe hyperbilirubinemia in the
newborn? - ANSWERSBlood incompatibility with the mother
Which trimester of pregnancy is a woman with a fundal height measurement at the
umbilicus? - ANSWERSSecond
Which of the following conditions exacerbate urinary incontinence? -
ANSWERSImpacted stool and atrophic vaginitis
An adult patient presents with a 2-day history of intermittent stabbing chest pain that
worsens with deep breaths. The patient reports a nonproductive cough and no fever for
several days, and denies trauma, palpitations or GI symptoms. VS normal. Lungs are
clear, heart sounds normal. PE reveals localized chest wall tenderness at the costal
margin. EKG and CXR normal. The most likely diagnosis is? - ANSWERSCostchondritis
The most common skin cancer is? - ANSWERSBasal cell carcinoma
What is true regarding depression in the elderly? - ANSWERSDepression can be
induced by prescribed and OTC medications
Acute otitis media has what characteristics? - ANSWERSLoss of ossicular landmarks
on the TM
What constellations of symptoms, lasting more than 3 months, is MOST common in
fibromyalgia? - ANSWERSDiffuse pain, sleep abnormality, fatigue
An adult male is seen for an initial visit. He denies tobacco, drug, or ETOH use. He has
a sedentary lifestyle and no family history of DM. VS normal, BMI = 31. What diabetes
screening tests would an NP order? - ANSWERSFasting plasma glucose
An adolescent presents for a preparticipation athlete exam. In determining clearance for
participation in sports, what should be considered? - ANSWERSCharacteristics of the
sport
Urinary and bowel dysfunction, saddle anesthesia, and leg weakness or foot drop are
signs of? - ANSWERSCauda equina syndrome
The NP would suspect what person to be at the highest risk for Rocky Mountain spotted
fever? - ANSWERSA 40-year old male who is living in a wooded area raising dogs
, What condition is associated with the development of type 2 DM? - ANSWERSDelivery
of a neonate weighing 9 lb or greater
What condition is a risk factor for development of DVT and PE? - ANSWERSVisceral
malignancy
Research studies indicate that ED in geriatric patients is a common complication in? -
ANSWERSVascular disease
What neuro signs are characteristic of the patient with AD? - ANSWERSGait disorder
and impaired stereognosis
A frail elderly male patient complains of difficulty with urination. The International
Prostate Symptom Score can assist with decisions regarding the diagnosis of BPH.
What symptom is consistent with the items on this scale? - ANSWERSNocturia
The best medication for a patient who complains of IBS with cramping is? -
ANSWERSDicyclomine (Bentyl)
Major causes of CKD include? - ANSWERSAmyloidosis and SLE
A risk factor postmeno osteoporosis is? - ANSWERSHistory of tobacco use
An NP considering referral of a frail elderly patient for hospice care understands that? -
ANSWERSDocumentation of limited life expectancy is a prerequisite
The sound intensity of a grade III/VI hear murmur is typically described as? -
ANSWERSMedium intensity
What is associated with decreased risk of breast cancer? - ANSWERSBreast feeding
An adult patient present with complaints of nausea, fatigue, and myalgia. The patient
reports a history of untreated hep B 30 years ago. What hep B serology testing results
would indicate that the patient has chronic hepatitis? - ANSWERSHBsAG = positive,
IgM anti-HBc = negative
A geriatric patient with anemia, back pain, osteoporosis, and elevated ESR should be
evaluated for? - ANSWERSMultiple myeloma
An older adult female presents with severe pain. She reports malaise, and periodic
itching and burning on her chest wall. PE reveals a small area of hyperesthesia in a
linear fashion. The most likely diagnosis is? - ANSWERSHerpes zoster
An adult female presents complaining of an increase in a malodorous vaginal discharge
that worsens after intercourse. Exam and testing reveal a vaginal pH of 5.5, presence of
