AANP FNP CERTIFICATION EXAM NEWEST 2026
ACTUAL EXAM QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED ANSWERS) ALL
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Triglyceride < 300 what do we do first?
Triglyceride in 300 plus risk for ___ what do we do? - ✔✔✔ Correct
Answer > Lifestyle modification
Pancreatitis, Niacin then add, fenofibrates
Aphthous stomatitis - ✔✔✔ Correct Answer > Cancer sores. Aphthous
stomatitis: painful shallow ulcers heal 7-10 days. Magic
mouthwash.
Temporal arteritis - ✔✔✔ Correct Answer > Temporal arteritis- one
temple indurated cord like gold stand. Biopsy. Abrupt visual
changes blindness, inc. ESR. CPR. Most have POLYMYALGIA
RHEUMATICA. Treat high dose steroids.
Atopic Dermatitis (eczema) - ✔✔✔ Correct Answer > Inherited.
Extremely itchy. On flexural folds, neck, hands. Inc. IgE. "small
vesicles that rupture leaving painful, bright-red, weepy lesions"
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they become lichenified from itching. First line: Topical steroids.
Avoid hot water/soaps. PO antihistamines. EXAM
Tinea Corporis - ✔✔✔ Correct Answer > ring like itchy rash, slowly
enlarge central clearing"-Treatment: most respond to topical
antifungals, if severe do oral Lamisil. EXAM AZOLE ending
Cellulitis - ✔✔✔ Correct Answer > Deep dermis poor demarcated low
legs. EXAM/ MULTIPLE QUESTIONS. DVT RISK, DM WITH
CELLULITIS WATCH FOR OSTEOMYLITIS.
Erysipelas - ✔✔✔ Correct Answer > Group A strep, painful, Upper
dermis, clear demarcated, cheeks, shins.
TREATMENT- Dicloxacillin QID x10d. Cephalexin, Clinda. PCN
ALLERGY? Do Azithro x5d.
MRSA TREATMENT: Bactrim, doxy, mino, clinda. If sulfa allergy do
not use Bactrim.
Varicella Zoster - ✔✔✔ Correct Answer > "contagious 48 h. before, until
all lesions crusted over" low grade fever, generalized
lymphadenopathy, intense itching, erythematous macules,
papules develop over macules, then vesicles erupt. "initially on
trunk, then scalp and face" TREATMENT supportive,
antihistamines, acyclovir 20mg/kg 5xd. If given first 24 hours
works best. EXAM
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Impetigo - ✔✔✔ Correct Answer > Impetigo-Gram positive. Itchy pink-
red lesions, evolve into vesiculopustules that rupture. If bullous-
large blisters. Severe- Keflex, dicloxacillin. PCN Allergic-Azithro,
clinda. If NO BULLAE- Bactroban. EXAM
Scarlet fever- scarlantina - ✔✔✔ Correct Answer > "sandpaper
textured-pink rash with sore throat" strawberry tongue, rash
starts on head and neck, spreads to trunk. The skin THEN
desquamates. EXAM
Lichen planus - ✔✔✔ Correct Answer > LICHEN PLANUS: SMALL FLAT
TOPPED, RED TO PURPLE BUMPS THAT MAY HAVE WHITE
SCALES/FLAKES.. WHISPY GREY WHITE STREAKS CALLED
WICHHAMS STRIAE. INNER WRISTS FOREARMS, AND ANKLES. IF
ON SCALP CAUSE HAIR LOSS. Causes hep C, medications,
contact with chemicals. EXAM
Spider bite - ✔✔✔ Correct Answer > fever chills, n/v, located arms,
upper legs, or the trunk. Biten area becomes swollen, red, and
tender, and blisters appear within 24-48 hours. Necrotic in
center, which kills the tissue. Ice packs to wound and cold
inactivates the toxin, tx like cellulitis of the skin, abx ointment at
first, watch etc. Exam
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Pityoris rosea - ✔✔✔ Correct Answer > Pityoris rosea itchy, herald
patch, xmas tree pattern, rash hands soles/feet think to test for
secondary syphilis RPR then VDRL are screening, then dx FTA-
ABS. EXAM
Corneal abrasion - ✔✔✔ Correct Answer > Corneal Abrasions-
Round/Irregular. Was on EXAM.
Acute Angle Closure Glaucoma - ✔✔✔ Correct Answer > acute/severe
halos, cupping optic nerve, cloudy cornea, mid-dilated oval pupil.
ER STAT. EXAM
Conductive - ✔✔✔ Correct Answer > Conductive: Lateralization to bad
ear. Rinne- BC > AC.
Rinne (1st mastoid, 2 front of ear, time each area).
Weber: Tunning fork midline. CN 8 (acoustic). EXAM
Koplik spots - ✔✔✔ Correct Answer > Koplik Spots- "clusters sm. Size
red papules w/ white centers in the buccal mucosa by lower
molars". Rubeolla. Fever, conjunctivitis, coryza, cough (3c).
Morbiliform rash. EXAM
Sensorineural - ✔✔✔ Correct Answer > Sensorineural: Lateralization
to good ear. Rinne- AC > BC.