AANP ANCC PRACTICE GUIDE UPDATED
2026 TESTED SOLUTIONS
⫸ Strep Pharyngitis? Patients with strep throat can be cleared to return
to work or school after hours of antimicrobial therapy ? Answer: 24
hours
⫸ H. influenzae/ Which of the following is a characteristic of H.
Influenzae ? Answer: some isolates exhibit antimicrobial resistance via
production of beta lactamase.
⫸ Mono / you examine a 25 year old man who has infectious
mononucleosis with tonsillar hypertrophy, exudative pharyngitis , poor
fluid intake due to difficulty swallowing , a patient airway. you prescribe
? Answer: Prednisosne ..if they didnt have difficulty swallowint -
exudates and were better then supportive tx only plus hydration.
⫸ streap pharyngitis tx /treatment options for streptococcal pharyngitis
for a patient with penicillin allergy include all of the foolowing except
Answer: Trimethoprim-sulfamethoxazole (bactrium) sulfonamide
antibiotic
⫸ otitis Externa / risk factor for otitis externa includ all of the following
except Answer: frequent air travel
, ⫸ EBV/ The Epstein barr virus is primarily transmitied via Answer:
oropharyngeal secretions --Kissing
⫸ •You prescribe nasal corticosteroid spray for a patient with perennial
allergic rhinitis. What is the anticipated onset of symptom relief with its
use? Answer: a few days to a week
⫸ Allergic rhinitis antibodies /The physiological response causing
allergic rhinitis is primarily mediated through Answer: IgE antibodies
⫸ Primary Open Angular Glaucoma/•POAG is primarily caused by:
Answer: •elevated intraocular pressure
⫸ ABRS - Acute Bacterial Rhinosinusitis//•A 45-year-old person with
severe ABRS has shown no clinical improvement after a total of 10 days
of antimicrobial therapy. Initially treated with doxycycline for 5 days, he
was then switched to levofloxacin for the past 5 days. This is his third
episode of ABRS in the past 12 months. You consider: Answer: •
prompt referral for sinus imaging with a CT scan
⫸ S. Pyogenes Pharyngitis//•You are seeing a 25-year-old man with S.
pyogenes pharyngitis. He asks whether he can get a "shot of penicillin"
for therapy. He has no history of drug allergy. You consider the
following when counseling about the use of intramuscular penicillin:
Answer: •Treatment failure rates approach 20%
2026 TESTED SOLUTIONS
⫸ Strep Pharyngitis? Patients with strep throat can be cleared to return
to work or school after hours of antimicrobial therapy ? Answer: 24
hours
⫸ H. influenzae/ Which of the following is a characteristic of H.
Influenzae ? Answer: some isolates exhibit antimicrobial resistance via
production of beta lactamase.
⫸ Mono / you examine a 25 year old man who has infectious
mononucleosis with tonsillar hypertrophy, exudative pharyngitis , poor
fluid intake due to difficulty swallowing , a patient airway. you prescribe
? Answer: Prednisosne ..if they didnt have difficulty swallowint -
exudates and were better then supportive tx only plus hydration.
⫸ streap pharyngitis tx /treatment options for streptococcal pharyngitis
for a patient with penicillin allergy include all of the foolowing except
Answer: Trimethoprim-sulfamethoxazole (bactrium) sulfonamide
antibiotic
⫸ otitis Externa / risk factor for otitis externa includ all of the following
except Answer: frequent air travel
, ⫸ EBV/ The Epstein barr virus is primarily transmitied via Answer:
oropharyngeal secretions --Kissing
⫸ •You prescribe nasal corticosteroid spray for a patient with perennial
allergic rhinitis. What is the anticipated onset of symptom relief with its
use? Answer: a few days to a week
⫸ Allergic rhinitis antibodies /The physiological response causing
allergic rhinitis is primarily mediated through Answer: IgE antibodies
⫸ Primary Open Angular Glaucoma/•POAG is primarily caused by:
Answer: •elevated intraocular pressure
⫸ ABRS - Acute Bacterial Rhinosinusitis//•A 45-year-old person with
severe ABRS has shown no clinical improvement after a total of 10 days
of antimicrobial therapy. Initially treated with doxycycline for 5 days, he
was then switched to levofloxacin for the past 5 days. This is his third
episode of ABRS in the past 12 months. You consider: Answer: •
prompt referral for sinus imaging with a CT scan
⫸ S. Pyogenes Pharyngitis//•You are seeing a 25-year-old man with S.
pyogenes pharyngitis. He asks whether he can get a "shot of penicillin"
for therapy. He has no history of drug allergy. You consider the
following when counseling about the use of intramuscular penicillin:
Answer: •Treatment failure rates approach 20%
