AANP Certification questions and answers 2026\2027
A+ Grade
If your patient is in the catarrhal stage of pertussis, upon examination you would find which of the
following?
- correct answer You 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?
- correct answer Low 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?
- correct answer Thinner 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
- correct answer Tobacco use, aging, sun exposure and family history
Underweight BMI
- correct answer <18.5
Normal BMI
- correct answer 18.5-24.9
Overweight BMI
- correct answer 25-29.9
Obese BMI
- correct answer 30-39.9
,Grossly obese BMI
- correct answer >40
Pregnancy Category A Drugs
- correct answer Vitamins and levothyroxine
Pregnancy Category B Drugs
- correct answer Acetaminophen, 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?
- correct answer Intermittent claudication
What is a common cause of acne?
- correct answer Increase in androgens
In a 19-year-old who presents with a sore throat and anterior cervical adenopathy, which causative
agent would be suspected?
- correct answer Group A beta-hemolytic Streptococcus
When completing the initial assessment for depression in geriatric adults, the NP should evaluate?
- correct answer Mental status exam
What is the most common risk factor for developing severe hyperbilirubinemia in the newborn?
- correct answer Blood incompatibility with the mother
Which trimester of pregnancy is a woman with a fundal height measurement at the umbilicus?
- correct answer Second
Which of the following conditions exacerbate urinary incontinence?
- correct answer Impacted 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?
- correct answer Costchondritis
The most common skin cancer is?
- correct answer Basal cell carcinoma
What is true regarding depression in the elderly?
- correct answer Depression can be induced by prescribed and OTC medications
Acute otitis media has what characteristics?
- correct answer Loss of ossicular landmarks on the TM
What constellations of symptoms, lasting more than 3 months, is MOST common in fibromyalgia?
- correct answer Diffuse 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?
- correct answer Fasting plasma glucose
An adolescent presents for a preparticipation athlete exam. In determining clearance for participation in
sports, what should be considered?
- correct answer Characteristics of the sport
Urinary and bowel dysfunction, saddle anesthesia, and leg weakness or foot drop are signs of?
- correct answer Cauda equina syndrome
The NP would suspect what person to be at the highest risk for Rocky Mountain spotted fever?
- correct answer A 40-year old male who is living in a wooded area raising dogs
A+ Grade
If your patient is in the catarrhal stage of pertussis, upon examination you would find which of the
following?
- correct answer You 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?
- correct answer Low 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?
- correct answer Thinner 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
- correct answer Tobacco use, aging, sun exposure and family history
Underweight BMI
- correct answer <18.5
Normal BMI
- correct answer 18.5-24.9
Overweight BMI
- correct answer 25-29.9
Obese BMI
- correct answer 30-39.9
,Grossly obese BMI
- correct answer >40
Pregnancy Category A Drugs
- correct answer Vitamins and levothyroxine
Pregnancy Category B Drugs
- correct answer Acetaminophen, 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?
- correct answer Intermittent claudication
What is a common cause of acne?
- correct answer Increase in androgens
In a 19-year-old who presents with a sore throat and anterior cervical adenopathy, which causative
agent would be suspected?
- correct answer Group A beta-hemolytic Streptococcus
When completing the initial assessment for depression in geriatric adults, the NP should evaluate?
- correct answer Mental status exam
What is the most common risk factor for developing severe hyperbilirubinemia in the newborn?
- correct answer Blood incompatibility with the mother
Which trimester of pregnancy is a woman with a fundal height measurement at the umbilicus?
- correct answer Second
Which of the following conditions exacerbate urinary incontinence?
- correct answer Impacted 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?
- correct answer Costchondritis
The most common skin cancer is?
- correct answer Basal cell carcinoma
What is true regarding depression in the elderly?
- correct answer Depression can be induced by prescribed and OTC medications
Acute otitis media has what characteristics?
- correct answer Loss of ossicular landmarks on the TM
What constellations of symptoms, lasting more than 3 months, is MOST common in fibromyalgia?
- correct answer Diffuse 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?
- correct answer Fasting plasma glucose
An adolescent presents for a preparticipation athlete exam. In determining clearance for participation in
sports, what should be considered?
- correct answer Characteristics of the sport
Urinary and bowel dysfunction, saddle anesthesia, and leg weakness or foot drop are signs of?
- correct answer Cauda equina syndrome
The NP would suspect what person to be at the highest risk for Rocky Mountain spotted fever?
- correct answer A 40-year old male who is living in a wooded area raising dogs
