AANP FNP CERTIFICATION EXAM WITH 200 REAL
EXAM 2026 QUESTIONS AND CORRECT ANSWERS
(VERIFIED Q&A LATEST UPDATE)
Which of the following is associated with male aging?
a. Increased levels of estrogen
b. Decreased sperm production
c. Increased production of semen
d. Decreased concentration of sperm - Answer ✔✔- Decreased sperm production
A nurse practitioner sees a patient for an evaluation of sexually transmitted diseases.
Assessment reveals Fitz-Hugh-Curtis. The nurse practitioner will prescribe: - Answer ✔✔-
Ceftriaxone 500 mg IM × one dose plus doxycycline 100 mg BID × 14 days plus metronidazole
500 mg BID × 14 days.
,Fitz-Hugh-Curtis syndrome should be treated as a complicated gonorrheal/chlamydial infection:
Ceftriaxone 500 mg IM × one dose plus doxycycline 100 mg BID × 14 days plus metronidazole
500 mg BID × 14 days for anaerobic coverage.
sensitive screening test for HIV - Answer ✔✔- Combination HIV-1 and HIV-2 antibody
immunoassay with p24 antigen.
DM medication class that should not be used in patients with heart failure or hx of bladder
cancer? - Answer ✔✔- Thiazolidinediones
Medication class with high risk of hypoglycemic events: - Answer ✔✔- Sulfonylureas stimulate
the beta cells but have a long half-life, and there is a high risk for severe hypoglycemic events.
Treponema pallidum - Answer ✔✔- T. pallidum is a gram-negative spirochete bacterium that
causes syphilis.
Which class of diuretics is contraindicated in patients who are allergic to sulfa products? -
Answer ✔✔- Thiazides (hydrochlorothiazide and indapamide) and loop diuretics (furosemide
and bumetanide) are contraindicated in patients with sulfa allergies.
Hypertensive Retinopathy Findings - Answer ✔✔- - silver wire/copper wire arterioles.
- AV nicking
Bullous Myringitis - Answer ✔✔- Small vesicles containing blood on the drum; accompany
mycoplasma pneumonia and virus infections
Bullous myringitis is an ear infection in which small, fluid-filled blisters form on the eardrum.
This finding distinguishes this diagnosis.
,PCOS puts the patient at additional risk for: - Answer ✔✔- metabolic syndrome, Type II DM,
and infertility because of the high levels of androgens in the body
What to monitor in thiazide diuretics? - Answer ✔✔- Side effects of thiazide diuretics such as
hydrochlorothiazide are hyperglycemia, hyperuricemia, and hypertriglyceridemia and
hypercholesteremia. Patients should also be monitored for hypokalemia, hyponatremia (not
hypernatremia), and hypomagnesemia.
Giant Cell Arteritis (Temporal Arteritis) - Answer ✔✔- Causes an acute headache in one
temple area with an indurated, reddened temporal artery and scalp tenderness. A major
complication of this condition is transient blindness (amaurosis fugax) of the affected eye. A
patient may experience jaw claudication from the artery obstruction, and elevated ESR and
CRP rates are expected with an inflammatory process.
CHF Symptoms - Answer ✔✔- dyspnea, fatigue, dry cough, and swollen feet and ankles
Infective Endocarditis - Answer ✔✔- Infective endocarditis (bacterial endocarditis) presents
with chills, fever, and malaise as well as the presence of a new murmur.
What finding is expected in a 13 YO male with Cushing's Disease? - Answer ✔✔- Delayed
Puberty
Bowen's Disease (Intraepidermal squamous cell carcinoma - Answer ✔✔- SCC that has not
invaded the dermis yet-
Curettage and electrodessication is the preferred tx
Treatment for non-gonococcal uretthritis - Answer ✔✔- Azithromycin 1 gm, one dose
Syphilis - Answer ✔✔- Penicillin G 1 g IM once is gold
, RPR is gold standard test
Sinusitis - Answer ✔✔- Augmentin or PCNs
Doxycycline if PCN allergy
C-Diff TX - Answer ✔✔- Vancomycin 125 mg PO qid x 10 days
Can still use flagyl, but no longer first line
Vanco AE- Ototoxicity, Red man syndrome, Hard on kidneys
Metronidazole - Answer ✔✔- S/E GI upset, metallic taste
Teach patients to avoid alcohol before starting and a few days after to avoid disulfiram-like
reaction
Tx=BV and Trich
Gonorrhea test - Answer ✔✔- NAAT
Culture
U/A in men
Gonorrhea TX - Answer ✔✔- Ceftriaxone IM
500 mg < 150 kg
1 g > 150 kg
EXAM 2026 QUESTIONS AND CORRECT ANSWERS
(VERIFIED Q&A LATEST UPDATE)
Which of the following is associated with male aging?
a. Increased levels of estrogen
b. Decreased sperm production
c. Increased production of semen
d. Decreased concentration of sperm - Answer ✔✔- Decreased sperm production
A nurse practitioner sees a patient for an evaluation of sexually transmitted diseases.
Assessment reveals Fitz-Hugh-Curtis. The nurse practitioner will prescribe: - Answer ✔✔-
Ceftriaxone 500 mg IM × one dose plus doxycycline 100 mg BID × 14 days plus metronidazole
500 mg BID × 14 days.
,Fitz-Hugh-Curtis syndrome should be treated as a complicated gonorrheal/chlamydial infection:
Ceftriaxone 500 mg IM × one dose plus doxycycline 100 mg BID × 14 days plus metronidazole
500 mg BID × 14 days for anaerobic coverage.
sensitive screening test for HIV - Answer ✔✔- Combination HIV-1 and HIV-2 antibody
immunoassay with p24 antigen.
DM medication class that should not be used in patients with heart failure or hx of bladder
cancer? - Answer ✔✔- Thiazolidinediones
Medication class with high risk of hypoglycemic events: - Answer ✔✔- Sulfonylureas stimulate
the beta cells but have a long half-life, and there is a high risk for severe hypoglycemic events.
Treponema pallidum - Answer ✔✔- T. pallidum is a gram-negative spirochete bacterium that
causes syphilis.
Which class of diuretics is contraindicated in patients who are allergic to sulfa products? -
Answer ✔✔- Thiazides (hydrochlorothiazide and indapamide) and loop diuretics (furosemide
and bumetanide) are contraindicated in patients with sulfa allergies.
Hypertensive Retinopathy Findings - Answer ✔✔- - silver wire/copper wire arterioles.
- AV nicking
Bullous Myringitis - Answer ✔✔- Small vesicles containing blood on the drum; accompany
mycoplasma pneumonia and virus infections
Bullous myringitis is an ear infection in which small, fluid-filled blisters form on the eardrum.
This finding distinguishes this diagnosis.
,PCOS puts the patient at additional risk for: - Answer ✔✔- metabolic syndrome, Type II DM,
and infertility because of the high levels of androgens in the body
What to monitor in thiazide diuretics? - Answer ✔✔- Side effects of thiazide diuretics such as
hydrochlorothiazide are hyperglycemia, hyperuricemia, and hypertriglyceridemia and
hypercholesteremia. Patients should also be monitored for hypokalemia, hyponatremia (not
hypernatremia), and hypomagnesemia.
Giant Cell Arteritis (Temporal Arteritis) - Answer ✔✔- Causes an acute headache in one
temple area with an indurated, reddened temporal artery and scalp tenderness. A major
complication of this condition is transient blindness (amaurosis fugax) of the affected eye. A
patient may experience jaw claudication from the artery obstruction, and elevated ESR and
CRP rates are expected with an inflammatory process.
CHF Symptoms - Answer ✔✔- dyspnea, fatigue, dry cough, and swollen feet and ankles
Infective Endocarditis - Answer ✔✔- Infective endocarditis (bacterial endocarditis) presents
with chills, fever, and malaise as well as the presence of a new murmur.
What finding is expected in a 13 YO male with Cushing's Disease? - Answer ✔✔- Delayed
Puberty
Bowen's Disease (Intraepidermal squamous cell carcinoma - Answer ✔✔- SCC that has not
invaded the dermis yet-
Curettage and electrodessication is the preferred tx
Treatment for non-gonococcal uretthritis - Answer ✔✔- Azithromycin 1 gm, one dose
Syphilis - Answer ✔✔- Penicillin G 1 g IM once is gold
, RPR is gold standard test
Sinusitis - Answer ✔✔- Augmentin or PCNs
Doxycycline if PCN allergy
C-Diff TX - Answer ✔✔- Vancomycin 125 mg PO qid x 10 days
Can still use flagyl, but no longer first line
Vanco AE- Ototoxicity, Red man syndrome, Hard on kidneys
Metronidazole - Answer ✔✔- S/E GI upset, metallic taste
Teach patients to avoid alcohol before starting and a few days after to avoid disulfiram-like
reaction
Tx=BV and Trich
Gonorrhea test - Answer ✔✔- NAAT
Culture
U/A in men
Gonorrhea TX - Answer ✔✔- Ceftriaxone IM
500 mg < 150 kg
1 g > 150 kg
