Page 1 of 39
AANP FNP CERTIFICATION EXAM 2025AANP
PRACTICE EXAM RECENT VERSION ALL
QUESTIONS AND CORRECT ANSWERS/ BEST
GRADED A+
Pregnant teacher with exposure to 5ths disease (SLAP CHEEK), what risk is there
to the fetus? - ANSWER: slap cheek, PVB19, rash hands / feet Fetal death and
birth defects
Quick assessment of patients fall risk? Timed Get up and Go - ANSWER: Timed
Get up and Go
Red beefy tongue? - ANSWER: pernicious anemia
Rotator cuff injury presentation - ANSWER: disturbs sleep, arm weakness, dull
ache
Shingles near eye - ANSWER: immediate referral to ophthalmology
Signs and symptoms of Roseola (6ths disease) ? - ANSWER: Viral infection
Can result in a maculopapular rash, but up to 70% of cases proceed without the
rash stage
-Usually accompanied by a high fever (41°C or 105°F) that comes on quickly and
lasts up to 3 days followed by rash -Seizures may occur during this period.
,Page 2 of 39
-On the fourth day, the fever disappears and the rash appears, first on chest and
trunk, then less prominently on the face and limbs.
-High fever, pink flat or raised rash
Treatment for chronic alcoholism: - ANSWER: 12 step program
Treatment for Gonorrhea? - ANSWER: Rocephin 250mg IMx1 plus
Azithromycin 1 gm orally x1 to cover chlamydia. , or doxy 100 mg BID x7d.
Green colored vaginal discharge, friable cervix. EXAM
Report to health department
All diastolic murmurs are pathological. Murmurs Grades I-barely II-audible III-
clearly audible. IV- first time thrill V-Steth edge VI-entire steth. EXAM -
ANSWER: III first time audible, IV first time thrill
Fundal height 12 weeks - ANSWER: Fundal Height 12 weeks above symphysis
pubis. EXAM
Fundus 16 weeks between symphysis pubis and umbilicus.
Fundus at 20 weeks is at umbilicus.
2 cm more of less from # of wk gestation is normal if more or less order US
3 month old infant with down syndrome, due to milk intolerance, mom started on
goats milk; now has pale conjunctiva but otherwise healthy. Low HCT. What
additional test would you order? - ANSWER: Iron, TIBC
3 months of synthroid, TSH increased, T4 normal, what do you do? - ANSWER:
Increase Medication
,Page 3 of 39
3 ways to assess cognitive function in patient with signs/symptoms of memory
loss - ANSWER: Mini mental exam
4 month old with strabismus, mom is worried...... - ANSWER: tell her it is
normal. 4 month old wont keep anything down, what is the main thing you look
at? - ANSWER: Growth chart
6 month old closed anterior fontanel. - ANSWER: XRAY
Abnormal cells on PAP, what do you do next? - ANSWER: Refer for Colposcopy
CAGE ACRONYM - ANSWER: Cut down
Annoyed by criticism
Guilty about drinking
Eye opener drink
Causes of tachycardia - ANSWER: Fever
Anemia
Hypotension
Cranial nerves responsible for extraocular eye movements - ANSWER: CN 3,4,6
Definition of metabolic syndrome - ANSWER: cluster of conditions that increase
risk of heart disease, stroke, diabetes.
diagnose trichomoniasis - ANSWER: wet prep
, Page 4 of 39
Elderly presents with atrophic vaginitis, small uterus, palpable 4x5 ovary, what do
you do next? - ANSWER: Pelvic US
Epistaxis is most common in the area of the nose known as kiesselbachs triangle,
where is this located? - ANSWER: Anterior septum
Definitive diagnosis of acute bacterial prostatitis - ANSWER: urinalysis and
culture
GERD treatment - ANSWER: H2 is first line, give hs
Grade 3 cells on Pap, treatment? - ANSWER: LEEP excision
Fingernail hematoma treatment? - ANSWER: drill hole and drain blood?
Increased risk of ectopic pregnancy - ANSWER: Salpingitis, or history of
abortion, PID,
Koplick spots - ANSWER: Measles (rubeola). Grains of salt lesions inside mouth
in Measles
Koplick spots - ANSWER: Measles (rubeola). Grains of salt lesions inside mouth
in Measles
Legg-Calve-Perthes Disease - ANSWER: Avascular necrosis of the proximal
femoral head
AANP FNP CERTIFICATION EXAM 2025AANP
PRACTICE EXAM RECENT VERSION ALL
QUESTIONS AND CORRECT ANSWERS/ BEST
GRADED A+
Pregnant teacher with exposure to 5ths disease (SLAP CHEEK), what risk is there
to the fetus? - ANSWER: slap cheek, PVB19, rash hands / feet Fetal death and
birth defects
Quick assessment of patients fall risk? Timed Get up and Go - ANSWER: Timed
Get up and Go
Red beefy tongue? - ANSWER: pernicious anemia
Rotator cuff injury presentation - ANSWER: disturbs sleep, arm weakness, dull
ache
Shingles near eye - ANSWER: immediate referral to ophthalmology
Signs and symptoms of Roseola (6ths disease) ? - ANSWER: Viral infection
Can result in a maculopapular rash, but up to 70% of cases proceed without the
rash stage
-Usually accompanied by a high fever (41°C or 105°F) that comes on quickly and
lasts up to 3 days followed by rash -Seizures may occur during this period.
,Page 2 of 39
-On the fourth day, the fever disappears and the rash appears, first on chest and
trunk, then less prominently on the face and limbs.
-High fever, pink flat or raised rash
Treatment for chronic alcoholism: - ANSWER: 12 step program
Treatment for Gonorrhea? - ANSWER: Rocephin 250mg IMx1 plus
Azithromycin 1 gm orally x1 to cover chlamydia. , or doxy 100 mg BID x7d.
Green colored vaginal discharge, friable cervix. EXAM
Report to health department
All diastolic murmurs are pathological. Murmurs Grades I-barely II-audible III-
clearly audible. IV- first time thrill V-Steth edge VI-entire steth. EXAM -
ANSWER: III first time audible, IV first time thrill
Fundal height 12 weeks - ANSWER: Fundal Height 12 weeks above symphysis
pubis. EXAM
Fundus 16 weeks between symphysis pubis and umbilicus.
Fundus at 20 weeks is at umbilicus.
2 cm more of less from # of wk gestation is normal if more or less order US
3 month old infant with down syndrome, due to milk intolerance, mom started on
goats milk; now has pale conjunctiva but otherwise healthy. Low HCT. What
additional test would you order? - ANSWER: Iron, TIBC
3 months of synthroid, TSH increased, T4 normal, what do you do? - ANSWER:
Increase Medication
,Page 3 of 39
3 ways to assess cognitive function in patient with signs/symptoms of memory
loss - ANSWER: Mini mental exam
4 month old with strabismus, mom is worried...... - ANSWER: tell her it is
normal. 4 month old wont keep anything down, what is the main thing you look
at? - ANSWER: Growth chart
6 month old closed anterior fontanel. - ANSWER: XRAY
Abnormal cells on PAP, what do you do next? - ANSWER: Refer for Colposcopy
CAGE ACRONYM - ANSWER: Cut down
Annoyed by criticism
Guilty about drinking
Eye opener drink
Causes of tachycardia - ANSWER: Fever
Anemia
Hypotension
Cranial nerves responsible for extraocular eye movements - ANSWER: CN 3,4,6
Definition of metabolic syndrome - ANSWER: cluster of conditions that increase
risk of heart disease, stroke, diabetes.
diagnose trichomoniasis - ANSWER: wet prep
, Page 4 of 39
Elderly presents with atrophic vaginitis, small uterus, palpable 4x5 ovary, what do
you do next? - ANSWER: Pelvic US
Epistaxis is most common in the area of the nose known as kiesselbachs triangle,
where is this located? - ANSWER: Anterior septum
Definitive diagnosis of acute bacterial prostatitis - ANSWER: urinalysis and
culture
GERD treatment - ANSWER: H2 is first line, give hs
Grade 3 cells on Pap, treatment? - ANSWER: LEEP excision
Fingernail hematoma treatment? - ANSWER: drill hole and drain blood?
Increased risk of ectopic pregnancy - ANSWER: Salpingitis, or history of
abortion, PID,
Koplick spots - ANSWER: Measles (rubeola). Grains of salt lesions inside mouth
in Measles
Koplick spots - ANSWER: Measles (rubeola). Grains of salt lesions inside mouth
in Measles
Legg-Calve-Perthes Disease - ANSWER: Avascular necrosis of the proximal
femoral head
