AANP CERTIFICATION EXAM (2025
– 2026) COMPLETE SOLUTION
Probable signs of pregnancy - ANS-detected by examiner
blood and urine tests, Chadwick's sign, Goodell's sign, Hegar's sign,
enlarged uterus
Presumptive signs of pregnancy - ANS-felt by woman
amenorrhea, nausea, breast tenderness, deepening pigmentation,
urinary frequency, quickening, fatigue
testing HPV - ANS-lesions will turn white with application of acetic
acid
OCD treatment - ANS-SSRI
first step for dementia assessment - ANS-history from family and
friends
Phalen maneuver - ANS-Tests carpel tunnel syndrome, pinches
median nerve
chronic cough causes - ANS-postnasal drip, asthma, GERD, chronic
bronchitis, bronchiectasis, allergic rhinitis
,Aspirin effect on platelets - ANS-irreversible, can last 15-20 days
Chromolyn sodium inhaler - ANS-prevent symptoms of asthma
Rovsign's sign - ANS-acute abdomen
palpate deep LLQ, referred pain to RLQ
cauda equina - ANS-caused by compression of lumbar, sacral, or
coccygeal nerve roots
loss of bladder and bowel control
paralysis/numbness of legs
cause: disc herniation. abscess, tumor, inflammation
order MRI
placenta abruptio - ANS-premature separation of the placenta from
the wall of the uterus
bright red vaginal bleeding, board-like uterus on palpation, pain
diverticulum can be an infection of - ANS-both gram - and + bacteria
Which diuretic should be used for osteoporosis? - ANS-Thiazide
diuretics:
slows the kidneys excretion of calcium and increases reabsorption
,Lachman maneuver - ANS-knee instability
tear of ACL
Infections of labia and vagina - ANS-bacterial vaginosis, candidiasis,
and trichomoniasis
Chlamydia affects - ANS-cervix, endometrial lining, fallopian tubes,
pelvic cavity
Acute abdomen symptoms - ANS-involuntary guarding, rebound
tenderness, board-like abdomen, +obturator and psoas sign
Care of preecplampsia - ANS-bed rest, weight and blood pressure
monitoring
Preeclampsia labs - ANS-urine protein, serum protein, creatinine,
platelet count
Preeclampsia symptoms - ANS-hypertension, proteinuria, edema
(weight gain)
Preeclampsia complications - ANS-placental abruption,
coagulopathy (DIC), renal failure, uteroplacental insufficiency, liver
failure, hypertensive encephalopathy, retinal detachment,
pulmonary edema, seizure, death
, community acquired pneumonia
Most common bacteria
least common bacteria
Population
treatment - ANS-mycolpasma pneumoniae (atypical)
h. influenza, strep pneumoniae
atypical: psuedomonas aeruginosa
college student, school children, military
macrolides: azithromycin, clarithromycin
Mantoux test - ANS-Positive: 5mm
Positive for recent immigrants: 10mm
Murphy's sign - ANS-biliary disorders
deep inspiration by patient and deep palpation RUQ below
costovertebral angle
placenta previa - ANS-implantation of the placenta over the cervical
opening or in the lower region of the uterus
painless bright red blood in the second or third trimester
Order abdominal US
– 2026) COMPLETE SOLUTION
Probable signs of pregnancy - ANS-detected by examiner
blood and urine tests, Chadwick's sign, Goodell's sign, Hegar's sign,
enlarged uterus
Presumptive signs of pregnancy - ANS-felt by woman
amenorrhea, nausea, breast tenderness, deepening pigmentation,
urinary frequency, quickening, fatigue
testing HPV - ANS-lesions will turn white with application of acetic
acid
OCD treatment - ANS-SSRI
first step for dementia assessment - ANS-history from family and
friends
Phalen maneuver - ANS-Tests carpel tunnel syndrome, pinches
median nerve
chronic cough causes - ANS-postnasal drip, asthma, GERD, chronic
bronchitis, bronchiectasis, allergic rhinitis
,Aspirin effect on platelets - ANS-irreversible, can last 15-20 days
Chromolyn sodium inhaler - ANS-prevent symptoms of asthma
Rovsign's sign - ANS-acute abdomen
palpate deep LLQ, referred pain to RLQ
cauda equina - ANS-caused by compression of lumbar, sacral, or
coccygeal nerve roots
loss of bladder and bowel control
paralysis/numbness of legs
cause: disc herniation. abscess, tumor, inflammation
order MRI
placenta abruptio - ANS-premature separation of the placenta from
the wall of the uterus
bright red vaginal bleeding, board-like uterus on palpation, pain
diverticulum can be an infection of - ANS-both gram - and + bacteria
Which diuretic should be used for osteoporosis? - ANS-Thiazide
diuretics:
slows the kidneys excretion of calcium and increases reabsorption
,Lachman maneuver - ANS-knee instability
tear of ACL
Infections of labia and vagina - ANS-bacterial vaginosis, candidiasis,
and trichomoniasis
Chlamydia affects - ANS-cervix, endometrial lining, fallopian tubes,
pelvic cavity
Acute abdomen symptoms - ANS-involuntary guarding, rebound
tenderness, board-like abdomen, +obturator and psoas sign
Care of preecplampsia - ANS-bed rest, weight and blood pressure
monitoring
Preeclampsia labs - ANS-urine protein, serum protein, creatinine,
platelet count
Preeclampsia symptoms - ANS-hypertension, proteinuria, edema
(weight gain)
Preeclampsia complications - ANS-placental abruption,
coagulopathy (DIC), renal failure, uteroplacental insufficiency, liver
failure, hypertensive encephalopathy, retinal detachment,
pulmonary edema, seizure, death
, community acquired pneumonia
Most common bacteria
least common bacteria
Population
treatment - ANS-mycolpasma pneumoniae (atypical)
h. influenza, strep pneumoniae
atypical: psuedomonas aeruginosa
college student, school children, military
macrolides: azithromycin, clarithromycin
Mantoux test - ANS-Positive: 5mm
Positive for recent immigrants: 10mm
Murphy's sign - ANS-biliary disorders
deep inspiration by patient and deep palpation RUQ below
costovertebral angle
placenta previa - ANS-implantation of the placenta over the cervical
opening or in the lower region of the uterus
painless bright red blood in the second or third trimester
Order abdominal US
