AANP FNP Board Review Questions &
Answers
1. A patient with asthma symptoms daily with occasional nighttime awaken-
ings has
A) Intermittent asthma
B) Mild persistent asthma
C) Moderate persistent asthma
D) Severe persistent asthma
Answer C) Moderate persistent asthma
2. A patient with asthma symptoms more than twice a week, but not daily
with occasional nighttime awakenings has
A) Intermittent asthma
B) Mild persistent asthma
C) Moderate persistent asthma
D) Severe persistent asthma
Answer B) Mild persistent asthma
3. A patient with asthma symptoms less than twice a week has
A) Intermittent asthma
B) Mild persistent asthma
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,C) Moderate persistent asthma
D) Severe persistent asthma
Answer A) Intermittent asthma
4. A patient with asthma symptoms multiple times throughout the day
and nighttime awakenings on most nights of the week has
A) Intermittent asthma
B) Mild persistent asthma
C) Moderate persistent asthma
D) Severe persistent asthma
Answer D) Severe persistent asthma
5. What are the most common side effects of long-term inhaled steroid use?
A) Osteoporosis and GERD
B) Cataracts and osteopenia
C) Hyperkalemia and diabetes
D) Hypertension and diabetes
Answer B) Cataracts and osteopenia
6. What medication combination is considered unsafe in a patient with
asth- ma?
A) Fluticasone and albuterol
B) Mometasone, formoterol, albuterol
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,C) Budesonide and levalbuterol
D) Salmeterol and levalbuterol
Why?
Answer D) Salmeterol and
levalbuterol
Salmeterol is a long-acting beta agonist. LABAs MUST be combined with
an inhaled corticosteroid (e.g. Advair, Breo, Symbicort)
1.A 24-year old, otherwise healthy college student presents with c/o cough
x 6 weeks. She has tried several OTC cough meds with no improvement.
What is the most important information to consider when building your
differential diagnoses?
A) Her age
B) Family hx
C) Ineffectiveness of OTC cough medicines
D) Length of time she has been coughing
Answer D) Length of time she has been coughing
Why? This information helps you build your ddx
Acute cough < 3 weeks bronchitis, sinusitis, PND, exacerbation of
COPD/asthma, pneumonia, pulmonary embolism
Chronic cough (>8 weeks) GERD and Asthma are most common causes,
also consider infection (e.g. pertussis, atypical pneumonia), ACE inhibitor
chronic bron- chitis, bronchiectasis, lung ca)
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, 2.According to the CDC, what drug class is considered first-line treatment
for pertussis?
A) Sulfonamide
B) Tetracycline
C) Macrolide
D) Beta-lactam
Answer C) Macrolide antiobitic (e.g. Azithromycin, clarithromycin
Sulfonamides are second-line
3.Match the antibiotics with the correct drug class
1. Sulfonamide
2. Tetracycline
3. Macrolide
4. Beta-lactam
A. Doxycyline
B. Azithromycin
C. Penicillins
D. Trimethoprim-Sulfamethoxazole
E. Cephalosporin
F. Clarithromycin
Answer 1. Sulfonamide - D.Trimethoprim-Sulfamethoxazole (Bactrim)
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Answers
1. A patient with asthma symptoms daily with occasional nighttime awaken-
ings has
A) Intermittent asthma
B) Mild persistent asthma
C) Moderate persistent asthma
D) Severe persistent asthma
Answer C) Moderate persistent asthma
2. A patient with asthma symptoms more than twice a week, but not daily
with occasional nighttime awakenings has
A) Intermittent asthma
B) Mild persistent asthma
C) Moderate persistent asthma
D) Severe persistent asthma
Answer B) Mild persistent asthma
3. A patient with asthma symptoms less than twice a week has
A) Intermittent asthma
B) Mild persistent asthma
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158
,C) Moderate persistent asthma
D) Severe persistent asthma
Answer A) Intermittent asthma
4. A patient with asthma symptoms multiple times throughout the day
and nighttime awakenings on most nights of the week has
A) Intermittent asthma
B) Mild persistent asthma
C) Moderate persistent asthma
D) Severe persistent asthma
Answer D) Severe persistent asthma
5. What are the most common side effects of long-term inhaled steroid use?
A) Osteoporosis and GERD
B) Cataracts and osteopenia
C) Hyperkalemia and diabetes
D) Hypertension and diabetes
Answer B) Cataracts and osteopenia
6. What medication combination is considered unsafe in a patient with
asth- ma?
A) Fluticasone and albuterol
B) Mometasone, formoterol, albuterol
2/
158
,C) Budesonide and levalbuterol
D) Salmeterol and levalbuterol
Why?
Answer D) Salmeterol and
levalbuterol
Salmeterol is a long-acting beta agonist. LABAs MUST be combined with
an inhaled corticosteroid (e.g. Advair, Breo, Symbicort)
1.A 24-year old, otherwise healthy college student presents with c/o cough
x 6 weeks. She has tried several OTC cough meds with no improvement.
What is the most important information to consider when building your
differential diagnoses?
A) Her age
B) Family hx
C) Ineffectiveness of OTC cough medicines
D) Length of time she has been coughing
Answer D) Length of time she has been coughing
Why? This information helps you build your ddx
Acute cough < 3 weeks bronchitis, sinusitis, PND, exacerbation of
COPD/asthma, pneumonia, pulmonary embolism
Chronic cough (>8 weeks) GERD and Asthma are most common causes,
also consider infection (e.g. pertussis, atypical pneumonia), ACE inhibitor
chronic bron- chitis, bronchiectasis, lung ca)
3/
158
, 2.According to the CDC, what drug class is considered first-line treatment
for pertussis?
A) Sulfonamide
B) Tetracycline
C) Macrolide
D) Beta-lactam
Answer C) Macrolide antiobitic (e.g. Azithromycin, clarithromycin
Sulfonamides are second-line
3.Match the antibiotics with the correct drug class
1. Sulfonamide
2. Tetracycline
3. Macrolide
4. Beta-lactam
A. Doxycyline
B. Azithromycin
C. Penicillins
D. Trimethoprim-Sulfamethoxazole
E. Cephalosporin
F. Clarithromycin
Answer 1. Sulfonamide - D.Trimethoprim-Sulfamethoxazole (Bactrim)
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