AANP FNP CERTIFICATION EXAM 2026 FULL
PREPARATION WITH CORRECT ANSWERS
◉ Abx to avoid late in pregnancy. Answer: tetracyclines,
nitrofurantoin (very end/also do not use in G^PD anemia)), sulfa
drugs.
◉ How to treat mastitis?. Answer: Non-MRSA: Dicloxacillin MRSA:
Bactrim, clinda
◉ Normal cup to disc ratio in eye. Answer: Cup should not be more
than 1/2 the size of diameter of disc. If it is, glaucoma.
◉ Arcus stenosis. Answer: Order lipid panel.
◉ Ptergyum. Answer: Wedge shaped growth of non cancerous skin
◉ Hordeoleum. Answer: Staph infection, stye. Warm compresses.
◉ Chalazion. Answer: Beady nodule, painless.
,◉ Blepharitis. Answer: Staph. Sebhorreic dermatitis of lid edge. Hot
compresses, topical, scrub.
◉ Signs of glaucoma. Answer: Increased ICP. Cupping of disc
◉ Open angle glaucoma. Answer: Peripheral vision loss. Alpha 2
adrenergic. Tinolol, pilocarpine.
◉ Closed angle glaucoma. Answer: Immediate referral. Eye pain
when closed, halos around lights. Mannitol, xolimide.
◉ What is leading cause of treatable blindness?. Answer: Cataracts.
Painless, clouded, blurred vision. Diplopia, opacity of lens.
◉ Cholesteatoma. Answer: Chronic OM, scaling, erode middle ear,
deafness. Squamous epithelial lining. TM perforates.Cauliflower like.
◉ Sensorineural hearing loss. Answer: Meneire's disease, acoustic
trauma, ototoxic drugs. Can be identified with Weber test (louder
sound lateralizes to better-hearing ear) Rinne test will be normal in
both ears
◉ Fernlike lines on corneal surface. Answer: Herpes keratitis. severe
eye pain, photophobia, blurred vision. Refer immediately
,◉ Bruise behind ear. Answer: Battle's sign. clear, golden serous
discharge. sign of basilar skull fracture
◉ Cones in eyes. Answer: Color perception, 20/20 vision
◉ Rods in eyes. Answer: Detects lights and shadows, depth
perception
◉ Presbyopia. Answer: Normal changes in vision after age 40.
◉ AV ratio. Answer: 2:3, veins larger than arteries in eyes
◉ Signs of hypertensive retinopathy. Answer: Copper and silver wire
arterioles, arteries larger than veins
◉ Signs of diabetic retinopathy. Answer: Cotton wool spots,
microaneurysms.
◉ Weber test. Answer: Normal-no lateralization. Conductive-
lateralizes to affected side. Sensorineural-unaffected side
, ◉ Corneal abrasion. Answer: Acute onset of severe eye pain, foreign
body sensation. Linear lines. Use topical antibiotic ointment
◉ Treatment for open angle glaucoma. Answer: Timolol drops,
careful in asthma or HF
◉ Sjogren's syndrome. Answer: Lacrimal and salivary gland
dysfunction. Dryr eyes and dry mouth.
◉ Common causes of otitis externa. Answer: Pseudomonas (gram
negative) staph (gram positive). Treat with cortisporin drugs.
Prophylactic vingegar and alcohol
◉ Tx for sinus infection if allergic to amoxicillin. Answer:
Doxycycline, respiratory fluoroquinolones. (Levo, moxi)
◉ Rinne test. Answer: Positive in conductive loss with BC>AC. in
affected ear
◉ Cranial Nerve I. Answer: Olfactory. Smell
◉ Cranial Nerve II. Answer: Optic. Vision. SNellen
◉ Cranial nerve 3, 4, 6. Answer: Oculomotor, trochlear, abducens
PREPARATION WITH CORRECT ANSWERS
◉ Abx to avoid late in pregnancy. Answer: tetracyclines,
nitrofurantoin (very end/also do not use in G^PD anemia)), sulfa
drugs.
◉ How to treat mastitis?. Answer: Non-MRSA: Dicloxacillin MRSA:
Bactrim, clinda
◉ Normal cup to disc ratio in eye. Answer: Cup should not be more
than 1/2 the size of diameter of disc. If it is, glaucoma.
◉ Arcus stenosis. Answer: Order lipid panel.
◉ Ptergyum. Answer: Wedge shaped growth of non cancerous skin
◉ Hordeoleum. Answer: Staph infection, stye. Warm compresses.
◉ Chalazion. Answer: Beady nodule, painless.
,◉ Blepharitis. Answer: Staph. Sebhorreic dermatitis of lid edge. Hot
compresses, topical, scrub.
◉ Signs of glaucoma. Answer: Increased ICP. Cupping of disc
◉ Open angle glaucoma. Answer: Peripheral vision loss. Alpha 2
adrenergic. Tinolol, pilocarpine.
◉ Closed angle glaucoma. Answer: Immediate referral. Eye pain
when closed, halos around lights. Mannitol, xolimide.
◉ What is leading cause of treatable blindness?. Answer: Cataracts.
Painless, clouded, blurred vision. Diplopia, opacity of lens.
◉ Cholesteatoma. Answer: Chronic OM, scaling, erode middle ear,
deafness. Squamous epithelial lining. TM perforates.Cauliflower like.
◉ Sensorineural hearing loss. Answer: Meneire's disease, acoustic
trauma, ototoxic drugs. Can be identified with Weber test (louder
sound lateralizes to better-hearing ear) Rinne test will be normal in
both ears
◉ Fernlike lines on corneal surface. Answer: Herpes keratitis. severe
eye pain, photophobia, blurred vision. Refer immediately
,◉ Bruise behind ear. Answer: Battle's sign. clear, golden serous
discharge. sign of basilar skull fracture
◉ Cones in eyes. Answer: Color perception, 20/20 vision
◉ Rods in eyes. Answer: Detects lights and shadows, depth
perception
◉ Presbyopia. Answer: Normal changes in vision after age 40.
◉ AV ratio. Answer: 2:3, veins larger than arteries in eyes
◉ Signs of hypertensive retinopathy. Answer: Copper and silver wire
arterioles, arteries larger than veins
◉ Signs of diabetic retinopathy. Answer: Cotton wool spots,
microaneurysms.
◉ Weber test. Answer: Normal-no lateralization. Conductive-
lateralizes to affected side. Sensorineural-unaffected side
, ◉ Corneal abrasion. Answer: Acute onset of severe eye pain, foreign
body sensation. Linear lines. Use topical antibiotic ointment
◉ Treatment for open angle glaucoma. Answer: Timolol drops,
careful in asthma or HF
◉ Sjogren's syndrome. Answer: Lacrimal and salivary gland
dysfunction. Dryr eyes and dry mouth.
◉ Common causes of otitis externa. Answer: Pseudomonas (gram
negative) staph (gram positive). Treat with cortisporin drugs.
Prophylactic vingegar and alcohol
◉ Tx for sinus infection if allergic to amoxicillin. Answer:
Doxycycline, respiratory fluoroquinolones. (Levo, moxi)
◉ Rinne test. Answer: Positive in conductive loss with BC>AC. in
affected ear
◉ Cranial Nerve I. Answer: Olfactory. Smell
◉ Cranial Nerve II. Answer: Optic. Vision. SNellen
◉ Cranial nerve 3, 4, 6. Answer: Oculomotor, trochlear, abducens
