AANP FNP CERTIFICATION FINAL EXAM PAPER
2026 COMPLETE QUESTIONS AND
SOLUTIONS
◉ 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
◉ 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
◉ 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
◉ Lipid level of 1500, increased risk for?. Answer: Pancreatitis
◉ Low HGB, Low HCT, High MCV indicates what?. Answer:
Macrocytic anemia, B12 Def
◉ Man with BPH, prostate feels on digital exam?. Answer: Enlarged,
symmetrical, smooth
◉ Man with HTN, CAD, present femoral pulses but absent pedal.
Answer: Arterial Insufficiency
◉ McMurray's Sign
2026 COMPLETE QUESTIONS AND
SOLUTIONS
◉ 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
◉ 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
◉ 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
◉ Lipid level of 1500, increased risk for?. Answer: Pancreatitis
◉ Low HGB, Low HCT, High MCV indicates what?. Answer:
Macrocytic anemia, B12 Def
◉ Man with BPH, prostate feels on digital exam?. Answer: Enlarged,
symmetrical, smooth
◉ Man with HTN, CAD, present femoral pulses but absent pedal.
Answer: Arterial Insufficiency
◉ McMurray's Sign
