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AANP EXAM VERSION 1 ACTUAL EXAM NEWEST 2025/2026
NEWEST ACTUAL EXAM WITH COMPLETE QUESTIONS AND
VERIFIED ANSWERS |ALREADY GRADED A+|
A young athletic adult presents with shoulder pain and inability to
raise the arm above the shoulder. The most likely diagnosis is? -
ANSWER-Rotator cuff tear
What is a hallmark of lumbar spinal stenosis? - ANSWER-Leg,
buttock or back pain precipitated by walking.
Anorexia nervosa occurs most commonly in who? - ANSWER-
High-level athletes
What is typically observed in the GI system upon stimulation of
the PNS? - ANSWER-Increased peristalsis
A 26-year-old female presents with abdominal distention, bloating,
and intermittent crampy abdominal pain relieved with defecation.
She has four to six loose stools a day when stressed. Between
bouts of diarrhea, she often has constipation. PE results are
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normal. The CBC was normal. The most likely diagnosis is? -
ANSWER-IBS
A frail elderly widow presents with a 3 to 4 day history of
confusion that became worse the evening before but currently
seems a little better, although her speech is rambling and difficult
to follow. During the exam, the patient is anxious and agitated.
She is on cardiac medications, an antidepressant, and insulin.
The most likely diagnosis is? - ANSWER-Polypharmacy
A 54-year-old male who is 30 lbs overweight states that he
awakens at night with heartburn and the taste of hot acid in his
mouth. Stress makes his condition worse, yet baking soda seems
to provide some relief. Findings on exam are normal and the stool
for occult blood is negative. The preliminary diagnosis should be?
- ANSWER-GERD
An NP is evaluating an infant for possible colic. What could
indicate the need for a more extensive eval? - ANSWER-3-oz
weight gain over the past 2 weeks
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Type 2 DM is characterized by what? - ANSWER-Decreased
reabsorption of sodium-glucose transporters
The 16-year-old mother of a 2-month-old presents the infant,
reporting that the child is very irritable and does not feed well.
During PE, the child's head drops ack and the child exhibits
sudden flexing of the extremities. As the flexing stops, the child
cries uncontrollably. Funduscopic exam reveals retinal
hemorrhages. What diagnostic test should be ordered? -
ANSWER-CT scan
A 27-year-old male patient, who works as a janitor, presents with
a 6-month history of an intermittent rash on his hands. History
reveals irregularly-distributed scaly maculopapular erythematous
patches extending from the dorsum of the hand several inches up
the forearms, and dry palms with no nail involvement. The most
likely diagnosis is? - ANSWER-Contact dermatitis
A pregnant woman with known HIV infection can reduce the risk
of perinatal transmission through zidovudine (Retrovir) therapy.
Based on current research, optimal therapy is to start daily
dosing? - ANSWER-After 14 weeks of gestation
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In treating a pregnant female with migraine headaches, what drug
is in Category X? - ANSWER-Ergotamine tartrate (Ergomar)
A 46-year-old female presents with a complaint of amenorrhea for
3 months. The first-line diagnostic workup is? - ANSWER-Urine
pregnancy test
A 70-year-old patient presents to the clinic complaining of
dyspnea, palpitations, and fatigue. The patient reports a 2-week
history of blackened stools. Assessment reveals BP = 110/60, P =
100, R = 24, Hgb = 4.5, Hct = 16%. What is the most appropriate
intervention? - ANSWER-Send to ER
During a well-child exam of an 18-month-old, premature tooth
decay and inflamed gums, particularly of the maxillary incisors,
are noted. The approach to this problem includes? - ANSWER-
Referring the child to a dentist, assessing for bottle feeding and
fluoride in local water.
AANP EXAM VERSION 1 ACTUAL EXAM NEWEST 2025/2026
NEWEST ACTUAL EXAM WITH COMPLETE QUESTIONS AND
VERIFIED ANSWERS |ALREADY GRADED A+|
A young athletic adult presents with shoulder pain and inability to
raise the arm above the shoulder. The most likely diagnosis is? -
ANSWER-Rotator cuff tear
What is a hallmark of lumbar spinal stenosis? - ANSWER-Leg,
buttock or back pain precipitated by walking.
Anorexia nervosa occurs most commonly in who? - ANSWER-
High-level athletes
What is typically observed in the GI system upon stimulation of
the PNS? - ANSWER-Increased peristalsis
A 26-year-old female presents with abdominal distention, bloating,
and intermittent crampy abdominal pain relieved with defecation.
She has four to six loose stools a day when stressed. Between
bouts of diarrhea, she often has constipation. PE results are
, Page |2
normal. The CBC was normal. The most likely diagnosis is? -
ANSWER-IBS
A frail elderly widow presents with a 3 to 4 day history of
confusion that became worse the evening before but currently
seems a little better, although her speech is rambling and difficult
to follow. During the exam, the patient is anxious and agitated.
She is on cardiac medications, an antidepressant, and insulin.
The most likely diagnosis is? - ANSWER-Polypharmacy
A 54-year-old male who is 30 lbs overweight states that he
awakens at night with heartburn and the taste of hot acid in his
mouth. Stress makes his condition worse, yet baking soda seems
to provide some relief. Findings on exam are normal and the stool
for occult blood is negative. The preliminary diagnosis should be?
- ANSWER-GERD
An NP is evaluating an infant for possible colic. What could
indicate the need for a more extensive eval? - ANSWER-3-oz
weight gain over the past 2 weeks
, Page |3
Type 2 DM is characterized by what? - ANSWER-Decreased
reabsorption of sodium-glucose transporters
The 16-year-old mother of a 2-month-old presents the infant,
reporting that the child is very irritable and does not feed well.
During PE, the child's head drops ack and the child exhibits
sudden flexing of the extremities. As the flexing stops, the child
cries uncontrollably. Funduscopic exam reveals retinal
hemorrhages. What diagnostic test should be ordered? -
ANSWER-CT scan
A 27-year-old male patient, who works as a janitor, presents with
a 6-month history of an intermittent rash on his hands. History
reveals irregularly-distributed scaly maculopapular erythematous
patches extending from the dorsum of the hand several inches up
the forearms, and dry palms with no nail involvement. The most
likely diagnosis is? - ANSWER-Contact dermatitis
A pregnant woman with known HIV infection can reduce the risk
of perinatal transmission through zidovudine (Retrovir) therapy.
Based on current research, optimal therapy is to start daily
dosing? - ANSWER-After 14 weeks of gestation
, Page |4
In treating a pregnant female with migraine headaches, what drug
is in Category X? - ANSWER-Ergotamine tartrate (Ergomar)
A 46-year-old female presents with a complaint of amenorrhea for
3 months. The first-line diagnostic workup is? - ANSWER-Urine
pregnancy test
A 70-year-old patient presents to the clinic complaining of
dyspnea, palpitations, and fatigue. The patient reports a 2-week
history of blackened stools. Assessment reveals BP = 110/60, P =
100, R = 24, Hgb = 4.5, Hct = 16%. What is the most appropriate
intervention? - ANSWER-Send to ER
During a well-child exam of an 18-month-old, premature tooth
decay and inflamed gums, particularly of the maxillary incisors,
are noted. The approach to this problem includes? - ANSWER-
Referring the child to a dentist, assessing for bottle feeding and
fluoride in local water.
