AANP FNP CERTIFICATION EXAM
QUESTIONS AND ANSWERS GRADED A+
2025/2026
All diastolic murmurs are pathological. Murmurs Grades I-barely II-audible III- clearly audible. IV-
first time thrill V-Steth edge VI-entire steth. EXAM - ANS III first time audible, IV first time
thrill
Fundal height 12 weeks - ANS 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? - ANS Iron, TIBC
3 months of synthroid, TSH increased, T4 normal, what do you do? - ANS Increase
Medication
3 ways to assess cognitive function in patient with signs/symptoms of memory loss -
ANS Mini mental exam
1 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
,4 month old with strabismus, mom is worried...... - ANS tell her it is normal.
4 month old wont keep anything down, what is the main thing you look at? - ANS Growth
chart
6 month old closed anterior fontanel. - ANS XRAY
Abnormal cells on PAP, what do you do next? - ANS Refer for Colposcopy
CAGE ACRONYM - ANS Cut down
Annoyed by criticism
Guilty about drinking
Eye opener drink
Causes of tachycardia - ANS Fever
Anemia
Hypotension
Cranial nerves responsible for extraocular eye movements - ANS CN 3,4,6
Definition of metabolic syndrome - ANS cluster of conditions that increase risk of heart
disease, stroke, diabetes.
diagnose trichomoniasis - ANS wet prep
Elderly presents with atrophic vaginitis, small uterus, palpable 4x5 ovary, what do you do next? -
ANS Pelvic US
2 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
, Epistaxis is most common in the area of the nose known as kiesselbachs triangle, where is this
located? - ANS Anterior septum
Definitive diagnosis of acute bacterial prostatitis - ANS urinalysis and culture
GERD treatment - ANS H2 is first line, give hs
Grade 3 cells on Pap, treatment? - ANS LEEP
excision
Fingernail hematoma treatment? - ANS drill hole and drain blood?
Increased risk of ectopic pregnancy - ANS Salpingitis, or history of abortion, PID,
Koplick spots - ANS Measles (rubeola). Grains of salt lesions inside mouth in Measles
Koplick spots - ANS Measles (rubeola). Grains of salt lesions inside mouth in Measles
Legg-Calve-Perthes Disease - ANS Avascular necrosis of the proximal femoral head
Lipid level of 1500, increased risk for? - ANS Pancreatitis
Low HGB, Low HCT, High MCV indicates what? - ANS Macrocytic anemia, B12 Def
Man with BPH, prostate feels on digital exam? - ANS Enlarged, symmetrical, smooth
Man with HTN, CAD, present femoral pulses but absent pedal - ANS Arterial Insufficiency
3 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
QUESTIONS AND ANSWERS GRADED A+
2025/2026
All diastolic murmurs are pathological. Murmurs Grades I-barely II-audible III- clearly audible. IV-
first time thrill V-Steth edge VI-entire steth. EXAM - ANS III first time audible, IV first time
thrill
Fundal height 12 weeks - ANS 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? - ANS Iron, TIBC
3 months of synthroid, TSH increased, T4 normal, what do you do? - ANS Increase
Medication
3 ways to assess cognitive function in patient with signs/symptoms of memory loss -
ANS Mini mental exam
1 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
,4 month old with strabismus, mom is worried...... - ANS tell her it is normal.
4 month old wont keep anything down, what is the main thing you look at? - ANS Growth
chart
6 month old closed anterior fontanel. - ANS XRAY
Abnormal cells on PAP, what do you do next? - ANS Refer for Colposcopy
CAGE ACRONYM - ANS Cut down
Annoyed by criticism
Guilty about drinking
Eye opener drink
Causes of tachycardia - ANS Fever
Anemia
Hypotension
Cranial nerves responsible for extraocular eye movements - ANS CN 3,4,6
Definition of metabolic syndrome - ANS cluster of conditions that increase risk of heart
disease, stroke, diabetes.
diagnose trichomoniasis - ANS wet prep
Elderly presents with atrophic vaginitis, small uterus, palpable 4x5 ovary, what do you do next? -
ANS Pelvic US
2 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
, Epistaxis is most common in the area of the nose known as kiesselbachs triangle, where is this
located? - ANS Anterior septum
Definitive diagnosis of acute bacterial prostatitis - ANS urinalysis and culture
GERD treatment - ANS H2 is first line, give hs
Grade 3 cells on Pap, treatment? - ANS LEEP
excision
Fingernail hematoma treatment? - ANS drill hole and drain blood?
Increased risk of ectopic pregnancy - ANS Salpingitis, or history of abortion, PID,
Koplick spots - ANS Measles (rubeola). Grains of salt lesions inside mouth in Measles
Koplick spots - ANS Measles (rubeola). Grains of salt lesions inside mouth in Measles
Legg-Calve-Perthes Disease - ANS Avascular necrosis of the proximal femoral head
Lipid level of 1500, increased risk for? - ANS Pancreatitis
Low HGB, Low HCT, High MCV indicates what? - ANS Macrocytic anemia, B12 Def
Man with BPH, prostate feels on digital exam? - ANS Enlarged, symmetrical, smooth
Man with HTN, CAD, present femoral pulses but absent pedal - ANS Arterial Insufficiency
3 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
