Page 1 of 61 Page 1 of 61 2/1/2026
AANP CERTIFICATION 2025 ACTUAL EXAM
NEWEST VERSION QUESTIONS AND CORRECT
DETAILED ANSWERS ALREADY GRADED A+
You would find mild upper respiratory symptoms with cough. And mild conjunctival injection. It is
really indistinguishable from the common cold.
If your patient is in the catarrhal stage of pertussis, upon examination you would find which of
the following?
Low frequency hearing loss. A typical finding in a geriatric patient would be a high frequency
hearing loss. The speaking voice is high frequency. Degenerative changes of the ossicles,
fewer auditory neurons and atrophy of the hair cells results in sensorineural hearing loss.
What would NOT be considered a typical finding in a geriatric patient?
Thinner epidermis, dermis and subcutaneous layers of skin, bright purple-colored patches on
the forearms and hands, opaque white ring at the periphery of the cornea
Typical findings in a geriatric patient?
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Tobacco use, aging, sun exposure and family history
Risk factors for age-related macular degeneration
<18.5
Underweight BMI
18.5-24.9
Normal BMI
25-29.9
Overweight BMI
30-39.9
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Obese BMI
>40
Grossly obese BMI
Vitamins and levothyroxine
Pregnancy Category A Drugs
Acetaminophen, ibuprofen, penicillins, cephalosporins, and azithromycin and erythromycin
antibiotics.
Pregnancy Category B Drugs
Intermittent claudication
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A geriatric patient who has a 40 pack-year smoking history complains of painful cramping in the
leg muscles that occurs after walking for 20 minutes. After taking a complete history and
performing a physical exam, an NP decides that the most likely diagnosis is?
Increase in androgens
What is a common cause of acne?
Group A beta-hemolytic Streptococcus
In a 19-year-old who presents with a sore throat and anterior cervical adenopathy, which
causative agent would be suspected?
Mental status exam
When completing the initial assessment for depression in geriatric adults, the NP should
evaluate?
Blood incompatibility with the mother
Page 4 of 61 Page 4 of 61 Page 4 of 61
AANP CERTIFICATION 2025 ACTUAL EXAM
NEWEST VERSION QUESTIONS AND CORRECT
DETAILED ANSWERS ALREADY GRADED A+
You would find mild upper respiratory symptoms with cough. And mild conjunctival injection. It is
really indistinguishable from the common cold.
If your patient is in the catarrhal stage of pertussis, upon examination you would find which of
the following?
Low frequency hearing loss. A typical finding in a geriatric patient would be a high frequency
hearing loss. The speaking voice is high frequency. Degenerative changes of the ossicles,
fewer auditory neurons and atrophy of the hair cells results in sensorineural hearing loss.
What would NOT be considered a typical finding in a geriatric patient?
Thinner epidermis, dermis and subcutaneous layers of skin, bright purple-colored patches on
the forearms and hands, opaque white ring at the periphery of the cornea
Typical findings in a geriatric patient?
Page 1 of 61 Page 1 of 61 Page 1 of 61
,Page 2 of 61 Page 2 of 61 2/1/2026
Tobacco use, aging, sun exposure and family history
Risk factors for age-related macular degeneration
<18.5
Underweight BMI
18.5-24.9
Normal BMI
25-29.9
Overweight BMI
30-39.9
Page 2 of 61 Page 2 of 61 Page 2 of 61
,Page 3 of 61 Page 3 of 61 2/1/2026
Obese BMI
>40
Grossly obese BMI
Vitamins and levothyroxine
Pregnancy Category A Drugs
Acetaminophen, ibuprofen, penicillins, cephalosporins, and azithromycin and erythromycin
antibiotics.
Pregnancy Category B Drugs
Intermittent claudication
Page 3 of 61 Page 3 of 61 Page 3 of 61
, Page 4 of 61 Page 4 of 61 2/1/2026
A geriatric patient who has a 40 pack-year smoking history complains of painful cramping in the
leg muscles that occurs after walking for 20 minutes. After taking a complete history and
performing a physical exam, an NP decides that the most likely diagnosis is?
Increase in androgens
What is a common cause of acne?
Group A beta-hemolytic Streptococcus
In a 19-year-old who presents with a sore throat and anterior cervical adenopathy, which
causative agent would be suspected?
Mental status exam
When completing the initial assessment for depression in geriatric adults, the NP should
evaluate?
Blood incompatibility with the mother
Page 4 of 61 Page 4 of 61 Page 4 of 61
