1|Page
AANP FNP CERTIFICATION EXAM NEWEST
2025/AANP FNP FINAL EXAM COMPLETE ALL
300 QUESTIONS AND CORRECT DETAILED
ANSWERS WITH RATIONALES (VERIFIED
ANSWERS) |ALREADY GRADED A+
The most common side effect of the oral ribavirin used in
the treatment of hepatitis C is:
1.
hemolytic anemia.
2.
weight loss.
3.
depression.
4.
hypothyroidism. - .....ANSWER ...✔✔ hemolytic
anemia
,2|Page
Which of the following findings is typically a sign of
acute appendicitis? - .....ANSWER ...✔✔ Rebound
tenderness at McBurney's point
Dix-Hallpike or Nylen-Barany maneuver - .....ANSWER
...✔✔ + = Vertigo & nystagmus when quickly move
pt to supine position with head 30 degrees lower than
table and to turned to the side at 45 degree
What is a rare but life threatening reaction to ace-
inhibitors? What is a common side effect? - .....ANSWER
...✔✔ Angioedema
-cough
Lyme Disease tx - .....ANSWER ...✔✔ Doxycycline,
amoxicillin, or azithromycin
Erysipeals - .....ANSWER ...✔✔ Skin infection involving
upper dermis and superficial lympahtics. Strep A and
has clear demarcated boarder, tx includes PCN such as
dicloxacillin qid x 10 days, Cephalexin, clindamycin for
PCN allergic do Azithromycin.
,3|Page
Acute bacterial prostatitis - .....ANSWER ...✔✔ Age
⬇️ 35
Causative organisms: N. gonorrhoeae, C. trachomatis
"it hurts when my bottom hits the chair."
Presentation: irritative voiding symptoms, suprapubic,
perineal pain, fever, a tender, boggy prostate,
leukocytosis increased white count
Treatment: ceftriaxone 250 mg IM as 1 x dose
w/doxycycline 100 mg PO BID x 10 days
Scarlet fever - .....ANSWER ...✔✔ The rash begins as
a mass of tiny red bumps in the armpits, neck, chest, and
groin and rapidly spreads over the entire body. The
bumps feel like fine sandpaper and may itch. Child may
have a fever and a red sore throat. Early in the
infection, the tongue may have a white or yellowish
coating that later turns red. The bumps on the tongue
may appear larger than normal, a condition called
strawberry tongue. Tonsils may be swollen and red. As
the rash fades, the skin may peel, especially on the
hands and feet and in the groin. Uncommon before age
2.
BV : s/s, microscopy, test, tx, - .....ANSWER ...✔✔
fishy, smelly vaginal discharge, wet smear reveals
epithelial cells with bacterial coating, KOH to cotton
, 4|Page
swab - whiff test, flagyl cream x 7 days, clindamycin
cream, flagyl PO
UTI - .....ANSWER ...✔✔ *Causes: Bowel and bladder
dysfunction (withholding, incontinence, constipation),
anatomic abnormalities, vesicoureteral reflux.
*Treatment: 2nd or 3rd generation cephalosporin
(cefixime, cefdinir, ceftibuten) for 3-5 days if afebrile,
10 days if febrile.
*Renal and bladder US for all infants 2 to 24 months
with 1st febrile UTI.
*Voiding cystourethrogram for vesicoureteral reflux.
*Get US in any child with recurrent febrile UTIs and UTI
with family hx of renal or urologic disease, poor growth
or HTN
Lupus tx - .....ANSWER ...✔✔ Topical and oral
steroids
weight loss, shoulder and pelvic pain, pain with ROM, no
weakness, elevated ESR - .....ANSWER ...✔✔
polymyalgia rheumatica!!!!
AANP FNP CERTIFICATION EXAM NEWEST
2025/AANP FNP FINAL EXAM COMPLETE ALL
300 QUESTIONS AND CORRECT DETAILED
ANSWERS WITH RATIONALES (VERIFIED
ANSWERS) |ALREADY GRADED A+
The most common side effect of the oral ribavirin used in
the treatment of hepatitis C is:
1.
hemolytic anemia.
2.
weight loss.
3.
depression.
4.
hypothyroidism. - .....ANSWER ...✔✔ hemolytic
anemia
,2|Page
Which of the following findings is typically a sign of
acute appendicitis? - .....ANSWER ...✔✔ Rebound
tenderness at McBurney's point
Dix-Hallpike or Nylen-Barany maneuver - .....ANSWER
...✔✔ + = Vertigo & nystagmus when quickly move
pt to supine position with head 30 degrees lower than
table and to turned to the side at 45 degree
What is a rare but life threatening reaction to ace-
inhibitors? What is a common side effect? - .....ANSWER
...✔✔ Angioedema
-cough
Lyme Disease tx - .....ANSWER ...✔✔ Doxycycline,
amoxicillin, or azithromycin
Erysipeals - .....ANSWER ...✔✔ Skin infection involving
upper dermis and superficial lympahtics. Strep A and
has clear demarcated boarder, tx includes PCN such as
dicloxacillin qid x 10 days, Cephalexin, clindamycin for
PCN allergic do Azithromycin.
,3|Page
Acute bacterial prostatitis - .....ANSWER ...✔✔ Age
⬇️ 35
Causative organisms: N. gonorrhoeae, C. trachomatis
"it hurts when my bottom hits the chair."
Presentation: irritative voiding symptoms, suprapubic,
perineal pain, fever, a tender, boggy prostate,
leukocytosis increased white count
Treatment: ceftriaxone 250 mg IM as 1 x dose
w/doxycycline 100 mg PO BID x 10 days
Scarlet fever - .....ANSWER ...✔✔ The rash begins as
a mass of tiny red bumps in the armpits, neck, chest, and
groin and rapidly spreads over the entire body. The
bumps feel like fine sandpaper and may itch. Child may
have a fever and a red sore throat. Early in the
infection, the tongue may have a white or yellowish
coating that later turns red. The bumps on the tongue
may appear larger than normal, a condition called
strawberry tongue. Tonsils may be swollen and red. As
the rash fades, the skin may peel, especially on the
hands and feet and in the groin. Uncommon before age
2.
BV : s/s, microscopy, test, tx, - .....ANSWER ...✔✔
fishy, smelly vaginal discharge, wet smear reveals
epithelial cells with bacterial coating, KOH to cotton
, 4|Page
swab - whiff test, flagyl cream x 7 days, clindamycin
cream, flagyl PO
UTI - .....ANSWER ...✔✔ *Causes: Bowel and bladder
dysfunction (withholding, incontinence, constipation),
anatomic abnormalities, vesicoureteral reflux.
*Treatment: 2nd or 3rd generation cephalosporin
(cefixime, cefdinir, ceftibuten) for 3-5 days if afebrile,
10 days if febrile.
*Renal and bladder US for all infants 2 to 24 months
with 1st febrile UTI.
*Voiding cystourethrogram for vesicoureteral reflux.
*Get US in any child with recurrent febrile UTIs and UTI
with family hx of renal or urologic disease, poor growth
or HTN
Lupus tx - .....ANSWER ...✔✔ Topical and oral
steroids
weight loss, shoulder and pelvic pain, pain with ROM, no
weakness, elevated ESR - .....ANSWER ...✔✔
polymyalgia rheumatica!!!!
