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AANP FNP FAMILY NURSE PRACTITIONER EXAM
MASTERY 2025
ACCURATE AND VERIFIED FOR GUARANTEED PASS
Tanner Stage 2
Increased rugae of scrotum, testes enlarge. Breast bud. Straight sparse hair.
Tanner Stage 3
Penis elongates. Pencil penis. Scrotal color darkens. Breast tissue and areola are one mound.
Darkened hair, starts to curl.
Tanner 4
Penis thickens and increases in size. Areola/nipple separate for secondary mound. Curly hair, not
on medial thigh.
When does menarche begin?
After Tanner stage 2, within 1-2 years. Delayed puberty if no secondary sexual characteristics by
12-13 in girls and 14 in boys.
Trisomy 21
Down Syndrome. Risk with advanced maternal age. Microcephaly, flat nose, hypotonia, simian
crease.
Marfan's Syndrome
Pectus excavatum. Tall, wide arm span. Risk of MVP, aneurysm, aortic regurgitation. Do not
clear for sports.
Turner's Syndrome
FEMALE. Lymphedema in utero, webbed neck, LD, widely spaced nipples, HTN coarctation of
aorta.
Klienfelter's Syndrome
Extra X in males. More feminine. Will see in puberty. Infertile, hypogonadism, low testosterone.
Tall, lanky, underdeveloped sexually.
Caput succadeum
Sutures cross midline, spreads.
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Caphalohematoma
Sutures do not cross midline, more significant.
When does anterior fontanelle close?
18 months
When does posterior fontanelle close?
2-3 months
Abrnomal red reflex
Black or white. Retinoblastoma, cataracts, osteogenesis perfecta. White specks in down
syndrome.
Edward's Syndrome
Trisomy 18. Small mouth. High pitched cry.
Newborn screening tests
PKU (phenylalanine), can lead to hyperactivity and mental retardation. Hypothyroid. If not
treated, mental retardation. Sickle cell. Galactessemia, maple smell to urine, septic.
Hordeolum
Stye. Pain, edema. Bacitracin ophthalmic ointment.
STD conjunctivitis.
Emergency. Rocephin for gonorrhea.
Gonococcola Ophthamlia Neonatorum
2-4 days after birth. Red eye, purulent discharge, swollen eyelids. GC culture, Thayer Martin,
ROCEPHIN.
Chalmydial Ophthalmia Trachoma
4-10 days after birth. Edematous, red, profuse WATERY discharge that becomes purulent.
Azithromycin, erythmocycin.
Otitis externa
Fungal. Odor, black specks. Clotramizole. Pain with tragus/pinna. Corticosporin
Sensorineuro hearing loss in PEDS
Syphilis, acoustic neuroma, aminoglycoside (gentamycin)
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Epiglottitis
Bacterial. Thumb sign on x-ray.
Croup
Viral. Steeple sign on x-ray.
Bronchioloitis
RSV, adenovirus. Under 3. Lower respi. URI, fever, nasal flaring, stridor.If a preemie, synegis.
Intermittent Asthma peds
SABA, 2 puffs q 4-6 hours. Peak 30 min-2 hours, lasts 4-6.
S. pneumonia (CAP) peds
Lobar consolidation. Tx with penicillin.
H. influenza pneumonia peds
Lobar consolidation. Amoxicillin or cephalosporin.
M. cataralis or mycoplasma
Linear. Azithromycin.
Neurofibromatosis
Cafe au lait spots. Neurofibromas. Eye nodules. Freckling.
Peds IDA
Slow GI loss, too much whole milk. PICA. Flat shaped nails. Ferritin low. 6-9 month treatments.
3-6 mg/kg day of iron
Thalassemia peds
Asymptomatic. Enlarged spleen, tachypnea, tachycardia, prominence in facial bones. TIBC not
increased . Electrophoresis.
Sickle Cell Peds
Vasocclusive crisis. Symptoms in stress, heat, overexerting. Howel Jolly Bodies. Reticulocytosis.
Hydrate, oxygenate, pain managemnet.
Hemophilia
Factor VIII. Mother/daughter carry gene but presents in males. Bleed into joints.
Lead Poisoning
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Over 10 refer. IDA. Butonion line, gingival border. Kelation therapy.
Leukemia peds
Chronically tired, pale, resp. infections. Blast cells, peripheral smear, WBC
HIV testing
ELISA in older child. PCR in infant. Western blot confirms. More than 800 CD4 count normal,
viral load less than 5000 or 0/undetectable.
Cause of fever in less than 2 month old
Group B strep, e coli
common cause of fever in 2 months and up
Strep. pneumoniae, and h. influenza
Preoperational phase, preconceptual
2-4 years old
Causation, intuitive
4-7 years old
When is vision 20/20?
Age 6
Concrete thinking, cognitive tasks, capable
School age
What can be confused as child abuse in younger children?
Osteogenesis imperfecta or Mongolian spot
VSD
Thrill sometimes felt at LL sternal border. Most common heart defect in babies. Opening
between septum. Holosystolic murmur.
Transposition of great arteries
RVH. L. lower sternal border. Egg on a string on x-ray.
Tetralogy of fallot
VSD. Pulmonary stenosis. Overriding aorta. R. sided hypertrophy. Systolic ejection murmur and
thrill. Squat to slow return of blood to heart.
AANP FNP FAMILY NURSE PRACTITIONER EXAM
MASTERY 2025
ACCURATE AND VERIFIED FOR GUARANTEED PASS
Tanner Stage 2
Increased rugae of scrotum, testes enlarge. Breast bud. Straight sparse hair.
Tanner Stage 3
Penis elongates. Pencil penis. Scrotal color darkens. Breast tissue and areola are one mound.
Darkened hair, starts to curl.
Tanner 4
Penis thickens and increases in size. Areola/nipple separate for secondary mound. Curly hair, not
on medial thigh.
When does menarche begin?
After Tanner stage 2, within 1-2 years. Delayed puberty if no secondary sexual characteristics by
12-13 in girls and 14 in boys.
Trisomy 21
Down Syndrome. Risk with advanced maternal age. Microcephaly, flat nose, hypotonia, simian
crease.
Marfan's Syndrome
Pectus excavatum. Tall, wide arm span. Risk of MVP, aneurysm, aortic regurgitation. Do not
clear for sports.
Turner's Syndrome
FEMALE. Lymphedema in utero, webbed neck, LD, widely spaced nipples, HTN coarctation of
aorta.
Klienfelter's Syndrome
Extra X in males. More feminine. Will see in puberty. Infertile, hypogonadism, low testosterone.
Tall, lanky, underdeveloped sexually.
Caput succadeum
Sutures cross midline, spreads.
,2|Page
Caphalohematoma
Sutures do not cross midline, more significant.
When does anterior fontanelle close?
18 months
When does posterior fontanelle close?
2-3 months
Abrnomal red reflex
Black or white. Retinoblastoma, cataracts, osteogenesis perfecta. White specks in down
syndrome.
Edward's Syndrome
Trisomy 18. Small mouth. High pitched cry.
Newborn screening tests
PKU (phenylalanine), can lead to hyperactivity and mental retardation. Hypothyroid. If not
treated, mental retardation. Sickle cell. Galactessemia, maple smell to urine, septic.
Hordeolum
Stye. Pain, edema. Bacitracin ophthalmic ointment.
STD conjunctivitis.
Emergency. Rocephin for gonorrhea.
Gonococcola Ophthamlia Neonatorum
2-4 days after birth. Red eye, purulent discharge, swollen eyelids. GC culture, Thayer Martin,
ROCEPHIN.
Chalmydial Ophthalmia Trachoma
4-10 days after birth. Edematous, red, profuse WATERY discharge that becomes purulent.
Azithromycin, erythmocycin.
Otitis externa
Fungal. Odor, black specks. Clotramizole. Pain with tragus/pinna. Corticosporin
Sensorineuro hearing loss in PEDS
Syphilis, acoustic neuroma, aminoglycoside (gentamycin)
,3|Page
Epiglottitis
Bacterial. Thumb sign on x-ray.
Croup
Viral. Steeple sign on x-ray.
Bronchioloitis
RSV, adenovirus. Under 3. Lower respi. URI, fever, nasal flaring, stridor.If a preemie, synegis.
Intermittent Asthma peds
SABA, 2 puffs q 4-6 hours. Peak 30 min-2 hours, lasts 4-6.
S. pneumonia (CAP) peds
Lobar consolidation. Tx with penicillin.
H. influenza pneumonia peds
Lobar consolidation. Amoxicillin or cephalosporin.
M. cataralis or mycoplasma
Linear. Azithromycin.
Neurofibromatosis
Cafe au lait spots. Neurofibromas. Eye nodules. Freckling.
Peds IDA
Slow GI loss, too much whole milk. PICA. Flat shaped nails. Ferritin low. 6-9 month treatments.
3-6 mg/kg day of iron
Thalassemia peds
Asymptomatic. Enlarged spleen, tachypnea, tachycardia, prominence in facial bones. TIBC not
increased . Electrophoresis.
Sickle Cell Peds
Vasocclusive crisis. Symptoms in stress, heat, overexerting. Howel Jolly Bodies. Reticulocytosis.
Hydrate, oxygenate, pain managemnet.
Hemophilia
Factor VIII. Mother/daughter carry gene but presents in males. Bleed into joints.
Lead Poisoning
, 4|Page
Over 10 refer. IDA. Butonion line, gingival border. Kelation therapy.
Leukemia peds
Chronically tired, pale, resp. infections. Blast cells, peripheral smear, WBC
HIV testing
ELISA in older child. PCR in infant. Western blot confirms. More than 800 CD4 count normal,
viral load less than 5000 or 0/undetectable.
Cause of fever in less than 2 month old
Group B strep, e coli
common cause of fever in 2 months and up
Strep. pneumoniae, and h. influenza
Preoperational phase, preconceptual
2-4 years old
Causation, intuitive
4-7 years old
When is vision 20/20?
Age 6
Concrete thinking, cognitive tasks, capable
School age
What can be confused as child abuse in younger children?
Osteogenesis imperfecta or Mongolian spot
VSD
Thrill sometimes felt at LL sternal border. Most common heart defect in babies. Opening
between septum. Holosystolic murmur.
Transposition of great arteries
RVH. L. lower sternal border. Egg on a string on x-ray.
Tetralogy of fallot
VSD. Pulmonary stenosis. Overriding aorta. R. sided hypertrophy. Systolic ejection murmur and
thrill. Squat to slow return of blood to heart.
