AANP FNP Exam Questions and Answers
Graded A+
Basal Cell Carcinoma - Correct answer--painless, pearly, ulcerated nodule with
overlying telangiectasis
-found on sun areas
Actinic Keratoses - Correct answer--slightly rough, pink or flesh-colored lesion in
sun-exposed area
-pharmacological treatment: 5-fluorouracil (topical chemotherapy)
-non-pharmacological treatment: chemical peel, cryotherapy, laser resurfacing
Tuberculosis - Correct answer-I. Transmission
A. Mycobacterium tuberculosis carried in airborne droplets
B. Active Pulmonary or Laryngeal Tuberculosis transmitted
1. Sneeze, cough, speak, or sing
II. Symptoms
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,A. Latent Tuberculosis is asymptomatic
B. Active Tuberculosis presentation often mimics cancer presentation
1. Non-specific presentation (most common)
a. Fatigue
b. Weight loss
c. Cachexia
d. Night Sweats
C. Pulmonary Tuberculosis symptoms
1. Productive cough (typically 2-3 weeks)
2. Hemoptysis (uncommon)
3. Pleuritic Chest Pain
4. Dyspnea
III. Signs
A. Sites of Involvement
1. Primary infection: lung involvement
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,B. Disseminated Disease
IV. Management
A. Latent Tuberculosis
1. Positive PPD without signs of Active Tb
2. Treatment indicated if risk of Tb Progression from latent to active disease
B. Active Tuberculosis
Gout - Correct answer-I. Pathophysiology
A. *Gout occurs when Uric Acid levels exceed solubility limits*
1. Monosodium urate crystals deposit in joints, Kidney, and soft tissues
2. Crystal deposition triggers a inflammatory response from cytokines and
Neutrophils
3. Joint space is irreversibly injured with ongoing attacks
II. Risk Factors
A. Most common
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, 1. Obesity
2. Alcohol use (especially beer)
3. High purine diet (red meats, turkey and wild game, organ meats, seafood)
4. Drinks sweetened with high fructose corn syrup
5. Diuretic therapy including Thiazide Diuretics
6. Other risks
a. Diabetes Mellitus
b. Hyperlipidemia
c. Hypertension
d. Atherosclerosis
e. Renal Insufficiency
f. Myeloproliferative disease
III. Symptoms
A. Associated Symptoms
1. Chills
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Graded A+
Basal Cell Carcinoma - Correct answer--painless, pearly, ulcerated nodule with
overlying telangiectasis
-found on sun areas
Actinic Keratoses - Correct answer--slightly rough, pink or flesh-colored lesion in
sun-exposed area
-pharmacological treatment: 5-fluorouracil (topical chemotherapy)
-non-pharmacological treatment: chemical peel, cryotherapy, laser resurfacing
Tuberculosis - Correct answer-I. Transmission
A. Mycobacterium tuberculosis carried in airborne droplets
B. Active Pulmonary or Laryngeal Tuberculosis transmitted
1. Sneeze, cough, speak, or sing
II. Symptoms
©COPYRIGHT 2025, ALL RIGHTS RESERVED 1
,A. Latent Tuberculosis is asymptomatic
B. Active Tuberculosis presentation often mimics cancer presentation
1. Non-specific presentation (most common)
a. Fatigue
b. Weight loss
c. Cachexia
d. Night Sweats
C. Pulmonary Tuberculosis symptoms
1. Productive cough (typically 2-3 weeks)
2. Hemoptysis (uncommon)
3. Pleuritic Chest Pain
4. Dyspnea
III. Signs
A. Sites of Involvement
1. Primary infection: lung involvement
©COPYRIGHT 2025, ALL RIGHTS RESERVED 2
,B. Disseminated Disease
IV. Management
A. Latent Tuberculosis
1. Positive PPD without signs of Active Tb
2. Treatment indicated if risk of Tb Progression from latent to active disease
B. Active Tuberculosis
Gout - Correct answer-I. Pathophysiology
A. *Gout occurs when Uric Acid levels exceed solubility limits*
1. Monosodium urate crystals deposit in joints, Kidney, and soft tissues
2. Crystal deposition triggers a inflammatory response from cytokines and
Neutrophils
3. Joint space is irreversibly injured with ongoing attacks
II. Risk Factors
A. Most common
©COPYRIGHT 2025, ALL RIGHTS RESERVED 3
, 1. Obesity
2. Alcohol use (especially beer)
3. High purine diet (red meats, turkey and wild game, organ meats, seafood)
4. Drinks sweetened with high fructose corn syrup
5. Diuretic therapy including Thiazide Diuretics
6. Other risks
a. Diabetes Mellitus
b. Hyperlipidemia
c. Hypertension
d. Atherosclerosis
e. Renal Insufficiency
f. Myeloproliferative disease
III. Symptoms
A. Associated Symptoms
1. Chills
©COPYRIGHT 2025, ALL RIGHTS RESERVED 4
