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AANP Board Certification Exam Prep Sample Questions
Question 1:
Which of the following is a common side effect of metformin?
A) Weight gain
B) Nausea
C) Hypoglycemia
D) Hypertension
Correct Answer: B) Nausea
Rationale:
Metformin is often associated with gastrointestinal side effects, including nausea. Unlike other
antidiabetic medications, it generally does not cause weight gain or hypoglycemia when used
alone.
Question 2:
What is the recommended initial treatment for a patient diagnosed with uncomplicated
cystitis?
A) Trimethoprim-sulfamethoxazole
B) Nitrofurantoin
C) Amoxicillin
D) Ciprofloxacin
Correct Answer: B) Nitrofurantoin
Rationale:
Nitrofurantoin is often the first-line treatment for uncomplicated cystitis due to its efficacy and
lower resistance rates compared to other antibiotics. Trimethoprim-sulfamethoxazole can also be
used, but resistance patterns may vary.
Question 3:
,Which of the following vaccines is contraindicated in pregnancy?
A) Influenza
B) Tdap
C) MMR (Measles, Mumps, Rubella)
D) Hepatitis B
Correct Answer: C) MMR (Measles, Mumps, Rubella)
Rationale:
The MMR vaccine is a live attenuated vaccine, which is contraindicated during pregnancy due to
potential risks to the fetus. The influenza and Tdap vaccines are safe and recommended during
pregnancy.
Question 4:
Which of the following lab findings are typically associated with diabetes mellitus?
A) Elevated fasting blood glucose
B) Decreased serum potassium
C) Low HbA1c
D) High serum osmolality
Correct Answer: A) Elevated fasting blood glucose
Rationale:
Elevated fasting blood glucose is a key diagnostic criterion for diabetes mellitus. Normal levels
should be below 100 mg/dL, and values above this indicate insulin resistance or reduced insulin
secretion
Question 5:
Which of the following conditions is most commonly associated with Raynaud's
phenomenon?
A) Scleroderma
B) Rheumatoid arthritis
C) Diabetes mellitus
D) Hypertension
Correct Answer: A) Scleroderma
Rationale:
Raynaud's phenomenon is often associated with scleroderma, an autoimmune disease affecting
, the skin and connective tissues. It's important to identify underlying conditions linked to this
symptom.
Question 6:
In a patient with hypertension, which lifestyle modification is most effective?
A) Increased sodium intake
B) Weight loss
C) Decreased physical activity
D) Increased alcohol consumption
Correct Answer: B) Weight loss
Rationale:
Weight loss has the most significant impact on lowering blood pressure in overweight or obese
patients, and it complements other lifestyle changes effectively.
Question 7:
What is the primary mechanism of action of ACE inhibitors?
A) Vasodilation
B) Increase renal blood flow
C) Inhibition of angiotensin II formation
D) Decrease heart rate
Correct Answer: C) Inhibition of angiotensin II formation
Rationale:
ACE inhibitors work by blocking the conversion of angiotensin I to angiotensin II, thereby
reducing blood pressure and decreasing workload on the heart.
Question 8:
In a patient with asthma, which medication is considered a rescue inhaler?
A) Salmeterol
B) Fluticasone
C) Albuterol
D) Montelukast
Correct Answer: C) Albuterol