AANP Board Exam Actual Exam
Questions with Elaborate Answers
Already Graded A+
1. S1 - ANSWER systole
closure of AV valves
mitral regurgitation
aortic stenosis
2. S2 - ANSWER diastole
closure of semilunar valves
mitral stenosis
aortic regurgitation
3. S3 - ANSWER normal variant in children, healthy young adults, and
athletes
heart failure
early diastole
4. S4 - ANSWER left ventricle hypertrophy
5. late diastole
6. syphilis symptoms - ANSWER one painless ulcer, enlarged groin lymph
nodes
,7. genital herpes - ANSWER shallow, small ulcers with red base, painful,
swollen lymph nodes
8. Osgood-Schlatter disease - ANSWER pain relieved with rest, swelling of
the tibial tubercle
9. Multiple myeloma symptoms - ANSWER anemia, back pain, osteoporosis,
increased ESR
10.lab frequency when changing synthroid dose - ANSWER 6 weeks
11.labs with stable synthroid dose - ANSWER 6-12 months
12.best medication for hypertension with diabetic patients - ANSWER ACE
inhibitor
13.treatment of retentive encopresis - ANSWER laxative protocol
if no improvement: refer to GI
14.rhogam administration after spontaneous abortion - ANSWER 72 hours
15.when can infants have solid foods? - ANSWER 6 months
16.first line treatment of parkinson's - ANSWER sinemet
17.treatment of otitis media - ANSWER Amoxicillin
PCN allergy: cefidinir
,18.Treatment of cat bites - ANSWER Augmentin
19.treatment of anthrax - ANSWER Ciprofloxacin and doxycycline
20.Asthma Step 1 - ANSWER intermittent
FEV1>80%
daytime symptoms <2 days/week
nighttime awakenings <2/month
SABA PRN
21.Asthma Step 2 - ANSWER mild persistent
FEV1>80%
daytime symptoms >2 days/week, not daily
nighttime awakenings 3-4/month
SABA PRN
22.Asthma Step 3 - ANSWER moderate persistent
FEV1: 60-80%
daytime symptoms
nighttime awakenings >1/week, not nightly
SABA PRN
PLUS
low dose ICS + LABA or medium dose ICS
Advair, symbicort combo
, Steroids: budesonide (pulmicort) or fluticasone (flovent)
23.Asthma Step 4 - ANSWER sever persistent
FEV1 <60%
symptoms throughout the day
nighttime awakenings nightly
SABA PRN
PLUS
medium dose ICS + LABA
Advair, symbicort combo
OR medium dose ICS + montelukast
24.Tanner Stages Males: II - ANSWER no changes to penis, testes enlarge
Pubic hair is sparse and straight
25.Tanner Stages Males: III - ANSWER penis lengthens
hair darker and starts to curl
26.Tanner Stages Males: IV - ANSWER penis increases in length and width
hair coarse, not yet on medial thigh
27.Tanner Stages Females: II - ANSWER breast buds
pubic hair sparse and straight
28.Tanner Stages Females: III - ANSWER breast tissue and areola in one
mound
Questions with Elaborate Answers
Already Graded A+
1. S1 - ANSWER systole
closure of AV valves
mitral regurgitation
aortic stenosis
2. S2 - ANSWER diastole
closure of semilunar valves
mitral stenosis
aortic regurgitation
3. S3 - ANSWER normal variant in children, healthy young adults, and
athletes
heart failure
early diastole
4. S4 - ANSWER left ventricle hypertrophy
5. late diastole
6. syphilis symptoms - ANSWER one painless ulcer, enlarged groin lymph
nodes
,7. genital herpes - ANSWER shallow, small ulcers with red base, painful,
swollen lymph nodes
8. Osgood-Schlatter disease - ANSWER pain relieved with rest, swelling of
the tibial tubercle
9. Multiple myeloma symptoms - ANSWER anemia, back pain, osteoporosis,
increased ESR
10.lab frequency when changing synthroid dose - ANSWER 6 weeks
11.labs with stable synthroid dose - ANSWER 6-12 months
12.best medication for hypertension with diabetic patients - ANSWER ACE
inhibitor
13.treatment of retentive encopresis - ANSWER laxative protocol
if no improvement: refer to GI
14.rhogam administration after spontaneous abortion - ANSWER 72 hours
15.when can infants have solid foods? - ANSWER 6 months
16.first line treatment of parkinson's - ANSWER sinemet
17.treatment of otitis media - ANSWER Amoxicillin
PCN allergy: cefidinir
,18.Treatment of cat bites - ANSWER Augmentin
19.treatment of anthrax - ANSWER Ciprofloxacin and doxycycline
20.Asthma Step 1 - ANSWER intermittent
FEV1>80%
daytime symptoms <2 days/week
nighttime awakenings <2/month
SABA PRN
21.Asthma Step 2 - ANSWER mild persistent
FEV1>80%
daytime symptoms >2 days/week, not daily
nighttime awakenings 3-4/month
SABA PRN
22.Asthma Step 3 - ANSWER moderate persistent
FEV1: 60-80%
daytime symptoms
nighttime awakenings >1/week, not nightly
SABA PRN
PLUS
low dose ICS + LABA or medium dose ICS
Advair, symbicort combo
, Steroids: budesonide (pulmicort) or fluticasone (flovent)
23.Asthma Step 4 - ANSWER sever persistent
FEV1 <60%
symptoms throughout the day
nighttime awakenings nightly
SABA PRN
PLUS
medium dose ICS + LABA
Advair, symbicort combo
OR medium dose ICS + montelukast
24.Tanner Stages Males: II - ANSWER no changes to penis, testes enlarge
Pubic hair is sparse and straight
25.Tanner Stages Males: III - ANSWER penis lengthens
hair darker and starts to curl
26.Tanner Stages Males: IV - ANSWER penis increases in length and width
hair coarse, not yet on medial thigh
27.Tanner Stages Females: II - ANSWER breast buds
pubic hair sparse and straight
28.Tanner Stages Females: III - ANSWER breast tissue and areola in one
mound
