AANP Exam Questions with
Accurate Answers
A 10-year-old girl presents for a wellness exam today. Upon
examination, breast budding is noted as well as a few fine pubic hairs.
She and her parent mention that her breasts just began to grow and ask
when they should expect her menses to start. What anticipatory
guidance should be provided during this visit?
A.
Menarche should start any day
B.
Menarche should start in 3-4 years
C.
Menarche should start in the next 3 years
D.
Menarche should start in the next year correct answer C.
Menarche should start in the next 3 years
Menarche should start in the next 3 years (C) once a girl begins puberty
or enters Tanner stage 2. Tanner stage 2 peaks in girls aged 12-13 years.
,In this stage, breast buds become palpable, areola enlarge, and minimal
coarse pubic hair is visible on the labia.
A 12-year-old boy in sixth grade has a history of
attention-deficit/hyperactivity disorder. His inattention and
hyperactivity have improved on long-acting methylphenidate (Ritalin),
but his parent reports that he has been persistently irritable for the
entire school year. His reactions to disagreements with his classmates
and teachers are out of proportion and usually proceed to meltdowns.
At home, his mood is labile, ranging from being content to screaming
over the slightest provocation. Recently, his parent noted that he has
had a lot of difficulty sleeping, which she suspects might be
contributing to his irritability. The school psychologist has suggested
that the boy be evaluated for possible bipolar disorder. What additional
detail of the boy's clinical history would most support a diagnosis of
bipolar disorder?
A.
He forgets to take his medication, talks excessively, and shifts from one
topic to another
B.
Ov correct answer B.
Over the past few weeks, he has slept about 4 hours per night without
being drowsy during the day
,A persistent decreased need for sleep (B) would be the symptom most
suggestive of bipolar disorder. Bipolar disorder is a mental disorder that
is characterized by unusual shifts in mood, energy, and activity levels
that are severe enough to cause overall dysfunction. A decreased need
for sleep for several nights should raise suspicion for bipolar disorder.
A 12-year-old girl presents to the clinic with her parent, who is
concerned about the C-shaped appearance of the girl's spine. The
degree of curvature in her spine is 35 degrees. Which of the following is
appropriate to educate the parent?
A.
"Your daughter's spine has a mild curve but does not require treatment
and will likely resolve on its own."
B.
"Your daughter's spine has a mild curve, so we will watch and wait to
see if it worsens. If so, treatment will be necessary."
C.
"Your daughter's spine has moderate curvature, so we will need to
place her in a brace as treatment."
D.
, "Your daughter's spine has severe curvature, so we will need to refer
her for surgery as soon as possible. correct answer C. "Your daughter's
spine has moderate curvature, so we will need to place her in a brace
as treatment."
Scoliosis is a complex spinal deformity defined as a curve in the spine of
at least 10 degrees. A curvature of 25 to 40 degrees is considered
moderate scoliosis, and most cases require bracing for correction (C).
Braces are offered for treatment in patients who are skeletally
immature and have curves > 30 degrees at the first visit. Bracing is
considered ineffective if the curvature is > 45 degrees because the
patient has reached the threshold for surgical intervention. In male
patients, the brace is worn until they stop growing, and in female
patients, the brace is worn more than 1.5 years postmenarch or until
the patient has grown < 1 cm over the previous 6 months.
A 14-year-old girl with short stature and delayed onset of puberty
consistent with Turner syndrome presents to the office for a routine
physical exam. Which of the following is true regarding Turner
syndrome?
A.
Although rare, men can inherit the gene defect associated with Turner
syndrome
B.
Accurate Answers
A 10-year-old girl presents for a wellness exam today. Upon
examination, breast budding is noted as well as a few fine pubic hairs.
She and her parent mention that her breasts just began to grow and ask
when they should expect her menses to start. What anticipatory
guidance should be provided during this visit?
A.
Menarche should start any day
B.
Menarche should start in 3-4 years
C.
Menarche should start in the next 3 years
D.
Menarche should start in the next year correct answer C.
Menarche should start in the next 3 years
Menarche should start in the next 3 years (C) once a girl begins puberty
or enters Tanner stage 2. Tanner stage 2 peaks in girls aged 12-13 years.
,In this stage, breast buds become palpable, areola enlarge, and minimal
coarse pubic hair is visible on the labia.
A 12-year-old boy in sixth grade has a history of
attention-deficit/hyperactivity disorder. His inattention and
hyperactivity have improved on long-acting methylphenidate (Ritalin),
but his parent reports that he has been persistently irritable for the
entire school year. His reactions to disagreements with his classmates
and teachers are out of proportion and usually proceed to meltdowns.
At home, his mood is labile, ranging from being content to screaming
over the slightest provocation. Recently, his parent noted that he has
had a lot of difficulty sleeping, which she suspects might be
contributing to his irritability. The school psychologist has suggested
that the boy be evaluated for possible bipolar disorder. What additional
detail of the boy's clinical history would most support a diagnosis of
bipolar disorder?
A.
He forgets to take his medication, talks excessively, and shifts from one
topic to another
B.
Ov correct answer B.
Over the past few weeks, he has slept about 4 hours per night without
being drowsy during the day
,A persistent decreased need for sleep (B) would be the symptom most
suggestive of bipolar disorder. Bipolar disorder is a mental disorder that
is characterized by unusual shifts in mood, energy, and activity levels
that are severe enough to cause overall dysfunction. A decreased need
for sleep for several nights should raise suspicion for bipolar disorder.
A 12-year-old girl presents to the clinic with her parent, who is
concerned about the C-shaped appearance of the girl's spine. The
degree of curvature in her spine is 35 degrees. Which of the following is
appropriate to educate the parent?
A.
"Your daughter's spine has a mild curve but does not require treatment
and will likely resolve on its own."
B.
"Your daughter's spine has a mild curve, so we will watch and wait to
see if it worsens. If so, treatment will be necessary."
C.
"Your daughter's spine has moderate curvature, so we will need to
place her in a brace as treatment."
D.
, "Your daughter's spine has severe curvature, so we will need to refer
her for surgery as soon as possible. correct answer C. "Your daughter's
spine has moderate curvature, so we will need to place her in a brace
as treatment."
Scoliosis is a complex spinal deformity defined as a curve in the spine of
at least 10 degrees. A curvature of 25 to 40 degrees is considered
moderate scoliosis, and most cases require bracing for correction (C).
Braces are offered for treatment in patients who are skeletally
immature and have curves > 30 degrees at the first visit. Bracing is
considered ineffective if the curvature is > 45 degrees because the
patient has reached the threshold for surgical intervention. In male
patients, the brace is worn until they stop growing, and in female
patients, the brace is worn more than 1.5 years postmenarch or until
the patient has grown < 1 cm over the previous 6 months.
A 14-year-old girl with short stature and delayed onset of puberty
consistent with Turner syndrome presents to the office for a routine
physical exam. Which of the following is true regarding Turner
syndrome?
A.
Although rare, men can inherit the gene defect associated with Turner
syndrome
B.
