AANP FNP CERTIFICATION LATEST
2026-2027 WITH 230+ REAL EXAM
QUESTIONS & CORRECT ANSWERS
(VERIFIED ANSWERS). GRADED A
3 month old infant with down syndrome, due to milk intolerance, mom
started on goats milk; now has pale conjunctiva but otherwise healthy. Low
HCT. What additional test would you order? - ANSIron, TIBC
3 months of synthroid, TSH increased, T4 normal, what do you do? -
ANSIncrease Medication
3 ways to assess cognitive function in patient with signs/symptoms of
memory loss - ANSMini mental exam
4 month old with strabismus, mom is worried...... - ANStell her it is normal.
4 month old wont keep anything down, what is the main thing you look at? -
ANSGrowth chart
6 month old closed anterior fontanel. - ANSXRAY
88/yr. old patient in for follow up secondary. She's been treated with
Tylenol for Joint arthritis. Her SED rate was checked after 6 weeks of
treatment and it was 28. Normal range is from something to 25. How would
1
,you treat the pt. - ANSbe changed to NSAID, SED rate is a sign of
inflammation
a pregnant female at slightly above symphysis pubic and Fundal height is
32cm (above the umbilical). What should be done - ANSUltrasound
A1C > 9 - ANSIf you are already on TWO oral drugs for diabetes and A1c
is 9 or higher, start BASAL insulin. If you cannot tolerate metformin and
your A1c is 9 or higher start BASAL insulin. ON EXAM
Abnormal cells on PAP, what do you do next? - ANSRefer for Colposcopy
ACE/ARB contraindications - ANSpregnancy
Renal failure
Renal Stenosis
ACEI contraindicated - ANSpregnancy
Acne Rosacea - ANS- chronic small acne like papules/pustules around
nose mouth chin. TREATMENT- Metrogel, Azelex. Low dose tetracycline.
Clindamycin. EXAM
Acne Rosacea - ANSAcne Rosacea- chronic small acne like
papules/pustules around nose mouth chin. TREATMENT- Metrogel,
Azelex. Low dose tetracycline. EXAM
2
,Acne Vulgaris - ANScommon acne. Retin-A, acne worsens 4-6 weeks if no
improvement in 8-12 weeks increase dose or add erythromycin, benzoyl
peroxide.
actinic keratoses - ANSPrecursor to squamous cell carcinoma. "numerous
dry round and pink to red lesions" with a rough and scaly texture. Does not
heal. Slow growing in sun exposed areas. Diagnosis: BIOPSY Golden
Standard. Treatment: Sm. (cryotherapy), Lrg. (5-FU cream)- which causes
ur skin to ooze, crust, scab, redness EXAM
Actinic Keratosis - ANSNumerous round dry pink to red areas. Scaly red to
yellow located in sun exposed area
-a pre squamous cell carcinoma occurs on sun-damaged skin
biopsy
cryo or 5fu cream
Actinic Keratosis - ANSScaly red to yellow located in sun exposed area
-a precancerous skin growth that occurs on sun-damaged skin
Acute Angle Closure Glaucoma - ANSacute/severe halos, cupping optic
nerve, cloudy cornea, mid-dilated oval pupil. ER STAT. EXAM
Acute Bacterial Pneumonia- CXR - ANSmiddle lobe. ON EXAM
Acute Closed Angle Glaucoma
Vs
3
, Open Angle - ANSAcute: Sudden pain, halos, cupping, dilated, cloudy ,
IOP, HA, refer ED
Open (primary) : CN 2, gradual loss peripheral vision first
Acyclovir (cheapest) - ANS200mg 5 x day
Addison's - ANSAddison's- deficient in cortisol (think low sodium, blood
sugar, but Increase K. You must give cortisol. (Diagnosis Plasma Cortisol
<5 mcg/dl @ 0800.) EXAM
ADHD - ANSA behavioral problem characterized by short attention span,
restless movement, and impaired learning capacity.
All diastolic murmurs are pathological. Grades Murmurs - ANSI-barely II-
audible III- clearly audible. IV- first time thrill V-Steth edge VI-entire steth.
EXAM
All diastolic murmurs are pathological. Murmurs Grades I-barely II-audible
III- clearly audible. IV- first time thrill V-Steth edge VI-entire steth. EXAM -
ANSIII first time audible, IV first time thrill
Allergic Conjunctivitis - ANS"stringy; increased tearing" PO antihistamines.
Type I sensitivity. Typically bilateral. Rhinitis and allergic shiner.
allergic rhinitis - ANSblue pale turbinate clear drainage. Tx inhaled
corticosteroids
4
2026-2027 WITH 230+ REAL EXAM
QUESTIONS & CORRECT ANSWERS
(VERIFIED ANSWERS). GRADED A
3 month old infant with down syndrome, due to milk intolerance, mom
started on goats milk; now has pale conjunctiva but otherwise healthy. Low
HCT. What additional test would you order? - ANSIron, TIBC
3 months of synthroid, TSH increased, T4 normal, what do you do? -
ANSIncrease Medication
3 ways to assess cognitive function in patient with signs/symptoms of
memory loss - ANSMini mental exam
4 month old with strabismus, mom is worried...... - ANStell her it is normal.
4 month old wont keep anything down, what is the main thing you look at? -
ANSGrowth chart
6 month old closed anterior fontanel. - ANSXRAY
88/yr. old patient in for follow up secondary. She's been treated with
Tylenol for Joint arthritis. Her SED rate was checked after 6 weeks of
treatment and it was 28. Normal range is from something to 25. How would
1
,you treat the pt. - ANSbe changed to NSAID, SED rate is a sign of
inflammation
a pregnant female at slightly above symphysis pubic and Fundal height is
32cm (above the umbilical). What should be done - ANSUltrasound
A1C > 9 - ANSIf you are already on TWO oral drugs for diabetes and A1c
is 9 or higher, start BASAL insulin. If you cannot tolerate metformin and
your A1c is 9 or higher start BASAL insulin. ON EXAM
Abnormal cells on PAP, what do you do next? - ANSRefer for Colposcopy
ACE/ARB contraindications - ANSpregnancy
Renal failure
Renal Stenosis
ACEI contraindicated - ANSpregnancy
Acne Rosacea - ANS- chronic small acne like papules/pustules around
nose mouth chin. TREATMENT- Metrogel, Azelex. Low dose tetracycline.
Clindamycin. EXAM
Acne Rosacea - ANSAcne Rosacea- chronic small acne like
papules/pustules around nose mouth chin. TREATMENT- Metrogel,
Azelex. Low dose tetracycline. EXAM
2
,Acne Vulgaris - ANScommon acne. Retin-A, acne worsens 4-6 weeks if no
improvement in 8-12 weeks increase dose or add erythromycin, benzoyl
peroxide.
actinic keratoses - ANSPrecursor to squamous cell carcinoma. "numerous
dry round and pink to red lesions" with a rough and scaly texture. Does not
heal. Slow growing in sun exposed areas. Diagnosis: BIOPSY Golden
Standard. Treatment: Sm. (cryotherapy), Lrg. (5-FU cream)- which causes
ur skin to ooze, crust, scab, redness EXAM
Actinic Keratosis - ANSNumerous round dry pink to red areas. Scaly red to
yellow located in sun exposed area
-a pre squamous cell carcinoma occurs on sun-damaged skin
biopsy
cryo or 5fu cream
Actinic Keratosis - ANSScaly red to yellow located in sun exposed area
-a precancerous skin growth that occurs on sun-damaged skin
Acute Angle Closure Glaucoma - ANSacute/severe halos, cupping optic
nerve, cloudy cornea, mid-dilated oval pupil. ER STAT. EXAM
Acute Bacterial Pneumonia- CXR - ANSmiddle lobe. ON EXAM
Acute Closed Angle Glaucoma
Vs
3
, Open Angle - ANSAcute: Sudden pain, halos, cupping, dilated, cloudy ,
IOP, HA, refer ED
Open (primary) : CN 2, gradual loss peripheral vision first
Acyclovir (cheapest) - ANS200mg 5 x day
Addison's - ANSAddison's- deficient in cortisol (think low sodium, blood
sugar, but Increase K. You must give cortisol. (Diagnosis Plasma Cortisol
<5 mcg/dl @ 0800.) EXAM
ADHD - ANSA behavioral problem characterized by short attention span,
restless movement, and impaired learning capacity.
All diastolic murmurs are pathological. Grades Murmurs - ANSI-barely II-
audible III- clearly audible. IV- first time thrill V-Steth edge VI-entire steth.
EXAM
All diastolic murmurs are pathological. Murmurs Grades I-barely II-audible
III- clearly audible. IV- first time thrill V-Steth edge VI-entire steth. EXAM -
ANSIII first time audible, IV first time thrill
Allergic Conjunctivitis - ANS"stringy; increased tearing" PO antihistamines.
Type I sensitivity. Typically bilateral. Rhinitis and allergic shiner.
allergic rhinitis - ANSblue pale turbinate clear drainage. Tx inhaled
corticosteroids
4
