AANP Board Questions and Answers Updated 2026

AANP Board Questions and Answers
Updated 2026
TherapeuticMINRMvaluesMbelowM____MincreaseMstrokeMriskMsixfold.M-MAnswerM2



DiabeticMRetinopathyMFindingsM-MAnswerMMicroaneurysms

Neovascularization

CottonMWoolMSpots

HardMexudates



AllMofMtheMfollowingMwouldMrequireMtheMnurseMpractitionerMtoMdelayMtestingMaMpatien
t'sMprostate-specificMantigenM(PSA),Mexcept:



a.MUrinaryMretention

b.MUrinaryMtractMinfection

c.MAfterMaMdigitalMrectalMexam

d.MVigorousMexerciseM3MdaysMpriorM-MAnswerMVigorousMexerciseM3MdaysMprior



PSAMtestingMisMfalselyMelevatedMinMaMpatientMwithMurinaryMretentionMandMurinaryMtrac
tMinfectionMandMafterMaMdigitalMrectalMexam.MVigorousMexerciseMdoesMnotMhaveMtoMb
eMstoppedM3MdaysMpriorMtoMtesting;Mhowever,MvigorousMexerciseMshouldMbeMdiscourag
edMbeforeMtestingMbecauseMitMwillMfalselyMelevateMtheMPSAMlevels.MEjaculationMwithinM
48MhoursMwillMalsoMfalselyMraiseMtheMPSAMlevel.



TicMDouloureauxM-
MAnswerMThereMareMtwoMtypesMofMticMdouloureuxM(trigeminalMneuralgia).M

TypeM1--presentsMwithMextreme,Mshock-
likeMfacialMpain,MwhichMlastsMfromMaMfewMsecondsMtoM2MminutesMperMeventMandMca
nMlastMupMtoM2MhoursMtotal.MTypeM1MdoesMnotMawakenMtheMpatientMatMnight.M



TypeM2--
MisMaMconstant,Maching,MburningMfacialMpainMwithMlessMintensityMbutMmayMoccurMwith
MTypeM1.MTypeM2MisMmoreMcommonMinMwomenMandMpeaksMinMtheirM60s.MTypeM2M
canMalsoMbeMrelatedMtoMsecondaryMneurologicMdiseaseMsuchMasMmultipleMsclerosisMorM
HSV-1.

,TheMnurseMpractitionerMseesMaM58-year-
oldMfemaleMpatientMwhoMreportsMabscessesMandMpustulesMinMtheMaxillaMandMgroinMan
dMunderMtheMbreasts,MwhichMburstMandMdrainMpurulentMgreenMdischarge.MSheMhasMaM
historyMofMsmokingMandMaMbodyMmassMindexM(BMI)MofM37.1.M



WhichMdiagnosisMisMmostMlikely?



a.MImpetigo

b.MCarbuncles

c.MShingles

d.MHidradenitisMsuppurativaM-MAnswerMhidradenitisMsuppurativa



HidradenitisMsuppurativaMisMmostMcommonMinMwomenM(3:1).MSmokingMandMobesityMare
MsignificantMriskMfactors.MLesionsMareMtreatedMwithMtopicalMantibioticsM(orMoralMantibiot
ics,MwarmMcompresses,MandMpainMmedications).MInstituteMdietMchangesMtoMreduceMhigh
MglycemicMandMdairyMfoodMintake.MReferMtoMaMdermatologistMforMadditionalMtreatment
Moptions.



InsulinMLisproM(Humalog)M-MAnswerMLisproMisMaMrapid-
actingMinsulinMthatMisMusedMonMaMslidingMscaleMtoMworkMfromMmealMtoMmeal



AtopicMdermatitisM(eczema)M-
MAnswerMchronic,MpruriticMrashMofMtheMhands,MflexuralMfolds,MandMneckMthatMcanMbe
MexacerbatedMbyMstressMandMenvironmentalMfactors.



ToxicMEpidermalMNecrolysisM(TEN)M-
MAnswerMTENMisMtheMresultMofMaMsevereMskinMreactionMtoMmedicationsMsuchMasMallo
purinol,MnonsteroidalManti-inflammatoryMdrugsM(NSAIDs),MandManticonvulsants.



MelanomaM-
MAnswerMMelanomaMareMneviMwithMunevenMtexture,MirregularMborders,MvariegatedMcolo
rs,MsizeMlargerMthanM6Mmm,MandMchangingMsizeM(theMmnemonicMABCDEMstandsMforMa
symmetry,MborderMirregularity,McolorMvariationsMinMtheMsameMregion,MdiameterM>6Mmm,
MandMenlargementMorMchangeMinMsizeMoverMtime),MandMtheyMcanMbeMpruritic.MRiskMf
actorsMincludeMfamilyMhistoryMofMmelanomaM(10%MofMcases),Mextensive/intenseMsunlight
Mexposure,MblisteringMsunburnMinMchildhood,MtanningMbeds,MandMatypicalMnevus

,SeborrheicMkeratosesM-
MAnswerMSeborrheicMkeratosesMareMsoft,Mfleshy,MpainlessMgrowthsMthatMareMlocatedMm
ostlyMonMtheMback.MSkinMlesionsMlookMlikeMtheyMareM"pasted"MonMtheMskinMandMcan
MrangeMinMcolorMfromMlightMtanMtoMblack.



AcanthosisMnigricansM-
MAnswerMAcanthosisMnigricansMareMdiffuse,MsoftMthickeningsMofMtheMskinMusuallyMlocate
dMatMtheMneckMandMaxilla.MTheyMareMalsoMassociatedMwithMdiabetes,MmetabolicMsyndr
ome,Mobesity,MandMgastrointestinalMcancer.



AcrochordonM-
MAnswerMAcrochordonsM(skinMtags)MareMpainless,MpedunculatedMoutgrowthsMofMskinMtha
tMareMcommonMinMtheMneckMandMaxillaryMareas.MIfMtheMgrowthsMareMtraumatized,Mth
eyMbecomeMnecroticMandMfallMoff.MTheyMareMmostMcommonMinMdiabeticsMandMpatients
MwhoMareMobese.



WhichMofMtheMfollowingMisMassociatedMwithMmaleMaging?



a.MIncreasedMlevelsMofMestrogen

b.MDecreasedMspermMproduction

c.MIncreasedMproductionMofMsemen

d.MDecreasedMconcentrationMofMspermM-MAnswerMDecreasedMspermMproduction



AMnurseMpractitionerMseesMaMpatientMforManMevaluationMofMsexuallyMtransmittedMdiseas
es.MAssessmentMrevealsMFitz-Hugh-Curtis.MTheMnurseMpractitionerMwillMprescribe:M-
MAnswerMCeftriaxoneM500MmgMIMM×MoneMdoseMplusMdoxycyclineM100MmgMBIDM×M14
MdaysMplusMmetronidazoleM500MmgMBIDM×M14Mdays.

Fitz-Hugh-
CurtisMsyndromeMshouldMbeMtreatedMasMaMcomplicatedMgonorrheal/chlamydialMinfection:
MCeftriaxoneM500MmgMIMM×MoneMdoseMplusMdoxycyclineM100MmgMBIDM×M14MdaysMpl
usMmetronidazoleM500MmgMBIDM×M14MdaysMforManaerobicMcoverage.



sensitiveMscreeningMtestMforMHIVM-MAnswerMCombinationMHIV-1MandMHIV-
2MantibodyMimmunoassayMwithMp24Mantigen.



DMMmedicationMclassMthatMshouldMnotMbeMusedMinMpatientsMwithMheartMfailureMorMh
xMofMbladderMcancer?M-MAnswerMThiazolidinediones

, MedicationMclassMwithMhighMriskMofMhypoglycemicMevents:M-
MAnswerMSulfonylureasMstimulateMtheMbetaMcellsMbutMhaveMaMlongMhalf-
life,MandMthereMisMaMhighMriskMforMsevereMhypoglycemicMevents.



TreponemaMpallidumM-MAnswerMT.MpallidumMisMaMgram-
negativeMspirocheteMbacteriumMthatMcausesMsyphilis.



WhichMclassMofMdiureticsMisMcontraindicatedMinMpatientsMwhoMareMallergicMtoMsulfaMpr
oducts?M-
MAnswerMThiazidesM(hydrochlorothiazideMandMindapamide)MandMloopMdiureticsM(furosemid
eMandMbumetanide)MareMcontraindicatedMinMpatientsMwithMsulfaMallergies.



HypertensiveMRetinopathyMFindingsM-MAnswerM-MsilverMwire/copperMwireMarterioles.

-MAVMnicking



BullousMMyringitisM-
MAnswerMSmallMvesiclesMcontainingMbloodMonMtheMdrum;MaccompanyMmycoplasmaMpne
umoniaMandMvirusMinfections



BullousMmyringitisMisManMearMinfectionMinMwhichMsmall,Mfluid-
filledMblistersMformMonMtheMeardrum.MThisMfindingMdistinguishesMthisMdiagnosis.



PCOSMputsMtheMpatientMatMadditionalMriskMfor:M-
MAnswerMmetabolicMsyndrome,MTypeMIIMDM,MandMinfertilityMbecauseMofMtheMhighMleve
lsMofMandrogensMinMtheMbody



WhatMtoMmonitorMinMthiazideMdiuretics?M-
MAnswerMSideMeffectsMofMthiazideMdiureticsMsuchMasMhydrochlorothiazideMareMhyperglyc
emia,Mhyperuricemia,MandMhypertriglyceridemiaMandMhypercholesteremia.MPatientsMshould
MalsoMbeMmonitoredMforMhypokalemia,MhyponatremiaM(notMhypernatremia),MandMhypoma
gnesemia.



GiantMCellMArteritisM(TemporalMArteritis)M-
MAnswerMCausesManMacuteMheadacheMinMoneMtempleMareaMwithManMindurated,Mredde
nedMtemporalMarteryMandMscalpMtenderness.MAMmajorMcomplicationMofMthisMconditionMi
sMtransientMblindnessM(amaurosisMfugax)MofMtheMaffectedMeye.MAMpatientMmayMexperie