AANP EXAMINATION SCRIPT 2026
CORRECT ANSWERS GRADED A+
⩥Murmur Grades. Answer: Grades I-barely, II-audible, III-clearly
audible, IV-first time thrill, V-Steth edge, VI-entire steth.
⩥Fundal height at 12 weeks. Answer: Fundal Height 12 weeks above
symphysis pubis.
⩥Fundus at 16 weeks. Answer: Fundus 16 weeks between symphysis
pubis and umbilicus.
⩥Fundus at 20 weeks. Answer: Fundus at 20 weeks is at umbilicus.
⩥Normal fundal height variation. Answer: 2 cm more or less from
number of weeks gestation is normal if more or less order US.
⩥3 month old infant with down syndrome. Answer: Pale conjunctiva but
otherwise healthy. Low HCT. Additional test: Iron, TIBC.
⩥TSH and T4 levels after 3 months of synthroid. Answer: TSH
increased, T4 normal, increase medication.
,⩥Assessing cognitive function. Answer: 3 ways to assess cognitive
function in patient with signs/symptoms of memory loss: Mini mental
exam.
⩥4 month old with strabismus. Answer: Tell her it is normal.
⩥4 month old won't keep anything down. Answer: Look at the growth
chart.
⩥6 month old closed anterior fontanel. Answer: X-ray.
⩥Abnormal cells on PAP. Answer: Refer for Colposcopy.
⩥CAGE acronym. Answer: Cut down, Annoyed by criticism, Guilty
about drinking, Eye opener drink.
⩥Causes of tachycardia. Answer: Fever, Anemia, Hypotension.
⩥Cranial nerves for extraocular movements. Answer: CN 3, 4, 6.
⩥Definition of metabolic syndrome. Answer: Cluster of conditions that
increase risk of heart disease, stroke, diabetes.
,⩥Diagnosing trichomoniasis. Answer: Wet prep.
⩥Elderly with atrophic vaginitis. Answer: Pelvic US.
⩥Epistaxis location. Answer: Kiesselbach's triangle, located in the
anterior septum.
⩥Diagnosis of acute bacterial prostatitis. Answer: Urinalysis and culture.
⩥GERD treatment. Answer: H2 is first line, give hs.
⩥Grade 3 cells on Pap treatment. Answer: LEEP excision.
⩥Fingernail hematoma treatment. Answer: Drill hole and drain blood.
⩥Increased risk of ectopic pregnancy. Answer: Salpingitis, or history of
abortion, PID.
⩥Koplick spots. Answer: Measles (rubeola). Grains of salt lesions inside
mouth in Measles.
⩥Legg-Calve-Perthes Disease. Answer: Avascular necrosis of the
proximal femoral head.
, ⩥Lipid level of 1500. Answer: Increased risk for pancreatitis.
⩥Low HGB, Low HCT, High MCV. Answer: Indicates macrocytic
anemia, B12 deficiency.
⩥BPH digital exam findings. Answer: Prostate feels enlarged,
symmetrical, smooth.
⩥HTN, CAD, absent pedal pulses. Answer: Indicates arterial
insufficiency.
⩥McMurray's Sign. Answer: (+) palpable or audible click while
extending with varus stress indicates meniscus tears.
⩥Lachman's Test. Answer: Pivot shift test (ACL tear).
⩥Newborn with foot turned in. Answer: Refer to orthopedist.
⩥Osgood-Schlatter disease. Answer: Knee pain. Inflammation or
irritation of the tibia at its point of attachment with the patellar tendon.
CORRECT ANSWERS GRADED A+
⩥Murmur Grades. Answer: Grades I-barely, II-audible, III-clearly
audible, IV-first time thrill, V-Steth edge, VI-entire steth.
⩥Fundal height at 12 weeks. Answer: Fundal Height 12 weeks above
symphysis pubis.
⩥Fundus at 16 weeks. Answer: Fundus 16 weeks between symphysis
pubis and umbilicus.
⩥Fundus at 20 weeks. Answer: Fundus at 20 weeks is at umbilicus.
⩥Normal fundal height variation. Answer: 2 cm more or less from
number of weeks gestation is normal if more or less order US.
⩥3 month old infant with down syndrome. Answer: Pale conjunctiva but
otherwise healthy. Low HCT. Additional test: Iron, TIBC.
⩥TSH and T4 levels after 3 months of synthroid. Answer: TSH
increased, T4 normal, increase medication.
,⩥Assessing cognitive function. Answer: 3 ways to assess cognitive
function in patient with signs/symptoms of memory loss: Mini mental
exam.
⩥4 month old with strabismus. Answer: Tell her it is normal.
⩥4 month old won't keep anything down. Answer: Look at the growth
chart.
⩥6 month old closed anterior fontanel. Answer: X-ray.
⩥Abnormal cells on PAP. Answer: Refer for Colposcopy.
⩥CAGE acronym. Answer: Cut down, Annoyed by criticism, Guilty
about drinking, Eye opener drink.
⩥Causes of tachycardia. Answer: Fever, Anemia, Hypotension.
⩥Cranial nerves for extraocular movements. Answer: CN 3, 4, 6.
⩥Definition of metabolic syndrome. Answer: Cluster of conditions that
increase risk of heart disease, stroke, diabetes.
,⩥Diagnosing trichomoniasis. Answer: Wet prep.
⩥Elderly with atrophic vaginitis. Answer: Pelvic US.
⩥Epistaxis location. Answer: Kiesselbach's triangle, located in the
anterior septum.
⩥Diagnosis of acute bacterial prostatitis. Answer: Urinalysis and culture.
⩥GERD treatment. Answer: H2 is first line, give hs.
⩥Grade 3 cells on Pap treatment. Answer: LEEP excision.
⩥Fingernail hematoma treatment. Answer: Drill hole and drain blood.
⩥Increased risk of ectopic pregnancy. Answer: Salpingitis, or history of
abortion, PID.
⩥Koplick spots. Answer: Measles (rubeola). Grains of salt lesions inside
mouth in Measles.
⩥Legg-Calve-Perthes Disease. Answer: Avascular necrosis of the
proximal femoral head.
, ⩥Lipid level of 1500. Answer: Increased risk for pancreatitis.
⩥Low HGB, Low HCT, High MCV. Answer: Indicates macrocytic
anemia, B12 deficiency.
⩥BPH digital exam findings. Answer: Prostate feels enlarged,
symmetrical, smooth.
⩥HTN, CAD, absent pedal pulses. Answer: Indicates arterial
insufficiency.
⩥McMurray's Sign. Answer: (+) palpable or audible click while
extending with varus stress indicates meniscus tears.
⩥Lachman's Test. Answer: Pivot shift test (ACL tear).
⩥Newborn with foot turned in. Answer: Refer to orthopedist.
⩥Osgood-Schlatter disease. Answer: Knee pain. Inflammation or
irritation of the tibia at its point of attachment with the patellar tendon.
