AANP REVIEW QUESTIONS
ANSWERS COMPLETE SET 2026
FINAL PAPER PRACTICE
SOLUTIONS RELIABLE A+
◉ Which of the following is not a symptom of both major depressive
disorder and post-traumatic stress disorder?
A. Difficulty concentrating
B. Hypervigilance
C. Insomnia
D. Irritabilty
Answer: B. Hypervigilance
In addition to difficulty concentrating, insomnia, and irritability, major
depressive disorder (MDD) may also include symptoms of depressed
mood, anhedonia, weight loss or gain, and low energy. However,
hypervigilance (B) is not a symptom associated with this diagnosis.
◉ A patient with type 1 diabetes presents for a follow-up visit. He has
been stable on his medication regimen but is worried because he is
between jobs and will be without health insurance coverage for a few
months. He asks if there are less expensive insulin options to get him
through this time. Which of the following would be good options for this
patient, given his circumstance?
Incorrect
,A.
Insulin aspart 70/30
B.
Insulin detemir
C.
Insulin isophane
D.
Insulin degludec
Answer: Insulin Isophane
The least expensive insulin type listed in this question is insulin
isophane (C) (neutral protamine Hagedorn insulin). There are also often
pharmacy-specific coupons that can be used on insulin, so helping
patients apply for and navigate these programs can be instrumental in
managing their diabetes. Another inexpensive option is regular
insulin.Insulin analogs (glargine, detemir, degludec, lispro, and aspart)
are significantly more expensive than human insulin (isophane, regular).
Insulins modified by manufacturers, especially when sold as brand-name
medications, tend to be more expensive due to this modification. While
analogs offer alternate lengths of action and convenience, there is no
well-documented clinical evidence that patient outcomes are improved
with differing brands. Therefore, maintaining a patient's blood glucose
level through outcome-focused treatment is more valuable than a
process-focused plan based on medication.
,◉ A 40-year-old woman with type 2 diabetes presents to the clinic with
concerns of spiking blood sugar between lunch and dinner. She states
she is on a rapid-acting insulin sliding scale and long-acting insulin.
Which change should be implemented to help prevent or curb this
glycemic spike?
A.
Add a dose of mealtime insulin aspart (Novolog) at lunch
B.
Add insulin detemir (Levemir) at night
C.
Increase her insulin glargine (Lantus)
D.
Prescribe a dose of neutral protamine Hagedorn insulin with dinner
Answer: A. Add a dose of mealtime insulin aspart (Novolog) at lunch
Insulin aspart (Novolog) (A) is a rapid acting insulin that is commonly
dosed with meals and as a sliding scale regimen based on a patient's
glucose prior to eating (preprandial). It is the appropriate insulin to add
as a mealtime dose when patients experience blood glucose spikes
between meals because of its short-acting properties. Peak time action of
insulin aspart is 2 hours with initial effect within the first 30 minutes,
, making it an ideal choice to control expected postprandial glycemic
spikes
◉ Which of the following conditions is associated with an increased risk
for conductive hearing loss?
A.
Acoustic neuroma
B.
Ménière disease
C.
Otitis media
D.
Presbycusis
Answer: C. Otitis media
Causes of conductive hearing loss are otitis media (C), otitis externa,
foreign objects in the ear canal, impacted ear wax, tumors, congenital
anomalies, discontinuity of middle ear bones, cholesteatoma, and
tympanic membrane rupture. Sound normally travels down the ear canal
to vibrate the eardrum (tympanic membrane). The eardrum is connected
to three middle ear bones (malleus, incus, and stapes), which transmit
ANSWERS COMPLETE SET 2026
FINAL PAPER PRACTICE
SOLUTIONS RELIABLE A+
◉ Which of the following is not a symptom of both major depressive
disorder and post-traumatic stress disorder?
A. Difficulty concentrating
B. Hypervigilance
C. Insomnia
D. Irritabilty
Answer: B. Hypervigilance
In addition to difficulty concentrating, insomnia, and irritability, major
depressive disorder (MDD) may also include symptoms of depressed
mood, anhedonia, weight loss or gain, and low energy. However,
hypervigilance (B) is not a symptom associated with this diagnosis.
◉ A patient with type 1 diabetes presents for a follow-up visit. He has
been stable on his medication regimen but is worried because he is
between jobs and will be without health insurance coverage for a few
months. He asks if there are less expensive insulin options to get him
through this time. Which of the following would be good options for this
patient, given his circumstance?
Incorrect
,A.
Insulin aspart 70/30
B.
Insulin detemir
C.
Insulin isophane
D.
Insulin degludec
Answer: Insulin Isophane
The least expensive insulin type listed in this question is insulin
isophane (C) (neutral protamine Hagedorn insulin). There are also often
pharmacy-specific coupons that can be used on insulin, so helping
patients apply for and navigate these programs can be instrumental in
managing their diabetes. Another inexpensive option is regular
insulin.Insulin analogs (glargine, detemir, degludec, lispro, and aspart)
are significantly more expensive than human insulin (isophane, regular).
Insulins modified by manufacturers, especially when sold as brand-name
medications, tend to be more expensive due to this modification. While
analogs offer alternate lengths of action and convenience, there is no
well-documented clinical evidence that patient outcomes are improved
with differing brands. Therefore, maintaining a patient's blood glucose
level through outcome-focused treatment is more valuable than a
process-focused plan based on medication.
,◉ A 40-year-old woman with type 2 diabetes presents to the clinic with
concerns of spiking blood sugar between lunch and dinner. She states
she is on a rapid-acting insulin sliding scale and long-acting insulin.
Which change should be implemented to help prevent or curb this
glycemic spike?
A.
Add a dose of mealtime insulin aspart (Novolog) at lunch
B.
Add insulin detemir (Levemir) at night
C.
Increase her insulin glargine (Lantus)
D.
Prescribe a dose of neutral protamine Hagedorn insulin with dinner
Answer: A. Add a dose of mealtime insulin aspart (Novolog) at lunch
Insulin aspart (Novolog) (A) is a rapid acting insulin that is commonly
dosed with meals and as a sliding scale regimen based on a patient's
glucose prior to eating (preprandial). It is the appropriate insulin to add
as a mealtime dose when patients experience blood glucose spikes
between meals because of its short-acting properties. Peak time action of
insulin aspart is 2 hours with initial effect within the first 30 minutes,
, making it an ideal choice to control expected postprandial glycemic
spikes
◉ Which of the following conditions is associated with an increased risk
for conductive hearing loss?
A.
Acoustic neuroma
B.
Ménière disease
C.
Otitis media
D.
Presbycusis
Answer: C. Otitis media
Causes of conductive hearing loss are otitis media (C), otitis externa,
foreign objects in the ear canal, impacted ear wax, tumors, congenital
anomalies, discontinuity of middle ear bones, cholesteatoma, and
tympanic membrane rupture. Sound normally travels down the ear canal
to vibrate the eardrum (tympanic membrane). The eardrum is connected
to three middle ear bones (malleus, incus, and stapes), which transmit
