AANP EXAM PRACTICE QUESTIONS
QUESTIONS AND CORRECT ANSWERS
(VERIFIED ANSWERS) A GRADE
A 2-year-old male presents for reevaluation. Two days
ago, he had four episodes of vomiting and six diarrheal
stools. On physical examination today, his vital signs
reveal P = 120 and capillary refill of 3 seconds. The
patient's eyes are sunken and his extremities are mottled
and cool to the touch. The treatment plan would include:
1. start oral electrolyte mixture every hour.
2. hospitalization for IV fluid replacement.
3. giving the child loperamide for each diarrheal stool.
4. catheterizing the child to obtain accurate urine output.
- correct answer- hospitalization for IV fluid
replacement
A 3-year-old female has been diagnosed with bacterial
meningitis. She attends preschool daily at a local church
day care program. The day before her diagnosis, she ate
lunch with her mother at a local restaurant. For which
,contact(s) would chemoprophylaxis with rifampin be
recommended?
1. Preschool contacts in the past 7 days
2. A friend of the patient's sister who visited after school
yesterday
3. The checkout employee at the grocery store yesterday
4. Diners at the restaurant during lunch the day the
patient ate there - correct answer- preschool
contacts in past 7 days
A 3-year-old presents with a 2-day history of acute
diarrhea with a total of 8 watery stools without blood or
mucus, and 2 episodes of vomiting in the past 48 hours.
Assessment reveals no current antibiotic therapy,
dehydration <5%, soft abdomen with hyperactive bowel
sounds, no masses or organomegaly; other physical
findings are normal. Which of the following is the most
appropriate management plan?
1. Stool culture; Immodium AD liquid.
,2. No laboratory workup; instruct parents on signs and
symptoms of dehydration; diet of clear liquids, advancing
to bananas, rice cereal, Jell-O, and soup.
3. Start diet of clear liquids, advancing to bananas, rice
cereal, Jell-O, and soup over next 72 hours; Imodium AD
liquid, 1 mg/sml
4. Stool for ova and parasites; advise parents of likely
sources of Giardia; prescribe furazolidone (Furoxone) -
correct answer- No laboratory workup; instruct
parents on signs and symptoms of dehydration; diet of
clear liquids, advancing to bananas, rice cereal, Jell-O, and
soup.
A 7-year-old child presents with group A streptococcal
infection confirmed by throat culture. Past history
includes treatment for positive streptococcal infection
with erythromycin (EryPed oral suspension) 3 weeks ago.
What is the most appropriate next intervention?
1. Treat with amoxicillin for 10 days.
2. Obtain culture for all household members.
3. Treat with azithromycin (Zithromax) for 10 days.
, 4. Intramuscular Penicillin. - correct answer-
treat with amoxicillin for 10 days
A 12-year-old with sickle cell anemia has recently
experienced a sickle cell crisis and presents for a follow-up
examination after a recent hospitalization. It is most
important to continue monitoring growth, development,
and:
1. white blood cell levels.
2. fecal occult blood test.
3. hemoglobin levels.
4. urine dipsticks. - correct answer- hemoglobin
levels
A 13-year-old is concerned because she has not yet begun
to menstruate. Physical examination indicates that the
patient is at Tanner stage IV and is of average height and
weight. Which of the following would be the most
appropriate response to this patient?
QUESTIONS AND CORRECT ANSWERS
(VERIFIED ANSWERS) A GRADE
A 2-year-old male presents for reevaluation. Two days
ago, he had four episodes of vomiting and six diarrheal
stools. On physical examination today, his vital signs
reveal P = 120 and capillary refill of 3 seconds. The
patient's eyes are sunken and his extremities are mottled
and cool to the touch. The treatment plan would include:
1. start oral electrolyte mixture every hour.
2. hospitalization for IV fluid replacement.
3. giving the child loperamide for each diarrheal stool.
4. catheterizing the child to obtain accurate urine output.
- correct answer- hospitalization for IV fluid
replacement
A 3-year-old female has been diagnosed with bacterial
meningitis. She attends preschool daily at a local church
day care program. The day before her diagnosis, she ate
lunch with her mother at a local restaurant. For which
,contact(s) would chemoprophylaxis with rifampin be
recommended?
1. Preschool contacts in the past 7 days
2. A friend of the patient's sister who visited after school
yesterday
3. The checkout employee at the grocery store yesterday
4. Diners at the restaurant during lunch the day the
patient ate there - correct answer- preschool
contacts in past 7 days
A 3-year-old presents with a 2-day history of acute
diarrhea with a total of 8 watery stools without blood or
mucus, and 2 episodes of vomiting in the past 48 hours.
Assessment reveals no current antibiotic therapy,
dehydration <5%, soft abdomen with hyperactive bowel
sounds, no masses or organomegaly; other physical
findings are normal. Which of the following is the most
appropriate management plan?
1. Stool culture; Immodium AD liquid.
,2. No laboratory workup; instruct parents on signs and
symptoms of dehydration; diet of clear liquids, advancing
to bananas, rice cereal, Jell-O, and soup.
3. Start diet of clear liquids, advancing to bananas, rice
cereal, Jell-O, and soup over next 72 hours; Imodium AD
liquid, 1 mg/sml
4. Stool for ova and parasites; advise parents of likely
sources of Giardia; prescribe furazolidone (Furoxone) -
correct answer- No laboratory workup; instruct
parents on signs and symptoms of dehydration; diet of
clear liquids, advancing to bananas, rice cereal, Jell-O, and
soup.
A 7-year-old child presents with group A streptococcal
infection confirmed by throat culture. Past history
includes treatment for positive streptococcal infection
with erythromycin (EryPed oral suspension) 3 weeks ago.
What is the most appropriate next intervention?
1. Treat with amoxicillin for 10 days.
2. Obtain culture for all household members.
3. Treat with azithromycin (Zithromax) for 10 days.
, 4. Intramuscular Penicillin. - correct answer-
treat with amoxicillin for 10 days
A 12-year-old with sickle cell anemia has recently
experienced a sickle cell crisis and presents for a follow-up
examination after a recent hospitalization. It is most
important to continue monitoring growth, development,
and:
1. white blood cell levels.
2. fecal occult blood test.
3. hemoglobin levels.
4. urine dipsticks. - correct answer- hemoglobin
levels
A 13-year-old is concerned because she has not yet begun
to menstruate. Physical examination indicates that the
patient is at Tanner stage IV and is of average height and
weight. Which of the following would be the most
appropriate response to this patient?
