AANP LATEST EXAM
QNS & ANS
2023/2024
, 1. 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? Iron,
TIBC
2. 3 months of synthroid, TSH increased, T4 normal, what do you do? - Increase Medication
3. You are seeing a 68-year-old woman for treatment of an uncomplicated urinary tract infection
(UTI). She has well-controlled hypertension, type 2 diabetes mellitus, and dyslipidemia and takes an
angiotensin-converting enzyme inhibitor (ACEI), statin, biguanide, and low-dose aspirin (ASA).
She worked in a dry cleaning facility until approximately 8 years ago. During her evaluation, she
mentions that she sometimes has difficulty understanding conversation, especially in noisy
environments. This is likely a: Normal age-related change in hearing
4. While evaluating a 33-year-old female with a 2-day history of dysuria, which of the following
findings in urinalysis is most suggestive of urinary tract infection (UTI) caused by a Gram-negative
organism? Nitrites
5. Counseling an elderly patient prior to discharge about fall risk at home and how to prevent falls
through adequate illumination Performing a hemoglobin A1C for all patients admitted to the
hospital.
6. A 23-year-old woman is being evaluated for an upper respiratory tract infection. As you prepare for
auscultation, the patient states “I have a benign murmur that has been with me my whole life”.
Anticipating a physiologic murmur, you would expect which of the following characteristics?
Becomes softer when going from a supine to standing position.
QNS & ANS
2023/2024
, 1. 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? Iron,
TIBC
2. 3 months of synthroid, TSH increased, T4 normal, what do you do? - Increase Medication
3. You are seeing a 68-year-old woman for treatment of an uncomplicated urinary tract infection
(UTI). She has well-controlled hypertension, type 2 diabetes mellitus, and dyslipidemia and takes an
angiotensin-converting enzyme inhibitor (ACEI), statin, biguanide, and low-dose aspirin (ASA).
She worked in a dry cleaning facility until approximately 8 years ago. During her evaluation, she
mentions that she sometimes has difficulty understanding conversation, especially in noisy
environments. This is likely a: Normal age-related change in hearing
4. While evaluating a 33-year-old female with a 2-day history of dysuria, which of the following
findings in urinalysis is most suggestive of urinary tract infection (UTI) caused by a Gram-negative
organism? Nitrites
5. Counseling an elderly patient prior to discharge about fall risk at home and how to prevent falls
through adequate illumination Performing a hemoglobin A1C for all patients admitted to the
hospital.
6. A 23-year-old woman is being evaluated for an upper respiratory tract infection. As you prepare for
auscultation, the patient states “I have a benign murmur that has been with me my whole life”.
Anticipating a physiologic murmur, you would expect which of the following characteristics?
Becomes softer when going from a supine to standing position.
