AANP FNP CERTIFICATION LATEST 2023-2024
WITH 200 REAL EXAM QUESTIONS AND
CORRECT ANSWERS(VERIFIED ANSWERS)|A
GRADE
All diastolic murmurs are pathological. Murmurs Grades I-barely II-audible III- clearly
audible. IV- first time thrill V-Steth edge VI-entire steth. EXAM - -III first time audible,
IV first time thrill
-Fundal height 12 weeks - -Fundal Height 12 weeks above symphysis pubis. EXAM
Fundus 16 weeks between symphysis pubis and umbilicus.
Fundus at 20 weeks is at umbilicus.
2 cm more of less from # of wk gestation is normal if more or less order US
-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
-3 months of synthroid, TSH increased, T4 normal, what do you do? - -Increase
Medication
-3 ways to assess cognitive function in patient with signs/symptoms of memory loss - -
Mini mental exam
-4 month old with strabismus, mom is worried...... - -tell her it is normal.
-4 month old wont keep anything down, what is the main thing you look at? - -Growth
chart
-6 month old closed anterior fontanel. - -XRAY
-Abnormal cells on PAP, what do you do next? - -Refer for Colposcopy
-CAGE ACRONYM - -Cut down
Annoyed by criticism
Guilty about drinking
Eye opener drink
-Causes of tachycardia - -Fever
Anemia
Hypotension
-Cranial nerves responsible for extraocular eye movements - -CN 3,4,6
,-Definition of metabolic syndrome - -cluster of conditions that increase risk of heart
disease, stroke, diabetes.
-diagnose trichomoniasis - -wet prep
-Elderly presents with atrophic vaginitis, small uterus, palpable 4x5 ovary, what do you
do next? - -Pelvic US
-Epistaxis is most common in the area of the nose known as kiesselbachs triangle,
where is this located? - -Anterior septum
-Definitive diagnosis of acute bacterial prostatitis - -urinalysis and culture
-GERD treatment - -H2 is first line, give hs
-Grade 3 cells on Pap, treatment? - -LEEP
excision
-Fingernail hematoma treatment? - -drill hole and drain blood?
-Increased risk of ectopic pregnancy - -Salpingitis, or history of abortion, PID,
-Koplick spots - -Measles (rubeola). Grains of salt lesions inside mouth in Measles
-Koplick spots - -Measles (rubeola). Grains of salt lesions inside mouth in Measles
-Legg-Calve-Perthes Disease - -Avascular necrosis of the proximal femoral head
-Lipid level of 1500, increased risk for? - -Pancreatitis
-Low HGB, Low HCT, High MCV indicates what? - -Macrocytic anemia, B12 Def
-Man with BPH, prostate feels on digital exam? - -Enlarged, symmetrical, smooth
-Man with HTN, CAD, present femoral pulses but absent pedal - -Arterial Insufficiency
-McMurray's Sign
(+) palpable or audible click while extending with varus stress - -Meniscus tears
-Lachman's Test - -pivot shift test (ACL tear)
-Newborn with foot turned in, what do you do? - -refer to orthopedist
-Osgood-Schlatter disease - -Knee pain.
inflammation or irritation of the tibia at its point of attachment with the patellar tendon
, -Patient forgot to start Thanksgiving dinner and husband states she has trouble
remembering tasks and trouble with organization. What is this indicative of? - -
Alzheimer's
-Pt has Barretts Esophagus, insurance no longer covers GI who was treating condition.
Pt at FNP office wanting refill prescriptions. What do you do? - -Refer to oncologist
-Pt presents with rash on shoulder, erythematous maculopapular rash with center
clearing and scaling? - -Tinea Corporis
-Pt presents with "bag of worms:, indicates? - -Varicocele
-Pt with atopic dermatitis, look for what other diseases? - -Asthma
-Pt with bleeding after menopause - -endometrial biopsy, need to screen for cancer
-Pt with hx of PID, increased rick for? - -Infertility
-Pt with HIV took high potency anti viral treatments and CD4 is >400, what does this
indicate? - -This is good. Want higher than 350
-Pt with hx of htn and stroke, now having memory loss. What does this indicate? - -
Vascular dementia
-Pregnant teacher with exposure to 5ths disease (SLAP CHEEK), what risk is there to
the fetus? - -slap cheek, PVB19, rash hands / feet Fetal death and birth defects
-Quick assessment of patients fall risk? Timed Get up and Go - -Timed Get up and Go
-Red beefy tongue? - -pernicious anemia
-Rotator cuff injury presentation - -disturbs sleep, arm weakness, dull ache
-Shingles near eye - -immediate referral to ophthalmology
-Signs and symptoms of Roseola (6ths disease) ? - -Viral infection
Can result in a maculopapular rash, but up to 70% of cases proceed without the rash
stage
-Usually accompanied by a high fever (41°C or 105°F) that comes on quickly and lasts up
to 3 days followed by rash
-Seizures may occur during this period.
-On the fourth day, the fever disappears and the rash appears, first on chest and trunk,
then less prominently on the face and limbs.
-High fever, pink flat or raised rash
-Treatment for chronic alcoholism: - -12 step program
WITH 200 REAL EXAM QUESTIONS AND
CORRECT ANSWERS(VERIFIED ANSWERS)|A
GRADE
All diastolic murmurs are pathological. Murmurs Grades I-barely II-audible III- clearly
audible. IV- first time thrill V-Steth edge VI-entire steth. EXAM - -III first time audible,
IV first time thrill
-Fundal height 12 weeks - -Fundal Height 12 weeks above symphysis pubis. EXAM
Fundus 16 weeks between symphysis pubis and umbilicus.
Fundus at 20 weeks is at umbilicus.
2 cm more of less from # of wk gestation is normal if more or less order US
-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
-3 months of synthroid, TSH increased, T4 normal, what do you do? - -Increase
Medication
-3 ways to assess cognitive function in patient with signs/symptoms of memory loss - -
Mini mental exam
-4 month old with strabismus, mom is worried...... - -tell her it is normal.
-4 month old wont keep anything down, what is the main thing you look at? - -Growth
chart
-6 month old closed anterior fontanel. - -XRAY
-Abnormal cells on PAP, what do you do next? - -Refer for Colposcopy
-CAGE ACRONYM - -Cut down
Annoyed by criticism
Guilty about drinking
Eye opener drink
-Causes of tachycardia - -Fever
Anemia
Hypotension
-Cranial nerves responsible for extraocular eye movements - -CN 3,4,6
,-Definition of metabolic syndrome - -cluster of conditions that increase risk of heart
disease, stroke, diabetes.
-diagnose trichomoniasis - -wet prep
-Elderly presents with atrophic vaginitis, small uterus, palpable 4x5 ovary, what do you
do next? - -Pelvic US
-Epistaxis is most common in the area of the nose known as kiesselbachs triangle,
where is this located? - -Anterior septum
-Definitive diagnosis of acute bacterial prostatitis - -urinalysis and culture
-GERD treatment - -H2 is first line, give hs
-Grade 3 cells on Pap, treatment? - -LEEP
excision
-Fingernail hematoma treatment? - -drill hole and drain blood?
-Increased risk of ectopic pregnancy - -Salpingitis, or history of abortion, PID,
-Koplick spots - -Measles (rubeola). Grains of salt lesions inside mouth in Measles
-Koplick spots - -Measles (rubeola). Grains of salt lesions inside mouth in Measles
-Legg-Calve-Perthes Disease - -Avascular necrosis of the proximal femoral head
-Lipid level of 1500, increased risk for? - -Pancreatitis
-Low HGB, Low HCT, High MCV indicates what? - -Macrocytic anemia, B12 Def
-Man with BPH, prostate feels on digital exam? - -Enlarged, symmetrical, smooth
-Man with HTN, CAD, present femoral pulses but absent pedal - -Arterial Insufficiency
-McMurray's Sign
(+) palpable or audible click while extending with varus stress - -Meniscus tears
-Lachman's Test - -pivot shift test (ACL tear)
-Newborn with foot turned in, what do you do? - -refer to orthopedist
-Osgood-Schlatter disease - -Knee pain.
inflammation or irritation of the tibia at its point of attachment with the patellar tendon
, -Patient forgot to start Thanksgiving dinner and husband states she has trouble
remembering tasks and trouble with organization. What is this indicative of? - -
Alzheimer's
-Pt has Barretts Esophagus, insurance no longer covers GI who was treating condition.
Pt at FNP office wanting refill prescriptions. What do you do? - -Refer to oncologist
-Pt presents with rash on shoulder, erythematous maculopapular rash with center
clearing and scaling? - -Tinea Corporis
-Pt presents with "bag of worms:, indicates? - -Varicocele
-Pt with atopic dermatitis, look for what other diseases? - -Asthma
-Pt with bleeding after menopause - -endometrial biopsy, need to screen for cancer
-Pt with hx of PID, increased rick for? - -Infertility
-Pt with HIV took high potency anti viral treatments and CD4 is >400, what does this
indicate? - -This is good. Want higher than 350
-Pt with hx of htn and stroke, now having memory loss. What does this indicate? - -
Vascular dementia
-Pregnant teacher with exposure to 5ths disease (SLAP CHEEK), what risk is there to
the fetus? - -slap cheek, PVB19, rash hands / feet Fetal death and birth defects
-Quick assessment of patients fall risk? Timed Get up and Go - -Timed Get up and Go
-Red beefy tongue? - -pernicious anemia
-Rotator cuff injury presentation - -disturbs sleep, arm weakness, dull ache
-Shingles near eye - -immediate referral to ophthalmology
-Signs and symptoms of Roseola (6ths disease) ? - -Viral infection
Can result in a maculopapular rash, but up to 70% of cases proceed without the rash
stage
-Usually accompanied by a high fever (41°C or 105°F) that comes on quickly and lasts up
to 3 days followed by rash
-Seizures may occur during this period.
-On the fourth day, the fever disappears and the rash appears, first on chest and trunk,
then less prominently on the face and limbs.
-High fever, pink flat or raised rash
-Treatment for chronic alcoholism: - -12 step program
