AANP CERTIFICATION EXAM/ 400 REVIEW QUESTIONS
AND VERIFIED ANSWERS () 100%
GUARANTEE PASS
1. Diverticulum can be an infection of: both gram - and + bacteria
2. Which diuretic should be used for osteoporosis?: thiazide diuretics:
Slows the kidneys excretion of calcium and increases reabsorption
3. Lachman maneuver: knee instability tear of acl
4. Infections of labia and vagina: bacterial vaginosis, candidiasis, and trichomoniasis
5. Chlamydia affects: cervix, endometrial lining, fallopian tubes, pelvic cavity 6. Acute
abdomen symptoms: involuntary guarding, rebound tenderness, board-like abdomen,
+obturator and psoas sign
7. Care of preecplampsia: bed rest, weight and blood pressure monitoring
8. Preeclampsia labs: urine protein, serum protein, creatinine, platelet count
9. Preeclampsia symptoms: hypertension, proteinuria, edema (weight gain)
10. Preeclampsia complications: placental abruption, coagulopathy (dic), renal
failure, uteroplacental insufficiency, liver failure, hypertensive encephalopathy, retinal
detachment, pulmonary edema, seizure, death
11. Community acquired pneumonia most common bacteria least common
bacteria population
Treatment: mycolpasma pneumoniae
(atypical) h. Influenza, strep pneumoniae
atypical: psuedomonas aeruginosa college
student, school children, military macrolides:
azithromycin, clarithromycin 12. Mantoux
test: positive: 5mm
Positive for recent immigrants: 10mm 13. Murphy's sign: biliary disorders deep
inspiration by patient and deep palpation ruq below costovertebral angle 14. Placenta
previa: implantation of the placenta over the cervical opening or in the lower region of
the uterus
Painless bright red blood in the second or third trimester
Order abdominal us
15. Hashimoto's is most common in which population: middle age to older women
16. Hypertension retinopathy: av nicking and copper or silver wire arterioles flame-
shaped hemorrhages
17. Threatened abortion: vaginal bleeding and cramping, soft uterus, cervix closed
,18. Bacterial vaginosis: fishy odor, milky white or dull gray discharge ph > 4.5 > 20%
clue cells koh whiff test
19. Squamous cells dotted with lots of bacteria that obscure borders: clue cells 20.
Lichen sclerosis: skin disease, white spots appear over time, most common genital
and rectal most common in older woman itching, discomfort, bleeding order biopsy
21. Av valves: mitral and tricuspid
22. Semilunar valves: pulmonary and aortic 23. S1: systole
closure of av valves mitral regurgitation aortic stenosis 24.
S2: diastole closure of semilunar valves mitral stenosis
aortic regurgitation
25. S3: normal variant in children, healthy young adults, and athletes heart failure early
diastole
26. S4: left ventricle hypertrophy late diastole
27. Tanner stages males: ii: no changes to penis, testes enlarge
Pubic hair is sparse and straight
28. Tanner stages males: iii: penis lengthens hair darker and starts to curl
29. Tanner stages males: iv: penis increases in length and width hair coarse, not yet on
medial thigh
30. Tanner stages females: ii: breast buds pubic hair sparse and straight
31. Tanner stages females: iii: breast tissue and areola in one mound hair darker, starts
to curl
32. Tanner stages females: iv: areola separates and forms a secondary mound hair
coarse, not on medial thigh yet
33. Torch infections: toxoplasmosis other
Rubella
Cytomegalovirus
Herpes
34. Osteoarthritis vs rheomatoid arthritis: oa: stiffness, heberden's nodes, increase
age, overuse, family history
Ra: relies more on labs, increased esr, bouchard's nodes, fatigue, fever, body aches
35. Drawer test: instability of the knee mediolateral and anteroposterior plane torn or
ruptured ligament
36. Fundal height 12 weeks: just above pubic bone
37. Fundal height 20 weeks: level of umbilicus
38. Fundal height 20-35 weeks: number of weeks gestation +/- 2 cm
,39. Apraxia: loss of ability to perform purposeful movements in the absence of sensory
or motor damage
40. Ectopic pregnancy: amenorrhea, new onset of vaginal spotting, left adnexal
tenderness, and cervical motion tenderness
41. G6pd anemia: hereditary, rbc break down, hemolysis
Meds that can trigger: antimalarial drugs, aspirin, nitrofurantoin, nsaids, quinidine,
quinine, sulfa
42. Pheochromocytoma: a benign tumor of the adrenal medulla that causes the gland to
produce excess epinephrine and norepinephrine
These hormones control heart rate, metabolism, and blood pressure
43. Fitz-hugh-curtis: perihepatic inflammation & fibrosis;
Complication of chlamydia and pelvic inflammatory disease
Sharp pain in ruq
44. Subconjunctival hemorrhage risk factors: bright red patches in conjunctiva of
eyes due to ruptured blood vessels
Risk factors: dm, htn, coughing, sneezing, blood thinners, aspirin, ginkgo
Benign, will spontaneously resolve
45. Atopic dermatitis: excess inflammation; dry skin, redness, and itching from
allergies and irritants.
Linear
46. Koplik spots: rubeola (measles) small white papules inside the cheeks by rear
molars
47. Treponema pallidum symptoms: syphilis
Painless chancre, maculopapular rash on palms and soles, lymphadenopathy, condyloma
acata
48. Hcg is produced by: placenta after implantation
49. Majority of afp is produced by: fetal liver
50. Inevitable abortion: bleeding and cramping/pain with cervical dilation but no
passage of tissue
51. Incomplete abortion: moderate to diffuse vaginal bleeding, passage of tissue,
painful uterine cramping or contractions 52. Mmr and pregnancy: contraindicated
wait 4 weeks before becoming pregnant
53. Positive signs of pregnancy: ultrasound, auscultation of fetal hr with doppler 54.
Probable signs of pregnancy: detected by examiner blood and urine tests, chadwick's
sign, goodell's sign, hegar's sign, enlarged uterus
, 55. Presumptive signs of pregnancy: felt by woman amenorrhea, nausea, breast
tenderness, deepening pigmentation, urinary frequency, quickening, fatigue
56. Testing hpv: lesions will turn white with application of acetic acid
57. Ocd treatment: ssri
58. First step for dementia assessment: history from family and friends
59. Phalen maneuver: tests carpel tunnel syndrome, pinches median nerve 60. Chronic
cough causes: postnasal drip, asthma, gerd, chronic bronchitis, bronchiectasis,
allergic rhinitis
61. Aspirin effect on platelets: irreversible, can last 15-20 days
62. Chromolyn sodium inhaler: prevent symptoms of asthma 63.
Rovsign's sign: acute abdomen palpate deep llq, referred pain to rlq
64. Cauda equina: caused by compression of lumbar, sacral, or coccygeal nerve roots
loss of bladder and bowel control paralysis/numbness of legs
Cause: disc herniation. Abscess, tumor, inflammation
order mri
65. Placenta abruptio: premature separation of the placenta from the wall of the
uterus
Bright red vaginal bleeding, board-like uterus on palpation, pain
66. Jarisch-herxheimer reaction: flu-like syndrome (fever, chills, headache,
myalgia) after antibiotics are started; due to killed bacteria (usually spirochetes) releasing
endotoxins.
Treatment of syphilis, first 24 hours
Headache, myalgias, rigors, sweating, hypotension, worsening of rash spontaneously
resolves in 12-24 hours
67. Coarctation of the aorta: congenital cardiac condition characterized by a
narrowing of the aorta
Blood pressure higher in arms than legs
68. Mitral valve prolapse: improper closure of the mitral valve late systolic murmur
in the apical area mid-systolic click
69. Pterygium: triangular opaque tissue on the nasal side of the conjunctiva that
grows toward the center of the cornea cause by long-term sun exposure
70. Corneal arcus senilis: lipid deposits in the periphery of the eye white to grey
colored ring around the edge of the cornea in both eyes
71. Pingeucula: benign growth on the conjunctiva caused by degeneration of collagen
fibers
Cause by long-term sun exposure
AND VERIFIED ANSWERS () 100%
GUARANTEE PASS
1. Diverticulum can be an infection of: both gram - and + bacteria
2. Which diuretic should be used for osteoporosis?: thiazide diuretics:
Slows the kidneys excretion of calcium and increases reabsorption
3. Lachman maneuver: knee instability tear of acl
4. Infections of labia and vagina: bacterial vaginosis, candidiasis, and trichomoniasis
5. Chlamydia affects: cervix, endometrial lining, fallopian tubes, pelvic cavity 6. Acute
abdomen symptoms: involuntary guarding, rebound tenderness, board-like abdomen,
+obturator and psoas sign
7. Care of preecplampsia: bed rest, weight and blood pressure monitoring
8. Preeclampsia labs: urine protein, serum protein, creatinine, platelet count
9. Preeclampsia symptoms: hypertension, proteinuria, edema (weight gain)
10. Preeclampsia complications: placental abruption, coagulopathy (dic), renal
failure, uteroplacental insufficiency, liver failure, hypertensive encephalopathy, retinal
detachment, pulmonary edema, seizure, death
11. Community acquired pneumonia most common bacteria least common
bacteria population
Treatment: mycolpasma pneumoniae
(atypical) h. Influenza, strep pneumoniae
atypical: psuedomonas aeruginosa college
student, school children, military macrolides:
azithromycin, clarithromycin 12. Mantoux
test: positive: 5mm
Positive for recent immigrants: 10mm 13. Murphy's sign: biliary disorders deep
inspiration by patient and deep palpation ruq below costovertebral angle 14. Placenta
previa: implantation of the placenta over the cervical opening or in the lower region of
the uterus
Painless bright red blood in the second or third trimester
Order abdominal us
15. Hashimoto's is most common in which population: middle age to older women
16. Hypertension retinopathy: av nicking and copper or silver wire arterioles flame-
shaped hemorrhages
17. Threatened abortion: vaginal bleeding and cramping, soft uterus, cervix closed
,18. Bacterial vaginosis: fishy odor, milky white or dull gray discharge ph > 4.5 > 20%
clue cells koh whiff test
19. Squamous cells dotted with lots of bacteria that obscure borders: clue cells 20.
Lichen sclerosis: skin disease, white spots appear over time, most common genital
and rectal most common in older woman itching, discomfort, bleeding order biopsy
21. Av valves: mitral and tricuspid
22. Semilunar valves: pulmonary and aortic 23. S1: systole
closure of av valves mitral regurgitation aortic stenosis 24.
S2: diastole closure of semilunar valves mitral stenosis
aortic regurgitation
25. S3: normal variant in children, healthy young adults, and athletes heart failure early
diastole
26. S4: left ventricle hypertrophy late diastole
27. Tanner stages males: ii: no changes to penis, testes enlarge
Pubic hair is sparse and straight
28. Tanner stages males: iii: penis lengthens hair darker and starts to curl
29. Tanner stages males: iv: penis increases in length and width hair coarse, not yet on
medial thigh
30. Tanner stages females: ii: breast buds pubic hair sparse and straight
31. Tanner stages females: iii: breast tissue and areola in one mound hair darker, starts
to curl
32. Tanner stages females: iv: areola separates and forms a secondary mound hair
coarse, not on medial thigh yet
33. Torch infections: toxoplasmosis other
Rubella
Cytomegalovirus
Herpes
34. Osteoarthritis vs rheomatoid arthritis: oa: stiffness, heberden's nodes, increase
age, overuse, family history
Ra: relies more on labs, increased esr, bouchard's nodes, fatigue, fever, body aches
35. Drawer test: instability of the knee mediolateral and anteroposterior plane torn or
ruptured ligament
36. Fundal height 12 weeks: just above pubic bone
37. Fundal height 20 weeks: level of umbilicus
38. Fundal height 20-35 weeks: number of weeks gestation +/- 2 cm
,39. Apraxia: loss of ability to perform purposeful movements in the absence of sensory
or motor damage
40. Ectopic pregnancy: amenorrhea, new onset of vaginal spotting, left adnexal
tenderness, and cervical motion tenderness
41. G6pd anemia: hereditary, rbc break down, hemolysis
Meds that can trigger: antimalarial drugs, aspirin, nitrofurantoin, nsaids, quinidine,
quinine, sulfa
42. Pheochromocytoma: a benign tumor of the adrenal medulla that causes the gland to
produce excess epinephrine and norepinephrine
These hormones control heart rate, metabolism, and blood pressure
43. Fitz-hugh-curtis: perihepatic inflammation & fibrosis;
Complication of chlamydia and pelvic inflammatory disease
Sharp pain in ruq
44. Subconjunctival hemorrhage risk factors: bright red patches in conjunctiva of
eyes due to ruptured blood vessels
Risk factors: dm, htn, coughing, sneezing, blood thinners, aspirin, ginkgo
Benign, will spontaneously resolve
45. Atopic dermatitis: excess inflammation; dry skin, redness, and itching from
allergies and irritants.
Linear
46. Koplik spots: rubeola (measles) small white papules inside the cheeks by rear
molars
47. Treponema pallidum symptoms: syphilis
Painless chancre, maculopapular rash on palms and soles, lymphadenopathy, condyloma
acata
48. Hcg is produced by: placenta after implantation
49. Majority of afp is produced by: fetal liver
50. Inevitable abortion: bleeding and cramping/pain with cervical dilation but no
passage of tissue
51. Incomplete abortion: moderate to diffuse vaginal bleeding, passage of tissue,
painful uterine cramping or contractions 52. Mmr and pregnancy: contraindicated
wait 4 weeks before becoming pregnant
53. Positive signs of pregnancy: ultrasound, auscultation of fetal hr with doppler 54.
Probable signs of pregnancy: detected by examiner blood and urine tests, chadwick's
sign, goodell's sign, hegar's sign, enlarged uterus
, 55. Presumptive signs of pregnancy: felt by woman amenorrhea, nausea, breast
tenderness, deepening pigmentation, urinary frequency, quickening, fatigue
56. Testing hpv: lesions will turn white with application of acetic acid
57. Ocd treatment: ssri
58. First step for dementia assessment: history from family and friends
59. Phalen maneuver: tests carpel tunnel syndrome, pinches median nerve 60. Chronic
cough causes: postnasal drip, asthma, gerd, chronic bronchitis, bronchiectasis,
allergic rhinitis
61. Aspirin effect on platelets: irreversible, can last 15-20 days
62. Chromolyn sodium inhaler: prevent symptoms of asthma 63.
Rovsign's sign: acute abdomen palpate deep llq, referred pain to rlq
64. Cauda equina: caused by compression of lumbar, sacral, or coccygeal nerve roots
loss of bladder and bowel control paralysis/numbness of legs
Cause: disc herniation. Abscess, tumor, inflammation
order mri
65. Placenta abruptio: premature separation of the placenta from the wall of the
uterus
Bright red vaginal bleeding, board-like uterus on palpation, pain
66. Jarisch-herxheimer reaction: flu-like syndrome (fever, chills, headache,
myalgia) after antibiotics are started; due to killed bacteria (usually spirochetes) releasing
endotoxins.
Treatment of syphilis, first 24 hours
Headache, myalgias, rigors, sweating, hypotension, worsening of rash spontaneously
resolves in 12-24 hours
67. Coarctation of the aorta: congenital cardiac condition characterized by a
narrowing of the aorta
Blood pressure higher in arms than legs
68. Mitral valve prolapse: improper closure of the mitral valve late systolic murmur
in the apical area mid-systolic click
69. Pterygium: triangular opaque tissue on the nasal side of the conjunctiva that
grows toward the center of the cornea cause by long-term sun exposure
70. Corneal arcus senilis: lipid deposits in the periphery of the eye white to grey
colored ring around the edge of the cornea in both eyes
71. Pingeucula: benign growth on the conjunctiva caused by degeneration of collagen
fibers
Cause by long-term sun exposure
