AANP FNP certification UPDATED Exam
Questions and CORRECT Answers
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 - CORRECT ANSWER- III
first time audible, IV first time thrill
Fundal height 12 weeks - CORRECT ANSWER- 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? - CORRECT ANSWER- Iron, TIBC
3 months of synthroid, TSH increased, T4 normal, what do you do? - CORRECT ANSWER-
Increase Medication
3 ways to assess cognitive function in patient with signs/symptoms of memory loss -
CORRECT ANSWER- Mini mental exam
4 month old with strabismus, mom is worried...... - CORRECT ANSWER- tell her it is
normal.
4 month old wont keep anything down, what is the main thing you look at? - CORRECT
ANSWER- Growth chart
6 month old closed anterior fontanel. - CORRECT ANSWER- XRAY
Abnormal cells on PAP, what do you do next? - CORRECT ANSWER- Refer for Colposcopy
,CAGE ACRONYM - CORRECT ANSWER- Cut down
Annoyed by criticism
Guilty about drinking
Eye opener drink
Causes of tachycardia - CORRECT ANSWER- Fever
Anemia
Hypotension
Cranial nerves responsible for extraocular eye movements - CORRECT ANSWER- CN 3,4,6
Definition of metabolic syndrome - CORRECT ANSWER- cluster of conditions that increase
risk of heart disease, stroke, diabetes.
diagnose trichomoniasis - CORRECT ANSWER- wet prep
Elderly presents with atrophic vaginitis, small uterus, palpable 4x5 ovary, what do you do
next? - CORRECT ANSWER- Pelvic US
Epistaxis is most common in the area of the nose known as kiesselbachs triangle, where is
this located? - CORRECT ANSWER- Anterior septum
Definitive diagnosis of acute bacterial prostatitis - CORRECT ANSWER- urinalysis and
culture
GERD treatment - CORRECT ANSWER- H2 is first line, give hs
Grade 3 cells on Pap, treatment? - CORRECT ANSWER- LEEP
excision
Fingernail hematoma treatment? - CORRECT ANSWER- drill hole and drain blood?
, Increased risk of ectopic pregnancy - CORRECT ANSWER- Salpingitis, or history of
abortion, PID,
Koplick spots - CORRECT ANSWER- Measles (rubeola). Grains of salt lesions inside mouth
in Measles
Koplick spots - CORRECT ANSWER- Measles (rubeola). Grains of salt lesions inside mouth
in Measles
Legg-Calve-Perthes Disease - CORRECT ANSWER- Avascular necrosis of the proximal
femoral head
Lipid level of 1500, increased risk for? - CORRECT ANSWER- Pancreatitis
Low HGB, Low HCT, High MCV indicates what? - CORRECT ANSWER- Macrocytic
anemia, B12 Def
Man with BPH, prostate feels on digital exam? - CORRECT ANSWER- Enlarged,
symmetrical, smooth
Man with HTN, CAD, present femoral pulses but absent pedal - CORRECT ANSWER-
Arterial Insufficiency
McMurray's Sign
(+) palpable or audible click while extending with varus stress - CORRECT ANSWER-
Meniscus tears
Lachman's Test - CORRECT ANSWER- pivot shift test (ACL tear)
Newborn with foot turned in, what do you do? - CORRECT ANSWER- refer to orthopedist
Osgood-Schlatter disease - CORRECT ANSWER- Knee pain.
inflammation or irritation of the tibia at its point of attachment with the patellar tendon
Questions and CORRECT Answers
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 - CORRECT ANSWER- III
first time audible, IV first time thrill
Fundal height 12 weeks - CORRECT ANSWER- 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? - CORRECT ANSWER- Iron, TIBC
3 months of synthroid, TSH increased, T4 normal, what do you do? - CORRECT ANSWER-
Increase Medication
3 ways to assess cognitive function in patient with signs/symptoms of memory loss -
CORRECT ANSWER- Mini mental exam
4 month old with strabismus, mom is worried...... - CORRECT ANSWER- tell her it is
normal.
4 month old wont keep anything down, what is the main thing you look at? - CORRECT
ANSWER- Growth chart
6 month old closed anterior fontanel. - CORRECT ANSWER- XRAY
Abnormal cells on PAP, what do you do next? - CORRECT ANSWER- Refer for Colposcopy
,CAGE ACRONYM - CORRECT ANSWER- Cut down
Annoyed by criticism
Guilty about drinking
Eye opener drink
Causes of tachycardia - CORRECT ANSWER- Fever
Anemia
Hypotension
Cranial nerves responsible for extraocular eye movements - CORRECT ANSWER- CN 3,4,6
Definition of metabolic syndrome - CORRECT ANSWER- cluster of conditions that increase
risk of heart disease, stroke, diabetes.
diagnose trichomoniasis - CORRECT ANSWER- wet prep
Elderly presents with atrophic vaginitis, small uterus, palpable 4x5 ovary, what do you do
next? - CORRECT ANSWER- Pelvic US
Epistaxis is most common in the area of the nose known as kiesselbachs triangle, where is
this located? - CORRECT ANSWER- Anterior septum
Definitive diagnosis of acute bacterial prostatitis - CORRECT ANSWER- urinalysis and
culture
GERD treatment - CORRECT ANSWER- H2 is first line, give hs
Grade 3 cells on Pap, treatment? - CORRECT ANSWER- LEEP
excision
Fingernail hematoma treatment? - CORRECT ANSWER- drill hole and drain blood?
, Increased risk of ectopic pregnancy - CORRECT ANSWER- Salpingitis, or history of
abortion, PID,
Koplick spots - CORRECT ANSWER- Measles (rubeola). Grains of salt lesions inside mouth
in Measles
Koplick spots - CORRECT ANSWER- Measles (rubeola). Grains of salt lesions inside mouth
in Measles
Legg-Calve-Perthes Disease - CORRECT ANSWER- Avascular necrosis of the proximal
femoral head
Lipid level of 1500, increased risk for? - CORRECT ANSWER- Pancreatitis
Low HGB, Low HCT, High MCV indicates what? - CORRECT ANSWER- Macrocytic
anemia, B12 Def
Man with BPH, prostate feels on digital exam? - CORRECT ANSWER- Enlarged,
symmetrical, smooth
Man with HTN, CAD, present femoral pulses but absent pedal - CORRECT ANSWER-
Arterial Insufficiency
McMurray's Sign
(+) palpable or audible click while extending with varus stress - CORRECT ANSWER-
Meniscus tears
Lachman's Test - CORRECT ANSWER- pivot shift test (ACL tear)
Newborn with foot turned in, what do you do? - CORRECT ANSWER- refer to orthopedist
Osgood-Schlatter disease - CORRECT ANSWER- Knee pain.
inflammation or irritation of the tibia at its point of attachment with the patellar tendon
