AANP FNP CERTIFICATION LATEST 2023- v v v v
2024 WITH 200 REAL EXAM QUESTIONS AND CORREC
v v v v v v v
T ANSWERS (VERIFIED ANSWERS) |AGRADE v v v v v
vv
3 month old infant with down syndrome, due to milk intolerance, mom start
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ed on goats milk; now has pale conjunctiva but otherwise healthy.
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Low HCT. What additional test would you order? - ANSWER- Iron,
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TIBC vv
vv
3 months of synthroid, TSH increased, T4 normal, what do you do? -
v v v v v v v v v v v v
vv
ANSWER- Increase Medication v v
vv
3 ways to assess cognitive function in patient with signs/symptoms of
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vv
memory loss - ANSWER- Mini mental exam v v v v v v
vv
4 month old with strabismus, mom is worried...... - ANSWER- tell her it
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vv
is normal.
v
vv
4 month old wont keep anything down, what is the main thing you look
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vv
at? - ANSWER- Growth chart
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vv
6 month old closed anterior fontanel. - ANSWER- XRAY
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vv
Abnormal cells on PAP, what do you do next? - ANSWER- Refer for
v v v v v v v v v v v v v
vv
Colposcopy
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CAGE ACRONYM - ANSWER- Cut down v v v v v
vv
Annoyed by criticism Guilty about drinking v v v v v
vv
vv
Eye opener drink v v
vv
Causes of tachycardia - ANSWER- Fever v v v v v
vv
Anemia
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Hypotensio n v v
vv
Cranial nerves responsible for extraocular eye movements - ANSWER-
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, vv
CN 3,4,6 v
vv
Definition of metabolic syndrome - ANSWER- cluster of conditions that
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vv
increase risk of heart disease, stroke, diabetes.
v v v v v v
vv
diagnose trichomoniasis - ANSWER- wet prep
v v v v v vv
vv
Elderly presents with atrophic vaginitis, small uterus, palpable 4x5
v v v v v v v v v
vv
ovary, what do you do next? - ANSWER- Pelvic US
v v v v v v v v v
vv
Epistaxis is most common in the area of the nose known as kiesselbachs
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vv
triangle, where is this located? - ANSWER- Anterior septum
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vv
Definitive diagnosis of acute bacterial prostatitis - ANSWER- urinalysis
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vv
and culture
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vv
GERD treatment - ANSWER- H2 is first line, give hs
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vv
Grade 3 cells on Pap, treatment? - ANSWER- LEEP
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vv
excision
vv
Fingernail hematoma treatment? - ANSWER- drill hole and drain blood?
v v v v v v v v v vv
vv
Increased risk of ectopic pregnancy - ANSWER- Salpingitis, or history
v v v v v v v v v v
vv
of abortion, PID,
v v
vv
Koplick spots - ANSWER- Measles (rubeola). Grains of salt lesions
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vv
inside mouth in Measles
v v v
vv
Koplick spots - ANSWER- Measles (rubeola). Grains of salt lesions
v v v v v v v v v v
vv
inside mouth in Measles
v v v
vv
Legg-Calve-Perthes Disease - ANSWER- Avascular necrosis of the v v v v v v v v
vv
proximal femoral head v v
vv
Lipid level of 1500, increased risk for? - ANSWER- Pancreatitis
v v v v v v v v v vv
vv
Low HGB, Low HCT, High MCV indicates what? - ANSWER-
v v v v v v v v v
vv
Macrocytic anemia, B12 Def v v v
vv
Man with BPH, prostate feels on digital exam? - ANSWER- Enlarged,
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, vv
symmetrical, smooth v
vv
Man with HTN, CAD, present femoral pulses but absent pedal -
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vv
ANSWER- Arterial Insufficiency v v
vv
McMurray's Sign v vv
(+) palpable or audible click while extending with varus stress - ANSWER-
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Meniscus tears
v v vv
vv
Lachman's Test - ANSWER- pivot shift test (ACL tear)
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vv
Newborn with foot turned in, what do you do? - ANSWER- refer to
v v v v v v v v v v v v v
vv
orthopedist
vv
Osgood-Schlatter disease - ANSWER- Knee pain. v v v v v vv
inflammation or irritation of the tibia at its point of attachment with the
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patellar tendon v vv
vv
Patient forgot to start Thanksgiving dinner and husband states she has troub
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le remembering tasks and trouble with organization. What is this
v v v v v v v v v v
vv
indicative of? - ANSWER- Alzheimer's v v v v
vv
Pt has Barretts Esophagus, insurance no longer covers GI who was treating
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condition. Pt at FNP office wanting refill prescriptions. What do you do? -
v v v v v v v v v v v v
ANSWER- Refer to oncologist
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vv
Pt presents with rash on shoulder, erythematous maculopapular rash
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vv
with center clearing and scaling? - ANSWER- Tinea Corporis
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vv
Pt presents with "bag of worms:, indicates? - ANSWER- Varicocele
v v v v v v v v v vv
vv
Pt with atopic dermatitis, look for what other diseases? - ANSWER-
v v v v v v v v v v
vv
Asthma
vv
Pt with bleeding after menopause - ANSWER- endometrial biopsy, need
v v v v v v v v v v
vv
to screen for cancer
v v v
vv
Pt with hx of PID, increased rick for? - ANSWER- Infertility
v v v v v v v v v v vv
vv
, Pt with HIV took high potency anti viral treatments and CD4 is >400, what
v v v v v v v v v v v v v v
does this indicate? - ANSWER- This is good. Want higher than 350
v v v v v v v v v v vv vv
vv
Pt with hx of htn and stroke, now having memory loss. What does this
v v v v v v v v v v v v v v
vv
indicate? - ANSWER- Vascular dementia v v v v
vv
Pregnant teacher with exposure to 5ths disease (SLAP CHEEK), what risk
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is there to the fetus? - ANSWER-
v v v v v v
vslap cheek, PVB19, rash hands / feet Fetal death and birth defects
v v v v v v v v v v v vv
Quick assessment of patients fall risk? Timed Get up and Go -
v v v v v v v v v v v
vv
ANSWER- Timed Get up and Go v v v v v
vv
Red beefy tongue? - ANSWER- pernicious anemia
v v v v v v vv
vv
Rotator cuff injury presentation - ANSWER- disturbs sleep, arm
v v v v v v v v v
vv
weakness, dull ache v v
vv
Shingles near eye - ANSWER- immediate referral to ophthalmology
v v v v v v v v vv
vv
Signs and symptoms of Roseola (6ths disease) ? - ANSWER-
v v v v v v v v v
vViral infection v vv
Can result in a maculopapular rash, but up to 70% of cases proceed without
v v v v v v v v v v v v v v
the rash stage v v vv
-
Usually accompanied by a high fever (41°C or 105°F) that comes on quickl
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y and lasts up to 3 days followed by rash -
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Seizures may occur during this period. v v v v v vv
-
On the fourth day, the fever disappears and the rash appears, first on chest a
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nd trunk, then less prominently on the face and limbs.
v v v v v v v v v vv
-High fever, pink flat or raised rash
v v v v v v vv
vv
Treatment for chronic alcoholism: - ANSWER- 12 step program v v v v v v v v vv
vv
Treatment for Gonorrhea? - ANSWER- v v v v
Rocephin 250mg IMx1 plus Azithromycin 1 gm orally x1 to cover chlamy
v v v v v v v v v v v v
2024 WITH 200 REAL EXAM QUESTIONS AND CORREC
v v v v v v v
T ANSWERS (VERIFIED ANSWERS) |AGRADE v v v v v
vv
3 month old infant with down syndrome, due to milk intolerance, mom start
v v v v v v v v v v v v
ed on goats milk; now has pale conjunctiva but otherwise healthy.
v v v v v v v v v v vv
Low HCT. What additional test would you order? - ANSWER- Iron,
v v v v v v v v v v vv
TIBC vv
vv
3 months of synthroid, TSH increased, T4 normal, what do you do? -
v v v v v v v v v v v v
vv
ANSWER- Increase Medication v v
vv
3 ways to assess cognitive function in patient with signs/symptoms of
v v v v v v v v v v v
vv
memory loss - ANSWER- Mini mental exam v v v v v v
vv
4 month old with strabismus, mom is worried...... - ANSWER- tell her it
v v v v v v v v v v v v v
vv
is normal.
v
vv
4 month old wont keep anything down, what is the main thing you look
v v v v v v v v v v v v v v
vv
at? - ANSWER- Growth chart
v v v v
vv
6 month old closed anterior fontanel. - ANSWER- XRAY
v v v v v v v v vv
vv
Abnormal cells on PAP, what do you do next? - ANSWER- Refer for
v v v v v v v v v v v v v
vv
Colposcopy
vv
CAGE ACRONYM - ANSWER- Cut down v v v v v
vv
Annoyed by criticism Guilty about drinking v v v v v
vv
vv
Eye opener drink v v
vv
Causes of tachycardia - ANSWER- Fever v v v v v
vv
Anemia
vv
Hypotensio n v v
vv
Cranial nerves responsible for extraocular eye movements - ANSWER-
v v v v v v v v
, vv
CN 3,4,6 v
vv
Definition of metabolic syndrome - ANSWER- cluster of conditions that
v v v v v v v v v v
vv
increase risk of heart disease, stroke, diabetes.
v v v v v v
vv
diagnose trichomoniasis - ANSWER- wet prep
v v v v v vv
vv
Elderly presents with atrophic vaginitis, small uterus, palpable 4x5
v v v v v v v v v
vv
ovary, what do you do next? - ANSWER- Pelvic US
v v v v v v v v v
vv
Epistaxis is most common in the area of the nose known as kiesselbachs
v v v v v v v v v v v v v
vv
triangle, where is this located? - ANSWER- Anterior septum
v v v v v v v v
vv
Definitive diagnosis of acute bacterial prostatitis - ANSWER- urinalysis
v v v v v v v v
vv
and culture
v
vv
GERD treatment - ANSWER- H2 is first line, give hs
v v v v v v v v v vv
vv
Grade 3 cells on Pap, treatment? - ANSWER- LEEP
v v v v v v v v
vv
excision
vv
Fingernail hematoma treatment? - ANSWER- drill hole and drain blood?
v v v v v v v v v vv
vv
Increased risk of ectopic pregnancy - ANSWER- Salpingitis, or history
v v v v v v v v v v
vv
of abortion, PID,
v v
vv
Koplick spots - ANSWER- Measles (rubeola). Grains of salt lesions
v v v v v v v v v v
vv
inside mouth in Measles
v v v
vv
Koplick spots - ANSWER- Measles (rubeola). Grains of salt lesions
v v v v v v v v v v
vv
inside mouth in Measles
v v v
vv
Legg-Calve-Perthes Disease - ANSWER- Avascular necrosis of the v v v v v v v v
vv
proximal femoral head v v
vv
Lipid level of 1500, increased risk for? - ANSWER- Pancreatitis
v v v v v v v v v vv
vv
Low HGB, Low HCT, High MCV indicates what? - ANSWER-
v v v v v v v v v
vv
Macrocytic anemia, B12 Def v v v
vv
Man with BPH, prostate feels on digital exam? - ANSWER- Enlarged,
v v v v v v v v v v v
, vv
symmetrical, smooth v
vv
Man with HTN, CAD, present femoral pulses but absent pedal -
v v v v v v v v v v
vv
ANSWER- Arterial Insufficiency v v
vv
McMurray's Sign v vv
(+) palpable or audible click while extending with varus stress - ANSWER-
v v v v v v v v v v v
Meniscus tears
v v vv
vv
Lachman's Test - ANSWER- pivot shift test (ACL tear)
v v v v v v v v vv
vv
Newborn with foot turned in, what do you do? - ANSWER- refer to
v v v v v v v v v v v v v
vv
orthopedist
vv
Osgood-Schlatter disease - ANSWER- Knee pain. v v v v v vv
inflammation or irritation of the tibia at its point of attachment with the
v v v v v v v v v v v v v
patellar tendon v vv
vv
Patient forgot to start Thanksgiving dinner and husband states she has troub
v v v v v v v v v v v
le remembering tasks and trouble with organization. What is this
v v v v v v v v v v
vv
indicative of? - ANSWER- Alzheimer's v v v v
vv
Pt has Barretts Esophagus, insurance no longer covers GI who was treating
v v v v v v v v v v v v
condition. Pt at FNP office wanting refill prescriptions. What do you do? -
v v v v v v v v v v v v
ANSWER- Refer to oncologist
v v v v vv
vv
Pt presents with rash on shoulder, erythematous maculopapular rash
v v v v v v v v v
vv
with center clearing and scaling? - ANSWER- Tinea Corporis
v v v v v v v v
vv
Pt presents with "bag of worms:, indicates? - ANSWER- Varicocele
v v v v v v v v v vv
vv
Pt with atopic dermatitis, look for what other diseases? - ANSWER-
v v v v v v v v v v
vv
Asthma
vv
Pt with bleeding after menopause - ANSWER- endometrial biopsy, need
v v v v v v v v v v
vv
to screen for cancer
v v v
vv
Pt with hx of PID, increased rick for? - ANSWER- Infertility
v v v v v v v v v v vv
vv
, Pt with HIV took high potency anti viral treatments and CD4 is >400, what
v v v v v v v v v v v v v v
does this indicate? - ANSWER- This is good. Want higher than 350
v v v v v v v v v v vv vv
vv
Pt with hx of htn and stroke, now having memory loss. What does this
v v v v v v v v v v v v v v
vv
indicate? - ANSWER- Vascular dementia v v v v
vv
Pregnant teacher with exposure to 5ths disease (SLAP CHEEK), what risk
v v v v v v v v v v v
is there to the fetus? - ANSWER-
v v v v v v
vslap cheek, PVB19, rash hands / feet Fetal death and birth defects
v v v v v v v v v v v vv
Quick assessment of patients fall risk? Timed Get up and Go -
v v v v v v v v v v v
vv
ANSWER- Timed Get up and Go v v v v v
vv
Red beefy tongue? - ANSWER- pernicious anemia
v v v v v v vv
vv
Rotator cuff injury presentation - ANSWER- disturbs sleep, arm
v v v v v v v v v
vv
weakness, dull ache v v
vv
Shingles near eye - ANSWER- immediate referral to ophthalmology
v v v v v v v v vv
vv
Signs and symptoms of Roseola (6ths disease) ? - ANSWER-
v v v v v v v v v
vViral infection v vv
Can result in a maculopapular rash, but up to 70% of cases proceed without
v v v v v v v v v v v v v v
the rash stage v v vv
-
Usually accompanied by a high fever (41°C or 105°F) that comes on quickl
v v v v v v v v v v v v
y and lasts up to 3 days followed by rash -
v v v v v v v v v v
Seizures may occur during this period. v v v v v vv
-
On the fourth day, the fever disappears and the rash appears, first on chest a
v v v v v v v v v v v v v v
nd trunk, then less prominently on the face and limbs.
v v v v v v v v v vv
-High fever, pink flat or raised rash
v v v v v v vv
vv
Treatment for chronic alcoholism: - ANSWER- 12 step program v v v v v v v v vv
vv
Treatment for Gonorrhea? - ANSWER- v v v v
Rocephin 250mg IMx1 plus Azithromycin 1 gm orally x1 to cover chlamy
v v v v v v v v v v v v
