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AANP Certification
If your patient is in the catarrhal stage of pertussis, upon examination you would find which of the following?: You would find mild
upper respiratory symptoms with cough. And mild conjunctival injection. It is really indistinguishable from the common cold.
What would NOT be considered a typical finding in a geriatric patient?: Low frequency hearing loss. A typical finding in a geriatric
patient would be a high frequency hearing loss. The speaking voice is high frequency. Degenerative changes of the ossicles, fewer
auditory neurons and atrophy of the hair cells results in sensorineural hearing loss.
Typical findings in a geriatric patient?: Thinner epidermis, dermis and subcutaneous layers of skin, bright purple-colored
patches on the forearms and hands, opaque white ring at the periphery of the cornea
Risk factors for age-related macular degeneration: Tobacco use, aging, sun exposure and family history 5. Underweight BMI:
<18.5
6. Normal BMI: 18.5-24.9
7. Overweight BMI: 25-29.9
8. Obese BMI: 30-39.9
9. Grossly obese BMI: >40
10. Pregnancy Category A Drugs: Vitamins and levothyroxine
11. Pregnancy Category B Drugs: Acetaminophen, ibuprofen, penicillins, cephalosporins, and azithromycin and erythromycin
antibiotics.
12. A geriatric patient who has a 40 pack-year smoking history complains of painful cramping in the leg muscles that occurs after walking for
20 minutes. After taking a complete history and performing a physical exam, an NP decides that the most likely diagnosis is?:
Intermittent claudication 13. What is a common cause of acne?: Increase in androgens
14. In a 19-year-old who presents with a sore throat and anterior cervical adenopathy, which causative agent would be suspected?: Group A
beta-hemolytic Streptococcus
15. When completing the initial assessment for depression in geriatric adults, the NP should evaluate?: Mental status exam
16. What is the most common risk factor for developing severe hyperbilirubinemia in the newborn?: Blood incompatibility with the mother
17. Which trimester of pregnancy is a woman with a fundal height measurement at the umbilicus?: Second
18. Which of the following conditions exacerbate urinary incontinence?: Impacted stool and atrophic vaginitis
19. An adult patient presents with a 2-day history of intermittent stabbing chest pain that worsens with deep breaths. The patient reports a
nonproductive cough and no fever for several days, and denies trauma, palpitations or GI symptoms. VS normal. Lungs are clear, heart
sounds normal. PE reveals localized chest wall tenderness at the costal margin. EKG and CXR normal.
The most likely diagnosis is?: Costchondritis
20. The most common skin cancer is?: Basal cell carcinoma
21. What is true regarding depression in the elderly?: Depression can be induced by prescribed and OTC medications
,22. Acute otitis media has what characteristics?: Loss of ossicular landmarks on the TM
23. What constellations of symptoms, lasting more than 3 months, is MOST common in fibromyalgia?: Diffuse pain, sleep abnormality,
fatigue
24. An adult male is seen for an initial visit. He denies tobacco, drug, or ETOH use. He has a sedentary lifestyle and no family history of DM.
VS normal, BMI =
31. What diabetes screening tests would an NP order?: Fasting plasma glucose 25. An adolescent presents for a preparticipation athlete
exam. In determining clearance for participation in sports, what should be considered?: Characteristics of the sport
26. Urinary and bowel dysfunction, saddle anesthesia, and leg weakness or foot drop are signs of?: Cauda equina syndrome
27. The NP would suspect what person to be at the highest risk for Rocky
Mountain spotted fever?: A 40-year old male who is living in a wooded area raising dogs
28. What condition is associated with the development of type 2 DM?: Delivery of a neonate weighing 9 lb or greater
29. What condition is a risk factor for development of DVT and PE?: Visceral malignancy
30. Research studies indicate that ED in geriatric patients is a common complication in?: Vascular disease
31. What neuro signs are characteristic of the patient with AD?: Gait disorder and impaired stereognosis
32. A frail elderly male patient complains of difficulty with urination. The International Prostate Symptom Score can assist with decisions
regarding the diagnosis of BPH. What symptom is consistent with the items on this scale?: Nocturia
33. The best medication for a patient who complains of IBS with cramping is?: Dicyclomine (Bentyl)
34. Major causes of CKD include?: Amyloidosis and SLE
35 A risk factor postmeno osteoporosis is?: History of tobacco use
36. An NP considering referral of a frail elderly patient for hospice care understands that?: Documentation of limited life expectancy is
a prerequisite
37. The sound intensity of a grade III/VI hear murmur is typically described as?: Medium intensity
38. What is associated with decreased risk of breast cancer?: Breast feeding 39. An adult patient present with complaints of nausea,
fatigue, and myalgia. The patient reports a history of untreated hep B 30 years ago. What hep B serology testing results would indicate that the
patient has chronic hepatitis?: HBsAG = positive, IgM anti-HBc = negative
40. A geriatric patient with anemia, back pain, osteoporosis, and elevated ESR should be evaluated for?: Multiple myeloma
41. An older adult female presents with severe pain. She reports malaise, and periodic itching and burning on her chest wall. PE reveals a
small area of hyperesthesia in a linear fashion. The most likely diagnosis is?: Herpes zoster 42. An adult female presents complaining of an
, increase in a malodorous vaginal discharge that worsens after intercourse. Exam and testing reveal a vaginal pH of 5.5, presence of clue cells on
the wet mount, and a positive whiff test. The most appropriate diagnosis is?: BV
43. An adult patient presents with a painless ulcer in the genital area and enlarged lymph nodes in the groin. The NP suspects?: Syphilis
44. An elderly retired farmed presents with a dome-shaped, pearly, firm nodule with telangiectasia on the side of his nose. An NP would
recognize the nodule as a?: Basal cell carcinoma
45. A child presents wit a reddened right eye. His mother states that he has been complaining of watering eyes with no purulent drainage.
On exam, an enlarged preauricular node is identified. The NP should suspect:: Viral conjunctivitis
46. A late adolescent football player presents to the UC with an acute knee injury. He heard a pop when his knee buckled. The NP notes a
positive anterior drawer test. The most likely diagnosis is injury to the?: ACL
47. A geriatric female complains of problems with urination. She reports that whenever she feels the need to urinate, she is unable to
"make it to the bathroom in time," and wets herself. Which type of incontinence is most likely?: Urge
48. An early adolescent patient who plays football presents to clinic after a football practice complaining of limping due to anterior left
knee pain. The pain has gradually increased over the past 2 weeks but is relieved with rest. The patient denies any trauma, prior surgeries, or
medical history. PE reveals tenderness and swelling of the tibial tubercle and reproduction of pain with resisted knee extension. The H&P exam
findings are most consistent with a diagnosis of?: Osgood-Schlatter disease
49. A late adolescent male presents with complaint that his left breast appears larger than the right one. He has a recent 10-lb weight gain
and admits to MJ use. On exam, the area is diffuse and nontender, The primary diagnosis is?: Fatty gynecomastia
50. An adult female patient present to the ED for sudden onset of severe lower abdominal pain. She describes the pain as stabbing. She
denies nausea, vomiting, fever, or chills. The pain does not radiate. To confirm the diagnosis of an ectopic pregnancy, the NP should order what
imaging study?: US
51. A geriatric male, who is a 30-packs a year smoker, present with wheezing and dyspnea. His CXR shows a flattened diaphragm and an
increased retrosternal chest space. There are decreased vascular markings. The most likely diagnosis is?: COPD
52. A geriatric patient present with a bump on the vulva, associated with pruritis and malodorous drainage. Exam reveals a raised,
ulcerated lesion.
The most likely diagnosis is?: Vulvar cancer
53. A pediatric patient presents with a painful, enlarged parotic gland. The most likely diagnosis is?: Mumps
54. A geriatric female presents with tremors and a 20 lb weight loss over 2 months. An NP's lab eval should include a?: TSH and free T-4
55. A pregnant adult patient is diagnosed with a chlamydial infection at 20 weeks of gestation. What is the most accurate method for
confirming this diagnosis?: Nucleic acid amplification test (NAAT) of urine
56. An adult male presents with intermittent retrosternal burning. He has gained 30 lb in the past year. PE results are unremarkable and
the EKG is normal. The most likely diagnosis is?: GERD
57. A geriatric male patient is being followed for type 2 DM and HTN. He also has a diagnosis of polycythemia vera and has regular
phlebotomies to control this. What statement about this patient is true?: He should avoid dietary iron supplements.
AANP Certification
If your patient is in the catarrhal stage of pertussis, upon examination you would find which of the following?: You would find mild
upper respiratory symptoms with cough. And mild conjunctival injection. It is really indistinguishable from the common cold.
What would NOT be considered a typical finding in a geriatric patient?: Low frequency hearing loss. A typical finding in a geriatric
patient would be a high frequency hearing loss. The speaking voice is high frequency. Degenerative changes of the ossicles, fewer
auditory neurons and atrophy of the hair cells results in sensorineural hearing loss.
Typical findings in a geriatric patient?: Thinner epidermis, dermis and subcutaneous layers of skin, bright purple-colored
patches on the forearms and hands, opaque white ring at the periphery of the cornea
Risk factors for age-related macular degeneration: Tobacco use, aging, sun exposure and family history 5. Underweight BMI:
<18.5
6. Normal BMI: 18.5-24.9
7. Overweight BMI: 25-29.9
8. Obese BMI: 30-39.9
9. Grossly obese BMI: >40
10. Pregnancy Category A Drugs: Vitamins and levothyroxine
11. Pregnancy Category B Drugs: Acetaminophen, ibuprofen, penicillins, cephalosporins, and azithromycin and erythromycin
antibiotics.
12. A geriatric patient who has a 40 pack-year smoking history complains of painful cramping in the leg muscles that occurs after walking for
20 minutes. After taking a complete history and performing a physical exam, an NP decides that the most likely diagnosis is?:
Intermittent claudication 13. What is a common cause of acne?: Increase in androgens
14. In a 19-year-old who presents with a sore throat and anterior cervical adenopathy, which causative agent would be suspected?: Group A
beta-hemolytic Streptococcus
15. When completing the initial assessment for depression in geriatric adults, the NP should evaluate?: Mental status exam
16. What is the most common risk factor for developing severe hyperbilirubinemia in the newborn?: Blood incompatibility with the mother
17. Which trimester of pregnancy is a woman with a fundal height measurement at the umbilicus?: Second
18. Which of the following conditions exacerbate urinary incontinence?: Impacted stool and atrophic vaginitis
19. An adult patient presents with a 2-day history of intermittent stabbing chest pain that worsens with deep breaths. The patient reports a
nonproductive cough and no fever for several days, and denies trauma, palpitations or GI symptoms. VS normal. Lungs are clear, heart
sounds normal. PE reveals localized chest wall tenderness at the costal margin. EKG and CXR normal.
The most likely diagnosis is?: Costchondritis
20. The most common skin cancer is?: Basal cell carcinoma
21. What is true regarding depression in the elderly?: Depression can be induced by prescribed and OTC medications
,22. Acute otitis media has what characteristics?: Loss of ossicular landmarks on the TM
23. What constellations of symptoms, lasting more than 3 months, is MOST common in fibromyalgia?: Diffuse pain, sleep abnormality,
fatigue
24. An adult male is seen for an initial visit. He denies tobacco, drug, or ETOH use. He has a sedentary lifestyle and no family history of DM.
VS normal, BMI =
31. What diabetes screening tests would an NP order?: Fasting plasma glucose 25. An adolescent presents for a preparticipation athlete
exam. In determining clearance for participation in sports, what should be considered?: Characteristics of the sport
26. Urinary and bowel dysfunction, saddle anesthesia, and leg weakness or foot drop are signs of?: Cauda equina syndrome
27. The NP would suspect what person to be at the highest risk for Rocky
Mountain spotted fever?: A 40-year old male who is living in a wooded area raising dogs
28. What condition is associated with the development of type 2 DM?: Delivery of a neonate weighing 9 lb or greater
29. What condition is a risk factor for development of DVT and PE?: Visceral malignancy
30. Research studies indicate that ED in geriatric patients is a common complication in?: Vascular disease
31. What neuro signs are characteristic of the patient with AD?: Gait disorder and impaired stereognosis
32. A frail elderly male patient complains of difficulty with urination. The International Prostate Symptom Score can assist with decisions
regarding the diagnosis of BPH. What symptom is consistent with the items on this scale?: Nocturia
33. The best medication for a patient who complains of IBS with cramping is?: Dicyclomine (Bentyl)
34. Major causes of CKD include?: Amyloidosis and SLE
35 A risk factor postmeno osteoporosis is?: History of tobacco use
36. An NP considering referral of a frail elderly patient for hospice care understands that?: Documentation of limited life expectancy is
a prerequisite
37. The sound intensity of a grade III/VI hear murmur is typically described as?: Medium intensity
38. What is associated with decreased risk of breast cancer?: Breast feeding 39. An adult patient present with complaints of nausea,
fatigue, and myalgia. The patient reports a history of untreated hep B 30 years ago. What hep B serology testing results would indicate that the
patient has chronic hepatitis?: HBsAG = positive, IgM anti-HBc = negative
40. A geriatric patient with anemia, back pain, osteoporosis, and elevated ESR should be evaluated for?: Multiple myeloma
41. An older adult female presents with severe pain. She reports malaise, and periodic itching and burning on her chest wall. PE reveals a
small area of hyperesthesia in a linear fashion. The most likely diagnosis is?: Herpes zoster 42. An adult female presents complaining of an
, increase in a malodorous vaginal discharge that worsens after intercourse. Exam and testing reveal a vaginal pH of 5.5, presence of clue cells on
the wet mount, and a positive whiff test. The most appropriate diagnosis is?: BV
43. An adult patient presents with a painless ulcer in the genital area and enlarged lymph nodes in the groin. The NP suspects?: Syphilis
44. An elderly retired farmed presents with a dome-shaped, pearly, firm nodule with telangiectasia on the side of his nose. An NP would
recognize the nodule as a?: Basal cell carcinoma
45. A child presents wit a reddened right eye. His mother states that he has been complaining of watering eyes with no purulent drainage.
On exam, an enlarged preauricular node is identified. The NP should suspect:: Viral conjunctivitis
46. A late adolescent football player presents to the UC with an acute knee injury. He heard a pop when his knee buckled. The NP notes a
positive anterior drawer test. The most likely diagnosis is injury to the?: ACL
47. A geriatric female complains of problems with urination. She reports that whenever she feels the need to urinate, she is unable to
"make it to the bathroom in time," and wets herself. Which type of incontinence is most likely?: Urge
48. An early adolescent patient who plays football presents to clinic after a football practice complaining of limping due to anterior left
knee pain. The pain has gradually increased over the past 2 weeks but is relieved with rest. The patient denies any trauma, prior surgeries, or
medical history. PE reveals tenderness and swelling of the tibial tubercle and reproduction of pain with resisted knee extension. The H&P exam
findings are most consistent with a diagnosis of?: Osgood-Schlatter disease
49. A late adolescent male presents with complaint that his left breast appears larger than the right one. He has a recent 10-lb weight gain
and admits to MJ use. On exam, the area is diffuse and nontender, The primary diagnosis is?: Fatty gynecomastia
50. An adult female patient present to the ED for sudden onset of severe lower abdominal pain. She describes the pain as stabbing. She
denies nausea, vomiting, fever, or chills. The pain does not radiate. To confirm the diagnosis of an ectopic pregnancy, the NP should order what
imaging study?: US
51. A geriatric male, who is a 30-packs a year smoker, present with wheezing and dyspnea. His CXR shows a flattened diaphragm and an
increased retrosternal chest space. There are decreased vascular markings. The most likely diagnosis is?: COPD
52. A geriatric patient present with a bump on the vulva, associated with pruritis and malodorous drainage. Exam reveals a raised,
ulcerated lesion.
The most likely diagnosis is?: Vulvar cancer
53. A pediatric patient presents with a painful, enlarged parotic gland. The most likely diagnosis is?: Mumps
54. A geriatric female presents with tremors and a 20 lb weight loss over 2 months. An NP's lab eval should include a?: TSH and free T-4
55. A pregnant adult patient is diagnosed with a chlamydial infection at 20 weeks of gestation. What is the most accurate method for
confirming this diagnosis?: Nucleic acid amplification test (NAAT) of urine
56. An adult male presents with intermittent retrosternal burning. He has gained 30 lb in the past year. PE results are unremarkable and
the EKG is normal. The most likely diagnosis is?: GERD
57. A geriatric male patient is being followed for type 2 DM and HTN. He also has a diagnosis of polycythemia vera and has regular
phlebotomies to control this. What statement about this patient is true?: He should avoid dietary iron supplements.
