1
AANP FNP CERTIFICATION WITH THE BEST
QUESTIONS AND ANSWERS LATEST UPDATE 2025
GRADE A+
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? - answer-Iron,
TIBC
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 months of synthroid, TSH increased, T4 normal, what do you do? - answer-Increase Medication
3 ways to assess cognitive function in patient with signs/symptoms of memory loss - answer-Mini mental
exam
4 month old with strabismus, mom is worried...... - answer-tell her it is normal.
4 month old wont keep anything down, what is the main thing you look at? - answer-Growth chart
6 month old closed anterior fontanel. - answer-XRAY
Abnormal cells on PAP, what do you do next? - answer-Refer for Colposcopy
CAGE ACRONYM - answer-Cut down
,2
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 - answer-III first time audible, IV first time thrill
Fundal height 12 weeks - answer-Fundal Height 12 weeks above symphysis pubis. EXAM
Annoyed by criticism
Guilty about drinking
Eye opener drink
Causes of tachycardia - answer-Fever
Anemia
Hypotension
Cranial nerves responsible for extraocular eye movements - answer-CN 3,4,6
Definition of metabolic syndrome - answer-cluster of conditions that increase risk of heart disease,
stroke, diabetes.
diagnose trichomoniasis - answer-wet prep
Elderly presents with atrophic vaginitis, small uterus, palpable 4x5 ovary, what do you do next? - answer-
Pelvic US
Epistaxis is most common in the area of the nose known as kiesselbachs triangle, where is this located? -
answer-Anterior septum
Definitive diagnosis of acute bacterial prostatitis - answer-urinalysis and culture
GERD treatment - answer-H2 is first line, give hs
Grade 3 cells on Pap, treatment? - answer-LEEP
, 3
excision
Fingernail hematoma treatment? - answer-drill hole and drain blood?
Increased risk of ectopic pregnancy - answer-Salpingitis, or history of abortion, PID,
Koplick spots - answer-Measles (rubeola). Grains of salt lesions inside mouth in Measles
Koplick spots - answer-Measles (rubeola). Grains of salt lesions inside mouth in Measles
Legg-Calve-Perthes Disease - answer-Avascular necrosis of the proximal femoral head
Lipid level of 1500, increased risk for? - answer-Pancreatitis
Low HGB, Low HCT, High MCV indicates what? - answer-Macrocytic anemia, B12 Def
Man with BPH, prostate feels on digital exam? - answer-Enlarged, symmetrical, smooth
Man with HTN, CAD, present femoral pulses but absent pedal - answer-Arterial Insufficiency
McMurray's Sign
(+) palpable or audible click while extending with varus stress - answer-Meniscus tears
Lachman's Test - answer-pivot shift test (ACL tear)
Newborn with foot turned in, what do you do? - answer-refer to orthopedist
Osgood-Schlatter disease - answer-Knee pain.
inflammation or irritation of the tibia at its point of attachment with the patellar tendon
AANP FNP CERTIFICATION WITH THE BEST
QUESTIONS AND ANSWERS LATEST UPDATE 2025
GRADE A+
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? - answer-Iron,
TIBC
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 months of synthroid, TSH increased, T4 normal, what do you do? - answer-Increase Medication
3 ways to assess cognitive function in patient with signs/symptoms of memory loss - answer-Mini mental
exam
4 month old with strabismus, mom is worried...... - answer-tell her it is normal.
4 month old wont keep anything down, what is the main thing you look at? - answer-Growth chart
6 month old closed anterior fontanel. - answer-XRAY
Abnormal cells on PAP, what do you do next? - answer-Refer for Colposcopy
CAGE ACRONYM - answer-Cut down
,2
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 - answer-III first time audible, IV first time thrill
Fundal height 12 weeks - answer-Fundal Height 12 weeks above symphysis pubis. EXAM
Annoyed by criticism
Guilty about drinking
Eye opener drink
Causes of tachycardia - answer-Fever
Anemia
Hypotension
Cranial nerves responsible for extraocular eye movements - answer-CN 3,4,6
Definition of metabolic syndrome - answer-cluster of conditions that increase risk of heart disease,
stroke, diabetes.
diagnose trichomoniasis - answer-wet prep
Elderly presents with atrophic vaginitis, small uterus, palpable 4x5 ovary, what do you do next? - answer-
Pelvic US
Epistaxis is most common in the area of the nose known as kiesselbachs triangle, where is this located? -
answer-Anterior septum
Definitive diagnosis of acute bacterial prostatitis - answer-urinalysis and culture
GERD treatment - answer-H2 is first line, give hs
Grade 3 cells on Pap, treatment? - answer-LEEP
, 3
excision
Fingernail hematoma treatment? - answer-drill hole and drain blood?
Increased risk of ectopic pregnancy - answer-Salpingitis, or history of abortion, PID,
Koplick spots - answer-Measles (rubeola). Grains of salt lesions inside mouth in Measles
Koplick spots - answer-Measles (rubeola). Grains of salt lesions inside mouth in Measles
Legg-Calve-Perthes Disease - answer-Avascular necrosis of the proximal femoral head
Lipid level of 1500, increased risk for? - answer-Pancreatitis
Low HGB, Low HCT, High MCV indicates what? - answer-Macrocytic anemia, B12 Def
Man with BPH, prostate feels on digital exam? - answer-Enlarged, symmetrical, smooth
Man with HTN, CAD, present femoral pulses but absent pedal - answer-Arterial Insufficiency
McMurray's Sign
(+) palpable or audible click while extending with varus stress - answer-Meniscus tears
Lachman's Test - answer-pivot shift test (ACL tear)
Newborn with foot turned in, what do you do? - answer-refer to orthopedist
Osgood-Schlatter disease - answer-Knee pain.
inflammation or irritation of the tibia at its point of attachment with the patellar tendon
