AANP/AANP EXAM 2025/2026
1.Treatment for Gonorrhea...ANSWER...Rocephin (Ceftriaxone)
250mg IM and Azithromycin 1 gm po x1
or doxy 100mg BID x7 days
2.Treatment for Chlamydia.
..ANSWER...Azithromycin 1 gm po x1 or doxy 100 mg BID x 7
days
or Amoxicillin 500 mg po TID x 7 days
test for cure 3 weeks after completion of treatment. No doxy for
preggo
3.Treatment for Bacterial vaginosis.
..ANSWER...Flagyl BID x 7 days
4.Candidia vaginitis treatment...ANSWER...diflucan 100mg x1
5.Treatment for trichomonias...ANSWER...
6.Fever, chills, N/v, photophobia, myalgia, arthralgias usually
present then report development of a petechial rash on forearms,
ankles, wrists, that spreads towards trunk and becomes
generalized. Pt usually reports spending time in the
woods....ANSWER...Rocky Mountain Spotted Fever
7.What is the diagnosis and treatment for Rocky Mountain
Spotted Fever?...ANSWER...PCR essay with Rickessetti antigen
tx: doxycycline
8.What is the diagnosis and treatment for lyme disease (erythema
migraines)?
,...ANSWER...Dx: B. Burgdorferi via ELISA then confirm with
western blot
TX: doxycycline
or amoxicillin if less than 7 yo
9.Dark moles, uneven texture, different colors, irregular, > 6mm,
an itch...ANSWER...melanoma
10.Target or bulls-eye. Abruptly, hives, blisters, peticiae, purpura,
necrosis, sloughing of tissues. Extensive mucosal involvement.
Prodrome of fevers with flu like symptoms. Usually triggered by
medication...ANSWER...Stevens Johnson Syndrome
11.What medications are more likely to cause Stevens Johnson
Syndrome?...ANSWER...Allopurinol, anticonvulsants, pcn,
sulfonamides, NSAIDS.
Pt with HIV is at increased risk
12.Inherited. Pruritic erythematous plaques, fine silvery-white
scales with pitted fingernails. Can occur on scalp, elbows, knees,
sacrum, or intergluteal folds....ANSWER...psoriasis
13.What is the koebner phenomenon?...ANSWER...new psoriatic
plaques form over skin trauma
14.What is the auspitz sign?...ANSWER...pinpoint bleeding when
plaques are removed
15.What is the treatment for psoriasis?...ANSWER...mild: topical
steroids, tar preps
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, if severe: anti-TNF (-mab (Humira)), methotrexate, or other
immunologic therapy
16.What is acanthros nigricans indicative of?...ANSWER...insulin
resistance
17.What is the treatment for scabies?...ANSWER...Permethrin
cream x1, treat the whole household, wash belongings in hot
water
18.Extremely itchy. Appears on flexural folds, neck, hands. Small
vesicles that rupture leaving painful, bright-red, weepy lesions that
become lichenified from itching....ANSWER...atopic dermatitis
(eczema)
19.What is the treatment for atopic
dermatitis?...ANSWER...topical steroids, avoid hot water/soaps
If more sever consider po antihistamines
20.Dry round, pink to red lesion with a rough and scaly texture.
Does not heal. Slow growing in sun exposed
areas....ANSWER...actinic keratosis
21.what is the treatment for actinic
keratosis?...ANSWER...cryotherapy or 5-FU cream
DX: biopsy is gold standard
22.Soft round wart light tan to black looks pasted
on...ANSWER...seborrhic keratosis
benign and asymptomatic
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1.Treatment for Gonorrhea...ANSWER...Rocephin (Ceftriaxone)
250mg IM and Azithromycin 1 gm po x1
or doxy 100mg BID x7 days
2.Treatment for Chlamydia.
..ANSWER...Azithromycin 1 gm po x1 or doxy 100 mg BID x 7
days
or Amoxicillin 500 mg po TID x 7 days
test for cure 3 weeks after completion of treatment. No doxy for
preggo
3.Treatment for Bacterial vaginosis.
..ANSWER...Flagyl BID x 7 days
4.Candidia vaginitis treatment...ANSWER...diflucan 100mg x1
5.Treatment for trichomonias...ANSWER...
6.Fever, chills, N/v, photophobia, myalgia, arthralgias usually
present then report development of a petechial rash on forearms,
ankles, wrists, that spreads towards trunk and becomes
generalized. Pt usually reports spending time in the
woods....ANSWER...Rocky Mountain Spotted Fever
7.What is the diagnosis and treatment for Rocky Mountain
Spotted Fever?...ANSWER...PCR essay with Rickessetti antigen
tx: doxycycline
8.What is the diagnosis and treatment for lyme disease (erythema
migraines)?
,...ANSWER...Dx: B. Burgdorferi via ELISA then confirm with
western blot
TX: doxycycline
or amoxicillin if less than 7 yo
9.Dark moles, uneven texture, different colors, irregular, > 6mm,
an itch...ANSWER...melanoma
10.Target or bulls-eye. Abruptly, hives, blisters, peticiae, purpura,
necrosis, sloughing of tissues. Extensive mucosal involvement.
Prodrome of fevers with flu like symptoms. Usually triggered by
medication...ANSWER...Stevens Johnson Syndrome
11.What medications are more likely to cause Stevens Johnson
Syndrome?...ANSWER...Allopurinol, anticonvulsants, pcn,
sulfonamides, NSAIDS.
Pt with HIV is at increased risk
12.Inherited. Pruritic erythematous plaques, fine silvery-white
scales with pitted fingernails. Can occur on scalp, elbows, knees,
sacrum, or intergluteal folds....ANSWER...psoriasis
13.What is the koebner phenomenon?...ANSWER...new psoriatic
plaques form over skin trauma
14.What is the auspitz sign?...ANSWER...pinpoint bleeding when
plaques are removed
15.What is the treatment for psoriasis?...ANSWER...mild: topical
steroids, tar preps
2|Page
, if severe: anti-TNF (-mab (Humira)), methotrexate, or other
immunologic therapy
16.What is acanthros nigricans indicative of?...ANSWER...insulin
resistance
17.What is the treatment for scabies?...ANSWER...Permethrin
cream x1, treat the whole household, wash belongings in hot
water
18.Extremely itchy. Appears on flexural folds, neck, hands. Small
vesicles that rupture leaving painful, bright-red, weepy lesions that
become lichenified from itching....ANSWER...atopic dermatitis
(eczema)
19.What is the treatment for atopic
dermatitis?...ANSWER...topical steroids, avoid hot water/soaps
If more sever consider po antihistamines
20.Dry round, pink to red lesion with a rough and scaly texture.
Does not heal. Slow growing in sun exposed
areas....ANSWER...actinic keratosis
21.what is the treatment for actinic
keratosis?...ANSWER...cryotherapy or 5-FU cream
DX: biopsy is gold standard
22.Soft round wart light tan to black looks pasted
on...ANSWER...seborrhic keratosis
benign and asymptomatic
3|Page
