AANP EXAM GUIDE/ AANP PRACTICE EXAM
RECNT VERSION 2024 ALL 200 QUESTION AND
CORRECT ANSWERS/ BEST GRADED A+
Treatment for Gonorrhea - ANSWER: Rocephin (Ceftriaxone) 250mg IM and
Azithromycin 1 gm po x1
or doxy 100mg BID x7 days
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
Treatment for Bacterial vaginosis - ANSWER: Flagyl BID x 7 days
Candidia vaginitis treatment - ANSWER: diflucan 100mg x1
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
What is the diagnosis and treatment for Rocky Mountain Spotted Fever? -
ANSWER: PCR essay with Rickessetti antigen
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tx: doxycycline
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
Dark moles, uneven texture, different colors, irregular, > 6mm, an itch -
ANSWER: melanoma
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
What medications are more likely to cause Stevens Johnson Syndrome? -
ANSWER: Allopurinol, anticonvulsants, pcn, sulfonamides, NSAIDS.
Pt with HIV is at increased risk
Inherited. Pruritic erythematous plaques, fine silvery-white scales with pitted
fingernails. Can occur on scalp, elbows, knees, sacrum, or intergluteal folds. -
ANSWER: psoriasis
What is the koebner phenomenon? - ANSWER: new psoriatic plaques form over
skin trauma
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What is the auspitz sign? - ANSWER: pinpoint bleeding when plaques are
removed
What is the treatment for psoriasis? - ANSWER: mild: topical steroids, tar preps
if severe: anti-TNF (-mab (Humira)), methotrexate, or other immunologic therapy
What is acanthros nigricans indicative of? - ANSWER: insulin resistance
What is the treatment for scabies? - ANSWER: Permethrin cream x1, treat the
whole household, wash belongings in hot water
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)
What is the treatment for atopic dermatitis? - ANSWER: topical steroids, avoid
hot water/soaps
If more sever consider po antihistamines
Dry round, pink to red lesion with a rough and scaly texture. Does not heal. Slow
growing in sun exposed areas. - ANSWER: actinic keratosis
what is the treatment for actinic keratosis? - ANSWER: cryotherapy or 5-FU
cream