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AANP PRACTICE EXAM AND STUDY GUIDE
QUESTIONS WITH CORRECT ANSWERS
GRADED A+ TESTED AND APPROVED!!!
A young child with asthma presents for follow-up evaluation. After numerous changes in
medications and doses, the parents report that the child continues to have difficulty with
coughing, especially during the night. Which of the following conditions would be the most
likely cause of the continued asthma symptoms?
1. Vocal cord dysfunction
2. Cystic fibrosis
3. Gastroesophageal reflux
4. Allergic rhinitis -- ANSWER--gastroesophageal reflux
A pregnant woman with known HIV infection can reduce the risk of perinatal transmission
through zidovudine (Retrovir) therapy. Based on current research, optimal therapy is to start
daily dosing:
1. post amniocentesis.
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2. after 14 weeks of gestation.
3. if premature rupture of membranes occurs.
4. if maternal viral loads are greater than 10,000. -- ANSWER--after 14 weeks gestation
T-wave inversion with a normal ST segment on a 12-lead EKG may represent:
1. acute coronary ischemia.
2. right ventricular hypertrophy.
3. atrial hypertrophy.
4. hyperkalemia. -- ANSWER--acute coronary ischemia
The 16-year-old mother of a 2-month-old presents the infant, reporting that the child is very
irritable and does not feed well. During physical examination, the child's head drops back and
the child exhibits sudden flexing of the extremities. As the flexing stops, the child cries
uncontrollably. Funduscopic examination reveals retinal hemorrhages. Which of the
following diagnostic tests should be ordered?
1. Skull X-rays
2. MRI
3. CT scan
,4. Pet scan -- ANSWER--CT scan
A 30-month-old with a history of frequent ear infections was seen in September after a
symptom-free summer. Examination revealed bilateral bulging eardrums. After two separate
courses of antibiotics, fluid is noted in both ears. The parent reports speech difficulties. The
most likely diagnosis is:
1. otitis media with effusion.
2. myringitis.
3. recurrent acute otitis.
4. Esutachian tube dysfunction. -- ANSWER--otiti media with effusion
A 19-year-old patient who has used oral contraceptives for 3 years plans to discontinue the
pill at the end of her current cycle to become pregnant. Which of the following daily
supplements would receive the highest priority?
1. Calcium carbonate
2. Folic acid
3. Ferrous sulfate
4. Multivitamin -- ANSWER--folic acid
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A frail elderly widow presents to the senior clinic with a 3- to 4-day history of confusion that
became worse the evening before but currently seems a little better, although her speech is
rambling and difficult to follow. During the examination, the patient is anxious and agitated.
She is on cardiac medications, an antidepressant, and insulin. The most likely diagnosis is:
1. mild stroke.
2. polypharmacy.
3. electrolyte imbalance.
4. agitated depression. -- ANSWER—polypharmacy
An 86-year-old patient is experiencing radiculopathy-associated lower back pain that has not
improved over the past 4 weeks. The medical history includes a lumbar discectomy. The best
type of imaging study for evaluating this patient would be a/an:
1. MRI.
2. spinal X-ray.
3. myelography.
4. nuclear bone scan. -- ANSWER--MRI
A 46-year-old female presents with a complaint of amenorrhea for 3 months. The first-line
diagnostic workup is:
AANP PRACTICE EXAM AND STUDY GUIDE
QUESTIONS WITH CORRECT ANSWERS
GRADED A+ TESTED AND APPROVED!!!
A young child with asthma presents for follow-up evaluation. After numerous changes in
medications and doses, the parents report that the child continues to have difficulty with
coughing, especially during the night. Which of the following conditions would be the most
likely cause of the continued asthma symptoms?
1. Vocal cord dysfunction
2. Cystic fibrosis
3. Gastroesophageal reflux
4. Allergic rhinitis -- ANSWER--gastroesophageal reflux
A pregnant woman with known HIV infection can reduce the risk of perinatal transmission
through zidovudine (Retrovir) therapy. Based on current research, optimal therapy is to start
daily dosing:
1. post amniocentesis.
,Page 2 of 35
2. after 14 weeks of gestation.
3. if premature rupture of membranes occurs.
4. if maternal viral loads are greater than 10,000. -- ANSWER--after 14 weeks gestation
T-wave inversion with a normal ST segment on a 12-lead EKG may represent:
1. acute coronary ischemia.
2. right ventricular hypertrophy.
3. atrial hypertrophy.
4. hyperkalemia. -- ANSWER--acute coronary ischemia
The 16-year-old mother of a 2-month-old presents the infant, reporting that the child is very
irritable and does not feed well. During physical examination, the child's head drops back and
the child exhibits sudden flexing of the extremities. As the flexing stops, the child cries
uncontrollably. Funduscopic examination reveals retinal hemorrhages. Which of the
following diagnostic tests should be ordered?
1. Skull X-rays
2. MRI
3. CT scan
,4. Pet scan -- ANSWER--CT scan
A 30-month-old with a history of frequent ear infections was seen in September after a
symptom-free summer. Examination revealed bilateral bulging eardrums. After two separate
courses of antibiotics, fluid is noted in both ears. The parent reports speech difficulties. The
most likely diagnosis is:
1. otitis media with effusion.
2. myringitis.
3. recurrent acute otitis.
4. Esutachian tube dysfunction. -- ANSWER--otiti media with effusion
A 19-year-old patient who has used oral contraceptives for 3 years plans to discontinue the
pill at the end of her current cycle to become pregnant. Which of the following daily
supplements would receive the highest priority?
1. Calcium carbonate
2. Folic acid
3. Ferrous sulfate
4. Multivitamin -- ANSWER--folic acid
, Page 4 of 35
A frail elderly widow presents to the senior clinic with a 3- to 4-day history of confusion that
became worse the evening before but currently seems a little better, although her speech is
rambling and difficult to follow. During the examination, the patient is anxious and agitated.
She is on cardiac medications, an antidepressant, and insulin. The most likely diagnosis is:
1. mild stroke.
2. polypharmacy.
3. electrolyte imbalance.
4. agitated depression. -- ANSWER—polypharmacy
An 86-year-old patient is experiencing radiculopathy-associated lower back pain that has not
improved over the past 4 weeks. The medical history includes a lumbar discectomy. The best
type of imaging study for evaluating this patient would be a/an:
1. MRI.
2. spinal X-ray.
3. myelography.
4. nuclear bone scan. -- ANSWER--MRI
A 46-year-old female presents with a complaint of amenorrhea for 3 months. The first-line
diagnostic workup is:
