Page 1 of 33
AANP BOARDS EXAM| AANP BOARDS
PRACTICE QUESTIONS AND ANSWERS
RECENT VERSION 2025-2026| BEST GRADED A+
Increasing fever, n/v, photophobia, myalgia, arthralgias... THEN 2-5 days later you
develop a petechial rash on forearms, ankles, wrists and then generalized. What
condition, dx and treatment? - ANSWER: Rocky Mountain Spotted Fever
Dx:PCR essay with Rickessetti antigen
Tx: Doxycycline
Target bulls-eye rash 7-14 days after deer tick bite. Rash is hot to touch and flu-
like symptoms. (stage 1 Lyme disease) What condition, dx, and treatment? -
ANSWER: Erythema Migraines
Dx: B Burgdorferi via ELISA, confirm with western blot
Tx: <7- Amoxicillin >7- Doxycycline
Dark moles, uneven texture, different colors, irregular, over 6mm, could be itchy -
ANSWER: Melanoma
Target or bulls-eye rash. Abruptly hives, blisters, petechiae, purpura, necrosis, or
sloughing of tissues. Extensive mucosal involvement and fevers with flu-like
symptoms. What condition, triggers, and at risk? - ANSWER: Steven Johnson
Syndrome
Triggers: Allopurinol, anticonvulsants, pcn, sulfonamides, NSAIDS
At risk: people with HIV
Pruritic erythematous plaques, fine silvery white scales on scalps, elbows, knees,
sacrum. What condition and treatment? - ANSWER: Psoriasis
Tx: topical steroid
,Page 2 of 33
mild- Tar preps Severe- anti TNF
INR values below increase stroke risk sixfold. - ANSWER: 2
What allergy contradicts the use of thiazide diuretics? - ANSWER: Sulfa
Why should ACE-Is be avoided with renal stenosis? - ANSWER: Leads to ARF
Adverse effects of aldosterone antagonists (Aldactone) - ANSWER: Galactorrhea
and hyperkalemia
What are beta blocker indications? - ANSWER: HTN, post-MI< angina,
arrhythmias, migraine prophylaxis, hyperthyroidism
1st line BP med for DM? - ANSWER: ACE or ARB
Grapefruit juice should be avoided in what 1st line antihypertensive medication? -
ANSWER: CCB
Alternative antibiotic treatment for patients with gram positive baterial infections
that are allergic to PCN: - ANSWER: macrolides
Initial treatment of COPD - ANSWER: Ipratropium bromide (anticholinergic)
1st line treatment for gonorrheal infections - ANSWER: Rocephin IM
Treatment of anthrax - ANSWER: Cipro 500mg BID 7-10 days
,Page 3 of 33
Treatment of traveler's diarrhea - ANSWER: Cipro 500mg BID 3 days
What can increase the risk of tendon rupture when on a quinolone? - ANSWER:
age and steroids
How long does ASA suppress platelet function? - ANSWER: up to 7 days
What is the FDA category and dose of finasteride? - ANSWER: 5mg PO QD and
category X
What drug category should not be given with warfarin? - ANSWER: sulfa drugs
When should routine screening for breast cancer start? - ANSWER: 40
If a patient had only one dose of the hep B vaccine what is recommended? -
ANSWER: Do not restart series; Start with 2nd dose
What is done if a patient has a tetanus-prone wound and an unknown vaccination
status? - ANSWER: Administer immediate dose of Td and the teatnus
immunoglobulin injection
If a person is vaccinated with pneumovax prior to 65 what is recommended? -
ANSWER: Give a booster dose of pneumovax 5 years after initial dose
When should Zostavax be given? - ANSWER: age 60
, Page 4 of 33
How far apart should the varicella vaccines be given? - ANSWER: 4 weeks
Treatment for otitis externa - ANSWER: Cortisporin otic drops
Common bacterial pathogen of otitis externa - ANSWER: Pseudomonas
What is cholesteatoma a complication of? - ANSWER: periorbital sinusitis
What indicates an abnormal Rinne test? - ANSWER: BC>AC
What kind of hearing loss is found with an abnormal Rinne if BC>AC? -
ANSWER: conductive
What kind of hearing loss is associated with lateralization to affected ear when
Weber test is performed - ANSWER: Conductive
What kind of hearing loss is associated with lateralization to unaffected ear when
Weber test is performed - ANSWER: sensorurial
What does 20/40 vision mean? - ANSWER: A person can see 20 ft whereas
normal vision can see 40
Common treatment of cerumenosis - ANSWER: Carbamide peroxide
What route should HIV esophageal candida infections - ANSWER: Oral systemic
Where is a scabies rash located? - ANSWER: Interdigital webs and/or penis
AANP BOARDS EXAM| AANP BOARDS
PRACTICE QUESTIONS AND ANSWERS
RECENT VERSION 2025-2026| BEST GRADED A+
Increasing fever, n/v, photophobia, myalgia, arthralgias... THEN 2-5 days later you
develop a petechial rash on forearms, ankles, wrists and then generalized. What
condition, dx and treatment? - ANSWER: Rocky Mountain Spotted Fever
Dx:PCR essay with Rickessetti antigen
Tx: Doxycycline
Target bulls-eye rash 7-14 days after deer tick bite. Rash is hot to touch and flu-
like symptoms. (stage 1 Lyme disease) What condition, dx, and treatment? -
ANSWER: Erythema Migraines
Dx: B Burgdorferi via ELISA, confirm with western blot
Tx: <7- Amoxicillin >7- Doxycycline
Dark moles, uneven texture, different colors, irregular, over 6mm, could be itchy -
ANSWER: Melanoma
Target or bulls-eye rash. Abruptly hives, blisters, petechiae, purpura, necrosis, or
sloughing of tissues. Extensive mucosal involvement and fevers with flu-like
symptoms. What condition, triggers, and at risk? - ANSWER: Steven Johnson
Syndrome
Triggers: Allopurinol, anticonvulsants, pcn, sulfonamides, NSAIDS
At risk: people with HIV
Pruritic erythematous plaques, fine silvery white scales on scalps, elbows, knees,
sacrum. What condition and treatment? - ANSWER: Psoriasis
Tx: topical steroid
,Page 2 of 33
mild- Tar preps Severe- anti TNF
INR values below increase stroke risk sixfold. - ANSWER: 2
What allergy contradicts the use of thiazide diuretics? - ANSWER: Sulfa
Why should ACE-Is be avoided with renal stenosis? - ANSWER: Leads to ARF
Adverse effects of aldosterone antagonists (Aldactone) - ANSWER: Galactorrhea
and hyperkalemia
What are beta blocker indications? - ANSWER: HTN, post-MI< angina,
arrhythmias, migraine prophylaxis, hyperthyroidism
1st line BP med for DM? - ANSWER: ACE or ARB
Grapefruit juice should be avoided in what 1st line antihypertensive medication? -
ANSWER: CCB
Alternative antibiotic treatment for patients with gram positive baterial infections
that are allergic to PCN: - ANSWER: macrolides
Initial treatment of COPD - ANSWER: Ipratropium bromide (anticholinergic)
1st line treatment for gonorrheal infections - ANSWER: Rocephin IM
Treatment of anthrax - ANSWER: Cipro 500mg BID 7-10 days
,Page 3 of 33
Treatment of traveler's diarrhea - ANSWER: Cipro 500mg BID 3 days
What can increase the risk of tendon rupture when on a quinolone? - ANSWER:
age and steroids
How long does ASA suppress platelet function? - ANSWER: up to 7 days
What is the FDA category and dose of finasteride? - ANSWER: 5mg PO QD and
category X
What drug category should not be given with warfarin? - ANSWER: sulfa drugs
When should routine screening for breast cancer start? - ANSWER: 40
If a patient had only one dose of the hep B vaccine what is recommended? -
ANSWER: Do not restart series; Start with 2nd dose
What is done if a patient has a tetanus-prone wound and an unknown vaccination
status? - ANSWER: Administer immediate dose of Td and the teatnus
immunoglobulin injection
If a person is vaccinated with pneumovax prior to 65 what is recommended? -
ANSWER: Give a booster dose of pneumovax 5 years after initial dose
When should Zostavax be given? - ANSWER: age 60
, Page 4 of 33
How far apart should the varicella vaccines be given? - ANSWER: 4 weeks
Treatment for otitis externa - ANSWER: Cortisporin otic drops
Common bacterial pathogen of otitis externa - ANSWER: Pseudomonas
What is cholesteatoma a complication of? - ANSWER: periorbital sinusitis
What indicates an abnormal Rinne test? - ANSWER: BC>AC
What kind of hearing loss is found with an abnormal Rinne if BC>AC? -
ANSWER: conductive
What kind of hearing loss is associated with lateralization to affected ear when
Weber test is performed - ANSWER: Conductive
What kind of hearing loss is associated with lateralization to unaffected ear when
Weber test is performed - ANSWER: sensorurial
What does 20/40 vision mean? - ANSWER: A person can see 20 ft whereas
normal vision can see 40
Common treatment of cerumenosis - ANSWER: Carbamide peroxide
What route should HIV esophageal candida infections - ANSWER: Oral systemic
Where is a scabies rash located? - ANSWER: Interdigital webs and/or penis
