Page 1 of 43
AANP FNP CERTIFICATION EXAM WITH
BEST SOLUTIONS 2025-2026
3 months of synthroid, TSH increased, T4 normal, what do
you do?
Increase Medication
3 ways to assess cognitive function in patient with
signs/symptoms of memory loss
Mini mental exam
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
III first time audible, IV first time thrill
Fundal height 12 weeks
Fundal Height 12 weeks above symphysis pubis. EXAM
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 month old infant with down syndrome, due to milk
intolerance, mom started on goats milk; now has pale
, Page 2 of 43
conjunctiva but otherwise healthy. Low HCT. What
additional test would you order?
Iron, TIBC
4 month old with strabismus, mom is worried......
tell her it is normal.
4 month old wont keep anything down, what is the main
thing you look at?
Growth chart
6 month old closed anterior fontanel.
XRAY
Abnormal cells on PAP, what do you do next?
Refer for Colposcopy
CAGE ACRONYM
Cut down
Annoyed by criticism
Guilty about drinking
Eye opener drink
Causes of tachycardia
Fever
Anemia
Hypotension
Cranial nerves responsible for extraocular eye
movements
, Page 3 of 43
CN 3,4,6
Definition of metabolic syndrome
cluster of conditions that increase risk of heart disease,
stroke, diabetes.
diagnose trichomoniasis
wet prep
Elderly presents with atrophic vaginitis, small uterus,
palpable 4x5 ovary, what do you do next?
Pelvic US
Epistaxis is most common in the area of the nose known
as kiesselbachs triangle, where is this located?
Anterior septum
Definitive diagnosis of acute bacterial prostatitis
urinalysis and culture
GERD treatment
H2 is first line, give hs
Grade 3 cells on Pap, treatment?
LEEP
excision
Fingernail hematoma treatment?
drill hole and drain blood?
Increased risk of ectopic pregnancy
, Page 4 of 43
Salpingitis, or history of abortion, PID,
Koplick spots
Measles (rubeola). Grains of salt lesions inside mouth in
Measles
Koplick spots
Measles (rubeola). Grains of salt lesions inside mouth in
Measles
Legg-Calve-Perthes Disease
Avascular necrosis of the proximal femoral head
Lipid level of 1500, increased risk for?
Pancreatitis
Low HGB, Low HCT, High MCV indicates what?
Macrocytic anemia, B12 Def
Man with BPH, prostate feels on digital exam?
Enlarged, symmetrical, smooth
Man with HTN, CAD, present femoral pulses but absent
pedal
Arterial Insufficiency
McMurray's Sign
(+) palpable or audible click while extending with varus
stress
Meniscus tears
AANP FNP CERTIFICATION EXAM WITH
BEST SOLUTIONS 2025-2026
3 months of synthroid, TSH increased, T4 normal, what do
you do?
Increase Medication
3 ways to assess cognitive function in patient with
signs/symptoms of memory loss
Mini mental exam
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
III first time audible, IV first time thrill
Fundal height 12 weeks
Fundal Height 12 weeks above symphysis pubis. EXAM
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 month old infant with down syndrome, due to milk
intolerance, mom started on goats milk; now has pale
, Page 2 of 43
conjunctiva but otherwise healthy. Low HCT. What
additional test would you order?
Iron, TIBC
4 month old with strabismus, mom is worried......
tell her it is normal.
4 month old wont keep anything down, what is the main
thing you look at?
Growth chart
6 month old closed anterior fontanel.
XRAY
Abnormal cells on PAP, what do you do next?
Refer for Colposcopy
CAGE ACRONYM
Cut down
Annoyed by criticism
Guilty about drinking
Eye opener drink
Causes of tachycardia
Fever
Anemia
Hypotension
Cranial nerves responsible for extraocular eye
movements
, Page 3 of 43
CN 3,4,6
Definition of metabolic syndrome
cluster of conditions that increase risk of heart disease,
stroke, diabetes.
diagnose trichomoniasis
wet prep
Elderly presents with atrophic vaginitis, small uterus,
palpable 4x5 ovary, what do you do next?
Pelvic US
Epistaxis is most common in the area of the nose known
as kiesselbachs triangle, where is this located?
Anterior septum
Definitive diagnosis of acute bacterial prostatitis
urinalysis and culture
GERD treatment
H2 is first line, give hs
Grade 3 cells on Pap, treatment?
LEEP
excision
Fingernail hematoma treatment?
drill hole and drain blood?
Increased risk of ectopic pregnancy
, Page 4 of 43
Salpingitis, or history of abortion, PID,
Koplick spots
Measles (rubeola). Grains of salt lesions inside mouth in
Measles
Koplick spots
Measles (rubeola). Grains of salt lesions inside mouth in
Measles
Legg-Calve-Perthes Disease
Avascular necrosis of the proximal femoral head
Lipid level of 1500, increased risk for?
Pancreatitis
Low HGB, Low HCT, High MCV indicates what?
Macrocytic anemia, B12 Def
Man with BPH, prostate feels on digital exam?
Enlarged, symmetrical, smooth
Man with HTN, CAD, present femoral pulses but absent
pedal
Arterial Insufficiency
McMurray's Sign
(+) palpable or audible click while extending with varus
stress
Meniscus tears
