AANP FNP CERTIFICATION EXAM 2026 EXAM
PREPARATION PACK KEY PRIMARY CARE
MANAGEMENT DISEASE PREVENTION AND
PHARMACOLOGY WITH SAMPLE QUESTIONS
◉ Murphy's sign (diagnostic of?). Answer: biliary disorders
gallbladder comes in contact w/fingers
and may elect pain
(+) to be positive, same maneuver must not elicit pain on left side
-breath in, diaphragm moves down, abd contents move down, -hold
breath, gallbladder comes by fingers
◉ antihypertensive to avoid in emphysema. Answer: Beta-blockers
-reduction in forced expiratory volume
-increased airway hyperresponsiveness
-inhibition of bronchodilator response to beta agonists
◉ threatened abortion (definition). Answer: vaginal bleeding and
cramping present, but cervix remains closed
,◉ milky white discharge (increased)
alkaline pH
cells with blurred margins (microscope). Answer: BV
also: fishy odor,
adherent discharge
pos whiff (when discharge mixed w/ KOH) = fishy odor
◉ low levels of alpha fetoprotein and estriol w/ high levels of hcg
(what to order and what does it mean?). Answer: ultrasound
down syndrome or fetal demise
◉ normally elevated lab in someone expecting twins. Answer: alpha
fetoprotein
AFP produced by fetal (and mother's) liver, common to be higher if
having twins
◉ "Triple Screen" (prenatal screening)
,vs. Quad screen. Answer: between 15 - 22 weeks:
AFP (high in NTD, low in Downs)
Estradiol (abnormal in Downs)
HCG (abnormal in Downs)
w/ inhibin A (hormone released by placenta)
◉ why doesn't Chlamydia affect the labia or vagina?. Answer:
typically affects cervix, endometrial lining, fallopian tubes and pelvic
cavity
◉ positive obturator sign (definition)
if positive. Answer: acute appendicitis
pain evicted by internal rotation of the right hip from 90degrees
flexion
◉ psoas sign (definition)
if positive. Answer: acute appendicitis
, pain w/ passive extension of the thigh while pt is lying on side w/
bent knees -or- knee moves posterior (behind the patient) causing
tightness in abd cavity
◉ treatment for mild preeclampsia. Answer: best rest w/ BR
privileges
monitor wight and bp
monitor urinary protein
serum creatine and plts
◉ pap (cytology) comes back normal but there is "inflammation"
noted - what to do?. Answer: pt needs STI testing
may have cervicitis
◉ TORCH
what is this acronym stand for?. Answer: fetal abnormalities
T: toxoplasmosis
O: other
R: rubella
C: cytomegalovirus
H: herpes
PREPARATION PACK KEY PRIMARY CARE
MANAGEMENT DISEASE PREVENTION AND
PHARMACOLOGY WITH SAMPLE QUESTIONS
◉ Murphy's sign (diagnostic of?). Answer: biliary disorders
gallbladder comes in contact w/fingers
and may elect pain
(+) to be positive, same maneuver must not elicit pain on left side
-breath in, diaphragm moves down, abd contents move down, -hold
breath, gallbladder comes by fingers
◉ antihypertensive to avoid in emphysema. Answer: Beta-blockers
-reduction in forced expiratory volume
-increased airway hyperresponsiveness
-inhibition of bronchodilator response to beta agonists
◉ threatened abortion (definition). Answer: vaginal bleeding and
cramping present, but cervix remains closed
,◉ milky white discharge (increased)
alkaline pH
cells with blurred margins (microscope). Answer: BV
also: fishy odor,
adherent discharge
pos whiff (when discharge mixed w/ KOH) = fishy odor
◉ low levels of alpha fetoprotein and estriol w/ high levels of hcg
(what to order and what does it mean?). Answer: ultrasound
down syndrome or fetal demise
◉ normally elevated lab in someone expecting twins. Answer: alpha
fetoprotein
AFP produced by fetal (and mother's) liver, common to be higher if
having twins
◉ "Triple Screen" (prenatal screening)
,vs. Quad screen. Answer: between 15 - 22 weeks:
AFP (high in NTD, low in Downs)
Estradiol (abnormal in Downs)
HCG (abnormal in Downs)
w/ inhibin A (hormone released by placenta)
◉ why doesn't Chlamydia affect the labia or vagina?. Answer:
typically affects cervix, endometrial lining, fallopian tubes and pelvic
cavity
◉ positive obturator sign (definition)
if positive. Answer: acute appendicitis
pain evicted by internal rotation of the right hip from 90degrees
flexion
◉ psoas sign (definition)
if positive. Answer: acute appendicitis
, pain w/ passive extension of the thigh while pt is lying on side w/
bent knees -or- knee moves posterior (behind the patient) causing
tightness in abd cavity
◉ treatment for mild preeclampsia. Answer: best rest w/ BR
privileges
monitor wight and bp
monitor urinary protein
serum creatine and plts
◉ pap (cytology) comes back normal but there is "inflammation"
noted - what to do?. Answer: pt needs STI testing
may have cervicitis
◉ TORCH
what is this acronym stand for?. Answer: fetal abnormalities
T: toxoplasmosis
O: other
R: rubella
C: cytomegalovirus
H: herpes
