ANP 650 FINAL CERTIFICATION REVIEW
2026 COMPLETE GUIDE GRADED A+
⩥ Frailty clinical clues.
Answer: Unintentional weight loss; decreased mobility/falls, muscle
wasting, low albumin/protein, anemia, low cholesterol
⩥ Core frailty management.
Answer: Nutrition optimization, PT/OT, deprescribing, oral hygiene
(teeth, lesions), small frequent meals
⩥ Feeding tube in advanced dementia.
Answer: No (test answer)
⩥ Wide pulse pressure in elderly.
Answer: Expected due to vascular stiffening
⩥ Pulmonary aging changes.
Answer: Decreased cough reflex; decreased gas exchange surface;
decreased vital capacity (total lung capacity unchanged)
⩥ MMSE cutoff for severe dementia.
, Answer: 12
⩥ MMSE score of 9 indicates.
Answer: Severe cognitive impairment
⩥ Donepezil in advanced dementia.
Answer: Consider stopping (low benefit; appetite suppression)
⩥ Average survival after dementia diagnosis.
Answer: ~8 years
⩥ #1 cause of peptic ulcer disease.
Answer: H. pylori
⩥ #2 cause of peptic ulcer disease.
Answer: NSAIDs
⩥ #1 sign of peptic ulcer disease.
Answer: Epigastric tenderness
⩥ Red flags for urgent endoscopy.
Answer: Dysphagia, weight loss, bleeding concern
2026 COMPLETE GUIDE GRADED A+
⩥ Frailty clinical clues.
Answer: Unintentional weight loss; decreased mobility/falls, muscle
wasting, low albumin/protein, anemia, low cholesterol
⩥ Core frailty management.
Answer: Nutrition optimization, PT/OT, deprescribing, oral hygiene
(teeth, lesions), small frequent meals
⩥ Feeding tube in advanced dementia.
Answer: No (test answer)
⩥ Wide pulse pressure in elderly.
Answer: Expected due to vascular stiffening
⩥ Pulmonary aging changes.
Answer: Decreased cough reflex; decreased gas exchange surface;
decreased vital capacity (total lung capacity unchanged)
⩥ MMSE cutoff for severe dementia.
, Answer: 12
⩥ MMSE score of 9 indicates.
Answer: Severe cognitive impairment
⩥ Donepezil in advanced dementia.
Answer: Consider stopping (low benefit; appetite suppression)
⩥ Average survival after dementia diagnosis.
Answer: ~8 years
⩥ #1 cause of peptic ulcer disease.
Answer: H. pylori
⩥ #2 cause of peptic ulcer disease.
Answer: NSAIDs
⩥ #1 sign of peptic ulcer disease.
Answer: Epigastric tenderness
⩥ Red flags for urgent endoscopy.
Answer: Dysphagia, weight loss, bleeding concern