AANP BOARD LATEST 2026/2027
ACTUAL EXAM QUESTIONS WITH
CORRECT ANSWERS 100% VERIFIED
GRADED A+
TherapeuticmINRmvaluesmbelowm____mincreasemstrokemriskmsixfold.m-mCORRECTmANSWERm2
DiabeticmRetinopathymFindingsm-mCORRECTmANSWERmMicroaneurysms
Neovascularization
CottonmWoolmSpots
Hardmexudates
Allmofmthemfollowingmwouldmrequiremthemnursempractitionermtomdelaymtestingmampatient'smprostate-
specificmantigenm(PSA),mexcept:
a.mUrinarymretention
b.mUrinarymtractminfection
c.mAftermamdigitalmrectalmexam
d.mVigorousmexercisem3mdaysmpriorm-mCORRECTmANSWERmVigorousmexercisem3mdaysmprior
PSAmtestingmismfalselymelevatedminmampatientmwithmurinarymretentionmandmurinarymtractminfectionma
ndmaftermamdigitalmrectalmexam.mVigorousmexercisemdoesmnotmhavemtombemstoppedm3mdaysmpriormto
mtesting;mhowever,mvigorousmexercisemshouldmbemdiscouragedmbeforemtestingmbecausemitmwillmfals
elymelevatemthemPSAmlevels.mEjaculationmwithinm48mhoursmwillmalsomfalselymraisemthemPSAmlevel.
TicmDouloureauxm-
mCORRECTmANSWERmTheremaremtwomtypesmofmticmdouloureuxm(trigeminalmneuralgia).m
,Typem1--presentsmwithmextreme,mshock-
likemfacialmpain,mwhichmlastsmfrommamfewmsecondsmtom2mminutesmpermeventmandmcanmlastmupmtom2m
hoursmtotal.mTypem1mdoesmnotmawakenmthempatientmatmnight.m
Typem2--
mismamconstant,maching,mburningmfacialmpainmwithmlessmintensitymbutmmaymoccurmwithmTypem1.mTyp
em2mismmoremcommonminmwomenmandmpeaksminmtheirm60s.mTypem2mcanmalsombemrelatedmtomsecond
arymneurologicmdiseasemsuchmasmmultiplemsclerosismormHSV-1.
Themnursempractitionermseesmam58-year-
oldmfemalempatientmwhomreportsmabscessesmandmpustulesminmthemaxillamandmgroinmandmundermthe
mbreasts,mwhichmburstmandmdrainmpurulentmgreenmdischarge.mShemhasmamhistorymofmsmokingmandma
mbodymmassmindexm(BMI)mofm37.1.m
Whichmdiagnosismismmostmlikely?
a.mImpetigo
b.mCarbuncles
c.mShingles
d.mHidradenitismsuppurativam-mCORRECTmANSWERmhidradenitismsuppurativa
Hidradenitismsuppurativamismmostmcommonminmwomenm(3:1).mSmokingmandmobesitymaremsignifican
tmriskmfactors.mLesionsmaremtreatedmwithmtopicalmantibioticsm(ormoralmantibiotics,mwarmmcompress
es,mandmpainmmedications).mInstitutemdietmchangesmtomreducemhighmglycemicmandmdairymfoodminta
ke.mRefermtomamdermatologistmformadditionalmtreatmentmoptions.
InsulinmLisprom(Humalog)m-mCORRECTmANSWERmLispromismamrapid-
actingminsulinmthatmismusedmonmamslidingmscalemtomworkmfrommmealmtommeal
,Atopicmdermatitism(eczema)m-
mCORRECTmANSWERmchronic,mpruriticmrashmofmthemhands,mflexuralmfolds,mandmneckmthatmcanmbeme
xacerbatedmbymstressmandmenvironmentalmfactors.
ToxicmEpidermalmNecrolysism(TEN)m-
mCORRECTmANSWERmTENmismthemresultmofmamseveremskinmreactionmtommedicationsmsuchmasmallopu
rinol,mnonsteroidalmanti-inflammatorymdrugsm(NSAIDs),mandmanticonvulsants.
Melanomam-
mCORRECTmANSWERmMelanomamaremnevimwithmunevenmtexture,mirregularmborders,mvariegatedmco
lors,msizemlargermthanm6mmm,mandmchangingmsizem(themmnemonicmABCDEmstandsmformasymmetry,m
bordermirregularity,mcolormvariationsminmthemsamemregion,mdiameterm>6mmm,mandmenlargementmor
mchangeminmsizemovermtime),mandmtheymcanmbempruritic.mRiskmfactorsmincludemfamilymhistorymofmmel
anomam(10%mofmcases),mextensive/intensemsunlightmexposure,mblisteringmsunburnminmchildhood,mt
anningmbeds,mandmatypicalmnevus
Seborrheicmkeratosesm-
mCORRECTmANSWERmSeborrheicmkeratosesmaremsoft,mfleshy,mpainlessmgrowthsmthatmaremlocatedm
mostlymonmthemback.mSkinmlesionsmlookmlikemtheymarem"pasted"monmthemskinmandmcanmrangeminmcol
ormfrommlightmtanmtomblack.
Acanthosismnigricansm-
mCORRECTmANSWERmAcanthosismnigricansmaremdiffuse,msoftmthickeningsmofmthemskinmusuallymlocat
edmatmthemneckmandmaxilla.mTheymaremalsomassociatedmwithmdiabetes,mmetabolicmsyndrome,mobesi
ty,mandmgastrointestinalmcancer.
Acrochordonm-
mCORRECTmANSWERmAcrochordonsm(skinmtags)marempainless,mpedunculatedmoutgrowthsmofmskinmt
hatmaremcommonminmthemneckmandmaxillarymareas.mIfmthemgrowthsmaremtraumatized,mtheymbecome
mnecroticmandmfallmoff.mTheymaremmostmcommonminmdiabeticsmandmpatientsmwhomaremobese.
Whichmofmthemfollowingmismassociatedmwithmmalemaging?
, a.mIncreasedmlevelsmofmestrogen
b.mDecreasedmspermmproduction
c.mIncreasedmproductionmofmsemen
d.mDecreasedmconcentrationmofmspermm-mCORRECTmANSWERmDecreasedmspermmproduction
Amnursempractitionermseesmampatientmformanmevaluationmofmsexuallymtransmittedmdiseases.mAssess
mentmrevealsmFitz-Hugh-Curtis.mThemnursempractitionermwillmprescribe:m-
mCORRECTmANSWERmCeftriaxonem500mmgmIMm×monemdosemplusmdoxycyclinem100mmgmBIDm×m14mda
ysmplusmmetronidazolem500mmgmBIDm×m14mdays.
Fitz-Hugh-
Curtismsyndromemshouldmbemtreatedmasmamcomplicatedmgonorrheal/chlamydialminfection:mCeftriax
onem500mmgmIMm×monemdosemplusmdoxycyclinem100mmgmBIDm×m14mdaysmplusmmetronidazolem500m
mgmBIDm×m14mdaysmformanaerobicmcoverage.
sensitivemscreeningmtestmformHIVm-mCORRECTmANSWERmCombinationmHIV-1mandmHIV-
2mantibodymimmunoassaymwithmp24mantigen.
DMmmedicationmclassmthatmshouldmnotmbemusedminmpatientsmwithmheartmfailuremormhxmofmbladderm
cancer?m-mCORRECTmANSWERmThiazolidinediones
Medicationmclassmwithmhighmriskmofmhypoglycemicmevents:m-
mCORRECTmANSWERmSulfonylureasmstimulatemthembetamcellsmbutmhavemamlongmhalf-
life,mandmtheremismamhighmriskmformseveremhypoglycemicmevents.
Treponemampallidumm-mCORRECTmANSWERmT.mpallidummismamgram-
negativemspirochetembacteriummthatmcausesmsyphilis.
ACTUAL EXAM QUESTIONS WITH
CORRECT ANSWERS 100% VERIFIED
GRADED A+
TherapeuticmINRmvaluesmbelowm____mincreasemstrokemriskmsixfold.m-mCORRECTmANSWERm2
DiabeticmRetinopathymFindingsm-mCORRECTmANSWERmMicroaneurysms
Neovascularization
CottonmWoolmSpots
Hardmexudates
Allmofmthemfollowingmwouldmrequiremthemnursempractitionermtomdelaymtestingmampatient'smprostate-
specificmantigenm(PSA),mexcept:
a.mUrinarymretention
b.mUrinarymtractminfection
c.mAftermamdigitalmrectalmexam
d.mVigorousmexercisem3mdaysmpriorm-mCORRECTmANSWERmVigorousmexercisem3mdaysmprior
PSAmtestingmismfalselymelevatedminmampatientmwithmurinarymretentionmandmurinarymtractminfectionma
ndmaftermamdigitalmrectalmexam.mVigorousmexercisemdoesmnotmhavemtombemstoppedm3mdaysmpriormto
mtesting;mhowever,mvigorousmexercisemshouldmbemdiscouragedmbeforemtestingmbecausemitmwillmfals
elymelevatemthemPSAmlevels.mEjaculationmwithinm48mhoursmwillmalsomfalselymraisemthemPSAmlevel.
TicmDouloureauxm-
mCORRECTmANSWERmTheremaremtwomtypesmofmticmdouloureuxm(trigeminalmneuralgia).m
,Typem1--presentsmwithmextreme,mshock-
likemfacialmpain,mwhichmlastsmfrommamfewmsecondsmtom2mminutesmpermeventmandmcanmlastmupmtom2m
hoursmtotal.mTypem1mdoesmnotmawakenmthempatientmatmnight.m
Typem2--
mismamconstant,maching,mburningmfacialmpainmwithmlessmintensitymbutmmaymoccurmwithmTypem1.mTyp
em2mismmoremcommonminmwomenmandmpeaksminmtheirm60s.mTypem2mcanmalsombemrelatedmtomsecond
arymneurologicmdiseasemsuchmasmmultiplemsclerosismormHSV-1.
Themnursempractitionermseesmam58-year-
oldmfemalempatientmwhomreportsmabscessesmandmpustulesminmthemaxillamandmgroinmandmundermthe
mbreasts,mwhichmburstmandmdrainmpurulentmgreenmdischarge.mShemhasmamhistorymofmsmokingmandma
mbodymmassmindexm(BMI)mofm37.1.m
Whichmdiagnosismismmostmlikely?
a.mImpetigo
b.mCarbuncles
c.mShingles
d.mHidradenitismsuppurativam-mCORRECTmANSWERmhidradenitismsuppurativa
Hidradenitismsuppurativamismmostmcommonminmwomenm(3:1).mSmokingmandmobesitymaremsignifican
tmriskmfactors.mLesionsmaremtreatedmwithmtopicalmantibioticsm(ormoralmantibiotics,mwarmmcompress
es,mandmpainmmedications).mInstitutemdietmchangesmtomreducemhighmglycemicmandmdairymfoodminta
ke.mRefermtomamdermatologistmformadditionalmtreatmentmoptions.
InsulinmLisprom(Humalog)m-mCORRECTmANSWERmLispromismamrapid-
actingminsulinmthatmismusedmonmamslidingmscalemtomworkmfrommmealmtommeal
,Atopicmdermatitism(eczema)m-
mCORRECTmANSWERmchronic,mpruriticmrashmofmthemhands,mflexuralmfolds,mandmneckmthatmcanmbeme
xacerbatedmbymstressmandmenvironmentalmfactors.
ToxicmEpidermalmNecrolysism(TEN)m-
mCORRECTmANSWERmTENmismthemresultmofmamseveremskinmreactionmtommedicationsmsuchmasmallopu
rinol,mnonsteroidalmanti-inflammatorymdrugsm(NSAIDs),mandmanticonvulsants.
Melanomam-
mCORRECTmANSWERmMelanomamaremnevimwithmunevenmtexture,mirregularmborders,mvariegatedmco
lors,msizemlargermthanm6mmm,mandmchangingmsizem(themmnemonicmABCDEmstandsmformasymmetry,m
bordermirregularity,mcolormvariationsminmthemsamemregion,mdiameterm>6mmm,mandmenlargementmor
mchangeminmsizemovermtime),mandmtheymcanmbempruritic.mRiskmfactorsmincludemfamilymhistorymofmmel
anomam(10%mofmcases),mextensive/intensemsunlightmexposure,mblisteringmsunburnminmchildhood,mt
anningmbeds,mandmatypicalmnevus
Seborrheicmkeratosesm-
mCORRECTmANSWERmSeborrheicmkeratosesmaremsoft,mfleshy,mpainlessmgrowthsmthatmaremlocatedm
mostlymonmthemback.mSkinmlesionsmlookmlikemtheymarem"pasted"monmthemskinmandmcanmrangeminmcol
ormfrommlightmtanmtomblack.
Acanthosismnigricansm-
mCORRECTmANSWERmAcanthosismnigricansmaremdiffuse,msoftmthickeningsmofmthemskinmusuallymlocat
edmatmthemneckmandmaxilla.mTheymaremalsomassociatedmwithmdiabetes,mmetabolicmsyndrome,mobesi
ty,mandmgastrointestinalmcancer.
Acrochordonm-
mCORRECTmANSWERmAcrochordonsm(skinmtags)marempainless,mpedunculatedmoutgrowthsmofmskinmt
hatmaremcommonminmthemneckmandmaxillarymareas.mIfmthemgrowthsmaremtraumatized,mtheymbecome
mnecroticmandmfallmoff.mTheymaremmostmcommonminmdiabeticsmandmpatientsmwhomaremobese.
Whichmofmthemfollowingmismassociatedmwithmmalemaging?
, a.mIncreasedmlevelsmofmestrogen
b.mDecreasedmspermmproduction
c.mIncreasedmproductionmofmsemen
d.mDecreasedmconcentrationmofmspermm-mCORRECTmANSWERmDecreasedmspermmproduction
Amnursempractitionermseesmampatientmformanmevaluationmofmsexuallymtransmittedmdiseases.mAssess
mentmrevealsmFitz-Hugh-Curtis.mThemnursempractitionermwillmprescribe:m-
mCORRECTmANSWERmCeftriaxonem500mmgmIMm×monemdosemplusmdoxycyclinem100mmgmBIDm×m14mda
ysmplusmmetronidazolem500mmgmBIDm×m14mdays.
Fitz-Hugh-
Curtismsyndromemshouldmbemtreatedmasmamcomplicatedmgonorrheal/chlamydialminfection:mCeftriax
onem500mmgmIMm×monemdosemplusmdoxycyclinem100mmgmBIDm×m14mdaysmplusmmetronidazolem500m
mgmBIDm×m14mdaysmformanaerobicmcoverage.
sensitivemscreeningmtestmformHIVm-mCORRECTmANSWERmCombinationmHIV-1mandmHIV-
2mantibodymimmunoassaymwithmp24mantigen.
DMmmedicationmclassmthatmshouldmnotmbemusedminmpatientsmwithmheartmfailuremormhxmofmbladderm
cancer?m-mCORRECTmANSWERmThiazolidinediones
Medicationmclassmwithmhighmriskmofmhypoglycemicmevents:m-
mCORRECTmANSWERmSulfonylureasmstimulatemthembetamcellsmbutmhavemamlongmhalf-
life,mandmtheremismamhighmriskmformseveremhypoglycemicmevents.
Treponemampallidumm-mCORRECTmANSWERmT.mpallidummismamgram-
negativemspirochetembacteriummthatmcausesmsyphilis.
