AANP FNP CERTIFICATION
LATEST REAL EXAM
QUESTIONS AND CORRECT
VERIFIED ANSWER
3 month old infant with down syndrome, due to milk
intolerance, mom started on goats milk; now has
pale conjunctiva but otherwise healthy. Low HCT.
What additional test would you order? - ANS
✔✔✔Iron, TIBC
3 months of synthroid, TSH increased, T4 normal,
what do you do? - ANS ✔✔✔Increase Medication
3 ways to assess cognitive function in patient with
signs/symptoms of memory loss - ANS ✔✔✔Mini
mental exam
4 month old with strabismus, mom is worried...... -
ANS ✔✔✔tell her it is normal.
4 month old wont keep anything down, what is the
main thing you look at? - ANS ✔✔✔Growth chart
6 month old closed anterior fontanel. - ANS
✔✔✔XRAY
Abnormal cells on PAP, what do you do next? - ANS
✔✔✔Refer for Colposcopy
CAGE ACRONYM - ANS ✔✔✔Cut down
Annoyed by criticism
Guilty about drinking
Eye opener drink
Causes of tachycardia - ANS ✔✔✔Fever
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 - ANS
✔✔✔III first time audible, IV first time thrill
Fundal height 12 weeks - ANS ✔✔✔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
Anemia
Hypotension
Cranial nerves responsible for extraocular eye
movements - ANS ✔✔✔CN 3,4,6
Definition of metabolic syndrome - ANS ✔✔✔cluster
of conditions that increase risk of heart disease,
stroke, diabetes.
diagnose trichomoniasis - ANS ✔✔✔wet prep
Elderly presents with atrophic vaginitis, small
uterus, palpable 4x5 ovary, what do you do next? -
ANS ✔✔✔Pelvic US
Epistaxis is most common in the area of the nose
known as kiesselbachs triangle, where is this
located? - ANS ✔✔✔Anterior septum
Definitive diagnosis of acute bacterial prostatitis -
ANS ✔✔✔urinalysis and culture
GERD treatment - ANS ✔✔✔H2 is first line, give hs
Grade 3 cells on Pap, treatment? - ANS ✔✔✔LEEP
excision
Fingernail hematoma treatment? - ANS ✔✔✔drill hole
and drain blood?
Increased risk of ectopic pregnancy - ANS
✔✔✔Salpingitis, or history of abortion, PID,
Koplick spots - ANS ✔✔✔Measles (rubeola). Grains of
salt lesions inside mouth in Measles
Koplick spots - ANS ✔✔✔Measles (rubeola). Grains of
salt lesions inside mouth in Measles
Legg-Calve-Perthes Disease - ANS ✔✔✔Avascular
necrosis of the proximal femoral head
Lipid level of 1500, increased risk for? - ANS
✔✔✔Pancreatitis
Low HGB, Low HCT, High MCV indicates what? - ANS
✔✔✔Macrocytic anemia, B12 Def
Man with BPH, prostate feels on digital exam? - ANS
✔✔✔Enlarged, symmetrical, smooth
Man with HTN, CAD, present femoral pulses but
absent pedal - ANS ✔✔✔Arterial Insufficiency
McMurray's Sign
(+) palpable or audible click while extending with
varus stress - ANS ✔✔✔Meniscus tears
Lachman's Test - ANS ✔✔✔pivot shift test (ACL tear)
Newborn with foot turned in, what do you do? - ANS
✔✔✔refer to orthopedist
Osgood-Schlatter disease - ANS ✔✔✔Knee pain.
inflammation or irritation of the tibia at its point of
attachment with the patellar tendon
Patient forgot to start Thanksgiving dinner and
husband states she has trouble remembering tasks
and trouble with organization. What is this indicative
of? - ANS ✔✔✔Alzheimer's
Pt has Barretts Esophagus, insurance no longer
covers GI who was treating condition. Pt at FNP
office wanting refill prescriptions. What do you do? -
ANS ✔✔✔Refer to oncologist
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