AANP Practice Exam Questions with
Correct Answers 2024
1. Erythropoietin - ANS -90 % renal, 10% hepatic, need
supplementation when GFR is less than 49
2. Reticulocytes - ANS -In health, make up 1-2 % of total RBCs,
increased in response to anemia. Absence of reticulocytotic or
presence of reticulocytopenia shows inadequate bone marrow
response.
3. Hemoglobin - ANS -normal is 12 for females and 15 for males.
Ratio to hematocrit is 1:3
4. MCV - ANS -determines red blood cell size - normal is 80-96
5. MCH - ANS -reflects hgb content and color, normal is 31-37
,6. RDW - ANS -variation of RBC size - normal is 11.5-15%
7. Normocytic, normochromic , normal RDW - ANS -acute blood
loss, anemia of chronic disease
8. Microcytic, hypochromic anemia, elevated RDW - ANS -Iron
deficiency anemia
9. Microcytic, hypochromic, normal RDW - ANS -alpha or beta
thalassemia minor
10. Macrocytic, normochromic, elevated RDW - ANS -Vitamin
B12 deficiency, folate deficiency, pernicious anemia
11. Macrocytosis without anemia - ANS -use of medications like
Tegretol, AZT, Depakote, Dilantin, alcohol
12. Heart murmur seen in b12 deficiency - ANS -Hemic murmur
,13. Most common pathogen in CAP, ABRS, AOM - ANS -S.
pneumoniae
14. Common pathogen in ABRS, AOM, CAP particularly with
recurrent infections and tobacco use - ANS -H. influenzae, more
than 30% now pcn resistant via beta lactamase production
15. First line treatment for Acute Bacterial Rhinosinusitis - ANS
-Augmentin 500/125 TID or 875/125 BID
16. Second line treatment for Acute Bacterial Rhinosinusitis -
ANS -Augmentin 2000/125 BID or doxy 100 mg BID or 200 mg QD
17. Treatment for ABRS if allergic to PCN, Cephalosporins - ANS
-Doxy, Levofloxacin, Moxifloxacin
18. Treatment for ABRS if antibiotic resistance of failed initial
therapy - ANS -Doxy, levofloxacin, moxifloxacin
, 19. Presbycusis - ANS -slowly progressive hearing loss that is
symmetric and high frequency
20. 1st line controller therapy in allergic rhinitis - ANS -
Intranasal corticosteroids like Flonase, Nasonex, Nasacort,
Omnaris. Side effects are that nasal irritation and bleeding may
occur. Optimal efficacy may take 1-2 weeks.
21. 1st line rescue treatment in allergic rhinitis - ANS -Nasal
antihistamines, esp. if there is nasal congestion. sedation could
occur. Drugs like astelin, Astepro, and patanase
22. 1st generation oral antihistamines - ANS -significant
potential to cause sedation and anticholinergic effects so not a
first line therapy. Ex. Benadryl, chlor trimeton, dimetapp, vistaril.
