AANP BOARD TEST STUDY GUIDE
Expected Questions and Verified Answers
100% Guarantee Pass
1. Therapeutic INR values below increase stroke risk sixfold.: 2
2. Diabetic Retinopathy Findings: Microaneurysms
Neovascularization
Cotton Wool Spots Hard
exudates
3. All of the following would require the nurse practitioner to delay testing a
patient's prostate-specific antigen (PSA), except:
a. Urinary retention
b. Urinary tract infection
,c. After a digital rectal exam
d. Vigorous exercise 3 days prior: Vigorous exercise 3 days prior
PSA testing is falsely elevated in a patient with urinary retention and urinary tract infection and
after a digital rectal exam. Vigorous exercise does not have to be stopped 3 days prior to
testing; however, vigorous exercise should be discouraged before testing because it will falsely
elevate the PSA levels. Ejaculation within 48 hours will also falsely raise the PSA level.
4. Tic Douloureaux: There are two types of tic douloureux (trigeminal neuralgia). Type 1--
presents with extreme, shock-like facial pain, which lasts from a few seconds to 2 minutes per
event and can last up to 2 hours total. Type 1 does not awaken the patient at night.
Type 2-- is a constant, aching, burning facial pain with less intensity but may occur with Type
1. Type 2 is more common in women and peaks in their 60s. Type 2 can also be related to
secondary neurologic disease such as multiple sclerosis or HSV-1.
5. The nurse practitioner sees a 58-year-old female patient who reports ab- scesses
and pustules in the axilla and groin and under the breasts, which burst and drain
purulent green discharge. She has a history of smoking and a body mass index
(BMI) of 37.1.
Which diagnosis is most likely?
,a. Impetigo
b. Carbuncles
c. Shingles
d. Hidradenitis suppurativa: hidradenitis suppurativa
Hidradenitis suppurativa is most common in women (3:1). Smoking and obesity are
, significant risk factors. Lesions are treated with topical antibiotics (or oral antibiotics,
warm compresses, and pain medications). Institute diet changes to reduce high glycemic
and dairy food intake. Refer to a dermatologist for additional treatment options.
6. Insulin Lispro (Humalog): Lispro is a rapid-acting insulin that is used on a sliding scale to
work from meal to meal
7. Atopic dermatitis (eczema): chronic, pruritic rash of the hands, flexural folds, and
neck that can be exacerbated by stress and environmental factors.
8. Toxic Epidermal Necrolysis (TEN): TEN is the result of a severe skin reaction to
medications such as allopurinol, nonsteroidal anti-inflammatory drugs (NSAIDs), and
anticonvulsants.
9. Melanoma: Melanoma are nevi with uneven texture, irregular borders, variegated colors,
size larger than 6 mm, and changing size (the mnemonic ABCDE stands for asymmetry,
border irregularity, color variations in the same region, diameter
>6 mm, and enlargement or change in size over time), and they can be pruritic. Risk factors
include family history of melanoma (10% of cases), extensive/intense sunlight exposure,
Expected Questions and Verified Answers
100% Guarantee Pass
1. Therapeutic INR values below increase stroke risk sixfold.: 2
2. Diabetic Retinopathy Findings: Microaneurysms
Neovascularization
Cotton Wool Spots Hard
exudates
3. All of the following would require the nurse practitioner to delay testing a
patient's prostate-specific antigen (PSA), except:
a. Urinary retention
b. Urinary tract infection
,c. After a digital rectal exam
d. Vigorous exercise 3 days prior: Vigorous exercise 3 days prior
PSA testing is falsely elevated in a patient with urinary retention and urinary tract infection and
after a digital rectal exam. Vigorous exercise does not have to be stopped 3 days prior to
testing; however, vigorous exercise should be discouraged before testing because it will falsely
elevate the PSA levels. Ejaculation within 48 hours will also falsely raise the PSA level.
4. Tic Douloureaux: There are two types of tic douloureux (trigeminal neuralgia). Type 1--
presents with extreme, shock-like facial pain, which lasts from a few seconds to 2 minutes per
event and can last up to 2 hours total. Type 1 does not awaken the patient at night.
Type 2-- is a constant, aching, burning facial pain with less intensity but may occur with Type
1. Type 2 is more common in women and peaks in their 60s. Type 2 can also be related to
secondary neurologic disease such as multiple sclerosis or HSV-1.
5. The nurse practitioner sees a 58-year-old female patient who reports ab- scesses
and pustules in the axilla and groin and under the breasts, which burst and drain
purulent green discharge. She has a history of smoking and a body mass index
(BMI) of 37.1.
Which diagnosis is most likely?
,a. Impetigo
b. Carbuncles
c. Shingles
d. Hidradenitis suppurativa: hidradenitis suppurativa
Hidradenitis suppurativa is most common in women (3:1). Smoking and obesity are
, significant risk factors. Lesions are treated with topical antibiotics (or oral antibiotics,
warm compresses, and pain medications). Institute diet changes to reduce high glycemic
and dairy food intake. Refer to a dermatologist for additional treatment options.
6. Insulin Lispro (Humalog): Lispro is a rapid-acting insulin that is used on a sliding scale to
work from meal to meal
7. Atopic dermatitis (eczema): chronic, pruritic rash of the hands, flexural folds, and
neck that can be exacerbated by stress and environmental factors.
8. Toxic Epidermal Necrolysis (TEN): TEN is the result of a severe skin reaction to
medications such as allopurinol, nonsteroidal anti-inflammatory drugs (NSAIDs), and
anticonvulsants.
9. Melanoma: Melanoma are nevi with uneven texture, irregular borders, variegated colors,
size larger than 6 mm, and changing size (the mnemonic ABCDE stands for asymmetry,
border irregularity, color variations in the same region, diameter
>6 mm, and enlargement or change in size over time), and they can be pruritic. Risk factors
include family history of melanoma (10% of cases), extensive/intense sunlight exposure,
