AANP Certification Final Exam Latest Update 2024
If your patient is in the catarrhal stage of pertussis, upon examination you would find which of the following? - ANSWER-You would find mild upper respiratory symptoms with cough. And mild conjunctival injection. It is really indistinguishable from ...
If your patient is in the catarrhal stage of pertussis, upon examination you would
find which of the following? - ✔✔✔ANSWER-You would find mild upper
respiratory symptoms with cough. And mild conjunctival injection. It is really
indistinguishable from the common cold.
What would NOT be considered a typical finding in a geriatric patient? -
✔✔✔ANSWER-Low frequency hearing loss. A typical finding in a geriatric
patient would be a high frequency hearing loss. The speaking voice is high
frequency. Degenerative changes of the ossicles, fewer auditory neurons and
atrophy of the hair cells results in sensorineural hearing loss.
Typical findings in a geriatric patient? - ✔✔✔ANSWER-Thinner epidermis,
dermis and subcutaneous layers of skin, bright purple-colored patches on the
forearms and hands, opaque white ring at the periphery of the cornea
,Risk factors for age-related macular degeneration - ✔✔✔ANSWER-Tobacco use,
aging, sun exposure and family history
Underweight BMI - ✔✔✔ANSWER-<18.5
Normal BMI - ✔✔✔ANSWER-18.5-24.9
Overweight BMI - ✔✔✔ANSWER-25-29.9
Obese BMI - ✔✔✔ANSWER-30-39.9
Grossly obese BMI - ✔✔✔ANSWER->40
Pregnancy Category A Drugs - ✔✔✔ANSWER-Vitamins and levothyroxine
Pregnancy Category B Drugs - ✔✔✔ANSWER-Acetaminophen, ibuprofen,
penicillins, cephalosporins, and azithromycin and erythromycin antibiotics.
A geriatric patient who has a 40 pack-year smoking history complains of painful
cramping in the leg muscles that occurs after walking for 20 minutes. After taking
a complete history and performing a physical exam, an NP decides that the most
likely diagnosis is? - ✔✔✔ANSWER-Intermittent claudication
What is a common cause of acne? - ✔✔✔ANSWER-Increase in androgens
,In a 19-year-old who presents with a sore throat and anterior cervical adenopathy,
which causative agent would be suspected? - ✔✔✔ANSWER-Group A beta-
hemolytic Streptococcus
When completing the initial assessment for depression in geriatric adults, the NP
should evaluate? - ✔✔✔ANSWER-Mental status exam
What is the most common risk factor for developing severe hyperbilirubinemia in
the newborn? - ✔✔✔ANSWER-Blood incompatibility with the mother
Which trimester of pregnancy is a woman with a fundal height measurement at the
umbilicus? - ✔✔✔ANSWER-Second
Which of the following conditions exacerbate urinary incontinence? -
✔✔✔ANSWER-Impacted stool and atrophic vaginitis
An adult patient presents with a 2-day history of intermittent stabbing chest pain
that worsens with deep breaths. The patient reports a nonproductive cough and no
fever for several days, and denies trauma, palpitations or GI symptoms. VS normal.
Lungs are clear, heart sounds normal. PE reveals localized chest wall tenderness at
the costal margin. EKG and CXR normal. The most likely diagnosis is? -
✔✔✔ANSWER-Costchondritis
The most common skin cancer is? - ✔✔✔ANSWER-Basal cell carcinoma
What is true regarding depression in the elderly? - ✔✔✔ANSWER-Depression can
be induced by prescribed and OTC medications
, Acute otitis media has what characteristics? - ✔✔✔ANSWER-Loss of ossicular
landmarks on the TM
What constellations of symptoms, lasting more than 3 months, is MOST common
in fibromyalgia? - ✔✔✔ANSWER-Diffuse pain, sleep abnormality, fatigue
An adult male is seen for an initial visit. He denies tobacco, drug, or ETOH use. He
has a sedentary lifestyle and no family history of DM. VS normal, BMI = 31. What
diabetes screening tests would an NP order? - ✔✔✔ANSWER-Fasting plasma
glucose
An adolescent presents for a preparticipation athlete exam. In determining
clearance for participation in sports, what should be considered? -
✔✔✔ANSWER-Characteristics of the sport
Urinary and bowel dysfunction, saddle anesthesia, and leg weakness or foot drop
are signs of? - ✔✔✔ANSWER-Cauda equina syndrome
The NP would suspect what person to be at the highest risk for Rocky Mountain
spotted fever? - ✔✔✔ANSWER-A 40-year old male who is living in a wooded
area raising dogs
What condition is associated with the development of type 2 DM? -
✔✔✔ANSWER-Delivery of a neonate weighing 9 lb or greater
What condition is a risk factor for development of DVT and PE? -
✔✔✔ANSWER-Visceral malignancy
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