AANP Study Guide

The first thing I want to say about the boards is some is straight forward, but most are scenarios. Read the question and specifically read the last sentence and WHAT it is exactly asking for. Take Walden BRONZE and LIVE to pull everything together and PASS!

There will be some crazy answers you can just throw out. And sometimes it will come down to 2 but there is only one correct answer. This is where you must know the foundation of the disease. For example, the scenario may be (and is on the test) that a patient returned from visiting family in north Carolina and she went hiking while she was down there, you should be thinking Rocking mountain spotted fever already or Lyme disease, then look your answers (paying NO mind to anything else in the scenario. If one of those are listed, boom that is your answer….BUT maybe the answers are antibiotics….so you must come to the conclusion it is one of the illnesses above to even know which antibiotic. In this case, both are treated with doxycycline.

Related: AANP FNP Certification Exam Questions and Answers

Topics that ARE on exam, these are from my experience, Walden review, other peers exam topics and study guides listed on here and some updated I included with it, the original document I did not own but this revision is mine. There are different versions of exams, but just as Walden states this is an “entry level” exam. You will not be picking big diagnosis, these are the common things that may present in an urgent care/ER/family practice.

1. Cranial nerves- need to know oculomotor (which ones to test) – 3,4,6 trigeminal is 5 and facial is 7(see attached face diagram, I used this on my scrap paper during test).

Cardiac

1. Know S3 & what it means. You will hear a 3rd heart sound. S3 was not an option
2. Know S4 it is a sign of what? They describe a patient. Sounds like Tennessee.
3. A murmur that is loud and heard with your scope plus thrill is 4. A loud murmur that you don’t need a scope for is 6

1. What does a grade III/VI murmur sound like? Moderately loud
2. They tell you a systolic murmur—one that radiates to the neck (Aortic Stenosis) and one that radiates to the axilla (Mitral Regurgitation).
3. How do you rule out AAA? Ultrasound (gold standard in 65 and older, especially if they smoke).
4. You have a patient with HTN and osteoporosis—what medication do you put them on for HTN? Thiazides.
5. HTN drug for DM with neuropathy: ACE or ARB.
6. You have a patient, and on eye exam you notice copper and silver arterioles, AV nicking—what else do you assess them for? HTN.
7. You have an elderly patient with isolated systolic hypertension (ISH, on exam). What medication do you start? CCB.
8. PAD patient—what is the treatment? Exercise.
9. PAD—what test? Ankle-Brachial Index (ABI).
10. Know chronic venous insufficiency: Edema, thick skin, discolored.
11. Test you do for stable angina: Stress test.
12. Know systolic and diastolic murmurs. A question was asked about a heart murmur: one was high-pitch holosystolic and the other was mid.
13. Know the difference between Peripheral Arterial Disease and Chronic Venous Insufficiency.
14. Question about JVD causes: occlusion, stenosis, or CHF.
15. Know Bacterial Endocarditis: Gradual onset of fever, hemorrhages on nail beds, painful raised red nodules (Osler’s nodes), and Janeway lesions.
16. Questions about carotid bruit signs—can signify what? Narrowing of the carotid.

GI

1. High triglycerides increase the risk of: Pancreatitis.
2. You have a patient with chronic Hep C—what will be high?
   a) AST
   b) ALT
   c) Both
3. First-line treatment for GERD: PPI or H2 antagonist (for this exam, it will be one or the other, not both).
4. You have a positive psoas maneuver. In a scenario, this most likely means: Appendicitis.
5. Rovsing’s sign? Appendicitis.
6. With GERD and Barrett’s esophagus: Refer to Oncologist (worried about cancer).

1. 27.Questionabout pyloric stenosis (Hint is non bilious vomiting, olivelikefirmmasspalpatedon right upper quadrant)
2. Common causes of GERD- CCB calcium channel blockers because they open everything up
3. Increase in triglyceride can cause pancreatitis
4. First line treatment for Ellis Zollinger is PPI- unknown reason for attack of the gastric system Skin
5. Whatis honeycrustedlesionshow do you treat? Impetigo. Muprocin
6. 32.Actinickeratosis precursor to Squamous Cell Carcinoma (SSC)- bony growth out of face chin head- Both presentation and that it is a precursor is on exam- treatment is also on there- cryotherapy

1. Rosacea(knowthepresentation) tx with metronidazole gel
2. 34.Howdo you treat shingles – acyclovir
3. Olderinduration that has been there awhile what do you do? Bx it
4. 36.BasalCell Cancer: Waxy, pearly, telangiectasia, ulcer center lesion they will be in a scenario format- just know it is basal cell carcinoma
5. 37.Melanomaquestion: Know ABCD Described it.Irregular,3differentcolors.
6. 38.SubungualHematoma tx: Makeaholeanddraintheblood-ONEXAM
7. 39.Txfor moderate acne – will be case scenario that patient has tried OTC and your answer will be tetracycline
8. 4Reviewyour skin issues for adult and kids. Question about Rubeola (Koplik),
9. 4Howdo you treat a skin fungal infection? clotrimazole- any med with azole in it

Peds

1. 42.Whatputs a new born at high risk for hyperbilirubinemia the answer is cephalohematoma

1. 4Tannerstage III female
2. 44.14yo boy cc of bonymassonanteriortibialtubercle-Osgood- Schlatter
3. 4Theydescribe a weak baby, doesn’t feed well sleeps a lot- it has congenital heart defect

1. 46.ADHAquestion- answer is neurobiological
2. 47.FirstlinetxofADHD–SSRI

 Read: AANP FNP Certification With Real Exam

1. 48.Coarctationof Aorta: Know that systolic BP on lower extremities is supposed to be greater or equal compared to upper extrem In COA it will be lower. Look for weak radial and bounding femoral pulse

1. 49.ADHDis a behavior disease
2. Mostcommon cause of death in children. Options are a) poisoning b)Motor vehicle accident, c)drowning, and can’t remember the fourth one
3. Questionabout molliscum. Question described the disorder. Whiteplug.– on infant, be thinking of sexual abuse)
4. 52.Pedspt has sausagelikemassthis is what-intussusception.
5. Ifyou have a both parents with a genetic defect what is the percentage the child will have it. 25%
6. 54.Babyis 6 days ol Has eye discharge. What is it. STD

Psych

1. Knowhow an anorexia presents
2. 56.Antipsychoticslead to risk of obesity, DM2 hyperlipidemia
3. 57.Youput a patient on zyprexa what do you monitor- BMIandwtcheck every

3 months

1. 58.Themost common side effect of Paxil – erectile dysf Question said man comes in complaining ejaculation problems. These are his meds. Which one is causing it?
2. 59.Youwill get a young female with depression what med do you start? SSRI
3. 6Youhave an elderly female with depression what med do you start SSRI if they list celexa choose it. Has the shortest list of interactions
4. 6KavaKava question- something about what not to mix it with- benzo, CNS

depressants or hypnotic

1. 62.Whichmedication causes low sperm count for a patient (SSRI)
2. 6Questionabout grandiosity (Bipolar)
3. 64.Theywill ask you what is MME and then they will give you a question like you are asking an elderly patient to repeat three wor What test are you doing? MME
4. 6Apatient 77 yo is on benzo’s how do you get them off- wean them

1. 66.Zyprexa(What lab and intervention to put in place such as weight check, DM,
2. 67.Questionabout what’s the common bug in children with diarrhea.- roto virus
3. 68.Whatdrug do you give in an ACUTE anxiety attack? Benzos (Xanax) short term

Gero

1. 69.Youhave an elderly patient that has new rapid onset of confusion what are labs to check for reversible causes? CBC,TSH,BMPandUA(pickonewithUA). The main medication that causes this is? Benadryl
2. 7Sensorineural(Presbycusis)- happens in older generation
3. 7Knowtypes of Alzheimer’s: Question about a pt. experiencing memory loss, and increase in confusion and she has a history of stroke, HTN, What type of Alzheimer. Options include (Dementia with lewy bodies, Vascular dementia, frontotemporal dementia).

Neuro

1. 72.Yourpatient has essential/familial tremor what is first line treatment- propranolol
2. 7Howdo abort migraines drug? Triptans
3. 74.Prophylactictx migraines? Propranolol
4. 7Theydescribe a pt with Trigeminal neuralgia symptoms without stating dx, how do you treat? Tegretol
5. 76.Treatmentof cluster HA high dose O2
6. 77.Teenwith dizziness and lateral gaze and returns to normal- this means what? Normal
7. 78.Papilledemais a s/s of ICP
8. 79.Questionabout complaining of worse headache of life after trauma: Options include a)post-concussion headache b)subarachnoid bleed and c)Subduralhemorrhage).
9. 8Questionabout Migraine headache: Know the description and duration of headaches as well
10. 8Questionabout CN 3,4,6 (EOM)
11. 82.Questionabout Romberg test and how it’s done? Eyes must be 
12. 8Questionabout a pt. complaining about upper arm tremor that seems to be hereditary. What’s the treatment? options include (Xanax, lorazepam, topololand cant rember the last one)

Legal

1. 84.Idid have a question about Something like sharing info to a boyfriend is an example of HIPPA violation, they throw out like beneficence and non- maleficence

Hemotology

1. 85.Yourpt has as big beefy tongue they have- B12 anemia
2. 86.Youhave a pt on coumadin INR is 4 hx of DVT what do you do? Increase it
3. 87.Yourpt t-score is -1. what does that mean? Osteopenia
4. 88.Howdo pt present for temporal arteritis and they ask for the gold standard? Bx of artery

1. 89.Anemiaquestion, Vitamin B12 deficiency, Fola Men’s Health
2. 9Whatis the first line treatment in BPH and HTN? Hytrin-onlyoneyou

needtoknowspecifically

1. 9Lookup how acute prostatitis presents they ask you how to treat it. 35 yo male doxi 100mg BID X 10 days and Rocephin 250mg. What symptoms is NP looking for to test for STI? Suprapubic pain.

STD

1. 92.Ifthe patient is older than 35 its not likely STD but LUTS cipro BID or Levo

4-6 weeks

1. 9Theydescribe a patient with BV symptoms and clue cells seen. What is it?

treat with Flagyl 500mg Bid X 7 days. Do not drink ETOH

1. 94.Theytell you your patient has strawberry cervix with green discha How do you treat? Flagyl
2. 9Ifyou treat gonorrhea you also treat what? And how? Chlamydia (Rocephin and Azith)
3. 96.Ifyou have an HIV pt with a TB test that reads 5mm they ARE considered positive
4. 97.Theydescribe a pt with papular, non itchy lesion to palms and soles of feet, what lab do you draw? RPR (Syphillis)
5. 98.Howto tx genital warts TCA trichloroacetic if prego

1. 99.Questionabout chlamydia what drug you give
2. Questionabout genital wart tx

1. Questionabout treating HIV pt. with antiviral and CD4 count still less than
2. 20Whatshould NP tell the pt he is qualified to be diagnosed with AIDS

according to CDC

Women’sHealth

1. 102.Knowthe difference between probable, possible and positive signs of pregna Leik book
2. Naegelesrule
3. 104.Ihad a pregnant patient in her 3rd trimester painfull vaginal bleeding- what is that how do you treat? Abruption, c-
4. Sameas above but painless. What is it and how to tx? Placenta previa. C- section as well
5. 106.Whatabx do you give a preg pt for UTI answer isnitrofuration/Macrobid
6. 107.Questionabout contraceptive pills mini pill is ok for smoker??? If under 35 no other risks
7. 108.Questionabout a p pap’s smear noted with Low Grade Squamous Intraepithelial Lesions and High Grade Squamous Epithelia Lesion noted on the report, what should NP do? referring for colposcopy,
8. 109.Questionabout NP palpating right ovaries on a 1-year postmenopausal woma Answer is to r/o ovarian cancer start with US
9. Anotherquestion about who is at high risk for ovarian cancer? Patient with a family history
10. Highrisk for ectopic pregnancy: Salpingitis
11. 112.Preeclampsiatx bed rest, laying on her side and
12. Questionabout a pregnant female at slightly above symphysis pubic and Fundal height is 23cm (above the umbilical. What should be done (I picked to have Ultrasound done to)
13. 114.Coombstest= Detects presence of RH antibodies
14. OvarianCA risk. options are a) multipara b)family history and smoking).
15. 116.Whattest needed to differentiate lesion/cyst found on a breast?Ultrasound

Pulm

1. 117.Asthmafirst line treatment? SABA
2. 118.Theydescribe a pt with TB- fatigue fever cough upper lobe infiltrates on Xray
3. 119.Whatcauses the greatest increase in RR? hypercapnia
4. 12Yoususpect sleep apnea which includes everything but -obesity, enlarge tonsils, macrognathia or microglossia
5. 12RMLCXR- Tuberculosis
6. 122.Acutebronchitis descrip Do not treat with what? Antibiotics
7. 12Croup/Epiglottitis:Question about what condition would make you order Lateral X-ray of the neck. Options include: Drooling, Unable to do ROM of the neck / stiff neck.
8. 124.Questionabout CURBS: Which of the options does not require hospitalization for pneumonia ReviewCURBS:It’sacriteriaforpneumoniahospitaladmission
9. 12Whichamong the list can cause increase in respiration. Options include a)low oxygen b)high oxygen c)hypercapniaor d)hypocapnia

HEENT

1. 126.Whatis the most common pathogen of otitis externa and how to treat
2. 127.Webertest- lateralization to only one ear is abnormal
3. 128.Theydescribe a bilateral allergic conjunctivitis
4. 129.Retinoblastoma-look up all SS of this and what it mea Google it for an advance search they do not give you basis info
5. Questionabout AV nicking. What does NP assess for? HTN.
6. Questioncauses of IOP
7. 132.Questionabout horizontal nystagmus that stops when eye is close to midline in a college student its normal
8. Weber/RhinneTest
9. 134.Questionabout someone eating, painful lump noted on the jaw that comes and Options include , sialolithiasis – also Caculi or salivary stones”, is a condition where a calcified mass or silaolith forms within a salivary gland usually in the duct of the sub mandibular gland also term Wharton’s DUCT –

Orthopedic-knowthemall

1. Treatmentfor mild ankle sprain RICE
2. 136.Treatmentfor medial tibial stress syndrome- shin splint RICE
3. 137.Alot of Musculoskeletal questions: Know what the Lachman and Drawer tests f
4. 138.lateralepicondylitis Tx,
5. 139.Morton’sNeuroma description as someone has a mass or nodule on the

4th/5th toe)

1. 14Questionabout an 88/yr. old patient in for follow up secondary. She’s been treated with Tylenol for Joint arthritis. Her SED rate was checked after 6 weeks of treatment and it was 28. Normal range is from something to 25. How would you treat the pt. (Do nothing, Increase Tylenol, change to NSAID, and pt. is expected to have a high SED rate due to age). I think it should be changed to NSAID cuz SED rate is a sign of inflammation,
2. 14Questionabout medial Tibia Stress
3. 142.Questionabout osteoporosis risk fa Options include (low estrogen level, obesity, sedimentary lifestyle, cant remember the last one)
4. 14Txto prevent fracture in a pt. with low vitamin d hydroxyl, high TSH and low Hct (Option include Calcium carbonate 600mg, vitamin d 800 IU don’t remember…..
5. 144.Navicularfxdon’tshowuponXrayrightawaytheywillin

2weeks-theywilltrytotrickyoubutpickuponthefactthatthepatientreturnsandstillhaspainafter2weeks,repeatxray!

1. 14Pageantsdisease first line treatment- I picked surgical

Renal

1. 146.Howdo you dx a kidney stone- US not CT
2. 147.Oldlady with new onset of incontinence- you do wha UA and culture
3. 148.KnowUTI is leukocytes on point of care stick with bacteria, also know all the incontinence, I have stress incontinence- it will be in scenario form

ENDO

1. 149.Hyperand Hypothyroidism
2. Questionabout FRUCTOSESAMINE TEST. Test for how long sugar storage in system. Options include (2-4 week, 3-8 weeks 4-6 weeks and cant remember the rest). The answer is 2-3 or 4 weeks

151.

1. 152.Cancer
2. 153.Questionabout pencillikestoools—- descendingcolonCAistheanswer
3. 154. Dacryocystitis-howit presents
4. 15 Know how Morton's neuroma presents
5. 156.Ihad to choose the best prophylactic antibiotic for a geriatric patient who is fairly healthy, undergoing knee surgery-options were vanco, a tetracycline a cephalosporin and something I think it’s the cephalosporin.
6. 157.KnowS&S of CHF-particularly breathing difficulties (orthopnea, etc) and what heart sounds you might hear… not S3 but when and where you hear an Third heart sound etc.
7. 158. Causes of tachycardia? Anemia,hyperthyroidismandinfection-straightforwardlikethis
8. 159. 6day old infant with conjunctivitis—STD (I think chlamydia was the only

STD option)

1. 16Intussusception
2. 16Atypicalantipsychotics-adverse affects(lab wise)
3. 162.Hownasal polyps present
4. 163.Addisonsdisease—they give a question about how they present without telling you that’s what it is and ask you what labs you expect to see-highcortisollevels,hyperkalemia,lowsodium,etc
5. 164.Lichensclerosis-how it presents (white streaks)
6. 16Lichenplanus- bottom of feet
7. 166.Hyperthyroid-howit presents and treatment
8. 167.Erysipelas-howit presents on the face
9. 168.Auspitzsign in Psoriasis-know what it is
10. 169.Agerelated changes in the elderly-I had two questions, the one was about BP or HR and you had to pick the pathophysiology about why it happens.