AANP Board Questions with Complete Solutions (Latest 2025) Therapeutic INR values below ____ increase stroke risk sixfold. - Correct Answers ✅2 Diabetic Retinopathy Findings - Correct Answers ✅Microaneurysms Neovascularization Cotton Wool Spots Hard exudates All of the following would require the nurse practitioner to delay testing a
patient's prostate-specific antigen (PSA), except:
- Urinary retention
- Urinary tract infection
- After a digital rectal exam
- Vigorous exercise 3 days prior - Correct Answers ✅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.Tic Douloureaux - Correct Answers ✅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. 1 / 4
AANP Board Questions with Complete Solutions (Latest 2025) 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.The nurse practitioner sees a 58-year-old female patient who reports abscesses 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?
- Impetigo
- Carbuncles
- Shingles
- Hidradenitis suppurativa - Correct Answers ✅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.Insulin Lispro (Humalog) - Correct Answers ✅Lispro is a rapid-acting insulin that is used on a sliding scale to work from meal to meal Atopic dermatitis (eczema) - Correct Answers ✅chronic, pruritic rash of the hands, flexural folds, and neck that can be exacerbated by stress and environmental factors. 2 / 4
AANP Board Questions with Complete Solutions (Latest 2025) Toxic Epidermal Necrolysis (TEN) - Correct Answers ✅TEN is the result of a severe skin reaction to medications such as allopurinol, nonsteroidal anti- inflammatory drugs (NSAIDs), and anticonvulsants.Melanoma - Correct Answers ✅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, blistering sunburn in childhood, tanning beds, and atypical nevus Seborrheic keratoses - Correct Answers ✅Seborrheic keratoses are soft, fleshy, painless growths that are located mostly on the back. Skin lesions look like they are "pasted" on the skin and can range in color from light tan to black.Acanthosis nigricans - Correct Answers ✅Acanthosis nigricans are diffuse, soft thickenings of the skin usually located at the neck and axilla. They are also associated with diabetes, metabolic syndrome, obesity, and gastrointestinal cancer.Acrochordon - Correct Answers ✅Acrochordons (skin tags) are painless, pedunculated outgrowths of skin that are common in the neck and axillary areas. If the growths are traumatized, they become necrotic and fall off. They are most common in diabetics and patients who are obese.Which of the following is associated with male aging?
- Increased levels of estrogen
- Decreased sperm production
- Increased production of semen 3 / 4
AANP Board Questions with Complete Solutions (Latest 2025)
- Decreased concentration of sperm - Correct Answers ✅Decreased
sperm production A nurse practitioner sees a patient for an evaluation of sexually transmitted diseases. Assessment reveals Fitz-Hugh-Curtis. The nurse practitioner will
prescribe: - Correct Answers ✅Ceftriaxone 500 mg IM × one dose plus
doxycycline 100 mg BID × 14 days plus metronidazole 500 mg BID × 14 days.Fitz-Hugh-Curtis syndrome should be treated as a complicated
gonorrheal/chlamydial infection: Ceftriaxone 500 mg IM × one dose plus
doxycycline 100 mg BID × 14 days plus metronidazole 500 mg BID × 14 days for anaerobic coverage.sensitive screening test for HIV - Correct Answers ✅Combination HIV-1 and HIV-2 antibody immunoassay with p24 antigen.DM medication class that should not be used in patients with heart failure or hx of bladder cancer? - Correct Answers ✅Thiazolidinediones
Medication class with high risk of hypoglycemic events: - Correct Answers
✅Sulfonylureas stimulate the beta cells but have a long half-life, and there is a high risk for severe hypoglycemic events.Treponema pallidum - Correct Answers ✅T. pallidum is a gram-negative spirochete bacterium that causes syphilis.Which class of diuretics is contraindicated in patients who are allergic to sulfa products? - Correct Answers ✅Thiazides (hydrochlorothiazide and indapamide) and loop diuretics (furosemide and bumetanide) are contraindicated in patients with sulfa allergies.
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