1 AANP Exam Version 1 Actual Exam Newest 2025/2026 Complete All Questions And Correct Detailed Answers (Verified Answers) |Already Graded A+||Brand New Version!!
During the past 24 hours, a 62-year-old has experienced abdominal pain that radiates to the back. The patient also reports several episodes of nausea and vomiting, a low-grade temperature, and a history of excessive drinking. Physical examination reveals a distended abdomen.Laboratory serum values indicate elevated alkaline phosphatase,
amylase, and serum lipase. The most likely diagnosis is:
- alcoholic liver disease.
- acute mesenteric ischemia.
- viral hepatitis.
- acute pancreatitis. - ANSWER-acute pancreatitis
An otherwise healthy adult female presents complaining of vaginal burning and itching during urination. She has a social history of two sexual partners. She denies fever or vaginal discharge, but has noted a lesion on one labium. The nurse practitioner should order all of the
following EXCEPT:
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- wet mount and potassium hydroxide.
- dark-field microscopy of fluid from the lesion.
- nucleic acid amplification testing for gonorrhea.
- serology for Haemophilus ducreyi. - ANSWER-dark-field microscopy
of fluid from lesion
A 3-year-old female has been diagnosed with bacterial meningitis. She attends preschool daily at a local church day care program. The day before her diagnosis, she ate lunch with her mother at a local restaurant.For which contact(s) would chemoprophylaxis with rifampin be recommended?
- Preschool contacts in the past 7 days
- A friend of the patient's sister who visited after school yesterday
- The checkout employee at the grocery store yesterday
- Diners at the restaurant during lunch the day the patient ate there -
ANSWER-preschool contacts in past 7 days
Congenital dysplasia of the hip:
- more commonly affects both hips.
- occurs more commonly in females.
- is correctable at any age. 2 / 4
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- typically self-corrects by 12 weeks of age. - ANSWER-more
commonly affects both hips
Anticholinergic agents such as ipratropium (Atrovent) and tiotropium
(Spiriva) are used in COPD primarily to:
- induce bronchodilation.
- decrease airway inflammation.
- expand the lung fields.
- treat hypoxemia. - ANSWER-induce bronchodilation
The clinical presentation of placenta previa that develops during the
third trimester includes:
- intermittent dark-red spotting.
- occult bleeding with abdominal or back pain.
- sudden onset of painless and profuse bleeding.
- painless occult bleeding that becomes visible upon onset of labor. -
ANSWER-sudden onset of painless and profuse bleeding
A 27-year-old male patient, who works as a janitor, presents with a 6- month history of an intermittent rash on his hands. History reveals itching and occasional burning. Examination reveals irregularly- distributed scaly maculopapular erythematous patches extending from 3 / 4
4 the dorsum of the hand several inches up the forearms, and dry palms
with no nail involvement. The most likely diagnosis is:
- contact dermatitis.
- scabies infestation.
- psoriasis.
- eczema. - ANSWER-contact dermatitis
Anorexia nervosa occurs most commonly in which of the following?
- Painters
- Only children
- High-level athletes
- Individuals from large families - ANSWER-high level athletes
A frail elderly patient presents with constipation. Which of the following normal physiologic changes seen with aging is the most likely cause?
- Decreased bowel muscle tone
- Increased bile secretion
- Increased absorption of calcium
- Decreased pancreatic secretions - ANSWER-decreased bowel muscle
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tone