AANP Study Guide Past Exam QUESTIONS AND ANSWERS 100% score (reupdated 2025) A 7-year-old male presents with a painless limp, antalgic gait, muscle spasm, mildly restricted hip abduction and internal rotation, proximal thigh atrophy, and slightly short stature. - Correct Answers ✅Legg-Calve-Perthes Disease Initial given at 12 months and second dose 4-6 years. Can give a monovalent under 12 months if there is an outbreak. - Correct Answers ✅MMR Patchy, scaly, raised, irregular lesions in sun-exposed areas that are tri-colored. Pre-malignant and 20% can develop into squamous cell carcinoma. - Correct Answers ✅Actinic Keratosis Chronic benign lesions that are raised, oily, flaky, waxy, wart- like, erythematous without associated sun exposure. - Correct Answers ✅Seborrheic Keratoses 3rd most common type skin cancer. Originates from pigmented mole (nevus) may be flat or raised, irregular borders, variegated color, and highly metastatic. - Correct Answers ✅Malignant Melanoma Assess PSA and hematuria for prostate CA diagnosis. - Correct Answers ✅Nodule on Prostate Exam 1 / 3
AANP Study Guide Past Exam QUESTIONS AND ANSWERS 100% score (reupdated 2025) Hard and non-tender prostate with exam, hematuria, elevated PSA, and urinary retention. - Correct Answers ✅Prostate CA Freely moveable cystic mass and nonviable sperm. - Correct Answers ✅Spermatocele Symptoms/signs Diagnose HTN with BP 140/90 - Correct Answers ✅JNC 8 <60 years Diagnose HTN with BP 150/90 - Correct Answers ✅JNC 8 >60 years Narrowing of the nasolacrimal duct preventing drainage.Massage to help open. - Correct Answers ✅Dacryostenosis Swelling, erythema, pain and purulence. With extreme swelling treat with antibacterial-steroid combination. - Correct Answers ✅Opthalmic Infection Signs/symptoms Unilateral, sudden onset stabbing, surface pain that lasts minutes and subsides and then returns. Pain triggered by 2 / 3
AANP Study Guide Past Exam QUESTIONS AND ANSWERS 100% score (reupdated 2025) touch or temperature. Generally affects women over 50. - Correct Answers ✅Trigeminal Neuralgia Women should be taught to avoid methylxanthines (coffee, tea, chocolate) to decrease breast pain. Mammography recommended once at 35 years, then 1-2 years from 40 on and then annually at 50. Oral contraceptives can help with reduction of cyclical pain and inflammation. Painful bilaterally.
- Correct Answers ✅Fibrocystic Breast Disease
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Single dose of Azithromycin or Erythromycin QID x 14 days.Doxycycline is contraindicated in pregnancy. - Correct Answers ✅Chlamydia Tx In Pregnancy Ceftriaxone - Correct Answers ✅Gonorrhea Tx in Pregnancy Diagnose carpal tunnel. 90 degree wrist flexion for 60 seconds reproduces symptoms. - Correct Answers ✅Phalen's Test Median nerve compression at the wrist with painful dysesthesia of the palmar surface of the thumb, index finger and third finger. - Correct Answers ✅Carpal Tunnel Syndrome