AANP Certification Exam Questions and Answers 2023

1.diverticulum can be an infection of: both gram – and + bacteria
2.Which diuretic should be used for osteoporosis?: Thiazide
diuretics: slows the kidneys excretion of calcium and increases
reabsorption
3.Lachman maneuver: knee
instability tear of ACL
4.Infections of labia and vagina: bacterial vaginosis, candidiasis, and
trichomo- niasis
5.Chlamydia affects: cervix, endometrial lining, fallopian tubes, pelvic
cavity
6.Acute abdomen symptoms: involuntary guarding, rebound
tenderness, board-like abdomen, +obturator and psoas sign
7.Care of preecplampsia: bed rest, weight and blood pressure monitoring
1 / 4
2 / 36
8.Preeclampsia labs: urine protein, serum protein, creatinine, platelet
count
9.Preeclampsia symptoms: hypertension, proteinuria, edema (weight
gain)
10.Preeclampsia complications: placental abruption, coagulopathy
(DIC), renal failure, uteroplacental insufficiency, liver failure,
hypertensive encephalopathy, reti- nal detachment, pulmonary edema,
seizure, death

  1. community acquired
    pneumonia Most common bacteria
    least common bacteria
    Population
    treatment: mycolpasma pneumoniae (atypical)
    h. influenza, strep
    pneumoniae atypical:
    psuedomonas aeruginosa
    college student, school children,
    military macrolides: azithromycin,
    clarithromycin
    2 / 4
    3 / 36
    12.Mantoux test: Positive: 5mm
    Positive for recent immigrants:
    10mm
    13.Murphy’s sign: biliary disorders
    deep inspiration by patient and deep palpation RUQ below
    costovertebral angle
    14.placenta previa: implantation of the placenta over the cervical
    opening or in the lower region of the uterus
    painless bright red blood in the second or third
    trimester Order abdominal US
    3 / 4
    4 / 36
    15.Hashimoto’s is most common in which population: middle age to
    older women
    16.Hypertension Retinopathy: AV nicking and copper or silver wire
    arterioles flame-shaped hemorrhages
    17.threatened abortion: vaginal bleeding and cramping, soft uterus,
    cervix closed
    18.bacterial vaginosis: fishy odor, milky white or dull gray
    discharge pH > 4.5

20% clue
cells KOH
whiff test
19.squamous cells dotted with lots of bacteria that obscure borders:
clue cells
20.Lichen sclerosis: skin disease, white spots appear over time, most
common genital and rectal
most common in older
woman itching,
discomfort, bleeding order

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