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AANP EXAM ACTUAL EXAM ALL QUESTIONS
AND CORRECT ANSWERS AGRADE JUST
RELEASED
RATED
An 86-year-old patient presents with pinguecula, a yellow triangular degenerative tissue
thickening of the bulbar conjunctiva. This condition is:
- cured by eye drops.
- a genetic process.
- a malignant growth.
- a solar-induced lesion - ANSWER-a solar-induced lesion
During a well-child examination of an 18-month-old, premature tooth decay and inflamed gums, particularly of the maxillary incisors, are noted. The approach to this
problem includes:
- referring the child to a dentist, assessing for bottle feeding and fluoride in local water.
- teaching the mother to brush the child's teeth, encouraging vitamin supplements. 1 / 4
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- recommending fluoride mouthwash and toothpaste, suggesting celery sticks for
- providing fluoride treatment, teaching dental hygiene, and eating foods high in
snacks.
calcium. - ANSWER-referring the child to a dentist, assessing for bottle feeding and fluoride in local water
Which of the following is typically observed in the GI system upon stimulation of the parasympathetic nervous system?
- No overall effect
- Increased sphincter tone
- Increased peristalsis
- Decreased secretions - ANSWER-increased peristalsis
Type 2 diabetes mellitus is characterized by which of the following?
- Decreased production of exogenous glucagon-like peptide
- Autoimmune beta-cell destruction
- Relative deficiency of dipeptidyl peptidase-4
- Decreased reabsorption of sodium-glucose transporters - ANSWER-decreased
reabsorption of sodium-glucose transporters 2 / 4
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In pulmonary function testing, forced vital capacity represents the:
- maximum volume of air that can be forcefully exhaled after maximum inspiration.
- total volume of air that is exhaled after normal inspiration.
- total volume of air that the lungs can hold, minus the expiratory reserve volume.
- volume of air that can be forcefully exhaled in 1 second. - ANSWER-maximum
volume of air that can be forcefully exhaled after maximum inspiration
An adult male presents as first patient of the day after awaking about 5:00 AM with indigestion and chest pressure. On checking his pulse, he found no change from previous measurements. He states that, while waiting for the nurse practitioner to arrive, he began to feel a little clammy. A 12-lead EKG records the following patterns. On the
basis of these EKG readings, the diagnosis is:
- anterior-septal acute myocardial infarction.
- lateral acute myocardial infarction.
- inferior acute myocardial infarction.
- anterior acute myocardial infarction. - ANSWER-inferior acute myocardial infarction
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- 3 / 4
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4 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:
- 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
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