AANP Lightning Round Practice Test

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• Initial rate control in atrial fibrillation commonly uses which medication class first?
• Which medication is a disease-modifying antirheumatic drug commonly used to treat rheumatoid arthritis?
• What is the most common cause of left ventricular hypertrophy in the United States?
• What is the first-line treatment for congestive heart failure?
• First-line management of essential hypertension typically includes which of the following?
• In coarctation of the aorta, the blood pressure is typically higher in which part of the body?
• A midsystolic click at the mitral area is most characteristic of which condition?
• Induration of 5 mm or greater on a TB skin test is considered positive in which population?
• Infection of the lacrimal sac or tear duct is called?
• Medial tibial stress syndrome is most often seen in which group?
• >15 mm induration is positive for TB in individuals with no known risk. Which option best describes this criterion?
• Which option best represents the long-term management strategy for peripheral artery disease?
• Which non-pharmacologic measure is recommended to help prevent Raynaud's episodes?
• Herald patch is an early lesion seen in which condition?
• What is the recommended waiting period after an MMR booster before attempting pregnancy?
• If a patient is allergic to respiratory quinolones, which regimen is recommended as an alternative?
• Which of the following would indicate not immune to Hepatitis B?
• Which test assesses medial knee pain associated with the MCL?
• Which medication class is a first-line pharmacologic treatment for Raynaud's phenomenon?
• Glucosamine is commonly used for which condition?
• Which condition is a contraindication for ACE inhibitors?
• Gonorrheal infection diagnosed in pharyngeal or rectal sites is most effectively detected by which culture?
• A T-score of -2.6 falls into which diagnostic category?
• Which of the following is a side effect of spironolactone?
• Which anatomical site is associated with tennis elbow?
• For a patient with hypertension and benign prostatic hyperplasia, which medication class is commonly used?
• For mild acne, which regimen is appropriate as initial therapy?
• Which of the following medications is a selective norepinephrine reuptake inhibitor (SNRI)?
• Which condition benefits from thiazide diuretics due to decreased urinary calcium excretion?
• Which instruction is most appropriate for a patient taking metronidazole (Flagyl)?
• In osteoarthritis, which nodes are associated with the distal and proximal interphalangeal joints, respectively?
• Which topical agent is used to treat rosacea?
• Lumbar spinal stenosis is typically aggravated by long periods of standing and walking and relieved by sitting and rest. Which option best describes this pattern?
• Cushing syndrome symptoms typically include which combination?
• In hepatitis B infection, which serologic marker indicates acute infection?
• Herpetic whitlow is caused by which virus?
• Which statement about pancreatitis labs is true?
• What is TORCH?
• A newborn's mother is discovered to be HBsAg positive. Which of the following would you recommend for this infant?
• Bouchard's nodes are associated with which condition?
• A high-pitched murmur radiating to the left axilla most likely indicates which valvular lesion?
• Janeway lesions and Osler's nodes are signs of what condition?
• In ectopic pregnancy, referred shoulder pain can occur due to what?
• Which combination represents the standard triple therapy for Helicobacter pylori infection?
• In a Rinne test for conductive hearing loss, which finding is expected?
• Arcus senilis found in a 35-year-old patient should prompt evaluation for which condition?
• Which medication is commonly used in the management of SLE and is known by the brand Plaquenil?
• A middle-aged woman presents with symmetric color changes in the fingertips that cycle from white to blue to red, often triggered by cold. What condition is being described?
• A preschool child with fever, cough, coryza, conjunctivitis, and morbilliform rash in an unimmunized setting is most likely diagnosed as which disease?
• Which term is another name for tennis elbow?
• A fair-skinned patient with chronic facial papules and pustules around the nose and mouth is most likely which condition?
• A 16-year-old with two small puncture wounds from a cat bite, no redness, normal tetanus history; how should this be treated?
• Why are sentinel lymph nodes biopsied when cancer is diagnosed?
• A 68-year-old woman is suspected of having Alzheimer's disease. What is the best initial method for assessing the condition?
• Which symptom is most commonly associated with infectious mononucleosis due to EBV?
• Osteopenia is defined as a T-score in which range?
• What type of exercise is recommended for patients with osteoarthritis?
• Which TB skin test threshold is associated with individuals who have no known risk factors?
• A 40-year-old nurse with back pain worsened by sitting and radiating down the thigh is most consistent with which condition?
• In a normal Weber test, how is the sound heard?
• What is the recommended treatment for the dawn phenomenon?
• A gray ring at the edge of the cornea (arcus senilis) is most commonly associated with which underlying issue that should be checked?
• Which skin infection involves the upper dermis and superficial lymphatics and is classically associated with clear demarcated borders?
• Positive psoas and obturator signs are highly suggestive of which condition?
• HBsAg tells us:
• Kava kava is used for which symptoms?
• Which factor is a known risk factor for hidradenitis suppurativa?
• How is the cremasteric reflex evaluated?
• In women, infection with HPV is associated with development of which cancer?
• Which virus causes Roseola infantum?
• In Roseola infantum, what is the typical fever pattern?
• Cullen's sign refers to bluish discoloration in which location?
• Which test is used to screen for color blindness in a 7-year-old child?
• The S1 heart sound corresponds to the closure of which valves?
• Which of the following is a documented side effect of selective serotonin reuptake inhibitors (SSRIs)?
• Dx study for thalassemia?
• What pathogenic bacteria are commonly found in the lungs of older children and adults with cystic fibrosis?
• Which of the following is a hallmark sign of congestive heart failure?
• Acute gout management may include NSAIDs and which medication, commonly given at a 1.2 mg initial dose?
• Which fracture is associated with a high risk of avascular necrosis?
• What is the FEV1 ratio range for moderate persistent asthma?
• Scabies treatment involves which regimen?
• Honey-colored crusts on the skin are characteristic of which infection?
• Which movement tends to worsen pain in tennis elbow?
• A sexually active 22-year-old woman with amenorrhea and vaginal spotting, left adnexal tenderness, and cervical motion tenderness should be initially evaluated with which test?
• Golfer's elbow is the medical term for which condition?
• Dacryocystitis presents with thick eye discharge and swelling of which area?
• An anti-HCV test remains positive in a 60-year-old woman. Which test is most appropriate for follow-up to determine current or past infection?
• A murmur heard at the aortic area radiating to the neck suggests which condition?
• Anti-HBc positivity means you have:
• Which of the following is NOT listed as a side effect of thiazide diuretics?
• Pap smear shows LSIL; what is the next step?
• A middle-aged woman presents with low back pain radiating to both buttocks and legs, leg weakness, new urinary incontinence, saddle numbness, and recently lifting heavy furniture. Which condition best fits?
• What are the two most common bacteria causing community-acquired pneumonia?
• Saw palmetto is used for management of which condition?
• Hytrin is an example of which drug class?
• Erysipelas is an infection of which skin layer and is most commonly caused by which organism?
• What term describes new psoriatic plaques that form at sites of skin trauma?
• Which of the following is a risk factor for atrial fibrillation?
• Why would you put a patient with hypertension and osteoporosis on thiazide diuretics?
• Which of the following should be avoided in Raynaud's phenomenon due to vasoconstriction?
• Thiazolidinediones are contraindicated in which condition?
• In suspected Pityriasis Rosea, which test is used to rule out secondary syphilis?
• What is a common treatment for isolated systolic hypertension in the elderly?
• St. John's Wort is commonly used to treat which condition?
• Which serologic marker indicates Hepatitis B immunity due to vaccination or prior infection?
• In the context of tetanus prophylaxis for a dirty wound in a patient who received a tetanus booster 7 years ago, which action is recommended?
• Pain from tennis elbow may radiate to which area?
• PTH influences calcium homeostasis primarily by increasing calcium reabsorption in which organ?
• Herniated disc with sciatica is typically worse with which posture?
• What is the gold standard test for diagnosing tuberculosis?
• Which laboratory test is used to diagnose gonorrheal pharyngitis or proctitis?
• A 45-year-old man steps on a nail this morning. His last tetanus vaccine was 7 years ago. What would you give him?
• Which medications are commonly used as the initial pharmacologic treatment for hyperthyroidism?
• Management of mitral valve prolapse commonly includes which therapy?
• Which medications can contribute to heart failure?
• In a Weber test performed on a patient with sensorineural hearing loss, where does the sound localize?
• What is the typical recovery time for measles with supportive care?
• Which of the following is listed as a side effect of thiazide diuretics?
• Where is the pain primarily located in tennis elbow?
• Hep B is transmitted:
• For a patient on two oral antidiabetic medications and an A1C of 10%, what is the appropriate next step?
• Acute gout typically presents with involvement of which joint?
• Morning cortisol level is typically what value in Addison's disease?
• A middle-aged woman with gradual symptom onset, daily fatigue, low-grade fever, morning stiffness about 60 minutes, and tender and swollen fingers in DIP/PIP joints most likely has which condition?
• Fructosamine testing assesses glycemic control over what time frame?
• Fibromyalgia is suggested by tender points located at which areas?
• Hep A is transmitted:
• Long-term hydroxychloroquine use increases the risk of which complication?
• Paroxysmal supraventricular tachycardia typically presents with heart rates in which range?
• Cutaneous anthrax treatment typically includes which regimen?
• After starting antibiotics for impetigo, how long should a child stay home from school or daycare?
• In a normal Rinne test, what result is expected?
• Which statement best describes the recommended follow-up for LSIL on Pap smear in a patient under 25?
• Which inhaled medication is commonly used as an anti-inflammatory component in moderate persistent asthma?
• Fifth disease is caused by which virus?
• Lachman maneuver is used to detect?
• A patient with tenderness in the anatomical snuffbox after a fall on an outstretched hand likely has a fracture of which bone?
• A 75-year-old woman has a scaly, reddened left nipple and areola for 8 months. After a potent topical steroid fails, what is the most appropriate next step in evaluation?
• Addison's disease features include which electrolyte and hemodynamic findings?
• Which regimen aligns with moderate persistent asthma management as described in the material?
• Paroxysmal SVT can be precipitated by which of the following factors?
• What is the age range for Roseola infantum?
• Which imaging modality is most appropriate to confirm Cauda Equina syndrome?
• Which imaging modality is considered the gold standard for visualizing a torn meniscus and other joint abnormalities?
• The female athlete triad includes amenorrhea, an eating disorder, and which other condition?
• Atypical pneumonia is most commonly caused by which organisms?
• Before starting hydroxychloroquine, what screening is recommended due to retinal toxicity risk?
• Osteoporosis is defined as a T-score of:
• How long after starting levothyroxine should thyroid function be rechecked?
• Infection of the skin mucous membranes with HPV is associated with an increased risk of which cancers?
• I am a healthy 63-year-old patient, what is my goal blood pressure according to JNC 8?
• Seborrheic keratosis is best described as which?
• What is the target INR range for patients with synthetic or prosthetic heart valves?
• Anti-HBc? When this is positive it means you have:
• A soft, round, wart-like fleshy growth on the trunk or back, ranging in color from light tan to black, appearing pasted on the skin. Most likely diagnosis?
• In suspected scaphoid fracture, initial X-rays may be normal. What is the recommended next finding or step?
• What is the first-line treatment option for isolated systolic hypertension in elderly patients?
• Coarctation of the aorta typically presents with which blood pressure pattern?
• Which finding is most characteristic of measles on exam in an unimmunized preschooler with fever and morbilliform rash?
• Which lab pattern is most consistent with hyperthyroidism?
• Which of the following can be a potential adverse effect of nifedipine (Procardia)?
• The sentinel lymph nodes commonly referred to as Virchow's nodes are located in which region?
• An 18-year-old female receives a booster dose of MMR; which precaution is appropriate?
• Eosinophilia can indicate which conditions?
• To visualize subclinical HPV lesions on the penile shaft, what is the recommended method?
• An elderly patient on digoxin has creatinine clearance rising from 0.8 to 1.2; what should you do?
• If a patient with community-acquired pneumonia has received antibiotics within the last 3 months, which antibiotic is preferred over a macrolide?
• Munchausen syndrome is best described as which of the following?
• PTH role in calcium balance involves which statement?
• Lachman maneuver primarily assesses the integrity of which ligament?
• Which test is used to assess lateral knee pain related to the LCL?
• Which term best describes Munchausen syndrome?
• Dome-shaped papules with a central umbilication are characteristic of which infection?
• What is the appearance called on the skin when HPV lesions are visualized after applying acetic acid?
• Bronze skin coloration is most commonly associated with which disorder?
• Systemic lupus erythematosus is more common in which patient population?
• Induration of 10 mm or greater on a TB skin test is considered positive in which population?
• What are common treatment options for actinic keratosis?
• Given a lipid panel with total cholesterol under 200 mg/dL, HDL over 40 mg/dL, LDL under 100 mg/dL, and triglycerides under 150 mg/dL, what is the recommended first-line management?
• Which condition presents with acute or recurrent pain on the bottom of the feet aggravated by walking and worst with the first steps in the morning?
• Actinic keratosis is most reliably diagnosed by which method?
• Measles is most commonly transmitted by which route?
• Monoamine oxidase inhibitors (MAOIs) require avoidance of foods high in tyramine. Which of the following is an example of such tyramine-rich foods?
• Carpal tunnel syndrome is due to inflammation of which nerve?
• How do you dx IDA?
• Wolff-Parkinson-White syndrome is more common in which group?
• A midsystolic click heard at the mitral area is characteristic of which valve abnormality?
• Somogyi effect is characterized by what pattern and management?
• Which statement best matches tennis elbow?
• Fitz-Hugh-Curtis syndrome involves inflammation of which structure?
• A 12-year-old with facial pressure worsened by bending over and upper molar tooth pain most likely has which condition?
• Which of the following is true regarding tennis elbow?
• Subclinical hypothyroidism is defined by which pattern, and what is the recommended management?
• What is considered first-line pharmacologic treatment for post-traumatic stress disorder?
• Which test is used to assess knee instability related to a meniscal issue?
• In sciatica, which activity tends to worsen symptoms according to the case?
• An elderly patient presents with room-spinning vertigo that worsens with rapid head movements and is accompanied by nausea; what is an appropriate treatment option?
• After a suspicion of Paget's disease on exam, the next step in evaluation is which of the following?
• Which electrocardiographic finding is consistent with an anterior wall myocardial infarction?
• Feverfew is used for which condition?
• A patient presents with fever, cervical lymphadenopathy, malaise, abdominal pain and hepatosplenomegaly. This constellation is most typical of infection with which virus?
• The most likely cause of delirium in hospitalized patients is which of the following?
• A patient with fever, subungual hemorrhages, Osler nodes, and heart murmur most likely has what condition?
• Which statement best describes provoking activity?
• Which antibiotic regimen is commonly used for MRSA-associated cellulitis?
• Which marker indicates current Hep B infection status?
• A 52-year-old patient presents with palpitations, tachycardia, tremors, weight loss, and heat intolerance. Which diagnosis best fits and what thyroid test pattern is expected?
• Which imaging studies are used to evaluate an abdominal aortic aneurysm?
• A woman in early pregnancy with light vaginal bleeding, lower abdominal pain, cramping, and shoulder pain—what is the most likely diagnosis?
• In community-acquired pneumonia without comorbidities, which class of antibiotic is typically used as first-line outpatient therapy?
• Which sign is associated with peripheral artery disease?
• A tuberculin skin test induration of 5 mm or greater is considered positive in which individuals?
• What is an initial management step when bacterial endocarditis is suspected?
• Fitz-Hugh-Curtis syndrome is a complication of pelvic inflammatory disease most commonly associated with infection by which organism?
• Which HPV subtypes are most strongly associated with cervical cancer?
• Which antihypertensive medication is contraindicated in GERD?
• Paget's disease of the breast most commonly involves which tissue?
• The pain in tennis elbow is located on which part of the elbow?
• Which organism is associated with atypical pneumonia and is commonly treated with macrolides or doxycycline?
• If the initial Lyme disease EIA/ELISA test is negative, what is recommended?
• Which statement is NOT described as part of tennis elbow in the material?
• A 10 mm induration is considered positive in which group?
• In an elderly patient presenting with syncope, which laboratory test is important to perform initially?
• Molluscum contagiosum is caused by which type of virus?
• Anti-HBs positivity indicates immunity due to:
• In cardiac auscultation, at what murmur grade is a thrill first felt?
• In a Weber test for conductive hearing loss, the sound localizes to which ear?
• A patient with leg edema, discoloration, and ulcers that are warm to the touch raises concern for which condition in the differential?
• A healthy 25-year-old with atypical pneumonia who experienced nausea with erythromycin; recommended treatment?
• Acute saddle anesthesia with bladder and fecal incontinence suggests which syndrome?
• What is considered first-line therapy for heart failure with reduced ejection fraction?
• De Quervain's tenosynovitis involves inflammation of the tendon located at the base of which structure?
• Which of the following statements best describes the onset timing?
• Which finding is associated with bacterial endocarditis?
• In patients with comorbidities such as CHF, kidney disease, or liver disease, which class of antibiotics is preferred for respiratory infections?
• Acute paronychia management typically includes which initial step?
• Fifth disease also known as?
• During a funduscopic exam, sharp disc margins and a yellowish-orange macula with a veins to arteries ratio of 3:2 are findings most consistent with which conclusion?
• What best describes the Dawn phenomenon?
• Which of the following is an example of a calcium channel blocker used to treat Raynaud's phenomenon?
• Which is an adverse effect of beta blockers?
• Pulsus paradoxus is defined as what finding?
• Which activity is NOT considered weight-bearing and is often used when managing osteoporosis?
• A dry, round, pink to red, slow-growing lesion on sun-exposed areas of an older fair-skinned adult that does not heal. What is the most likely diagnosis?
• A sexually active 22-year-old man seeks hepatitis B vaccination following exposure; lab results show anti-HBV negative, HBsAg positive, HBeAg negative. Which vaccines are recommended?
• The Ishihara chart primarily screens for which type of color vision deficiency?
• The tombstone QRS morphology on ECG is most associated with which type of myocardial infarction?
• Which lesion is most characteristic of mild acne?
• Which statement best describes the management approach for moderate acne?
• An 18-year-old with Streptococcus pyogenes pharyngitis and an anaphylactic reaction to penicillin; most appropriate treatment?
• Aspirin irreversibly suppresses platelet function for how many days?
• Which condition presents with recurrent painful nodules and abscesses in the axillae, commonly associated with smoking and obesity?
• A 30-year-old nulliparous woman with bilateral rubbery mobile breast masses that are tender around the menstrual period asks how to proceed.
• Which of the following is not listed as a risk factor for atrial fibrillation?
• Which lab test should be ordered to evaluate suspected statin-induced hepatotoxicity?
• What kind of foods are recommended for postmenopausal women with osteopenia to support bone health?
• Which antibiotic class is effective against atypical pneumonia pathogens such as Mycoplasma pneumoniae?
• Pertussis (whooping cough) is classically treated with which class of antibiotics?
• Anti-HBs? Tells us if:
• Which everyday action is commonly associated with triggering symptoms?
• Which of the following calcium sources is NOT a typical component of a calcium-rich diet for osteopenia?
• Erythema migrans is a skin lesion associated with which infection after a tick bite?
• A 36-year-old woman with fatigue and widespread pain and tender points is most suggestive of which condition?
• An ABI value of 1.6 is most consistent with which finding?
• Which antibiotic is used for Lyme disease as an alternative to doxycycline?
• Complications of untreated gout include?
• The S2 heart sound corresponds to the closure of which valves?
• A patient presents with abrupt onset of palpitations and a tachycardia around 150-250 beats per minute. What is the most likely diagnosis?
• Which medication is known to cause confusion in elderly patients?
• Which feature is most characteristic of tennis elbow?
• The onset of tennis elbow is described as which?
• Hep C is transmitted:
• Which is a contraindication for beta blockers?
• An adult patient has a Pap smear showing LSIL. What is the appropriate next step in management?
• Bamboo spine is pathognomonic for which condition?
• Bupropion (Zyban) is used for which indication?
• A 65-year-old man on atorvastatin 60 mg with fatigue, dark urine, scleral icterus after starting high-dose B-complex vitamin. What is the next step?
• Which sign is strongly indicative of right-sided heart failure?
• Phalen test is used to evaluate which condition?
• Which of the following is a risk factor for ectopic pregnancy?
• Which test name corresponds to this condition?
• What is the cheap and easy test performed for sciatic nerve/herniated disk pain in primary care office?
• A low HDL and high triglyceride level suggests which metabolic state?