AANP Study Guide 2026

Everything you need to pass the AANP exam in one place: the exam format, every topic to study, real practice questions with explanations, flashcards, and full-length practice tests. Free, no sign-up needed.

📋 AANP Exam Format at a Glance

150
Questions
180 min
Time Limit
70.00%
Passing Score

📚 AANP Topics to Study (22)

✍️ Sample AANP Questions & Answers

1. Which SSRI has the longest half-life and is least likely to cause discontinuation syndrome?
✓ Fluoxetine

Fluoxetine has a half-life of 2–6 days (with active metabolite norfluoxetine at 4–16 days), which effectively tapers itself and minimizes discontinuation symptoms.

2. What is the first-line treatment for mild-to-moderate acne vulgaris characterized by comedones and a few inflammatory papules?
✓ Topical retinoids and/or benzoyl peroxide

Topical retinoids normalize follicular keratinization and benzoyl peroxide has antimicrobial properties; both are recommended as first-line agents for mild-to-moderate acne.

3. A patient with darkening, velvety, hyperpigmented skin in the axillae and neck creases most likely has which underlying condition?
✓ Insulin resistance or type 2 diabetes

Acanthosis nigricans is strongly associated with insulin resistance and hyperinsulinemia, which stimulate keratinocyte and fibroblast proliferation via IGF-1 receptors.

4. A patient presents with a target-like skin lesion with central blistering after starting a new antibiotic. What condition should be suspected?
✓ Erythema multiforme

Erythema multiforme is characterized by target lesions (three concentric zones) and is commonly triggered by HSV infection or medications such as sulfonamides and penicillins.

5. A pregnant woman at 28 weeks with no blood type antibodies has Rh-negative blood. What intervention is indicated?
✓ Rh immunoglobulin (RhoGAM) injection now and after delivery

Rh-negative women receive RhoGAM at 28 weeks and again within 72 hours of delivery to prevent sensitization that could cause hemolytic disease in future Rh-positive fetuses.

6. Which medication used for gout prevention requires monitoring for ocular toxicity, including retinal damage?
✓ Hydroxychloroquine

Hydroxychloroquine (used for RA and lupus, sometimes related to inflammatory arthritis) can deposit in the retina, causing irreversible retinopathy with prolonged use.

🎯 Free AANP Practice Tests

📖 AANP Guides & Articles

Your AANP Study Path
1. Learn with Flashcards → 2. Drill Practice Tests → 3. Take the Full Exam Simulation
Was this helpful?