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Page 1 of 114 AANP FNP PRACTICE EXAM/AANP EXAM RECENT VERSION 2024 ALL 800 QUESTIONS AND CORRECT ANSWERS/ BEST GRADED A+ Increased rugae of scrotum, testes enlarge. Breast bud. Straight sparse hair. ANSWER: Tanner Stage 2 Penis elongates. Pencil penis. Scrotal color darkens. Breast tissue and areola are one mound. Darkened hair, starts to curl. - ANSWER: Tanner Stage 3 Penis thickens and increases in size. Areola/nipple separate for secondary mound. Curly hair, not on medial thigh. - ANSWER: Tanner 4 After Tanner stage 2, within 1-2 years. Delayed puberty if no secondary sexual characteristics by 12-13 in girls and 14 in boys. - ANSWER: When does menarche begin Down Syndrome. Risk with advanced maternal age. Microcephaly, flat nose, hypotonia, simian crease. - ANSWER: Trisomy 21 Pectus excavatum. Tall, wide arm span. Risk of MVP, aneurysm, aortic regurgitation. Do not clear for sports. - ANSWER: Marfan's Syndrome FEMALE. Lymphedema in utero, webbed neck, LD, widely spaced nipples, HTN coarctation of aorta. - ANSWER: Turner's Syndrome Extra X in males. More feminine. Will see in puberty. Infertile, hypogonadism, low testosterone. Tall, lanky, underdeveloped sexually. - ANSWER: Klienfelter's Syndrome