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AG-ACNP BOARD CERTIFICATION EXAM SCORED A+
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AG-ACNP BOARD CERTIFICATION EXAM SCORED A+
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AG-ACNP BOARDCERTIFICATION
EXAM SCORED
A+
Evatee 9/16/24 AG-ACNP
,AG-ACNP BOARD CERTIFICATION EXAM
SCORED A+
TIBC Answer - total iron binding capacity
normal - 250-450
Higher iron binding capacity need mean GREATER need for iron
MCV Answer - Mean corpuscular volume-average volume or size of a single
red blood cell
Normal: 80-100
<80 - microcytic
80-100 - normocytic
>100 - macrocytic
MCHC Answer - Mean Corpuscular Hgb Concentration
Normal: 32-36%
< 32% - Hypochromic
32-36% - normochromic
> 36% - hyperchromic
Low MCV diseases Answer - Iron deficiency anemia
Thalassemia
High MCV diseases Answer - B12 or Folate deficiency
,ETOH
Liver failure
Drug effects
Normocyctic anemia diseases Answer - Anemia of chronic diseases
sickle cell
renal failure
blood loss
hemolysis
iron deficiency anemia Answer - slow onset, few sx w/ Hct > 30
Low serum ferritin
High TIBC
High RDW (red cell distribution width)
Positive Brudzinski's sign Answer - is flexion of the hips and knees when the
neck is flexed
Likely meningitis!
Syphilis Answer - 4 stages
Primary: usually missed
Secondary: 2-8 weeks later, flu-like sx; GENERALIZED MACULOPAPULAR RASH
(esp on palms & soles)
Latent: asymptomatic > 12 months
Tertiary: 10-30 yrs; CNS involvement, multisystem effects
, Dx: VDRL or RPR --> then confirm with TP-PA or FTA-ABS (treponemal test)
Tx: Penicillin G - Primary & Secondary - x1; Latent & Tertiary 3weeks
If allergic --> Doxy or Tetra PO x14d
Report to health department
pulseless ventricular tachycardia (VT) defibrillation Answer - 150-200 J on
biphasic and 360 J on a monophasic defibrillator
cerebral perfusion pressure (CPP) calc? Answer - MAP - ICP
Normal: 60-80
acute muscle strain Tx Answer - NSAIDS
Cyclobenzaprine (muscle relaxant)
Acute anal fissures tx Answer - sitz baths, stool softeners, and topical
corticosteroids
Chronic anal fissures tx Answer - topical nitroglycerin or botulinum toxin
injections
Meningitis Answer - Acute bacterial meningitis --> medical emergency
Pathogens: Strep pneumoniae, Hemophilus influenzae, Neisseria meningitidis
Sx: Fever, severe HA, n/v, NUCHAL RIGIDITY (stiff neck), photophobia
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