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ACNP-Rosh Review: Questions With Correct Solutions
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ACNP-Rosh Review: Questions With Correct Solutions
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ACNP-Rosh Review: Questions With Correct SolutionsPossible side effects of Amiodarone Right Ans - side effects include
hypothyroidism, hyperthyroidism. interstitial lung disease, elevated liver
enzymes. When starting a pt of this drug, remember to check TFTs, LFTs, and
PFTs.
Ankle-brachial index (ABI) Right Ans -
Acute appendicitis Right Ans - Most common in 10-19 y/o, RLQ pain,
anorexia, N/V, Periumbilical pain that migrates ot RLQ, Fever, Pain at
McBurney's Point
McBurney's point Right Ans - RLQ point (1/3 of the way from the ASIS to
the umbilicus) tenderness indicative of appendicitis
Rovsing sign Right Ans - pain in the RLQ when the LLQ is palpated
(indicative of appendicitis)
What is the preferred diagnostic imaging study in patients where appendicitis
is suspected? Right Ans - CT scan
Obturator sign Right Ans - pain in the lower abdomen or inside of thigh
when the hip is flexed and internally rotated; a sign of appendicitis
Psoas sign Right Ans - RLQ pain with extension of right thigh indicative of
appendicitis
Mitral stenosis murmur Right Ans - mid-late diastolic rumble at apex
and/or opening snap; no radiation; left sternal border thrill
Ramsay Hunt Syndrome (Herpes Zoster Oticus) Right Ans - Caused by
reactivation of a latent varicella zoster virus infection in the geniculate
ganglion of the 7th cranial nerve; Signs=unilateral facial nerve palsy, severe
pain, and a vesicular eruption. Vesicles may appear on the pinna, external
auditory canal, tympanic membrane, within oral cavity, on face/neck.
Treatment for Ramsay Hunt Syndrome Right Ans - Oral steroids and
antiviral therapy (prednisone and oral valacyclovir)
, Hunt and Hess grade I Right Ans - Mild HA, normal mental status, no nerve
deficits
Hunt and Hess grade II Right Ans - Severe HA, normal mental status, may
have cranial nerve deficits
Hunt and Hess grade III Right Ans - Somnolent, confused, may have cranial
nerve or mild motor nerve deficit
Hunt and Hess grade IV Right Ans - Stupor, moderate to severe motor
deficit, mayu have intermittent reflex posturing
Hunt and Hess grade V Right Ans - Coma, reflex posturing or flaccid
symptoms of hypothyroidism Right Ans - Fatigue, weakness, cold
intolerance, bradycardia; DOE, cognitive dysfunction, dry skin; brittle dry hair;
weight gain; constipation; delayed deep tendon reflexes, slow movement and
speech, hoarseness, edema, enlargement of tongue
What are the patient safety goals? Right Ans - Identify patients correctly,
Improve effective communication, Improve the safety of high-alert
medication, ensure correct-site, correct procedure, correct patient surgery,
reduce the risk of healthcare associated infections, reduce the risk of patient
harm resulting from falls
postive Murphy's sign Right Ans - Suggestive of acute cholecystitis; push on
liver & have pt inhale in, patient stops breathing
Cullen's sign Right Ans - ecchymosis around the umbilicus associated with
retroperitoneal bleeding. (associated with ruptured ectopic pregnancy and
hemorrhagic pancreatitis.)
Kehr's sign Right Ans - Pain that radiates to the left shoulder and down the
left arm and LUQ pain associated with splenic rupture.
Ipsilateral Mydriasis Right Ans - Fixed, dilated pupil one one side (earliest
sign of uncal herniation--pupil dilated on same side as herniation due to
compression of third cranial nerve.
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