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AG-ACNP DRT2: Questions With Correct Solutions
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AG-ACNP DRT2: Questions With Correct Solutions
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AG-ACNP DRT2: Questions With Correct Solutions53 yo. M presents with complaints of dribbling and nocturia. You suspect BPH.
PSA level is elevated. What confirms this diagnosis? Right Ans - Transrectal
ultrasound is confirmation of BPH in presence of elevated PSA level.
Your 52 yo. F patient expresses concerns for side effects associated with
hormonal replacement therapy (HRT). What are the associated side effects?
Right Ans - Gallstones
Blood clots
CVA
Hormonal replacement therapy (HRT) has been shown to improve what dx?
Right Ans - Osteoporosis
What diagnostic is used to distinguish intrarenal or postrenal etiology of acute
renal failure? Right Ans - Urinary sediment
Intrarenal - urinary sediment has granular white casts
Postrenal - urinary sediment is normal
25 yo. M presents with mid-diastolic, apical "crescendo" murmur. You know
this murmur occurs during which heart sound? Right Ans - Mitral Stenosis.
S1. AV valves close
32 yo. M presents to ED with GSW to forearm. Injuries are negligible and
patient is hemodynamically stable. Pt reports he was hunting with friends and
the gunshot was an accident and there was no foul play. You as the ACNP
would do what next? Right Ans - Report the GSW to the Health Department.
ALL GSW must be reported.
When is the greatest risk for a mechanically ventilated patient to contract
VAP? Right Ans - 48-72 hrs
What is the DIC confirmatory diagnostic? Right Ans - Increased fibrin
degradation product
, What signs are clinically significant for distal SBO? Right Ans - High
pitched, tinkling bowel sounds
Episodic vomiting
Profuse vomiting and variable epigastric pain are two symptoms that are
clinically significant for? Right Ans - PROXIMAL SBO
Ionized calcium is 11.5 mg/dL. What is not an etiology? Right Ans -
Pancreatitis. Pancreatitis is associated with HYPOcalcemia.
In addition to a positive serum ANA, what diagnostic is supportive of
diagnosing a patient with SLE? Right Ans - Leukopenia
What is the confirmatory test for diagnosing syphillis? Right Ans -
Fluorescent treponemal antibody absorption (FTA-ABS)
What two herbs are associated with relieving premenstrual symptoms in
women? Right Ans - Evening Primrose
Black cohash
28 yo. F presents to ED with fever, malaise, rash across back, and splinter
hemorrhages. Hgb 10 mg/dL, positive ANA, UA revealed proteinuria and
elevated ESR. What is the suspected diagnosis? Right Ans - SLE
ENDOCARDITIS does not have proteinuria.
Pt demonstrating AMS and free water restriction with euvolemia. Urine
osmolality 270, BUN 14/0.6, urine Na 30. You suspect hyponatremia. What is
the most likely cause? Right Ans - SIADH
45 yo. F s/p double mastectomy 2 months ago. Now complaining of pain at the
incision site. What type of pain is she experiencing? Right Ans -
Neuropathic pain caused by nerve damage during the double mastectomy.
31 M presents with blowing murmur occurring during S1 and a galloping
additional heart sound. Murmur is heard best at the base of the heart. What is
most likely? Right Ans - Mitral Regurgitation
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