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Exam (elaborations)

ACNP Review- Questions and Answers

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  • Course
  • ACNP
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  • ACNP

ACNP Review- Questions and Answers

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  • November 11, 2024
  • 55
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • ACNP
  • ACNP
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ACNP Review- Questions and Answers
Living arrangements of the Elderly Correct Ans-25% of population >95 live in LTCF

Majority of elders live with family or spouse

75% of men and 25% of women live with their spouse

1/3 live alone



Error theory of aging Correct Ans-As the cell ages it accumulates genetic mutations until a
"killer" gene is produced resulting in cell death



Short Acting Insulin Correct Ans-Regular/Humulin R, Novolin R

30 min onset

2-3 hour peak

3-6 hour duration



US MEC Contraceptive Category 1 Correct Ans-No restriction for the use of the
contraceptive method for a woman with that condition



US MEC Contraceptive Category 2 Correct Ans-Advantages of using that method of
contraception generally outweigh the theoretical or proven risk



COC/Patch/Ring Smoking <35 years

Depo under the age of 18

,IUD under the age of 20

COC/P/R/IUD >40 years old

POP uncontrolled HTN

IUD with HIV



US MEC Contraceptive Category 3 Correct Ans-Theoretical or proven risks of method
usually outweigh the advantages - not usually recommended unless more appropriate methods
are not available or acceptable



COC/Patch/Ring <15 cigarettes/day >35 years

COC HTN with adequate control

COC Hx of Gastric bypass



US MEC Contraceptive Category 4 Correct Ans-Unacceptable health risk if the contraceptive
method is used by a woman with that condition



COC/Patch/Ring >15 cigarettes/day >35 years

COC HTN with poor control

COC Factor V Leiden



Progestin pharmologic actions Correct Ans-Ovarian and pituitary inhibition

Thickening of cervical mucous

Endometrial atrophy/transformation

,Cycle control



Estrogen pharmologic actions Correct Ans-Ovarian and pituitary inhibition

Thinning of/increase of cervical mucous

Endometrial proliferation

Cycle control



US MEC Class A tests Correct Ans-COC/Patch/Ring - BP

LNG/Cu IUD - Bimanual exam and cervical inspection

Diaphragm or Cervical cap - Bimanual exam and cervical inspection



Pregnant? Correct Ans-<7 days from start of menses

No intercourse since start of last menses

Correctly/consistently using BC

<7 days since spontaneous or induced abortion

Within 4 weeks postpartum

Fully or nearly fully breastfeeding (>85% of feeds), amenorrheic, <6 months post partum



Initiating COC/Patch/Ring Correct Ans-Start Pill/Patch/ring on first day of menses

Backup method x7 days

"Jump Start" - if intercourse since LMP, emergency contraceptive then start P/P/R with backup x
7 days

, Contraception and potentially interacting medication Correct Ans-Continue to take
contraception even if spotting

Use backup method for duration of interacting medication plus 7 days



Dependent Variable Correct Ans-The outcome variable, the thing you are measuring




Independent Variable Correct Ans-The variable you are manipulating




Level one CPT visit Correct Ans-Lowest level of care, presenting problems are minimal




Level two CPT visit Correct Ans-Requires 2 out of 3:

Problem focused history

Problem focused exam

Straight forward medical decision making



Level three CPT visit Correct Ans-Require 2 out of 3:

Expanded problem focused history

Expanded problem focused exam

Low complexity medical decision making



Level four CPT visit Correct Ans-Require 2 out of 3:

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