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Exam (elaborations)

ACNP 1 Test Questions and Answers

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ACNP 1 Test Questions and Answers

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  • November 11, 2024
  • 29
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • ACNP
  • ACNP
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ACNP 1 Test Questions and Answers
Pt presenting with Acute Pulm Edema or Cardio Shock after MI Correct Ans-DDX: Acute
MR, VSD, Rupture ventricle wall



Right Side Heart Valves Correct Ans-RA - Tricuspid - Ventricle -Pulmonary - LA - Mitral -
Left Vent - Aortic



Mitral Valve Correct Ans-MVS - Dias mur 4/5 ics low pitch apex, decubitus

S+S MVS- afib, sob, lvhf, pulm edema

cause- rheumatic heart dis, atrial myxoma



MVI - Holosystolic mur radiate Axillae, s3 if CHF pres

S+S MVI - arrhythmias, tachy/tachypnea, Pulm edema, fatigue sob

cause- ICM, acute pap muscle rupture after MI, endocard, torn chordae



Aortic Valve Correct Ans-AS- Sys mur @ base, radiate carotid, S4 gallop

S+S- delay carotid upstrk, angina, ST depr, twave inv



AI- Dias mur @ 2/3 ics w/ pt Lean Forwd

S+S- Wide PP, Bounding apical w/ PMI displc, "Water Hammer"

- LV overld/fail, DOE, Pulm edema + congestion

Common- Congent bicuspid, AO root dz, endo, Type a disctn

,Tricuspid Valve Correct Ans-TVI- Holo mur L/mid Lwr sternl bordr while sitting up or stand

S+S- Fatigue, Palps, abd distention, early satiety, abnrl LFT's JVD, peripheral edema



AS treatment Correct Ans-AVR - ACE/ARB

*Do NOT give BB + caution with diuretics*



AI treat Correct Ans-Manage HF

AVR

*CANNOT USE IABP*



MVS TREAT Correct Ans-MVR

manage afib/HF syptoms



MVI- Diuresis for preload / Vasodilate Afterload

daily wts



Most common organism for ENDO Correct Ans-Staph

Strep

Entero

HACEK organsms

, HACEK orgnsms` Correct Ans-Haemophilus

Actinobacillus

Cardiobacterium

Eikenella

Kingella



Dukes Criteria Correct Ans-2 major

1 major and 3 minor

5 minor

Major - Coxiella Burnetti, +BC x 2 / Veg seen ECHO or new valve regurg/ Bacteremia



Minor- Fever, Septic emboli, IVDA (heart cond), ICH, Janeway lesion, Osler Nodes, Roth spots,
rheumatoid factor, non major BC+, conjunctiva hemorrhage



Duke's criteria Correct Ans-infective endocarditis diagnostic criteria

Major - sustained bacteremia, endocardial involvement by echo, new valvular regurgitation

Minor - predisposing condition, fever,

septic or pulm emboli, mycotic aneurysm, intracranial hemorrhage, janeway lesions

immune phenomenon - glomerulonephritis, osler's nodes, roth spots, rheumatoid factor

non major blood culture/echo



Endo risk factors Correct Ans-IVDU

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