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AACN AGACNP Exam Review With Correct Solutions 2024
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AACN AGACNP Exam Review With Correct Solutions 2024
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AACN AGACNP Exam Review With CorrectSolutions 2024
Cushing's dSyndrome/Disease d- dcorrect danswer.cortisol dexcess dtypically dcaused dby
dpituitary dadenoma d60-70% dof dcases. d
Central dobesity dw/ dextremity dwasting.
dorsocervical dfat dpad.
rounded dfacies.
spontaneous dbruising.
purple dstriae
hyperpigmentation
poor dwound dhealing/ dskin dinfections.
Dexamethasone dsuppression dtest.
1mg ddexamethasone dat d2300 dhours dand dmeasure dserum dcortisol dat d0800. d
Remove dsources dof dexcess dand dmanage dconsequences d( dHTN, dhypokalemia,
dhyperglycemia.)
Addison's ddisease d- dcorrect danswer.Primary
Caused dby ddamage dto dthe dadrenal dcortex d(autoimmune, dTB, dmetastatic ddisease,
ddeposition ddiseases, dand ddrug dinduced) dleading dto da ddecrease din dcortisol dproduction.
Secondary
Caused dby dpituitary dfailure dto drelease dACTH d(in dany dhypopituitary ddisorder) dcausing da
ddecrease din dcortisol dproduction. d
Sudden dwithdrawal dof dsystemic dcorticosteroids dleading dto da ddecrease din dcortisol
dproduction dfrom dinduced dcorticosteroid dsuppression.
diabetes dinsipidus d(DI) d- dcorrect danswer.Insufficient dADH dor ddecreased dsensitivity dto
dADH
Nephron dcannot dconserve dwater.
Commonly dcaused dby ddamage dto dthe dpituitary dgland dor dhypothalamus d(surgery, dtumor,
dmeningitis, dhead dinjury).
, Can dbe dnephrogenic dwhere dthe dkidney din dunable dto drespond dto dADH. d
Serum: dHypernatremia dand dhyperosmolarity.
Urine: dHyponatremia dand dhypoosmolality. d
Replaced dADH dand dsupportive dfluid dreplacement.
Syndrome dof dInapropriate dAntidiuretic dHormone d(SIADH) d- dcorrect danswer.Excess dADH
dproduction.
Nephron dconserves dexcess dwater. d
Caused dby dhead dinjury dand dlung dcancers.
Serum: dHyponatremia dand dhypoosmolality.
Urine: dHypernatremia dand dhyperosmolarity.
Fluid doverload.
Treat dwith: d
Free dwater drestriction
Loop ddiuretic dand dNS
IN dextremes d3% dsaline
Transudate dpleural deffusion d- dcorrect danswer.CHF
Constrictive dpericarditis
Cirrhosis
SG d<1.015
Protein d<3 dg/dl
LDH d< d200
Fluid-serum dprotein dratio d<0.5
Fluid d-serum dLDH dratio d<0.5
Exudate dpleural deffusion d- dcorrect danswer.Lung dparenchymal dinfection
Malignancy
PE
SG d>1.015
Protein d>3 dg/dl
LDH d>200
Fluid-serum dprotein dratio d>0.5
Fluid-serum dLDH dratio d>0.5
Fibrinolysis dContraindications d- dcorrect danswer.Absolute
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