ANA AG/ACNP Certification Practice IQ Set 2 2023/2024 already passed

ANA AG/ACNP Certification Practice IQ Set 2 A 55-year-old gentleman w/ HIV CD4 count 250. Presents to ED with H.A. Which H&P finding would cause concern? a) His body habitus is barrel-chested b) His sensory function is intact c) he has lymphadenopathy d) he describes floaters in his vision & occasional blurred vision - correct answer D in pts with HIV, floaters and occasional blurred vision may indicate later stages or progression of disease process. Simple partial seizures can be distinguished because - correct answer there is no loss of consciousness What region of the brain is affected during simple partial seizures - correct answer a small region of the brain, the temporal lobes or hippocampus. Left cerebral hemisphere is dominant for what in most right-handed individuals - correct answer speech and language Specific manifestations of left hemisphere injury via left MCA infarct will exhibit what s/sx? - correct answer aphasia or apraxia Symptoms of antihistamine toxicity - correct answer confusion, hyperthermia, dilated pupils, hypertension, and tachycardia Mechanism behind post-renal dysfunction - correct answer mechanical or functional urine flow obstruction Rectal bleeding is more common in which illness: ulcerative colitis or Crohn's? - correct answer U.C. Why is rectal bleeding more common in U.C. than Crohn's? - correct answer U.C. often involves the rectum and blood from this source is quite visible in or on the stool. Left inattention or neglect is defined as - correct answer a lack of responsivity to stimuli on one side of the body Right MCA infarct will exhibit which of the following signs and symptoms A) Right facial weakness B) Left inattention C) Right-side sensory change D) Left gaze preference - correct answer Left inattention When converting levothyroxine dose from IV to PO, what should you do to the dose and why? - correct answer The dose must be doubled Pleural fluid protein to serum fluid ratio of 0.9 and pleural fluid LDH to serum LDH ratio 0.8. Based on these results, this patient's effusion fluid is most likely - correct answer Exudate Iron deficiency anemia is described as a A) Hyperchromic, microcyctic anemia B) Hypochromic, microcytic anemia C) Hyperchromic macrocytic anemia D) Hypochromic, macrocytic anemia - correct answer B) hypochromic, microcytic anemia Initial treatment of choice for symptoms of palpitation, tachyardia, and tremor in thyroid storm is A) Levothyroxine 50 mcg daily B) Propranolol 20 mg PO QID C) Lorazepam 0.5 mg PO BID D) Radioactive iodine - correct answer B Propranolol 20 mg PO QUID