AG-ACNP DRT #3
24 yo. M provided in DKA. Now burdened and irritable. ABGs study pH 7.28/33/22. Received
isotonic fluids for past hour, and BP one hundred ten/70, HR 90. Blood glucose continues to be
550 mg/dL. What is the first-rate intravenous fluid indicated at this factor:
a. Half everyday saline
b. 5% dextrose in half normal saline
c. Zero.9% regular saline - ANS-half regular saline
35 yo. F offers to ED with c/o b/l wrist ache. You suspect spousal abuse. You note a handgun
inside the sufferers handbag. What would be your subsequent movement?
A. Contact social offerings about spousal abuse
b. Take the handgun faraway from the affected person
c. Name protection to ensure safety
d. Name the police and record a risky weapon - ANS-safety to ensure safety
38 12 months antique lady patients has been immobilized for four months. Examining her earlier
than launch, you notice that dyspnea and tachycardia have happened. You suspect pulmonary
embolus, however a ventilation/perfusion lung scan does now not affirm the diagnosis. What is
the excellent subsequent step?
• Second lung test
• Test arterial blood gas
• Pulmonary angiography
• Spiral CT - ANS-pulmonary angiography
forty eight 12 months vintage admitted w/ fever, stomach pain and bloody diarrhea. History
consists of continual sinusitis, arthritis and recently resolved DVT. These S/S are the first to
arise, particularly the bloody diarrhea. Which represents the most likely analysis and appropriate
check to order?
• Diverticulitis: sigmoidoscopy
• Diverticulitis: stool way of life
• Ulcer Colitis: sigmoidoscopy
• Ulcerative Colitis: stool culture - ANS-ulcerative colitis sigmoidoscopy
fifty four yo. M s/p AMI on levophed, epinepherine, vasopressin and NTG. BP 160/seventy five
and now eighty one/50. Which medicine might you lower? - ANS-lower NTG
fifty nine yo. M with s/s suggestive of BPH. UA is terrible and PSA three.2. What have to you
order next?
A. Transrectal ultrasound
b. Ct of pelvis
, c. KUB - ANS-transrectal ultrasound
sixty two yo. M provides with c/o angina that started out after his each day walk. Lipid panel
famous LDL 250, HDL 25, overall cholesterol 350, triglycerides 250. You prescribe niacin. How
would you provide an explanation for the MOA of niacin to the affected person? - ANS-niacin
lowers LDL and will increase HDL
63 yo. Caucasian M provides for annual physical exam. Initial BP 120/82. Patient has no good
sized PMH. Second BP 125/eighty. What would you suggest on this affected person's
treatment?
A. CCB
b. Life-style adjustments
c. Exercising pressure test
d. ACE Inhibitor - ANS-life-style modifications
73 yr old woman offers w/ dizziness, palpitations and an anorexic appearance. Patient
additionally complains that she regularly feels vulnerable and worn-out and loses her feel of
motor manipulate. Lab testing indicates MCV of a hundred and ten, HGB of 10, HCT 30%. Most
likely analysis?
• Iron deficiency anemia
• Pernicious anemia
• Anemia of persistent ailment
• Folic acid deficiency - ANS-pernicious anemia
A mom comes for your workplace w/ her 18 year old son, who became stung by using a bee
and has eventually increase breathing misery and stridor. Which of the subsequent have to you
right now administer?
• Epinephrine
• Crystalloid fluids
• Inhaled beta agonists
• Vasopressors - ANS-epinepherine
A patient gasoline his appendix eliminated and is now experiencing publish-op fever. Which of
the following management options need to be initiated for this patient?
• Antibiotic regimen
• Supportive fluid remedy
• Have pt. Move on a submit-op weight loss program
• Discontinue all meds as that is an hypersensitivity to remedy - ANS-supportive fluid remedy
Adult baby of your affected person reports that her father has expressed preference to dedicate
suicide and has a records of despair and ETOH abuse. The quality response to the adult toddler
with the aid of the ACNP would be:
a. Five% of depressed sufferers dedicate suicide
b. ETOH abuse individuals hardly ever devote suicide
24 yo. M provided in DKA. Now burdened and irritable. ABGs study pH 7.28/33/22. Received
isotonic fluids for past hour, and BP one hundred ten/70, HR 90. Blood glucose continues to be
550 mg/dL. What is the first-rate intravenous fluid indicated at this factor:
a. Half everyday saline
b. 5% dextrose in half normal saline
c. Zero.9% regular saline - ANS-half regular saline
35 yo. F offers to ED with c/o b/l wrist ache. You suspect spousal abuse. You note a handgun
inside the sufferers handbag. What would be your subsequent movement?
A. Contact social offerings about spousal abuse
b. Take the handgun faraway from the affected person
c. Name protection to ensure safety
d. Name the police and record a risky weapon - ANS-safety to ensure safety
38 12 months antique lady patients has been immobilized for four months. Examining her earlier
than launch, you notice that dyspnea and tachycardia have happened. You suspect pulmonary
embolus, however a ventilation/perfusion lung scan does now not affirm the diagnosis. What is
the excellent subsequent step?
• Second lung test
• Test arterial blood gas
• Pulmonary angiography
• Spiral CT - ANS-pulmonary angiography
forty eight 12 months vintage admitted w/ fever, stomach pain and bloody diarrhea. History
consists of continual sinusitis, arthritis and recently resolved DVT. These S/S are the first to
arise, particularly the bloody diarrhea. Which represents the most likely analysis and appropriate
check to order?
• Diverticulitis: sigmoidoscopy
• Diverticulitis: stool way of life
• Ulcer Colitis: sigmoidoscopy
• Ulcerative Colitis: stool culture - ANS-ulcerative colitis sigmoidoscopy
fifty four yo. M s/p AMI on levophed, epinepherine, vasopressin and NTG. BP 160/seventy five
and now eighty one/50. Which medicine might you lower? - ANS-lower NTG
fifty nine yo. M with s/s suggestive of BPH. UA is terrible and PSA three.2. What have to you
order next?
A. Transrectal ultrasound
b. Ct of pelvis
, c. KUB - ANS-transrectal ultrasound
sixty two yo. M provides with c/o angina that started out after his each day walk. Lipid panel
famous LDL 250, HDL 25, overall cholesterol 350, triglycerides 250. You prescribe niacin. How
would you provide an explanation for the MOA of niacin to the affected person? - ANS-niacin
lowers LDL and will increase HDL
63 yo. Caucasian M provides for annual physical exam. Initial BP 120/82. Patient has no good
sized PMH. Second BP 125/eighty. What would you suggest on this affected person's
treatment?
A. CCB
b. Life-style adjustments
c. Exercising pressure test
d. ACE Inhibitor - ANS-life-style modifications
73 yr old woman offers w/ dizziness, palpitations and an anorexic appearance. Patient
additionally complains that she regularly feels vulnerable and worn-out and loses her feel of
motor manipulate. Lab testing indicates MCV of a hundred and ten, HGB of 10, HCT 30%. Most
likely analysis?
• Iron deficiency anemia
• Pernicious anemia
• Anemia of persistent ailment
• Folic acid deficiency - ANS-pernicious anemia
A mom comes for your workplace w/ her 18 year old son, who became stung by using a bee
and has eventually increase breathing misery and stridor. Which of the subsequent have to you
right now administer?
• Epinephrine
• Crystalloid fluids
• Inhaled beta agonists
• Vasopressors - ANS-epinepherine
A patient gasoline his appendix eliminated and is now experiencing publish-op fever. Which of
the following management options need to be initiated for this patient?
• Antibiotic regimen
• Supportive fluid remedy
• Have pt. Move on a submit-op weight loss program
• Discontinue all meds as that is an hypersensitivity to remedy - ANS-supportive fluid remedy
Adult baby of your affected person reports that her father has expressed preference to dedicate
suicide and has a records of despair and ETOH abuse. The quality response to the adult toddler
with the aid of the ACNP would be:
a. Five% of depressed sufferers dedicate suicide
b. ETOH abuse individuals hardly ever devote suicide
