AGACNP DRT Review | Comprehensive
Practice Questions & Verified Answers |
2026–2027
,Celecoxib (Celebrex) -COX-2 inhibitor
-Last choice treatment for osteoarthritis
-Should not be prescribed to patients with a history of cardiovascular conditions =
increase risk of heart attack
Osteoarthiritis (OA) Treatment -ASA
-Tylenol
-NSAIDS (ibuprofen, naproxen)
-Celebrex
-Hot and cold therapy
First line management for acetaminophen intoxication? -Emesis or gastric lavage
-Ipecac used to force emesis- only if patient is not altered
-N-acetylcyesteine with 140mg/kg loading dose
What needs to be reported to the health department? -Chlamydia
-Syphilis
-Gonorrea
-TB
-HIV
-Lyme Disease
-Animal Bites
-Injuries due to dangerous weapons
-Suspected child abuse
Malpractice -Failure of a professional to render services with the degree of care, diligence and
precaution that another member of the same profession under similar
circumstances would render to prevent injury to someone else
-Involves: professional misconduct, unreasonable lack of skill, illegal/immoral
conduct, other allegations resulting in harm
Signs and symptoms of partial small-bowel obstruction -Pronounced abdominal distention
-Watery, mucous filled diarrhea
-High pitched, tinkling bowel sounds
"Battle sign" is an indication of a: Bruising behind the ear at the mastoid process
Raccoon Eyes Bruising around the eyes, indicative of a basilar skull fracture
Pap smear screening -Start at age 21
-Pap + cytology is age 30-65 every 3 years
-Pap + cytology + HPV is age 30-65 years every 5 years
Migraine Pathophysiology Dilation and excessive pulsation of branches of the external carotid artery
HBsAg, Anti-HBe, IgM, IgG - what is the diagnosis? Chronic Hep B
-HBsAg = Hep B
-Anti-HBe = decreased viral load
-IgM = initial response/recent
-IgG = exposure/immunity
HBsAg, HBeAg, Anti-HBc, IgM Active Hep B
-HBsAg = Hep B
-HBeAg = increase viral load
-Anti-Hbc = in all 3
-IgM = recent
, Mitral stenosis murmur -Low pitched
-Mid-diastolic
-Apical "creascendo" rumble
-Occurs during S1
-Does not radiate
Herbal agents that can alleviate premenstrual discomforts? -Evening Primrose
-Black Cohosh
Continuous Positive Airway Pressure Ventilation -Allows patient to breathe normally and spontaneously
-Above atmospheric pressure provided throughout inspiration and expiration
Organophosphate (Insecticide) Poisoning Treatment 1. Wash skin thoroughly
2. If ingested, activated charcoal
3. **Atropine (drug of choice)
Benzodiazepine Overdose Treatment 1. Respiratory and blood pressure support
2.**Flumazenil (Romazicon) IV
3. Activated charcoal
Diagnostic test to differentiate between intrarenal and Urinary sediment test
postrenal failure? -Granular white cast = intrarenal
-Normal results = postrenal
Diagnostic test to differentiate between prerenal and Serum BUN and specific gravity tests
intrarenal?
-BUN:Creatinine ratio >10:1 = preprenal
-BUN:Creatinine ratio 10:1 - intrarenal
-Specific gravity >1.015 = prerenal
-Specific gravity <1.015 = intrarenal
Side effects of hormone replacement therapy (HRT)? -Gallstones
-Blood clots
-Stroke
** can help prevent osteoporosis
Signs and symptoms of hypercalcemia SLOW/SLUGGISH
-Prolonged immobility
-Weight loss
-N/V
-Fatigue
-Muscle weakness
-Depressin
-Anorexia
-Constipation
Acute pancreatitis expected findings? -WBC elevation
-Hyperglycemia
-Serum LDH and AST elevation
-Serum amylase and lipase elevation
-BUN and coagulation can be elevated
-Hypocalcemia (Trousseau's or Chvostek's sign)
-Elevated C-reactive protein
***Hypercalcemia can cause pancreatitis
Herpes zoster vaccine can be administered at what age? 50 years old
Practice Questions & Verified Answers |
2026–2027
,Celecoxib (Celebrex) -COX-2 inhibitor
-Last choice treatment for osteoarthritis
-Should not be prescribed to patients with a history of cardiovascular conditions =
increase risk of heart attack
Osteoarthiritis (OA) Treatment -ASA
-Tylenol
-NSAIDS (ibuprofen, naproxen)
-Celebrex
-Hot and cold therapy
First line management for acetaminophen intoxication? -Emesis or gastric lavage
-Ipecac used to force emesis- only if patient is not altered
-N-acetylcyesteine with 140mg/kg loading dose
What needs to be reported to the health department? -Chlamydia
-Syphilis
-Gonorrea
-TB
-HIV
-Lyme Disease
-Animal Bites
-Injuries due to dangerous weapons
-Suspected child abuse
Malpractice -Failure of a professional to render services with the degree of care, diligence and
precaution that another member of the same profession under similar
circumstances would render to prevent injury to someone else
-Involves: professional misconduct, unreasonable lack of skill, illegal/immoral
conduct, other allegations resulting in harm
Signs and symptoms of partial small-bowel obstruction -Pronounced abdominal distention
-Watery, mucous filled diarrhea
-High pitched, tinkling bowel sounds
"Battle sign" is an indication of a: Bruising behind the ear at the mastoid process
Raccoon Eyes Bruising around the eyes, indicative of a basilar skull fracture
Pap smear screening -Start at age 21
-Pap + cytology is age 30-65 every 3 years
-Pap + cytology + HPV is age 30-65 years every 5 years
Migraine Pathophysiology Dilation and excessive pulsation of branches of the external carotid artery
HBsAg, Anti-HBe, IgM, IgG - what is the diagnosis? Chronic Hep B
-HBsAg = Hep B
-Anti-HBe = decreased viral load
-IgM = initial response/recent
-IgG = exposure/immunity
HBsAg, HBeAg, Anti-HBc, IgM Active Hep B
-HBsAg = Hep B
-HBeAg = increase viral load
-Anti-Hbc = in all 3
-IgM = recent
, Mitral stenosis murmur -Low pitched
-Mid-diastolic
-Apical "creascendo" rumble
-Occurs during S1
-Does not radiate
Herbal agents that can alleviate premenstrual discomforts? -Evening Primrose
-Black Cohosh
Continuous Positive Airway Pressure Ventilation -Allows patient to breathe normally and spontaneously
-Above atmospheric pressure provided throughout inspiration and expiration
Organophosphate (Insecticide) Poisoning Treatment 1. Wash skin thoroughly
2. If ingested, activated charcoal
3. **Atropine (drug of choice)
Benzodiazepine Overdose Treatment 1. Respiratory and blood pressure support
2.**Flumazenil (Romazicon) IV
3. Activated charcoal
Diagnostic test to differentiate between intrarenal and Urinary sediment test
postrenal failure? -Granular white cast = intrarenal
-Normal results = postrenal
Diagnostic test to differentiate between prerenal and Serum BUN and specific gravity tests
intrarenal?
-BUN:Creatinine ratio >10:1 = preprenal
-BUN:Creatinine ratio 10:1 - intrarenal
-Specific gravity >1.015 = prerenal
-Specific gravity <1.015 = intrarenal
Side effects of hormone replacement therapy (HRT)? -Gallstones
-Blood clots
-Stroke
** can help prevent osteoporosis
Signs and symptoms of hypercalcemia SLOW/SLUGGISH
-Prolonged immobility
-Weight loss
-N/V
-Fatigue
-Muscle weakness
-Depressin
-Anorexia
-Constipation
Acute pancreatitis expected findings? -WBC elevation
-Hyperglycemia
-Serum LDH and AST elevation
-Serum amylase and lipase elevation
-BUN and coagulation can be elevated
-Hypocalcemia (Trousseau's or Chvostek's sign)
-Elevated C-reactive protein
***Hypercalcemia can cause pancreatitis
Herpes zoster vaccine can be administered at what age? 50 years old
