2
AG-ACNP - Common Problems in Acute Care Exam questions with || || || || || || || || || ||
accurate detailed answers || ||
Define pain. - ✔✔Subjective descriptor of perceived distress.
|| || || || || || ||
Acute pain - ✔✔Pain lasting <6 months
|| || || || || ||
Caused by tissue damage
|| || ||
Chronic pain - ✔✔Pain lasting >6 months
|| || || || || ||
Combination is usually necessary to effectively treat chronic pain || || || || || || || ||
Cutaneous pain - ✔✔Localized on the skin or surface of body
|| || || || || || || || || ||
Visceral pain - ✔✔Poorly localized
|| || || ||
Internal organs ||
Somatic pain - ✔✔Non-localized
|| || ||
Muscle, bones, nerves, blood vessels and supporting tissue
|| || || || || || ||
Neuropathic pain - ✔✔Nerve pathway injury or compression || || || || || || ||
Frequently neuropathic pain is caused by tumor || || || || || ||
What is the single most reliable indicator of existence and intensity of pain? - ✔✔Subjective
|| || || || || || || || || || || || || || ||
findings - patient report || || ||
WHOSE PAIN IS IT || || ||
,2
Normal body temperature - ✔✔37 C || || || || ||
Fever temperature and what to do - ✔✔38.6 C = 101.5
|| || || || || || || || || ||
Culture patient and start Tylenol || || || ||
When is it appropriate to start Tylenol in presence of 38.6 C fever? - ✔✔Once the cultures
|| || || || || || || || || || || || || || || || ||
are drawn, you can administer Tylenol
|| || || || ||
Neuroleptic Malignant Syndrome - ✔✔SSRI toxicity || || || || ||
Family history is significant for neuroleptic malignant syndrome
|| || || || || || ||
Malignant Hyperthermia is associated with what drug? - ✔✔Succyncholine
|| || || || || || || ||
Succs is contraindicated in what situation? - ✔✔Hyperkalemia - contraindicated for succs
|| || || || || || || || || || ||
What is the most common cause of non-infectious fever? - ✔✔Post-operative atelectasis
|| || || || || || || || || || ||
Elevated esoinophils are present in what reactions? - ✔✔Allergic reactions
|| || || || || || || || ||
Drug-induced fever ||
Drug Induced Fever - ✔✔Slow onset (7-10 days)
|| || || || || || ||
PCN derivatives most common inducing fever
|| || || || ||
In the absence of infection, what is the treatment for non-infectious fever? - ✔✔Hydration
|| || || || || || || || || || || || ||
Increasing lung expansion || ||
,2
What is the treatment of drug-induced fever related to Thorazine? - ✔✔Flush out Thorazine
|| || || || || || || || || || || || ||
with IVF
|| ||
Infectious etiology of fever is manifested by: - ✔✔Elevated WBC with L shift - bandemia
|| || || || || || || || || || || || || ||
WBC >30,000 is suggestive of: - ✔✔Leukemia
|| || || || || ||
Not r/t infection causing fever
|| || || ||
Treatment of Infectious Fever - ✔✔Culture || || || || ||
Tylenol
Supportive IVF ||
Gram stain and culture all lines and invasive catheters
|| || || || || || || ||
When patient presents with 101.5 F >3 weeks, what diagnosis is suspected and what is the
|| || || || || || || || || || || || || || || ||
plan of care? - ✔✔FUO - endocarditis, malignancy
|| || || || || || ||
NOTHING. You do nothing until source of fever is identified || || || || || || || || ||
Most important part of history of headache - ✔✔Chronology - onset, when it started
|| || || || || || || || || || || || ||
Tension Headache - characteristics - ✔✔Most common type of headache
|| || || || || || || || ||
Vice-like, squeezing, tight || ||
Generalized ||
Intense around neck and back of head || || || || || ||
NO focal neurological symptoms
|| || ||
Duration: several hours || ||
, 2
Vice-like, generalized, squeezing headache that radiates into neck and lasting several hours
|| || || || || || || || || || || ||
with no focal neurological symptoms - ✔✔Tension Headache
|| || || || || || ||
Tension Headache treatment - ✔✔OTC analgesics
|| || || || ||
Relaxation
Classic Migraine - ✔✔Migraine headache with aura
|| || || || || ||
Common Migraine - ✔✔Migraine headache without aura
|| || || || || ||
Pathology of Migraine Headache - ✔✔Excessive dilation and pulsation of external carotid
|| || || || || || || || || || || ||
artery lasting 2-72 hours and following trigeminal nerve pathway (CN V)
|| || || || || || || || || ||
Migraine s/s - ✔✔Unilateral, lateralized throbbing headache
|| || || || || ||
Focal neurological deficits - hallucinations, visual changes, aphasia, numbness, tingling,
|| || || || || || || || || ||
clumsiness
Nausea/vomiting
Photophobia
25 yo. F presents to ED with complaints of unilateral throbbing that started 12 hours ago.
|| || || || || || || || || || || || || || || ||
Her mother has reported history of migraines. Pt describes visual changes and numbness in
|| || || || || || || || || || || || || ||
her right hand following the pathway of the headache. What is primary diagnosis? -
|| || || || || || || || || || || || || ||
✔✔Migraine headache ||
Diagnostic for Migraine Headache - ✔✔CT scan and neurological exam to r/o tumor
|| || || || || || || || || || || || ||
causing focal neurological deficits || || ||
AG-ACNP - Common Problems in Acute Care Exam questions with || || || || || || || || || ||
accurate detailed answers || ||
Define pain. - ✔✔Subjective descriptor of perceived distress.
|| || || || || || ||
Acute pain - ✔✔Pain lasting <6 months
|| || || || || ||
Caused by tissue damage
|| || ||
Chronic pain - ✔✔Pain lasting >6 months
|| || || || || ||
Combination is usually necessary to effectively treat chronic pain || || || || || || || ||
Cutaneous pain - ✔✔Localized on the skin or surface of body
|| || || || || || || || || ||
Visceral pain - ✔✔Poorly localized
|| || || ||
Internal organs ||
Somatic pain - ✔✔Non-localized
|| || ||
Muscle, bones, nerves, blood vessels and supporting tissue
|| || || || || || ||
Neuropathic pain - ✔✔Nerve pathway injury or compression || || || || || || ||
Frequently neuropathic pain is caused by tumor || || || || || ||
What is the single most reliable indicator of existence and intensity of pain? - ✔✔Subjective
|| || || || || || || || || || || || || || ||
findings - patient report || || ||
WHOSE PAIN IS IT || || ||
,2
Normal body temperature - ✔✔37 C || || || || ||
Fever temperature and what to do - ✔✔38.6 C = 101.5
|| || || || || || || || || ||
Culture patient and start Tylenol || || || ||
When is it appropriate to start Tylenol in presence of 38.6 C fever? - ✔✔Once the cultures
|| || || || || || || || || || || || || || || || ||
are drawn, you can administer Tylenol
|| || || || ||
Neuroleptic Malignant Syndrome - ✔✔SSRI toxicity || || || || ||
Family history is significant for neuroleptic malignant syndrome
|| || || || || || ||
Malignant Hyperthermia is associated with what drug? - ✔✔Succyncholine
|| || || || || || || ||
Succs is contraindicated in what situation? - ✔✔Hyperkalemia - contraindicated for succs
|| || || || || || || || || || ||
What is the most common cause of non-infectious fever? - ✔✔Post-operative atelectasis
|| || || || || || || || || || ||
Elevated esoinophils are present in what reactions? - ✔✔Allergic reactions
|| || || || || || || || ||
Drug-induced fever ||
Drug Induced Fever - ✔✔Slow onset (7-10 days)
|| || || || || || ||
PCN derivatives most common inducing fever
|| || || || ||
In the absence of infection, what is the treatment for non-infectious fever? - ✔✔Hydration
|| || || || || || || || || || || || ||
Increasing lung expansion || ||
,2
What is the treatment of drug-induced fever related to Thorazine? - ✔✔Flush out Thorazine
|| || || || || || || || || || || || ||
with IVF
|| ||
Infectious etiology of fever is manifested by: - ✔✔Elevated WBC with L shift - bandemia
|| || || || || || || || || || || || || ||
WBC >30,000 is suggestive of: - ✔✔Leukemia
|| || || || || ||
Not r/t infection causing fever
|| || || ||
Treatment of Infectious Fever - ✔✔Culture || || || || ||
Tylenol
Supportive IVF ||
Gram stain and culture all lines and invasive catheters
|| || || || || || || ||
When patient presents with 101.5 F >3 weeks, what diagnosis is suspected and what is the
|| || || || || || || || || || || || || || || ||
plan of care? - ✔✔FUO - endocarditis, malignancy
|| || || || || || ||
NOTHING. You do nothing until source of fever is identified || || || || || || || || ||
Most important part of history of headache - ✔✔Chronology - onset, when it started
|| || || || || || || || || || || || ||
Tension Headache - characteristics - ✔✔Most common type of headache
|| || || || || || || || ||
Vice-like, squeezing, tight || ||
Generalized ||
Intense around neck and back of head || || || || || ||
NO focal neurological symptoms
|| || ||
Duration: several hours || ||
, 2
Vice-like, generalized, squeezing headache that radiates into neck and lasting several hours
|| || || || || || || || || || || ||
with no focal neurological symptoms - ✔✔Tension Headache
|| || || || || || ||
Tension Headache treatment - ✔✔OTC analgesics
|| || || || ||
Relaxation
Classic Migraine - ✔✔Migraine headache with aura
|| || || || || ||
Common Migraine - ✔✔Migraine headache without aura
|| || || || || ||
Pathology of Migraine Headache - ✔✔Excessive dilation and pulsation of external carotid
|| || || || || || || || || || || ||
artery lasting 2-72 hours and following trigeminal nerve pathway (CN V)
|| || || || || || || || || ||
Migraine s/s - ✔✔Unilateral, lateralized throbbing headache
|| || || || || ||
Focal neurological deficits - hallucinations, visual changes, aphasia, numbness, tingling,
|| || || || || || || || || ||
clumsiness
Nausea/vomiting
Photophobia
25 yo. F presents to ED with complaints of unilateral throbbing that started 12 hours ago.
|| || || || || || || || || || || || || || || ||
Her mother has reported history of migraines. Pt describes visual changes and numbness in
|| || || || || || || || || || || || || ||
her right hand following the pathway of the headache. What is primary diagnosis? -
|| || || || || || || || || || || || || ||
✔✔Migraine headache ||
Diagnostic for Migraine Headache - ✔✔CT scan and neurological exam to r/o tumor
|| || || || || || || || || || || || ||
causing focal neurological deficits || || ||
