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 - 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 - answer- there is no loss of
consciousness
What region of the brain is affected during simple partial seizures - answer- a small
region of the brain, the temporal lobes or hippocampus.
Left cerebral hemisphere is dominant for what in most right-handed individuals -
answer- speech and language
Specific manifestations of left hemisphere injury via left MCA infarct will exhibit what
s/sx? - answer- aphasia or apraxia
Symptoms of antihistamine toxicity - answer- confusion, hyperthermia, dilated pupils,
hypertension, and tachycardia
Mechanism behind post-renal dysfunction - answer- mechanical or functional urine flow
obstruction
, Rectal bleeding is more common in which illness: ulcerative colitis or Crohn's? - answer-
U.C.
Why is rectal bleeding more common in U.C. than Crohn's? - 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 - answer- a lack of responsivity to stimuli on one
side of the body
How do you treat complication of thyroid storm - answer- Inderal, a beta-blocker.
Anemia of chronic disease may be associated with
A) postsurgical blood loss
B) Hemolysis
C) Rheumatoid arthritis
D) G6PD deficiency - answer- C) Rheumatoid arthritis
Which of the following forces is known to produce traumatic axonal injury?
A) Shearing
B) Compression
C) Crushing
D) Bursting - answer- A) Shearing
Describe shearing injury - answer- Damage inflicted as tissue slides over other tissue.
Pt overdoses on olanzapine (Zyprexa). The APRN will need to closely assess the EKG
for
A) Premature ventricular contractions
B) Sinus arrhythmias
C) Atrial fibrillation
D) Prolonged QT intervals - answer- D) long QT is typically caused by antipsychotics
such as olanzapine.
Pt comes to ED with dyspnea. The PE reveals dry crackles bilaterally.
A) Pneumonia
B) Asthma
C) Heart failure
D) Emphysema - answer- D) Emphysema
What is the standard procedure for investigating the source of iron deficiency anemia
among men and postmenopausal women? - answer- Rule out a GI tract pathology.
Order an endoscopic evaluation of the upper and lower GI tract.
Which of the following conditions precludes a patient from receiving sumatriptan
(Imitrex)?
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 - 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 - answer- there is no loss of
consciousness
What region of the brain is affected during simple partial seizures - answer- a small
region of the brain, the temporal lobes or hippocampus.
Left cerebral hemisphere is dominant for what in most right-handed individuals -
answer- speech and language
Specific manifestations of left hemisphere injury via left MCA infarct will exhibit what
s/sx? - answer- aphasia or apraxia
Symptoms of antihistamine toxicity - answer- confusion, hyperthermia, dilated pupils,
hypertension, and tachycardia
Mechanism behind post-renal dysfunction - answer- mechanical or functional urine flow
obstruction
, Rectal bleeding is more common in which illness: ulcerative colitis or Crohn's? - answer-
U.C.
Why is rectal bleeding more common in U.C. than Crohn's? - 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 - answer- a lack of responsivity to stimuli on one
side of the body
How do you treat complication of thyroid storm - answer- Inderal, a beta-blocker.
Anemia of chronic disease may be associated with
A) postsurgical blood loss
B) Hemolysis
C) Rheumatoid arthritis
D) G6PD deficiency - answer- C) Rheumatoid arthritis
Which of the following forces is known to produce traumatic axonal injury?
A) Shearing
B) Compression
C) Crushing
D) Bursting - answer- A) Shearing
Describe shearing injury - answer- Damage inflicted as tissue slides over other tissue.
Pt overdoses on olanzapine (Zyprexa). The APRN will need to closely assess the EKG
for
A) Premature ventricular contractions
B) Sinus arrhythmias
C) Atrial fibrillation
D) Prolonged QT intervals - answer- D) long QT is typically caused by antipsychotics
such as olanzapine.
Pt comes to ED with dyspnea. The PE reveals dry crackles bilaterally.
A) Pneumonia
B) Asthma
C) Heart failure
D) Emphysema - answer- D) Emphysema
What is the standard procedure for investigating the source of iron deficiency anemia
among men and postmenopausal women? - answer- Rule out a GI tract pathology.
Order an endoscopic evaluation of the upper and lower GI tract.
Which of the following conditions precludes a patient from receiving sumatriptan
(Imitrex)?
